Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?

Süleyman Emre Koçyiğit; Pınar Soysal; Özge Dokuzlar; Saadet Koç Okudur

Research Article

Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?

Year 2018, Volume: 1 Issue: 1, 14 - 19, 15.05.2018

Süleyman Emre Koçyiğit , Pınar Soysal , Özge Dokuzlar , Saadet Koç Okudur

Abstract

Amaç:Malnutrisyon ve ortostatik hipotansiyon(OH) yaşlı popülasyonda sık görülen iki geriatrik sendromdur. Bu iki geriatrik sendrom yaşlılarda önemli morbidite ve mortalite nedeni olarak karşımıza çıkmaktadır. Bu çalışmanın amacı malnutrisyon ve OH arasında ilişki olup olmadığını tespit etmektir. Materyal-Metod: 2013-2016 yılları arasında 599 yaşlı bireyi inceleyen retrospektif ve kesitsel bir çalışma olarak düzenlendi. Bütün hastaların demografik verileri,son bir yılda düşme hikayesi dahil komorbiditeleri, vücut kitle indeksi (VKİ) değeri, ayrıntılı geriatrik değerlendirme parametreleri ve laboratuar bulguları ele alındı. OH, supin pozisyondan ayağa kalkar pozisyona geçildiğinde sistolik ve/veya diastolik kan basınçlarında sırasıyla 20 ve/veya 10 mmHg düşüş olması olarak tanımlandı. Bulgular: Katılımcıların yaş ortalaması 74+8.09 olup, çoğunluğu kadınlardan (%63.2) oluşmaktadır. Malnutrisyon-risk olanların oranı %42.5 idi. Düşme, depresyon ve hipertansiyon malnutrisyon-risk grubunda daha fazla izlendi (p<0.05). Mini-Mental Durum Değerlendirme (MMSE), Montreal Kognitif Değerlendirme (MOCA) ve Kognitif Durum Testi (COST), Günlük Yaşam Aktivite(GYA) parametreleri ve denge-yürüme skorları malnutrisyon-risk grubunda düşük izlendi (p<0.05). Malnutrisyon-risk grubunda OH oranı daha fazla idi (p=0.025). Sonuç: Malnutrisyon ve OH arasında güçlü bir ilişki olabilir ve bu bulgu ileri çalışmalarla desteklenmelidir.

Keywords

malnutrisyon, ortostatik hipotansiyon, düşme

References

1. Johnson LE, & Sullivan DH. Malnutrition in Older Adults.Brocklehurst’s Textbook of Geriatric Medicine and Gerontology (Eight Edition) 2016. Philadelphia:Elsevier,(Chapter 109;pp:914-922).
2. Işık AT ve Çelik T. Geriatri Pratiğinde İlaç Tedavisi 2015. O'Tıp Kitabevi.
3. Söderström L, Rosenblad A, Adolfsson ET, Bergkvist L . Malnutrition is associated with increased mortality in older adults regardless of the cause of death. Br J Nutr 2017;117(4): 532–540.
4. Romero-ortuno R, Cogan L, Foran T, Kenny RA, Fan CW. Continuous noninvasive orthostatic bloodpressure measurements and their relationship with orthostatic intolerance, falls, and frailty in olderpeople. J Am Geriatr Soc 2011;59(4): 655–65.
5. Frith J, Parry SW. New Horizons in orthostatic hypotension. Age Ageing 2017;46(2): 168–174.
6. Finucane C, O’Connell M, Donoghue O, Richardson K., Savva G, Kenny R. Impaired Orthostatic Blood Pressure Recovery Is Associated with Unexplained and Injurious Falls. J Am Geriatr Soc 2017;65(3):474–482.
7. Gungen C, Ertan T, Eker E, Yasar R, Engin F. Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turk J Psychiatry 2002; 13(4): 273–281.
8. Selekler K, Cangoz B, Uluc S. Power of discrimination of Montreal Cognitive Assessment (MOCA) scale in Turkish patients with mild cognitive impairment and Alzheimer's disease. Turk J Geriatr 2010; 13(3): 166–171.
9. Babacan-Yildiz G, Isik AT, Ur E, Aydemir E, Ertas C, Cebi M, et al.COST: Cognitive State Test, a brief screening battery for Alzheimer disease in illiterate and literate patients. Int Psychogeriatr 2013; 25(3): 403–412.
10. Durmaz, B., et al., Validity and Reliability of Geriatric Depression Scale - 15 (Short Form) in Turkish older adults. Northern Clinics of Istanbul, 2018. 4(3): p. (inpress). doi: 10.14744/nci.2017.85047
11. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist 1969; 9(3): 179–186.
12. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34(2): 119–126.
13. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature–what does it tell us? J Nutr Health Aging 2006; 10(6); 466–485.
14. The Consensus Committee of the American Autonomic Society and the American Academy of Neurology. Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. Neurology1999;46(5):170.
15. Schrader E, Grosch E, Bertsch T, Sieber C, Volkert, D. Nutritional and Functional Status in Geriatric Day
Hospital Patients - MNA Short Form Versus Full MNA. J Nutr Health Aging 2016; 20(9):918–926.
16. Cuervo M, García A, Ansorena D, Sánchez-Villegas I, Martínez-González A, Astiasarán M, and Martíne J. Nutritional assessment interpretation on 22,007 Spanish community-dwelling elders through the Mini Nutritional Assessment test. Public Heal Nutr 2009; 12(1): 82-90.
17. Kaiser MJ, Bauer JM, Rämsch C, Uter W, Guigoz Y, Cederholm T, Thomas DR, Anthony PS, Charlton KE, Maggio M, Tsai AC, Vellas B, Sieber CC; Mini Nutritional Assessment International Group.Frequency of malnutrition in older adults : a multinational perspective using the mini nutritional assessment. J Am Geriatr Soc 2010;58(9): 1734–8.
18. Low PA, Opfer-Gehrking TL, McPhee BR, et al. Prospective evaluation of clinical characteristics of orthostatic hypotension. Mayo Clin Proc 1995;70(7):617–22.
19. Isenring E, Baker J, Kerr G.Malnutrition and falls risk in community-dwelling older adults. J Nutr Heal Aging 2013;17(3):277-9.
20. Neyens J, Halfens R, Spreeuwenberg M, et al. Malnutrition associated withan increased risk of falls and impaired activity in elderly patients in Dutch residental long-term care (LTC): a cross-sectional study. Arch Gerontol Geriatr 2013; 56(1):265-9.
21. Misu S, Asai T, Doi T, et al. Association between gait abnormality and malnutrition in a community-dwelling elderly population. Geriatr Gerontol Int. 2017;17(8):1155-1160
22. Boirie Y, Morio B, Caumon E, Cano NJ. Nutrition and protein energy homeostasis in elderly. Mech Ageing Dev. 2014; 136:76–84.
23. Roy M, Gaudreau P, Payette H. A scoping review of anorexia of aging correlates and their relevance topopulation health interventions. Appetite 2016;105:688–699.
24. Soysal P, Yay A, Isik AT. Does vitamin D deficiency increase orthostatic hypotension risk in the elderly patients ? Archives of Gerontology and Geriatrics 2014; 59(1): 74–77.
25. Lappe JM, Binkley N. Vitamin D and Sarcopenia/ Falls. J Clin Densitom. 2015 Oct-Dec;18(4):478-82.
26. Wolters FJ, Mattace-Raso FU, Koudstaal PJ, Hofman A, Ikram MA, Heart Brain Connection Collaborative Research Group. Orthostatic Hypotension and the Long-Term Risk of Dementia: A Population-Based Study. PLoS Med 2016;13(10):e1002143.
27. Ricci F, Fedorowski A, Radico F, Romanello M, Tatasciore A, Di Nicola M, Zimarino M, De Caterina R. Cardiovascular morbidity and mortalit related to orthostatic hypotension: a meta-analysis of prospective observational studies. Eur Heart J. 2015 Jul 1;36(25):1609-

Year 2018, Volume: 1 Issue: 1, 14 - 19, 15.05.2018

Süleyman Emre Koçyiğit , Pınar Soysal , Özge Dokuzlar , Saadet Koç Okudur

Abstract

References

1. Johnson LE, & Sullivan DH. Malnutrition in Older Adults.Brocklehurst’s Textbook of Geriatric Medicine and Gerontology (Eight Edition) 2016. Philadelphia:Elsevier,(Chapter 109;pp:914-922).
2. Işık AT ve Çelik T. Geriatri Pratiğinde İlaç Tedavisi 2015. O'Tıp Kitabevi.
3. Söderström L, Rosenblad A, Adolfsson ET, Bergkvist L . Malnutrition is associated with increased mortality in older adults regardless of the cause of death. Br J Nutr 2017;117(4): 532–540.
4. Romero-ortuno R, Cogan L, Foran T, Kenny RA, Fan CW. Continuous noninvasive orthostatic bloodpressure measurements and their relationship with orthostatic intolerance, falls, and frailty in olderpeople. J Am Geriatr Soc 2011;59(4): 655–65.
5. Frith J, Parry SW. New Horizons in orthostatic hypotension. Age Ageing 2017;46(2): 168–174.
6. Finucane C, O’Connell M, Donoghue O, Richardson K., Savva G, Kenny R. Impaired Orthostatic Blood Pressure Recovery Is Associated with Unexplained and Injurious Falls. J Am Geriatr Soc 2017;65(3):474–482.
7. Gungen C, Ertan T, Eker E, Yasar R, Engin F. Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turk J Psychiatry 2002; 13(4): 273–281.
8. Selekler K, Cangoz B, Uluc S. Power of discrimination of Montreal Cognitive Assessment (MOCA) scale in Turkish patients with mild cognitive impairment and Alzheimer's disease. Turk J Geriatr 2010; 13(3): 166–171.
9. Babacan-Yildiz G, Isik AT, Ur E, Aydemir E, Ertas C, Cebi M, et al.COST: Cognitive State Test, a brief screening battery for Alzheimer disease in illiterate and literate patients. Int Psychogeriatr 2013; 25(3): 403–412.
10. Durmaz, B., et al., Validity and Reliability of Geriatric Depression Scale - 15 (Short Form) in Turkish older adults. Northern Clinics of Istanbul, 2018. 4(3): p. (inpress). doi: 10.14744/nci.2017.85047
11. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist 1969; 9(3): 179–186.
12. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34(2): 119–126.
13. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature–what does it tell us? J Nutr Health Aging 2006; 10(6); 466–485.
14. The Consensus Committee of the American Autonomic Society and the American Academy of Neurology. Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. Neurology1999;46(5):170.
15. Schrader E, Grosch E, Bertsch T, Sieber C, Volkert, D. Nutritional and Functional Status in Geriatric Day
Hospital Patients - MNA Short Form Versus Full MNA. J Nutr Health Aging 2016; 20(9):918–926.
16. Cuervo M, García A, Ansorena D, Sánchez-Villegas I, Martínez-González A, Astiasarán M, and Martíne J. Nutritional assessment interpretation on 22,007 Spanish community-dwelling elders through the Mini Nutritional Assessment test. Public Heal Nutr 2009; 12(1): 82-90.
17. Kaiser MJ, Bauer JM, Rämsch C, Uter W, Guigoz Y, Cederholm T, Thomas DR, Anthony PS, Charlton KE, Maggio M, Tsai AC, Vellas B, Sieber CC; Mini Nutritional Assessment International Group.Frequency of malnutrition in older adults : a multinational perspective using the mini nutritional assessment. J Am Geriatr Soc 2010;58(9): 1734–8.
18. Low PA, Opfer-Gehrking TL, McPhee BR, et al. Prospective evaluation of clinical characteristics of orthostatic hypotension. Mayo Clin Proc 1995;70(7):617–22.
19. Isenring E, Baker J, Kerr G.Malnutrition and falls risk in community-dwelling older adults. J Nutr Heal Aging 2013;17(3):277-9.
20. Neyens J, Halfens R, Spreeuwenberg M, et al. Malnutrition associated withan increased risk of falls and impaired activity in elderly patients in Dutch residental long-term care (LTC): a cross-sectional study. Arch Gerontol Geriatr 2013; 56(1):265-9.
21. Misu S, Asai T, Doi T, et al. Association between gait abnormality and malnutrition in a community-dwelling elderly population. Geriatr Gerontol Int. 2017;17(8):1155-1160
22. Boirie Y, Morio B, Caumon E, Cano NJ. Nutrition and protein energy homeostasis in elderly. Mech Ageing Dev. 2014; 136:76–84.
23. Roy M, Gaudreau P, Payette H. A scoping review of anorexia of aging correlates and their relevance topopulation health interventions. Appetite 2016;105:688–699.
24. Soysal P, Yay A, Isik AT. Does vitamin D deficiency increase orthostatic hypotension risk in the elderly patients ? Archives of Gerontology and Geriatrics 2014; 59(1): 74–77.
25. Lappe JM, Binkley N. Vitamin D and Sarcopenia/ Falls. J Clin Densitom. 2015 Oct-Dec;18(4):478-82.
26. Wolters FJ, Mattace-Raso FU, Koudstaal PJ, Hofman A, Ikram MA, Heart Brain Connection Collaborative Research Group. Orthostatic Hypotension and the Long-Term Risk of Dementia: A Population-Based Study. PLoS Med 2016;13(10):e1002143.
27. Ricci F, Fedorowski A, Radico F, Romanello M, Tatasciore A, Di Nicola M, Zimarino M, De Caterina R. Cardiovascular morbidity and mortalit related to orthostatic hypotension: a meta-analysis of prospective observational studies. Eur Heart J. 2015 Jul 1;36(25):1609-

There are 28 citations in total.

Details

Primary Language	Turkish
Journal Section	Articles
Authors	Süleyman Emre Koçyiğit Pınar Soysal Özge Dokuzlar Saadet Koç Okudur
Publication Date	May 15, 2018
Submission Date	May 15, 2018
Published in Issue	Year 2018 Volume: 1 Issue: 1

Cite

APA	Koçyiğit, S. E., Soysal, P., Dokuzlar, Ö., Koç Okudur, S. (2018). Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?. Geriatrik Bilimler Dergisi, 1(1), 14-19.
AMA	Koçyiğit SE, Soysal P, Dokuzlar Ö, Koç Okudur S. Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?. JoGS. May 2018;1(1):14-19.
Chicago	Koçyiğit, Süleyman Emre, Pınar Soysal, Özge Dokuzlar, and Saadet Koç Okudur. “Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?”. Geriatrik Bilimler Dergisi 1, no. 1 (May 2018): 14-19.
EndNote	Koçyiğit SE, Soysal P, Dokuzlar Ö, Koç Okudur S (May 1, 2018) Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?. Geriatrik Bilimler Dergisi 1 1 14–19.
IEEE	S. E. Koçyiğit, P. Soysal, Ö. Dokuzlar, and S. Koç Okudur, “Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?”, JoGS, vol. 1, no. 1, pp. 14–19, 2018.
ISNAD	Koçyiğit, Süleyman Emre et al. “Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?”. Geriatrik Bilimler Dergisi 1/1 (May 2018), 14-19.
JAMA	Koçyiğit SE, Soysal P, Dokuzlar Ö, Koç Okudur S. Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?. JoGS. 2018;1:14–19.
MLA	Koçyiğit, Süleyman Emre et al. “Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?”. Geriatrik Bilimler Dergisi, vol. 1, no. 1, 2018, pp. 14-19.
Vancouver	Koçyiğit SE, Soysal P, Dokuzlar Ö, Koç Okudur S. Yaşlı Bireylerde Malnutrisyon Ve Ortostatik Hipotansiyon Arasında İlişki Var Mı?. JoGS. 2018;1(1):14-9.

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