The relationship between nutrition status and risk of frailty in cognitive impaired elderly in daycare center (dc center)

Abstract

The cognitive disorder in elderly can cause various malfunctions, so it requires steady caring. Daycare centers for elderly are proper as a facility to take care of the elderly with cognitive disorders that are able to lead a normal life and that need relatively low level of caring. This study analyzed the relation with the frail of the elderly who have cognitive disorders among those who use adult daycare centers in order to provide basic resources of nutrition management to manage and improve their frail. The participants of the study were 88 persons whose Korean version of Mini-Mental State Examination (MMSE-K) is less than 19 among the elderly at three adult daycare centers in Jeollabuk-do. The questionnaire items were gender, age, number of chronic diseases, BMI, hand grip, nutritional status (mini nutritional assessment, MNA) and health status (activity of daily living (K-ADL), pressure ulcer (Braden scale), fall (Huhn scale), appetite assessment (simplified nutritional appetite questionnaire, SNAQ), and K-FRAIL is used for frail assessment. For statistical analysis, the logistic regression was used for the analysis of relation between frail and nutritional condition. The result of analyzing the odds ratio of pre-frail by revising gender, age and the number of chronic diseases according to MNA scores for analysis of frail by nutritional condition was 0.788 (95% confidence interval (CI): 0.6430.965, P=0.021), and the odds ratio of frail was 0.654 (95% CI: 0.4770.879, P=0.008). This indicates that it is necessary to establish an active nutrition management plan to improve health condition of the elderly with cognitive disorders in elderly care facilities.