Energy Intake and Severity of Dementia Are Both Associated with Health-Related Quality of Life among Older Long-Term Care Residents

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Salminen , K S , Suominen , M H , Kautiainen , H , Roitto , H M & Pitkala , K H 2019 , ' Energy Intake and Severity of Dementia Are Both Associated with Health-Related Quality of Life among Older Long-Term Care Residents ' , Nutrients , vol. 11 , no. 10 , 2261 . https://doi.org/10.3390/nu11102261

Titel: Energy Intake and Severity of Dementia Are Both Associated with Health-Related Quality of Life among Older Long-Term Care Residents
Författare: Salminen, K. S.; Suominen, M. H.; Kautiainen, H.; Roitto, H. M.; Pitkala, K. H.
Upphovmannens organisation: Department of General Practice and Primary Health Care
University of Helsinki
Clinicum
HUS Helsinki and Uusimaa Hospital District
Teachers' Academy
Datum: 2019-10
Språk: eng
Sidantal: 11
Tillhör serie: Nutrients
ISSN: 2072-6643
DOI: https://doi.org/10.3390/nu11102261
Permanenta länken (URI): http://hdl.handle.net/10138/310653
Abstrakt: Our aim was to investigate how energy intake modifies the association of the stage of dementia with health related quality of life (HRQoL) among institutionalized older people. A cross-sectional sample of 538 older long-term care residents with dementia in Helsinki, Finland were assessed with HRQoL (15D), energy intake (from one to two days), and the stage of dementia by the clinical dementia rating (CDR) scale. The energy intakes were standardized by z-scores to include both men and women in the same analyses. Severity of dementia was associated with HRQoL (15D index in CDR 0.5-1: 0.65 (0.11), CDR 2: 0.60 (0.10), CDR 3: 0.52 (0.10)). When the three groups of dementia severity were divided according to their energy intake quartiles, there was an association between the HRQoL and the stage of dementia (p <0.001) and energy intake (p = 0.013); however, no interaction was observed (p = 0.30). While partial correlation analysis showed that energy intake correlated with HRQoL among residents with very mild/mild or moderate dementia, this was not observed among those with severe dementia. In moderate dementia, the dimensions of mobility and usual activities correlated significantly with higher energy intake. Both energy intake and severity of dementia are associated with HRQoL.
Subject: energy intake
health-related quality of life
stage of dementia
long-term care
NURSING-HOME RESIDENTS
NUTRITIONAL-STATUS
PEOPLE
MALNUTRITION
PROTEIN
POPULATION
PREDICTORS
DISEASE
STATE
RISK
3143 Nutrition
316 Nursing
Referentgranskad: Ja
Licens: cc_by
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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