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Malnutrition and depression in the institutionalised elderly.
Christine Smoliner1, Kristina Norman, Karl-Heinz Wagner
1Department of Gastroenterology, Hepatology and Endocrinology, Charité Universitätsmedizin Berlin, Charitéplatz 1, Berlin, Germany. christine.smoliner@charite.de
The British Journal of Nutrition
|July 23, 2009
Summary
Malnutrition and depression are common in elderly nursing home residents. This study found a significant association between poor nutritional status and depressive symptoms, impacting quality of life.
Area of Science:
- Gerontology
- Nutritional Science
- Psychiatry
Background:
- Malnutrition and depression are prevalent in institutionalized elderly individuals.
- These conditions can lead to adverse health outcomes, affecting self-care and quality of life.
Purpose of the Study:
- To assess the association between nutritional status and depressive symptoms in nursing home residents.
- To explore the impact of these conditions on self-caring capacity and quality of life.
Main Methods:
- Cross-sectional study involving 114 nursing home residents.
- Nutritional status assessed using the Mini Nutritional Assessment (MNA).
- Depressive symptoms evaluated with the Geriatric Depression Scale (GDS).
- Self-caring capacity measured by the Barthel Index (BI); quality of life by the SF-36 questionnaire.
Main Results:
- 22.8% of residents were malnourished, and 57.9% were at nutritional risk.
- 21.3% had major and 34.7% had minor depressive symptoms.
- A significant correlation was found between MNA and GDS scores (r = -0.313, P = 0.006).
- Depressive symptoms (GDS) were the sole independent risk factor for malnutrition.
- Quality of life was negatively affected in malnourished residents and those with depressive symptoms.
Conclusions:
- An association exists between malnutrition and depressive symptoms in nursing home residents.
- The complex relationship's directionality (cause or consequence) requires further investigation.
- Future research should explore the effects of depression treatment on nutritional and functional status.
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