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Excessive Daytime Sleepiness is Associated With Malnutrition, Dysphagia, and Vitamin D Deficiency in Older Adults
- Source :
- Journal of the American Medical Directors Association. 22:2134-2139
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Both excessive daytime sleepiness (EDS) and nutritional deficiencies are common and can cause similar negative consequences, such as falls, and cognitive impairment in older adults, but there is no study investigating the relationship between the two. The aim of this study is to investigate the relationship between malnutrition/micronutrient deficiency and EDS in patients with and without dementia.Cross-sectional study.A total of 800 outpatients (243 of whom had dementia), aged ≥65 years, were included.All patients underwent comprehensive geriatric assessment. Mini Nutritional Assessment (MNA) scores23.5, 17-23.5, or17 were categorized as well-nourished, malnutrition risk, and malnutrition, respectively. Eating Assessment Tool score of ≥3 was accepted as dysphagia. Serum vitamin BThe mean age was 79.1±7.5 years. The prevalence of EDS was 22.75%. In patients with dementia, those with EDS had significantly lower MNA scores and more frequent dysphagia (P.05). In patients without dementia, those with EDS have lower MNA scores than those without EDS; malnutrition, dysphagia, and vitamin D deficiency were higher (P.05). In multivariable analysis adjusted for age, gender, living status, ischemic heart disease, cerebrovascular events, polypharmacy, dementia, and insomnia, the association between EDS and malnutrition [odds ratio (OR) 1.73, 95% confidence interval (CI) 1.37-2.20], dysphagia (OR 2.01, 95% CI 1.33-2.88), and vitamin D deficiency (OR 2.0, 95% CI 1.12-3.55) persisted.There is a significant relationship between EDS and malnutrition risk, dysphagia, and vitamin D deficiency in older adults. Therefore, when examining an older patient with EDS, dysphagia, malnutrition, and vitamin D levels should be evaluated, or EDS should be investigated in an older patient with malnutrition, dysphagia, and vitamin D deficiency. Thus, it will be possible to manage all these conditions more effectively.
- Subjects :
- Pediatrics
medicine.medical_specialty
Micronutrient deficiency
Nutritional Status
Excessive daytime sleepiness
Disorders of Excessive Somnolence
vitamin D deficiency
03 medical and health sciences
0302 clinical medicine
medicine
Vitamin D and neurology
Humans
Dementia
In patient
030212 general & internal medicine
Geriatric Assessment
General Nursing
Aged
Aged, 80 and over
business.industry
Health Policy
Malnutrition
General Medicine
Vitamin D Deficiency
medicine.disease
Dysphagia
Cross-Sectional Studies
Nutrition Assessment
Geriatrics and Gerontology
medicine.symptom
Deglutition Disorders
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15258610
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Journal of the American Medical Directors Association
- Accession number :
- edsair.doi.dedup.....4ccfe18b3d125cf181ad294d17394ad3