Volume 21, Issue 6 (Feb - Mar 2018)                   2018, 21(6): 54-46 | Back to browse issues page

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Abstract:   (5514 Views)
Background: Aging is accompanied by physiologic changes that can negatively impact nutritional status. Progressive under nutrition during aging is associated with early death. Some food avoidance could complicate nutritional status during chronic diseases in elderly people.
Objective: The aim of this study was to compare malnutrition among elderly people with and without cardiovascular diseases (CVDs).
Method: This case-control study was conducted on 64 healthy elder subjects (as a control group) and 64 elderly patients with CVDs (as a case group) in Shiraz (2017). Demographic and mini nutritional assessment (MNA) questionnaires were completed for each participant. Anthropometric data (weight, BMI, waist, hip, arm and calf circumferences) were measured.
Findings: Malnutrition distribution was significantly different between two groups based on MNA score (P<0.001) and 48 (75%) of healthy elderly participants and 18 (28.1%) of patients weren’t malnourished. Risk of malnutrition was 35 (54.7%) and 16 (25%) in unhealthy and healthy groups respectively. Only 11 (17.2%) of elderly patients with CVDs were malnourished.
Conclusion: Malnutrition rate increased in elderly patients with CVDs compared to healthy old group. It seems that food avoidance of the disease is the cause of higher malnutrition rate. Attention to the balance and adequacy of macronutrient intake in a personal diet of CVDs patients can be a method to prevent progression of malnutrition in old patients.
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Type of Study: Research | Subject: Nutrition

1. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart disease and stroke statistics-2017 update: a report from the American Heart Association. Circulation 2017; 135(10): e146-603. [DOI] [PubMed]
2. World Health Organization. Prevention of cardiovascular disease, guidelines for assessment and management of cardiovascular risk. 1st ed. Switzerland: World Health Organization; 2007. 2-3.
3. Hanna IR, Wenger NK. Secondary prevention of coronary heart disease in elderly patients. Am Fam Physician 2005; 71(12): 2289-96. [PubMed]
4. Peiman H, Yaghoubi M, Seyed Mohammadi A, Delpishe A. Prevalence of chronic diseases in the elderly in Ilam. Salmand Iranian J Age 2012; 6(4): 7-13. [In Persian]
5. Malek Afzali H, Baradaran Eftekhari M, Hejazi F, Khojasteh T, Tabrizi R, Faridi T. Social mobilization for health promotion in the elderly. Hakim Health Sys Res 2007; 9(4): 1-6. [In Persian]
6. Bandayrel K, Wong S. Systematic literature review of randomized control trials assessing the effectiveness of nutrition interventions in community- dwelling older adults. J Nutr Educ Behav 2011; 43(4): 251-62. [DOI] [PubMed]
7. Edmonds P, Karlsen S, Khan S, Addington-Hall J. A comparison of the palliative care needs of patients dying from chronic respiratory diseases and lung cancer. Palliat Med 2001; 15(4): 287-95. doi: 10. 1191/026921601678320278. [PubMed]
8. Ulger Z, Halil M, Kalan I, Yavuz BB, CankurtaranM, Gungor E, Ariogul S. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr 2010; 29(4): 507-11. [DOI] [PubMed]
9. Ozkara A, Turgut F, Kanbay M, Selcoki Y, Akcay A. Population–based cardiovascular risk factors in the elderly in Turkey: a cross–sectional survey. Cent Eur J Med 2008; 3(2): 173-8. [DOI]
10. Sekuri C, Eser E, Akpinar G, Cakir H, Sitti I, Gulomur O, et al. Cardiovascular disease risk factors in post–menopausal women in West Anatolia. Jpn Heart J 2004; 45(1): 119-31. [DOI] [PubMed]
11. As'habi A, Tabibi H, Hedayati M, Mahdavi-Mazdeh M, Nozari B. Association of energy-protein malnutrition with risk factors of cardiovascular diseases in hemodialysis patients. Iranian J Nutr Sci Food Technol 2011; 6(2): 43-54. [In Persian]
12. Baumgartner RN, Waters DL, Gallagher D, Morley JE, Garry PJ. Predictors of skeletal muscle mass in elderly men and women. Mech Ageing Dev 1999; 107(2): 123-36. [DOI] [PubMed]
13. Kim Y, Wijndaele K, Lee DC, Sharp SJ, Wareham N, Brage S. Independent and joint associations of grip strength and adiposity with all-cause and cardiovascular disease mortality in 403,199 adults: the UK Biobank study. Am Clin Nutr 2017; 106(3): 773-82. [DOI] [PubMed]
14. Amani R, Noorizadeh M, Rahmanian S, Afzali N, Haghighizadeh MH. Nutritional related cardiovascular risk factors in patients with coronary artery disease in Iran: a case-control study. Nutr J 2010; 9: 70. [DOI] [PubMed]
15. Malek Mahdavi A, Mahdavi R, Lotfipour M, Asghari Jafarabadi M, Faramarzi E. Evaluation of the Iranian mini nutritional assessment short-form in community-dwelling elderly. Health Promot Perspect 2015; 5(2): 98-103. doi: 10.15171/hpp. 2015.012. [PubMed]
16. Laquatra I. Nutrition for Weight Management. Mahan LK, Scott-stump S. Food, nutrition and diet therapy. 11th ed. Philadelphia: WB Saunders; 2004. 561-2.
17. Masomy N, Jefroodi SH, Ghanbari A, Kazemnejad E, Shojaei F, Rafiei AH. Nutritional status assessment and related factors in the retired senile. J Guilan Univ Med Sci 2012; 21(84): 65-70. [In Persian]
18. Kuzuya M, Kanda S, Koike T, Suzuki Y, Satake S, Iguchi A. Evaluation of mini- nutritional assessment for Japanese frail elderly. Nutrition 2005; 21(4):498-503. [DOI] [PubMed]
19. Coelho AK, Rocha FL, Fausto MA. Prevalence of undernutrition in elderly patients hospitalized in a geriatric unit in Belo Horizonte, MG, Brazil. Nutrition 2006; 22(10): 1005-11. [DOI] [PubMed]
20. Mollazadeh T, Honarbakhsh AR. Evaluating BMI status in Esfarayen elderly people. First National Conference on Applied Research in Public Health and Sustainable Development. 2013 Sep; Shirvan: 1(1): 91 [In Persian]
21. Ghorbani A, Karimzadeh T, Azadmanesh Y. Nutritional Assessment in Elderly Hospitalized Patients in Qazvin Teaching Hospitals in 2011. Salmand Iranian J Age 2013; 8(1): 33-40. [In Persian]
22. Âlavi naeini AM, Dorosty motlagh AR, Âghdak P. Survey of obesity, underweight and associated factors in elderly people, using some of anthropometric indices in Isfahan city, 2004. J Mazandaran Univ Med Sci 2006; 16(52): 117-25. [In Persian]
23. Hosseini S, Keshavarz A, Amin A, Maleki M, Bakhshandeh Abkenar H. Nutritional status and non-diet associated factors of hospitalized heart-failure elderly patients. Salmand Iran J Ageing 2010; 5(2): 61-6. [In Persian]
24. Campos MA, Pedroso ER, Lamounier JA, Colosimo EA, Abrantes MM. Nutritional status and related factors among elderly Brazilians. Rev Assoc Med Bras (1992) 2006; 52(4): 214-21. [DOI] [PubMed]
25. Dehghan M, Mente A, Zhang X, Swaminathan S, Li W, Mohan V, et al. Associations of fats and carbohydrate intake with cardiovascular disease and mortality in 18 countries from five continents (PURE): a prospective cohort study. Lancet 2017g; 390(10107): 2050-62. [DOI] [PubMed]

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