ANOREXIA OF AGING IN COMMUNITY-DWELLING ELDERLY PEOPLE: AN EXPLORATORY STUDY
DOI:
https://doi.org/10.56238/rcsv15n8-003Keywords:
Elderly Person, Weight Loss, Lack of Appetite, Appetite, Aging, Nutritional AssistanceAbstract
Anorexia of aging is a developing concept that involves aging-related loss of appetite with the potential to promote adverse health outcomes. The objective of this study was to identify the risk of anorexia of aging and its related factors among community-dwelling older adults. Therefore, an exploratory study was conducted with 68 elderly participants participating in a municipal program in the interior of the state of Rio de Janeiro, to administer the Simplified Nutritional Appetite Questionnaire (QNSA). Of those studied, 19% were at risk for anorexia of aging. The sample showed that the risk of weight loss was more common in women (57%) and in the 70-79 age group (60%). Even with a high Body Mass Index (BMI), some older individuals were at risk of weight loss in the last six months (70%), meaning that the risk of anorexia of aging may coexist with overweight. The QNSA has proven to be a practical screening tool, but it does not replace an in-depth analysis of psychosocial and clinical factors. It is important to follow up on nutritional assessment in these elderly individuals identified as at risk during screening. However, the importance of early identification and continuous monitoring of the nutritional status of elderly individuals is highlighted.
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References
AKIN, S. et al. Validity of simplified nutritional appetite questionnaire for Turkish community-dwelling elderly and determining cut-off according to mini nutritional assessment. Archives of Gerontology and Geriatrics, v. 83, p. 31–36, jul. 2019.
BROGNA, A. et al. Avaliação radioisotópica do esvaziamento gástrico de sólidos em idosos. “Clinical and Experimental Research on Aging”, v. 18, n. 6, p. 493–496, 2006.
CEOLIN, C. et al. The potential of cannabinoids in managing cancer-related anorexia in older adults: a systematic review of the literature. The Journal of Nutrition, Health & Aging, v. 28, n. 8, p. 100299, 2024.
CHAPMAN, I. M. A anorexia do envelhecimento. “Clinical Geriatrics Medicine”, v. 23, p. 735–756, 2007.
CRUZ-JENTOFT, A. J. et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, Oxford, v. 48, n. 1, p. 16–31, jan. 2019.
DE BOER, A. et al. Physiological and psychosocial age-related changes associated with reduced food intake in older persons. “Ageing Research Reviews”, v. 12, n. 1, p. 316–328, 2013.
DE GIORGIO, R. et al. Constipação crônica em idosos: uma cartilha para o gastroenterologista. “BMC Gastroenterology”, 14 de outubro de 2015, v. 15, p. 130.
DE MORAIS, N. A. R.; VIEBIG, R. F. Avaliação nutricional, qualidade de vida e risco de sarcopenia em idosos frequentadores de instituições day care de São Paulo e Ribeirão Preto. BRASPEN Journal, v. 35, n. 3, p. 237–243, 15 out. 2020.
DI FRANCESCO, V. et al. The anorexia of aging. “Digestive Diseases (Basel, Switzerland)”, v. 25, n. 2, p. 129–137, 2007.
FIELDING, R. A. et al. Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review. “Journal of Cachexia, Sarcopenia and Muscle”, v. 14, n. 2, p. 706–729, 2023.
LANDI, F. et al. Anorexia do envelhecimento: fatores de risco, consequências e possíveis tratamentos. “Nutrients”, v. 8, n. 2, p. 69, 2016.
LAU, S. et al. The Simplified Nutritional Appetite Questionnaire (SNAQ) as a Screening Tool for Risk of Malnutrition: Optimal Cutoff, Factor Structure, and Validation in Healthy Community-Dwelling Older Adults. “Nutrients”, v. 12, n. 9, p. 2885, 2020.
MACINTOSH, C.; MORLEY, J. E.; CHAPMAN, I. M. The anorexia of aging. “Nutrition”, v. 16, p. 983–995, 2000.
MORILLA-HERRERA, J. C.; MARTÍN-SANTOS, F. J.; CARO-BAUTISTA, J. et al. Effectiveness of food-based fortification in older people: a systematic review and meta-analysis. Journal of Nutrition, Health & Aging, [S.l.], v. 20, n. 7, p. 734–743, 2016.
MORLEY, J. E. Pathophysiology of the anorexia of aging. Current Opinion in Clinical Nutrition and Metabolic Care, v. 16, n. 1, p. 27–32, 2013.
MORLEY, J. E.; SILVER, A. J. Anorexia in the elderly. Neurobiology of Aging, v. 9, p. 9–16, 1988.
ORGANIZAÇÃO PAN-AMERICANA DA SAÚDE. Envelhecimento ativo: uma política de saúde. Brasília: OPAS, 2002.
MONTAÑO, M.B. Perda progressiva do paladar leva idosos a aumentar o consumo de temperos industrializados e açúcar. Pontifícia Universidade Católica de São Paulo, 06 out. 2021.
THAI, B. D. et al. Validation of a telephone‐based administration of the simplified nutritional appetite questionnaire. Journal of Cachexia Sarcopenia and Muscle, v. 14, n. 4, p. 1848–1854, 22 maio 2023.
VAN DER MEIJ, Barbara S. et al. Poor appetite and dietary intake in community‐dwelling older adults. Journal of the American Geriatrics Society, [S.l.], v. 65, n. 10, p. 2190–2197, 2017.
WILSON, M. M. et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. “The American Journal of Clinical Nutrition”, v. 82, n. 5, p. 1074–1081, 2005.
WYSOKIŃSKI, A. et al. Mechanisms of the anorexia of aging—a review. “Age (Dordrecht)”, v. 37, p. 81, 2015.
YEH, S. S.; SCHUSTER, M. W. Geriatric cachexia: the role of cytokines. “American Journal of Clinical Nutrition”, v. 70, n. 2, p. 183–197, 1999.
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