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Nutritional status in chronically-ill elderly patients. Is it related to quality of life?
R Artacho1, C Lujano, A B Sanchez-Vico
1M.D. Ruiz-López, Departamento de Nutrición y Bromatología, Facultad de Farmacia, Universidad de Granada, Campus Universitario La Cartuja. 18071 Granada, España. Tlf. + 34 958 243869.
Objective:
The aim of this study is to assess the quality of life in chronically-ill elderly patients and its relationship with parameters concerning the patients' nutritional status.
Design:
A cross-sectional study.
Setting:
Primary health-care centres in Jaen, Spain.
Participants:
A total of 168 chronically-ill elderly outpatients aged from 65 to 89 years.
Measurements:
Quality of life was measured using the World Health Organization Quality of Life (WHOQOL-BREF) questionnaire. A nutritional assessment was undertaken including socio-demographic variables, anthropometric measurements (body-mass index and calf circumference), functional evaluation (Barthel index and Folstein mini-mental status test) and a dietetic questionnaire. The mini-nutritional assessment test was used as an assessment tool to detect nutritional risk.
Results:
Quality of life in chronically-ill elderly subjects, as determined by the WHOQOL-BREF questionnaire, which diminishes with age, is independent of anthropometric parameters and a statistically significant difference was found between gender, socio-demographic characteristics, functional capacity, nutritional status and the kind of chronic disease (p<0.05).
Conclusion:
The relationship between the quality of life with the patients' socio-demographic characteristics, functional capacity and nutritional status underlines the importance of taking these factors into account in the management of chronically ill patients, especially women.
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