Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study
Objectives This study aimed to investigate and compare factors associated with malnutrition according to the presence or absence of dementia in community-dwelling elderly people. Methods Needs assessment data from 311 long-term care insurance (LTCI) recipients (dementia group 203; non-dementia group...
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| Format: | Article |
| Language: | English |
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The Korean Society of Community Nutrition
2024-10-01
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| Series: | Korean Journal of Community Nutrition |
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| Online Access: | http://kjcn.or.kr/upload/pdf/kjcn-2024-00013.pdf |
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| author | Jinhee Kwon Jung Hee Kim Hyeonjin Jeong Jung Suk Lee |
| author_facet | Jinhee Kwon Jung Hee Kim Hyeonjin Jeong Jung Suk Lee |
| author_sort | Jinhee Kwon |
| collection | DOAJ |
| description | Objectives This study aimed to investigate and compare factors associated with malnutrition according to the presence or absence of dementia in community-dwelling elderly people. Methods Needs assessment data from 311 long-term care insurance (LTCI) recipients (dementia group 203; non-dementia group 108) that participated in the second pilot program of the integrated care model in community care settings under the Korean LTCI system were used. Descriptive statistical analysis, independent t-test, or Fisher's exact test were conducted on the sociodemographic characteristics, health and functional status, and nutritional status of the dementia and non-dementia groups. Logistic regression analysis was conducted to identify factors associated with malnutrition in the dementia and non-dementia groups. Results Malnutrition occurred in 33.5% and 26.9% of participants in the dementia and non-dementia groups, respectively. In the dementia group, living with family rather than living alone (odds ratio [OR]: 3.81; 95% confidence interval [CI]: 1.50–9.66; P = 0.031), increase in Korean Activities of Daily Living (K-ADL) score (OR: 1.35; 95% CI: 1.17–1.55; P < 0.001), and increase in the Neuropsychiatric Inventory-Questionnaire score (OR: 1.02; 95% CI: 1.01–1.03; P = 0.005) were associated with a higher risk of malnutrition. In the non-dementia group, the risk of malnutrition increased as the K-ADL score increased (OR: 1.20; 95% CI: 1.04–1.39; P = 0.011) and in the depressed group (OR: 2.84; 95% CI: 1.04–7.74; P = 0.042). Conclusions The study results confirmed the necessity of nutritional management for community-dwelling LTCI recipients. When developing a nutritional management program, considering the differences in factors related to malnutrition between the dementia and non-dementia groups is important. This study proposes policies for improving the LTCI system in terms of nutritional management and the utilization of community resources. |
| format | Article |
| id | doaj-art-86fea82814c14f6688ed7b64edd9c1fe |
| institution | Kabale University |
| issn | 2951-3146 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | The Korean Society of Community Nutrition |
| record_format | Article |
| series | Korean Journal of Community Nutrition |
| spelling | doaj-art-86fea82814c14f6688ed7b64edd9c1fe2025-01-08T23:43:25ZengThe Korean Society of Community NutritionKorean Journal of Community Nutrition2951-31462024-10-0129535937110.5720/kjcn.2024.000131659Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical studyJinhee Kwon0Jung Hee Kim1Hyeonjin Jeong2Jung Suk Lee3 Research Fellow, Health Insurance Research Institute, National Health Insurance Service, Wonju, Korea Researcher, Health Insurance Research Institute, National Health Insurance Service, Wonju, Korea Manager, Department of Long-Term Care Insurance Benefits, National Health Insurance Service, Wonju, Korea Research Fellow, Health Insurance Research Institute, National Health Insurance Service, Wonju, KoreaObjectives This study aimed to investigate and compare factors associated with malnutrition according to the presence or absence of dementia in community-dwelling elderly people. Methods Needs assessment data from 311 long-term care insurance (LTCI) recipients (dementia group 203; non-dementia group 108) that participated in the second pilot program of the integrated care model in community care settings under the Korean LTCI system were used. Descriptive statistical analysis, independent t-test, or Fisher's exact test were conducted on the sociodemographic characteristics, health and functional status, and nutritional status of the dementia and non-dementia groups. Logistic regression analysis was conducted to identify factors associated with malnutrition in the dementia and non-dementia groups. Results Malnutrition occurred in 33.5% and 26.9% of participants in the dementia and non-dementia groups, respectively. In the dementia group, living with family rather than living alone (odds ratio [OR]: 3.81; 95% confidence interval [CI]: 1.50–9.66; P = 0.031), increase in Korean Activities of Daily Living (K-ADL) score (OR: 1.35; 95% CI: 1.17–1.55; P < 0.001), and increase in the Neuropsychiatric Inventory-Questionnaire score (OR: 1.02; 95% CI: 1.01–1.03; P = 0.005) were associated with a higher risk of malnutrition. In the non-dementia group, the risk of malnutrition increased as the K-ADL score increased (OR: 1.20; 95% CI: 1.04–1.39; P = 0.011) and in the depressed group (OR: 2.84; 95% CI: 1.04–7.74; P = 0.042). Conclusions The study results confirmed the necessity of nutritional management for community-dwelling LTCI recipients. When developing a nutritional management program, considering the differences in factors related to malnutrition between the dementia and non-dementia groups is important. This study proposes policies for improving the LTCI system in terms of nutritional management and the utilization of community resources.http://kjcn.or.kr/upload/pdf/kjcn-2024-00013.pdfmalnutritionlong-term caredementiaaged |
| spellingShingle | Jinhee Kwon Jung Hee Kim Hyeonjin Jeong Jung Suk Lee Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study Korean Journal of Community Nutrition malnutrition long-term care dementia aged |
| title | Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study |
| title_full | Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study |
| title_fullStr | Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study |
| title_full_unstemmed | Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study |
| title_short | Factors associated with malnutrition in demented and non-demented elderly residing in the community of Korea: a cross-sectional descriptive and analytical study |
| title_sort | factors associated with malnutrition in demented and non demented elderly residing in the community of korea a cross sectional descriptive and analytical study |
| topic | malnutrition long-term care dementia aged |
| url | http://kjcn.or.kr/upload/pdf/kjcn-2024-00013.pdf |
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