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Nutritional status of frail elderly

100%

Jaroch A., Kędziora-Kornatowska K.

Progress in Health Sciences

2014

vol. 4

issue 2

144-149

Introduction: Growing population of elderly requires effective medical diagnostics and help. Criteria developed by Fried et al. are most often used for the diagnosis of the frailty syndrome. An inherent element of frailty syndrome is malnu-trition. Malnutrition results from inadequate food supply, coexistence of acute and chronic diseases. Effective nutritional interventions conducted on frail older persons can prevent them from developing the frailty syndrome. Review: The prevalence of frailty in elders is 17% moreover 42.3% are prefrail. There are many scales designed to identify frailty syndrome, but the most common is the classification of Fried et al. Malnutrition is a common state in frail elderly. Basic questionnaire, which is used to diagnose malnutrition, is MNA (Mini-Nutritional Assessment). Mini-Nutritional Assessment Short-Form (MNA-SF) and Malnutrition Universal Screening Tool (MUST) also can be used. Sarcopenia, which is defined as reduced muscle mass and strength and impaired muscle performance, significantly contribute to the development of frailty. Many studies have shown that an effective method in the preventing of sarcopenia is protein supplementation. Other beneficial lifestyle and diet changes, which can help prevent the development of frailty syndrome, are adherence to the Mediterranean diet, appro-priate intake of carotenoids, vitamin E, selenium and zinc. Another important protective factor is vitamin D levels. Low serum 25(OH)D is strongly associated with frailty. Conclusions: From a nutritional point of view adherence to a Mediterranean-style diet, sufficient intake of protein, micronutrients and vitamin D, as well as regular moderate physical activity, can be crucial in the preventing of the frailty syndrome.

Variety of food intake measured with Food Intake Variety Questionnaire (FIVeQ) and nutritional status of Polish adolescents aged 13-15 years

81%

Jaroch A., Nowak D., Kędziora-Kornatowska K.

Progress in Health Sciences

2015

vol. 5

issue 2

30-40

Purpose:To demonstrate the relationship between variety of food intake described with Food Intake Variety Index and nutritional status of Polish adolescents aged 13-15 years.Materials and methods: Pattern of food consumption for 131 adolescents (52% boys, 48% girls, mean age 14.4 ± 0.9) was evaluated by using FIVeQ (Food Intake Variety Questionnaire), whose interpretation allowed to determine FIVeI (Food Intake Variety Index). According to FIVeI four levels of variety of food consumption were defined: inadequate, sufficient, good and very good. Nutritional status was examined with selected anthropometric parameters, i.e.: weight, height, thickness of the skinfolds, body circuits, BMI (Body Mass Index), AMC (Arm Muscle Circumference), WHtR (Waist-to-Height Ratio), WHR (Waist-Hip Ratio) indexes and FM (Fat Mass), %FM (Fat Mass Percentage), FFM (Fat-free Mass), taken with the FUTREX device. In addition, measurements of BP (Blood pressure) were used for assessing nutritional status.Results:Variety of food intake for majority of examined adolescents was defined as sufficient (FIVeI = 28.4 products/week). The average BMI value for both sexes was 20.4 kg/m2, and fat mass percentage was 22.4%. Analysis of percentile ranges of given anthropometric parameters and BP according to gender and level of FIVeI showed that generally their values were within the normal range (10-90 percentile), although overweight and obesity was found in 11% of the adolescents. 38% of the examined group had values of blood pressure indicating prehypertension.Conclusions:Overall nutritional status was defined as good, however variety of food consumption was inadequate and needs improvement. Alarming blood pressure values require further investigation.

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2 Progress in Health Sciences

1 2015

1 2014

2 Jaroch A.

2 Kędziora-Kornatowska K.

1 Nowak D.

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Nutritional status of frail elderly

Variety of food intake measured with Food Intake Variety Questionnaire (FIVeQ) and nutritional status of Polish adolescents aged 13-15 years