Fatores que afetam o consumo alimentar em idosos hospitalizados: uma revisão narrativa
DOI:
https://doi.org/10.35454/rncm.v6n4.563Palavras-chave:
Idoso, Dieta, Ingestão de alimentos, Deficiência de proteína, HospitalizaçãoResumo
Introdução: a desnutrição está associada a maior tempo de internação, taxas de readmissão e risco de mortalidade, especialmente em idosos.
Objetivo: identificar os fatores que afetam a ingestão alimentar em idosos hospitalizados.
Justificação: promover novas estratégias na terapia nutricional hospitalar em pacientes idosos por meio da identificação dos fatores que afetam a ingestão alimentar conforme a revisão do presente estudo.
Materiais e métodos: pesquisa sistemática de estudos publicados nas bases de dados Springer Link, Medline e Scopus através da plataforma PubMed em maio de 2022, com temporalidade de 20 anos. Foram procurados termos controlados sobre: idoso, dieta, ingestão alimentar, consumo alimentar, deficiência de proteína e hospitalização.
Resultados: foram encontrados 4508 artigos em inglês. Foram selecionados 28 para análise do texto completo por atenderem aos critérios de seleção.
Conclusões: o estado nutricional em idosos hospitalizados é afetado por fatores como doença, redução da atividade física, fadiga, depressão e presença de sintomas como náuseas e vômitos, alteração no processo de mastigação e deglutição, e apresentar menor escolaridade. Os fatores dietéticos e de serviço que estão relacionados à baixa ingestão são a temperatura, a textura, o sabor e a aparência da dieta, além do próprio ambiente hospitalar.
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Souza TT, Sturion CJ, Faintuch J. Is the skeleton still in the hospital closet? A review of hospital malnutrition emphasizing health economic aspects. Clinical Nutrition. 2015;34(6):1088-92. doi: 10.1016/j.clnu.2015.02.008
Stratton R, Green C, Elia M. Disease-related malnutrition: an evidence-based approach to treatment. Clinical Nutrition. 2003;22(6):585. doi: 10.1016/j.clnu.2003.08.003
Allepaerts S, Buckinx F, Bruyère O, Reginster JY, Paquot N, Gillain S. Clinical Impact of Nutritional Status and Energy Balance in Elderly Hospitalized Patients. J Nutr Health Aging. 2020;24(10):1073-79. doi: 10.1007/s12603-020-1527-9
Patel P, Phan E, Matarese L, Powell J. Another Skeleton in the Hospital Closet. Am J Gastroenterol. 2019;114:S1656. doi: 10.14309/01.ajg.0000601848.27444.71
Simzari K, Vahabzadeh D, Nouri Saeidlou S, Khoshbin S, Bektas Y. Food intake, plate waste and its association with malnutrition in hospitalized patients. Nutr Hosp. 2017;34(6):1376-81. doi: 10.20960/nh.1102
Schindler K, Themessl-Huber M, Hiesmayr M, Kosak S, Lainscak M, Laviano A, et al. To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006-2014 in 56 countries worldwide: A descriptive analysis. American Journal of Clinical Nutrition. 2016;104(5):1393-402. doi: 10.3945/ajcn.116.137125
Navarro DA, Boaz M, Krause I, Elis A, Chernov K, Giabra M, et al. Improved meal presentation increases food intake and decreases readmission rate in hospitalized patients. Clinical Nutrition. 2016;35(5):1153-8. doi: 10.1016/j.clnu.2015.09.012
Dijxhoorn DN, van den Berg MGA, Kievit W, Korzilius J, Drenth JPH, Wanten GJA. A novel in-hospital meal service improves protein and energy intake. Clinical Nutrition. 2018;37(6):2238-45. doi: 10.1016/j.clnu.2017.10.025
Kagansky N, Berner Y, Koren-Morag N, Perelman L, Knobler H, Levy S. Poor nutritional habits are predictors of poor outcome in very old hospitalized patients. Am J Clin Nutr. 2005;82(4):784-91; quiz 913-4. doi: 10.1093/ajcn/82.4.784
Cardenas D, Bermúdez C, Pérez A, Diaz G, Cortes LY, Contreras CP, et al. Nutritional risk is associated with an increase of in-hospital mortality and a reduction of being discharged home: Results of the 2009-2015 nutritionDay survey. Clin Nutr ESPEN. 2020;38:138-45. doi: 10.1016/j.clnesp.2020.05.014
Keller H, Allard J, Vesnaver E, Laporte M, Gramlich L, Bernier P, et al. Barriers to food intake in acute care hospitals: A report of the Canadian Malnutrition Task Force. J Hum Nutr Diet. 2015;28(6):546-57. doi: 10.1016/j.clnu.2003.08.003
Caldeira C, Vlysidis A, Fiore G, De Laurentiis V, Vignali G, Sala S. Sustainability of food waste biorefinery: A review on valorisation pathways, techno-economic constraints, and environmental assessment. Bioresour Technol. 2020;312:123575. doi: 10.1016/j.biortech.2020.123575
Maynard D da C, Vidigal MD, Farage P, Zandonadi RP, Nakano EY, Botelho RBA. Environmental, social and economic sustainability indicators applied to food services: A systematic review. Sustainability (Switzerland). 2020;12(5):1-19. doi: 10.3390/su12051804
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71
Wright C, Shankar B, Marshall S, Pearcy J, Somani A, Agarwal E. Prevalence of malnutrition risk and poor food intake in older adults in Indian hospitals: A prospective observational nutritionDay study with novel mapping of malnutrition risk to the Malnutrition Screening Tool. Nutrition and Dietetics. 2021;78(2):135-44. doi: 10.1111/1747-0080.12641
Sieske L, Janssen G, Babel N, Westhoff TH, Wirth R, Pourhassan M. Inflammation, Appetite and Food Intake in Older Hospitalized Patients. Nutrients. 2019;11(9):1986. doi: 10.3390/nu11091986
Young AM, Banks MD, Mudge AM. Improving nutrition care and intake for older hospital patients through system-level dietary and mealtime interventions. Clin Nutr ESPEN. 2018;24:140-47. doi: 10.1016/j.clnesp.2017.12.009
Eglseer D, Halfens RJG, Schols JMGA, Lohrmann C. Dysphagia in Hospitalized Older Patients: Associated Factors and Nutritional Interventions. J Nutr Health Aging. 2018;22(1):103-10. doi: 10.1007/s12603-017-0928-x
O’Shea E, Trawley S, Manning E, Barrett A, Browne V, Timmons S. Malnutrition in Hospitalised Older Adults: A Multicentre Observational Study of Prevalence, Associations and Outcomes. J Nutr Health Aging. 2017;21(7):830-36. doi: 10.1007/s12603-016-0831-x
Setiati S, Harimurti K, Dewiasty E, Istanti R, Mupangati YM, Ngestiningsih D, et al. Profile of food and nutrient intake among Indonesian elderly population and factors associated with energy intake: a multi-centre study. Acta Med Indones. 2013;45(4):265-74.
Söderström L, Thors Adolfsson E, Rosenblad A, Frid H, Saletti A, Bergkvist L. Mealtime habits and meal provision are associated with malnutrition among elderly patients admitted to hospital. Clin Nutr. 2013;32(2):281-8. doi: 10.1016/j.clnu.2012.07.013
Mudge AM, Ross LJ, Young AM, Isenring EA, Banks MD. Helping understand nutritional gaps in the elderly (HUNGER): a prospective study of patient factors associated with inadequate nutritional intake in older medical inpatients. Clin Nutr. 2011;30(3):320-5. doi: 10.1016/j.clnu.2010.12.007
Hirose K, Tran TP, Yamamoto S. Decreasing Salt in Hospital Meals Reduced Energy Intake in Elderly Japanese Inpatients. J Nutr Sci Vitaminol (Tokyo). 2021;67(2):105-10. doi: 10.3177/jnsv.67.105
Weijzen MEG, Kouw IWK, Geerlings P, Verdijk LB, van Loon LJC. During Hospitalization, Older Patients at Risk for Malnutrition Consume <0.65 Grams of Protein per Kilogram Body Weight per Day. Nutrition in Clinical Practice. 2020;35(4):655-63. doi: 10.1002/ncp.10542
Bell AF, Tapsell LC, Walton K, Batterham M. Unwrapping nutrition: Exploring the impact of hospital food and beverage packaging on plate waste/intake in older people. Appetite. 2020;144:104463. doi: 10.1016/j.appet.2019.104463
Tonkikh O, Shadmi E, Zisberg A. Food intake assessment in acutely ill older internal medicine patients. Geriatr Gerontol Int. 2019;19(9):890-95. doi: 10.1111/ggi.13744
Young AM, de Jersey SJ, Ellick J, Lewis CA, Banks M. Comparison of Patient Food Intake, Satisfaction and Meal Quality Between Two Meal Service Styles in a Geriatric Inpatient Unit. J Nutr Gerontol Geriatr. 2018;37(3-4):158-68. doi: 10.1080/21551197.2018.1483281
Beelen J, Vasse E, Janssen N, Janse A, de Roos NM, de Groot LCPGM. Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial. Clin Nutr. 2018;37(4):1186-92. doi: 10.1016/j.clnu.2017.05.010
Collins J, Porter J, Truby H, Huggins CE. A foodservice approach to enhance energy intake of elderly subacute patients: a pilot study to assess impact on patient outcomes and cost. Age Ageing. 2017;46(3):486-93. doi: 10.1093/ageing/afw238
McCray S, Maunder K, Krikowa R, MacKenzie-Shalders K. Room Service Improves Nutritional Intake and Increases Patient Satisfaction While Decreasing Food Waste and Cost. J Acad Nutr Diet. 2018;118(2):284-93. doi: 10.1016/j.jand.2017.05.014
Bell AF, Walton K, Chevis JS, Davies K, Manson C, Wypych A, et al. Accessing packaged food and beverages in hospital. Exploring experiences of patients and staff. Appetite. 2013;60(1):231-38. doi: 10.1016/j.appet.2012.10.013
Beermann T, Mortensen MN, Skadhauge LB, Høgsted RH, Rasmussen HH, Holst M. Protein and energy intake improved by breakfast intervention in hospital. Clin Nutr ESPEN. 2016;13:e23-e27. doi: 10.1016/j.clnesp.2016.02.097
Bell AF, Walton KL, Tapsell LC. Easy to open? Exploring the ‘openability’ of hospital food and beverage packaging by older adults. Appetite. 2016;98:125-32. doi: 10.1016/j.appet.2015.12.004
Roberts HC, Pilgrim AL, Jameson KA, Cooper C, Sayer AA, Robinson S. The Impact of Trained Volunteer Mealtime Assistants on the Dietary Intake of Older Female In-Patients: The Southampton Mealtime Assistance Study. J Nutr Health Aging. 2017;21(3):320-28. doi: 10.1007/s12603-016-0791-1
Orlandoni P, Jukic Peladic N, Cola C, Venturini C, Costantini A, Giorgini N, et al. Hospital acquired malnutrition in orally fed geriatric patients: what’s the role of a hospital dietetics and food service?. Progr Nutr. 2018;20(2-S):225-31. doi: 10.23751/pn.v20i2-S.5780
Mavrommatis Y, Moynihan PJ, Gosney MA, Methven L. Hospital catering systems and their impact on the sensorial profile of foods provided to older patients in the UK. Appetite. 2011;57(1):14-20. doi: 10.1016/j.appet.2011.03.010
Bannerman E, Cantwell L, Gaff L, Conroy A, Davidson I, Jones J. Dietary intakes in geriatric orthopaedic rehabilitation patients: Need to look at food consumption not just provision. Clin Nutr. 2016;35(4):892-9. doi: 10.1016/j.clnu.2015.06.001
Hope K, Ferguson M, Reidlinger DP, Agarwal E. “I don’t eat when I’m sick”: Older people’s food and mealtime experiences in hospital. Maturitas. 2017;97:6-13. doi: 10.1016/j.maturitas.2016.12.001
Markovski K, Nenov A, Ottaway A, Skinner E. Does eating environment have an impact on the protein and energy intake in the hospitalised elderly? Nutr Diet. 2017;74(3):224-28. doi: 10.1111/1747-0080.12314
Hartwell HJ, Shepherd PA, Edwards JSA. Effects of a hospital ward eating environment on patients’ mealtime experience: A pilot study. Nutrition and Dietetics. 2013;70(4):332-8. doi: 10.1111/1747-0080.12042
Sánchez Zaplana I, Maestre E. Alimentación y envejecimiento. Revista Rol de Enfermería 2013;36(6):400-7.
Ariza Galindo CJ, Rojas Aguilar DM. Disfagia en el adulto mayor. Universitas Medica. 2020;61(4). doi: 10.11144/Javeriana.umed61-4.disf
Spence C. On the psychological impact of food colour. Flavour. 2015;4(1):1-16. doi: 10.1186/s13411-015-0031-3
Eddy TP. Hospital food. Spence Flavour. 1964;18(2):49-55. doi: 10.3109/09637486409142693
Norris JA, Dahl W. Shopping for Health: Herbs and Spices. Edis. 2013:1-4. doi: 10.32473/edis-fs225-2013
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Copyright (c) 2023 Valentina García Campos, Jhon Jairo Bejarano-Roncancio, Carolina Pinzón Ospina , Jorge Medina-Parra, Yeny Marjorie Cuéllar-Fernández, Samuel Durán-Agüero, Ricardo Alfonso Merchán Chaverra
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