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The journal of nutrition, health & aging

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01-07-2019 | Nutrition

Anorexia of Aging Associated with Nutrients Intake in Brazilian Elderly

Authors: L. M. Hara, C. N. Freiria, G. M. Silva, A. Fattori, L. P. Corona

Published in: The journal of nutrition, health & aging | Issue 7/2019

Abstract

This study evaluated the association between anorexia of aging and nutrients intake. It was a cross-sectional study with 130 individuals aged 60 years or older, undergoing outpatient care in the city of Campinas, São Paulo. Anorexia of Aging (AA) was assessed using the Simplified Nutrition Appetite Questionnaire (SNAQ), and food consumption was evaluated using the 24-hour recall (24HR). The prevalence of AA was 27.7%, in which 66.7% were women and 38.9% were older than 80 years. Elderly with AA presented lower intake of calories (1172.6 kcal vs 1477.9 kcal; p = 0.003), carbohydrates (158.5 g vs 194.1 g; p = 0.015), proteins (49.9 g vs 68.5 g; p = 0.004) and lipids (34.6 g vs 46.1 g; p = 0.006). They also had lower intake of fibers (12.6 g vs 19.4 g; p < 0.001), iron (6.4 mg vs 8.9 mg; p < 0.001) and zinc (6.0 mg vs 8.5 mg; p = 0.004). Our results show that intake of most nutrients is significantly lower in AA elderly, except carbohydrates, which may point to worse-quality diets. The diagnosis of AA, as well as the evaluation of elderly food intake, are essential to prevent undernutrition, vulnerabilities, and increased morbidity and mortality.

IBGE. Instituto Brasileiro de Geografia e Estatística, 2010. Censo demográfico de 2010. IBGE: Brasília, Brazil. http://www.ibge.gov.br. Accessed 20 October 2018

IBGE. Instituto Brasileiro de Geografia e Estatística, 2013. Projeções da população: Brasil e unidades da federação. IBGE: Rio de Janeiro, Brazil. http://www.ibge.gov.br. Accessed 20 October 2018

UN. United Nations, 2011. World Population Ageing 1950–2050. Available online: http://www.un.org/esa/population. Acessed 20 October 2018

Lebrão ML. O envelhecimento no Brasil: aspectos da transição demográfica e epidemiológica. Saúde Coletiva 2007;4(17):135–40

Inouye SK, Studenski S, Tinetti ME, Kuchel GA (2007) Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc 2007;55(5):780–91. doi:https://doi.org/10.1111/j.1532-5415.2007.01156.x CrossRefPubMedPubMedCentral

Landi F, Laviano A, Cruz-Jentoft AJ. The Anorexia of Aging: Is It a Geriatric Syndrome? J Am Med Dir Assoc 2010;11(3):153–6. doi:https://doi.org/10.1016/j.jamda.2009.09.003 CrossRefPubMed

Morley JE, Silver AJ (1988) Anorexia in the elderly. Neurobiol Aging 1988;9(1):9–16. doi:https://doi.org/10.1016/s0197-4580(88)80004-6 CrossRefPubMed

Morley JE, Silver AJ, Miller DK, Rubenstein LZ. The anorexia of the elderly. Ann N Y Acad Sci 1989;575:50–9. doi:https://doi.org/10.1111/j.1749-6632.1989.tb53231.x CrossRefPubMed

Malafarina V, Uriz-Otano F, Gil-Guerrero L, Iniesta R. The anorexia of ageing: Physiopathology, prevalence, associated comorbidity and mortality. A systematic review. Maturitas 2013;74(4):293–302. doi:https://doi.org/10.1016/j.maturitas.2013.01.016. CrossRefPubMed

10.

Morley JE, Thomas DR. Anorexia and aging: Pathophysiology. Nutrition 1999;15(6):499–503. doi:https://doi.org/10.1016/s0899-9007(99)00057-x CrossRefPubMed

11.

Chapman IM, MacIntosh CG, Morley JE, Horowitz M. The anorexia of ageing. Biogerontology 2002;3(1–2):67–71. doi:https://doi.org/10.1023/a:1015211530695 CrossRefPubMed

12.

Landi F, Calvani R, Tosato M, Martone AM, Ortolani E, Savera G, et al. Anorexia of Aging: Risk Factors, Consequences, and Potential Treatments. Nutrients 2016;8(2). doi:https://doi.org/10.3390/nu8020069

13.

Wysokinski A, Sobow T, Kloszewska I, Kostka T. Mechanisms of the anorexia of aging-a review. Age 2015;37(4). doi:https://doi.org/10.1007/s11357-015-9821-x

14.

Morley JE. Pathophysiology of the anorexia of aging. Curr Opin Clin Nutr Metab Care 2013;16(1):27–32. doi:https://doi.org/10.1097/MCO.0b013e328359efd7 CrossRefPubMed

15.

Soenen S, Chapman IM. Body Weight, Anorexia, and Undernutrition in Older People. J Am Med Dir Assoc 2013;14(9):642–8. doi:https://doi.org/10.1016/j.jamda.2013.02.004 CrossRefPubMed

16.

Donini LM, Poggiogalle E, Piredda M, Pinto A, Barbagallo M, Cucinotta D, et al. Anorexia and Eating Patterns in the Elderly. Plos One 2013;8(5):8. doi:https://doi.org/10.1371/journal.pone.0063539 CrossRef

17.

Wilson MMG, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr 2005;82(5):1074–81.CrossRefPubMed

18.

Sties SW, Gonzales AI, Viana MD, Brandt R, Bertin RL, Goldfeder R, et al. Simplified nutritional appetite questionnaire (SNAQ) for cardiopulmonary and metabolic rehabilitation program. Rev Bras Med Esporte 2012;18(5):313–7. doi:https://doi.org/10.1590/s1517-86922012000500006 CrossRef

19.

de Souza Orlandi F, Brochine Lanzotti R, Gomes Duarte J, Novais Mansur H, Zazzetta MS, Iost Pavarini SC, et al. Translation, Adaptation and Validation of Rapid Geriatric Assessment to the Brazilian Context. J Nutr Health Aging 2018;22(9):1115–21. doi:https://doi.org/10.1007/s12603-018-1078-5 CrossRefPubMed

20.

Fisberg RM, Marchioni DML, Colucci ACA. Assessment of food consumption and nutrient intake in clinical practice. Arq Bras Endocrinol Metab 2009;53(5):617–24. doi:https://doi.org/10.1590/s0004-27302009000500014 CrossRef

21.

WHO. World Health Organization, 2011. Global recommendations on physical activity for health. http://www.who.int/dietphysicalactivity/publications/9789241599979/en/ Acessed 20 October 2018

22.

Lipschitz DA. Screening for nutritional-status in the elderly. Primary Care 1994;21(1):55–67PubMed

23.

Brasil, 2014. Caderneta de Saúde da Pessoa Idosa. 3. ed. Ministério da saúde, Secretaria de Atenção à Saúde: Brasília, Brazil

24.

Pinheiro ABV, Lacerda EMA, Benzecry EH, Gomes MCS, Costa VM, 2002. Tabela para avaliação de consumo alimentar em medidas caseiras. 5. ed. Atheneu: São Paulo, Brazil

25.

IBGE. Instituto Brasileiro de Geografia e Estatística, 2011. Pesquisa de Orçamentos Familiares 2008–2009: Tabela de medidas referidas para os alimentos consumidos no Brasil. IBGE: Rio de Janeiro, Brazil

26.

Monteiro JP, Chiarello. Consumo alimentar. Visualizando porções, 1. ed.; Vannucchi H Eds, Guanabara Koogan: Rio de Janeiro, Brazil, 2007

27.

UNICAMP. Universidade Estadual de Campinas, 2011. Tabela brasileira de composição de alimentos — TACO. 4. ed. rev. e ampl. UNICAMP/NEPA Campinas, Brazil, 2011. http://www.unicamp.br/nepa/taco/tabela.php?ativo=tabela. Acessed 20 June 2018

28.

IBGE. Instituto Brasileiro de Geografia e Estatística, 2011. Pesquisa de Orçamentos Familiares 2008–2009: Tabela de composição nutricional para os alimentos consumidos no Brasil. IBGE: Rio de Janeiro, Brazil

29.

Philippi ST. Tabela de Composição de Alimentos: Suporte para Decisão Nutricional. 2. ed.; Coronário: São Paulo, Brazil, 2002

30.

USDA. United States Department of Agriculture. National Nutrient Database for Standard Reference. http://ndb.nal.usda.gov/ndb/foods/list. Acessed 20 June 2018

31.

WHO. Diet, nutrition and the prevention of chronic diseases — Introduction. Diet, Nutrition and the Prevention of Chronic Diseases, 2003; 916:1–149

32.

Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr 2018. doi: https://doi.org/10.1016/j.clnu.2018.05.024.

33.

IOM. Institute of Medicine, 2010. Dietary Reference Intakes for Calcium and Vitamin D. National Academy Press: Washington, DC, USA

34.

IOM. Institute of Medicine, 2001. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. National Academy Press: Washington, DC, USA, pp. 800

35.

IOM. Institute of Medicine, 2005. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. National Academy Press: Washington, DC, USA, pp. 638

36.

Sjogren A, Osterberg T, Steen B. Intake of energy, nutrients and food items in a 10-year cohort comparison and in a 6-year longitudinal perspective — a population study of 70-year-old and 76-year-old swedish people. Age and Ageing 1994;23(2):108–12. doi:https://doi.org/10.1093/ageing/23.2.108 CrossRefPubMed

37.

Morley JE. Decreased food intake with aging. J Gerontol A Biol Sci Med Sci 2001;56:81–8. doi:https://doi.org/10.1093/gerona/56.suppl_2.81 CrossRefPubMed

38.

Giezenaar C, Trahair LG, Rigda R, Hutchison AT, Feinle-Bisset C, Luscombe-Marsh ND, et al. Lesser suppression of energy intake by orally ingested whey protein in healthy older men compared with young controls. Am J Physiol Regul Integr Comp Physiol 2015;309(8):R845–R54. doi:https://doi.org/10.1152/ajpregu.00213.2015 CrossRefPubMedPubMedCentral

39.

Donini LM, Savina C, Cannella C. Eating habits and appetite control in the elderly: The anorexia of aging. International Psychogeriatrics. 2003;15(1):73–87. doi: https://doi.org/10.1017/S1041610203008779 CrossRefPubMed

40.

Nieuwenhuizen WF, Weenen H, Rigby P, Hetherington MM. Older adults and patients in need of nutritional support: Review of current treatment options and factors influencing nutritional intake. Clin Nutr 2010;29(2):160–9. doi:https://doi.org/10.1016/j.clnu.2009.09.003 CrossRefPubMed

41.

Vazquez-Valdez OE, Aguilar-Navarro S, Avila-Funes JA. Association between anorexia of aging and disability in older communitydwelling mexicans. J Am Geriatr Soc 2010;58(10):2044–6. doi:https://doi.org/10.1111/j.1532-5415.2010.03094.x CrossRefPubMed

42.

Tek NA, Karacil-Ermumcu MS. Determinants of health related quality of life in home dwelling elderly population: appetite and nutritional status. J Nutr Health Aging 2018;22(8):996–1002. doi:https://doi.org/10.1007/s12603-018-1066-9 CrossRef

43.

van der Meij B, Wijnhoven H, Finlayson G, Oosten B, Visser M. Specific food preferences of older adults with a poor appetite. A forced-choice test conducted in various care settings. Appetite 2015;90:168–75. doi:https://doi.org/10.1016/j.appet.2015.03.011 CrossRefPubMed

44.

Landi F, Liperoti R, Lattanzio F, Russo A, Tosato M, Barillaro C, et al. Effects of anorexia on mortality among older adults receiving home care: an observational study. J Nutr Health Aging 2012;16(1):79–83. doi:https://doi.org/10.1007/s12603-011-0064-y CrossRefPubMed

45.

Roy M, Shatenstein B, Gaudreau P, Morais JA, Payette H. Seniors’ Body Weight Dissatisfaction and Longitudinal Associations With Weight Changes, Anorexia of Aging, and Obesity: Results From the NuAge Study. J Aging Health 2015;27(2):220–38. doi:https://doi.org/10.1177/0898264314546715 CrossRefPubMed

46.

Cornali C, Franzoni S, Frisoni GB, Trabucchi M. Anorexia as an independent predictor of mortality. J Am Geriatr Soc 2005;53(2):354–5. doi:https://doi.org/10.1111/j.1532-5415.2005.53126_4.x CrossRefPubMed

47.

van der Meij BS, Wijnhoven HAH, Lee JS, Houston DK, Hue T, Harris TB, et al (2017) Poor Appetite and Dietary Intake in Community-Dwelling Older Adults. J Am Geriatr Soc 2017;65(10):2190–7. doi:https://doi.org/10.1111/jgs.15017 CrossRefPubMedPubMedCentral

48.

Hughes G, Bennett KM, Hetherington MA. Old and alone: barriers to healthy eating in older men living on their own. Appetite 2004;43(3):269–76. doi:https://doi.org/10.1016/j.appet.2004.06.002 CrossRefPubMed

49.

Schroder H, Marrugat J, Covas M, Elosua R, Pena A, Weinbrenner T, et al. Population dietary habits and physical activity modification with age. Eur J Clin Nutr 2004;58(2):302–11. doi:https://doi.org/10.1038/sj.ejcn.1601782 CrossRefPubMed

50.

Sharkey JR, Branch LG, Zohoori N, Giuliani C, Busby-Whitehead J, Haines PS. Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors. Am J Clin Nutr 2002;76(6):1435–45. doi:https://doi.org/10.1093/ajcn/76.6.1435 CrossRefPubMed

51.

Fisberg RM, Marchioni DML, de Castro MA, Verly E, Araujo MC, Bezerra IN, et al. Inadequate nutrient intake among the Brazilian elderly: National Dietary Survey 2008–2009. Rev Saude Publica 2013;47:9. doi: https://doi.org/10.1590/S0034-89102013000700008 CrossRef

52.

Price EA, Mehra R, Holmes TH, Schrier SL. Anemia in older persons: Etiology and evaluation. Blood Cells Mol Dis 2011;46(2):159–65. doi:https://doi.org/10.1016/j.bcmd.2010.11.004 CrossRefPubMed

53.

Fairweather-Tait SJ, Wawer AA, Gillings R, Jennings A, Myint PK. Iron status in the elderly. Mech Ageing Dev 2014;136:22–8. doi:https://doi.org/10.1016/j.mad.2013.11.005 CrossRefPubMed

54.

Stewart-Knox BJ, Simpson EEA, Parr H, Rae G, Polito A, Intorre F, et al. Zinc status and taste acuity in older Europeans: the ZENITH study. Eur J Clin Nutr 2005;59:S31–S6. doi:https://doi.org/10.1038/sj.ejcn.1602295 CrossRefPubMed

55.

Mocchegiani E, Romeo J, Malavolta M, Costarelli L, Giacconi R, Diaz LE, et al. Zinc: dietary intake and impact of supplementation on immune function in elderly. Age 2013;35(3):839–60. doi:https://doi.org/10.1007/s11357-011-9377-3 CrossRefPubMed

56.

Berner LA, Becker G, Wise M, Doi J. Characterization of Dietary Protein among Older Adults in the United States: Amount, Animal Sources, and Meal Patterns. J Acad Nutr Diet 2013;113(6):809–15. doi: https://doi.org/10.1016/j.jand.2013.01.014 CrossRefPubMed

57.

Mendonça N, Granic A, Hill TR, Siervo M, Mathers JC, Kingston A, et al. Protein Intake and Disability Trajectories in Very Old Adults: The Newcastle 85+ Study. J Am Geriatr Soc 2018;0(0). doi:https://doi.org/10.1111/jgs.15592

58.

Muscaritoli M, Anker SD, Argiles J, Aversa Z, Bauer JM, Biolo G, et al. Consensus definition of sarcopenia, cachexia and pre-cachexia: Joint document elaborated by Special Interest Groups (SIG) “cachexia-anorexia in chronic wasting diseases” and “nutrition in geriatrics”. Clin Nutr 2010;29(2):154–9. doi:https://doi.org/10.1016/j.clnu.2009.12.004 CrossRefPubMed

59.

Porto Chiavegatto Filho AD, Lebrao ML, Kawachi I. Income inequality and elderly self-rated health in Sao Paulo, Brazil. Anna Epidemiol 2012;22(12):863–7. doi:https://doi.org/10.1016/j.annepidem.2012.09.009 CrossRef

60.

UN. United Nations. Department of Economic and Social Affairs. The 2008 Revision, Highlights. Population and Development Review 2010;36, 854–855, doi:https://doi.org/10.1111/j.1728-4457.2010.00368.x CrossRef

Title: Anorexia of Aging Associated with Nutrients Intake in Brazilian Elderly
Authors: L. M. Hara
C. N. Freiria
G. M. Silva
A. Fattori
L. P. Corona
Publication date: 01-07-2019
Publisher: Springer Paris
Keyword: Nutrition
Published in: The journal of nutrition, health & aging / Issue 7/2019
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-019-1224-8

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