Two months of protein–rich dietary recommendations for older patients at risk of malnutrition improves nutritional status, and decreases body fat percentage

Sumru Savaş; Zeliha Fulden Saraç; Aynur Özdener; Merve Yılmaz; Selahattin Fehmi Akçiçek

doi:10.19161/etd.915661

TR EN

İki aylık proteinden zengin beslenme önerileri malnütrisyon riski altındaki yaşlı hastalarda nütrisyonel durumu düzeltir ve vücut yağ oranını azaltır

Öz

Amaç: Bu çalışmada; proteinden zengin beslenme (PZB) programının malnütrisyon riski (MR) altındaki yaşlı hastalarda vücut kompozisyonuna etkisinin araştırılması amaçlanmıştır. Gereç ve Yöntem: İç Hastalıkları Diyet polikliniğine başvuran, kognitif sorunları, diyabeti ve renal hastalığı olmayan ≥65 yaş bireyler taranarak, çalışmaya normal nütrisyonel durum (ND)’da 30 yaşlı, MR altında 30 yaşlı alınması planlandı. Vücut kompozisyonu, ND, antropometrik değerlendirmeler yapıldı. Malnütrisyon riski altındaki bireylere PZB programı eğitimi verildi. İki aylık program sonrasında tüm değerlendirmeler her iki grupta tekrarlandı. Bulgular: Çalışmaya 60 yaşlı dahil edildi (yaş ortalaması 72,5 ± 6,2; Kadın / Erkek: %63,3 / %36,7). İkinci ay sonunda MR altındaki grupta (n = 30): ortalama vücut yağ oranı azalmış (P = 0,036), total vücut suyu ve Mini Nütrisyonel Değerlendirme Kısa Form (MND – KF) skoru artmış bulundu (P =0,020 ve P < 0,001). Ortalama vücut ağırlığı (VA), vücut kitle indeksi (VKİ), bel - kalça çevresi, yağ kütlesi, yağsız vücut kitlesi (FFM) ve baldır çevresi ölçümleri ise benzer bulundu. Normal ND’daki grupta (n = 30) ölçülen ortalama VA, bel - kalça çevresi, yağ kütlesi, FFM, ve baldır çevresi ölçümlerinde anlamlı düşüş gözlenirken (sırasıyla; P = 0,001, P = 0,021, P = 0,016, P = 0,025, P =0,002, P = 0,017), VKİ, yağ yüzdesi, toplam vücut suyu ve MND-KF skorları iki ölçümde benzerdi. Sonuç: PZB önerilen MR altındaki yaşlılarda ND düzelirken, yağ oranı azalmıştır. Normal ND’daki genel öneriler verilen yaşlılarda ise VA, bel - kalça çevresi, yağ kütlesi, FFM, ve baldır çevresi ölçümlerinde anlamlı düşüş gözlenmiştir. İleri yaştaki hastaların bakımında uygun hastalarda PZB önerileri yapılmalıdır.

Anahtar Kelimeler

Two months of protein–rich dietary recommendations for older patients at risk of malnutrition improves nutritional status, and decreases body fat percentage

Abstract

Aim: It is aimed to evaluate the impact of protein – rich dietary (PRD) recommendations on the body composition of older patients at malnutrition risk (MR) in this study. Materials and Methods: Patients ≥65 years of age, without cognitive problems, diabetes, renal diseases, admitted to Internal Medicine Nutrition Outpatient Clinic consecutively were screened, and 30 patients in normal nutritional status (NS), 30 patients at MR were planned to be enrolled. Body compositions, NS, and anthropometric measurements were performed. Patients at MR were trained for PRD recommendations. Evaluations were repeated in both groups after two months. Results: Sixty older patients were enrolled (mean age 72.5 ± 6.2; Female / Male: %63.3 / %36.7). After two months; in the group at MR (n = 30); there was a significant decrease in mean body fat ratio (P = 0.036), increase in body water ratio and Mini Nutritional Assessmnet – Short Form (MNA-SF) score (P = 0.020 and P < 0.001). Mean body weight (BW) , body mass index (BMI), waist – hip circumference, fat mass, fat free mass (FFM) and calf circumference were similar. In the normal NS group (n = 30) mean BW, waist – hip circumference, fat mass, FFM, calf circumference values significantly decreased (P = 0.001, P = 0.021, P = 0.016, P = 0.025, P = 0.002, P = 0.017, respectively), and BMI, fat ratio, body water and MNA – SF scores were similar. Conclusion: In the group at MR, PRD recommendations improved NS, and fat ratio decreased. In patients given general nutritional recommendations with normal NS; BW, waist – hip circumference, fat mass, FFM, and calf circumference decreased. PRD recommendations should be given for the care of appropriate older patients.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Sumru Savaş ^*
0000-0003-4836-3786
Türkiye

Zeliha Fulden Saraç
0000-0001-9281-2492
Türkiye

Aynur Özdener
0000-0002-2268-2511
Türkiye

Merve Yılmaz
0000-0003-0730-8908
Türkiye

Selahattin Fehmi Akçiçek
0000-0003-2583-4709
Türkiye

Publication Date

April 19, 2021

Submission Date

January 18, 2021

Acceptance Date

March 15, 2021

Published in Issue

Year 2021

DOI

https://doi.org/10.19161/etd.915661

IZ

https://izlik.org/JA56TB86FF

Cite

RIS / Bibtex

Vancouver

1.Sumru Savaş, Zeliha Fulden Saraç, Aynur Özdener, Merve Yılmaz, Selahattin Fehmi Akçiçek. Two months of protein–rich dietary recommendations for older patients at risk of malnutrition improves nutritional status, and decreases body fat percentage. EJM. 2021 Apr. 1;45-51. doi:10.19161/etd.915661