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Revista del Instituto Nacional de Higiene Rafael Rangel
versión impresa ISSN 0798-0477
Resumen
RAY S, Nadymar C y OROPEZA, Patricia. Evaluation of the nutritional status of older adults living in a geriatric center in Caracas, based on malnutrition screening techniques Mini Nutritional Assessment (MNA). INHRR [online]. 2014, vol.45, n.1, pp.131-164. ISSN 0798-0477.
The assessment of nutritional status is a key aspect in the care of older adults, although there is no reference tool that can unmistakenly define the nutritional status of a patient, nutritional intervention through diagnosis-planning-actionevaluation improves the quality of life and guarantees health. In order to perform nutritional diagnosis to 66 older adults, who are living in a long stay nursing home in Caracas, a format of nutritional history was developed and applied, which included the MNA survey and other factors of interest. This method detected in a quick, simple, inexpensive and minimally invasive manner 25.76% cases of malnutrition and 40.91% cases of malnutrition at risk within the assessed, as well as the possible conditions that generate them such as senile dementia (Alzheimers type), high blood pressure which requires multiple medication, and motor disabilities. The anthropometric assessment allowed us to detect that 70.59% of malnutrition is of a protein calorie kind. The difficulty of living alone, aging and a low intake of food, particularly olive oil and nuts, influence the deteriorating health of these patients. An average BMI below 23 kg/m2 and the circumference of less than 31cm calf, show an undercut nutritional status and a protein deficit. The information obtained allowed an individualized nutritional report that was included in the medical history of each patient, one which could be used in the future to make changes to the menu, to give recommendations, supplementation and medical interconsultations to those who require greater intervention according to each case.
Palabras clave : Elderly; Nutritional Value; Technical MNA Screening; Malnutrition diagnosis.
