https://doi.org/10.4081/gc.2023.11021

Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting

Vol. 9 No. 1 (2023)
Submitted: 7 December 2022
Accepted: 6 April 2023
Published: 8 May 2023
dementia, malnutrition, frailty, aged, cognitive decline, disability
Abstract Views: 1469
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Authors

Raffaele Pagliuca
rafpag2010@hotmail.it
Department of Geriatric Medicine, A.O.R.N. Caserta; Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
Stefano Cacciatore
https://orcid.org/0000-0001-7504-3775
Department of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, Rome, University Policlinic Foundation Agostino Gemelli, Rome, Italy.
Mario Virgilio Papa
https://orcid.org/0000-0002-1579-2202
Department of Medical and Surgical Sciences, University of Padua, Italy.
Eugenio Boccalone
https://orcid.org/0000-0003-1113-0196
ASL, Benevento, Italy.
Mena Ilaria Pagliuca
Department of Pharmacology University of Naples Federico II, Naples, Italy.
Federica Virginia Papa
https://orcid.org/0000-0003-4931-525X
Local health authority (ASL), Caserta, Italy.
Antonio Gambardella
https://orcid.org/0000-0002-4125-0618
Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.

This study aims to assess the relationship between nutritional status and cognitive decline in a population of non-institutionalized elderly patients evaluated in a geriatric outpatient setting. Data from 144 patients admitted to the general geriatric outpatient services of Luigi Vanvitelli University Hospital (Naples, Italy) and San Felice a Cancello Hospital (San Felice a Cancello, Italy) were collected between January 1 and December 31, 2017. Cognitive function was evaluated through the mini-mental state examination and nutritional status was assessed through mini nutritional assessment. Logistic regression was used to assess the association between clinical characteristics and nutritional status, and it is reported as unadjusted, adjusted for age and sex, and adjusted for other potential confounding factors. In the unadjusted model, poor nutritional status was associated with a worse cognitive deficit (odds ratio (OR)=2.36; 95% confidence interval (CI)=1.77-3.55). The association remained significant after adjusting for age and sex (OR=2.36; 95% CI=1.77-3.55) and in the fully adjusted model (OR=2.92; 95% CI=1.90-5.64). In patients with dementia, malnutrition represents a significant burden that grows heavier as the disease progresses.

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How to Cite

Pagliuca, R., Cacciatore, S., Papa, M. V., Boccalone, E., Pagliuca, M. I., Papa, F. V., & Gambardella, A. (2023). Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting. Geriatric Care, 9(1). https://doi.org/10.4081/gc.2023.11021
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