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Evaluación del estado nutricional y el deterioro cognitivo en una cohorte de ancianos

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2017-02-07
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Universidad Complutense de Madrid
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The consequences of good nutrition for life expectancy, the influence of dietary patterns on the incidence of diseases associated with old age and the involvement of malnutrition in the morbidity of the elderly are public health issues of great interest. The malnutrition is one of the big geriatric syndromes and factor of fragility. Not only is manifested in signs of disease, but it increases morbidity, hospital stay, institutionalization and mortality for concomitant illness. People with dementia are particularly vulnerable to suffer from malnutrition, in them decreases the ability to understand and verbally express needs, they are easily distracted while eating, and they may be agitated and misuse the eating utensils. The inability to eat by themselves is one of the largest risks of malnutrition in elderly institutionalized (10). In Spain initiatives to prevent the risk of malnutrition in elderly people have been focused on specific groups of patients, without that have been reached to launch massive initiatives for this purpose. The savings from a lower use of health services and the reduction in the time of the hospital stays exceeds the cost to implement this type of nutritional strategies (6). It is necessary to identify in an early way an elderly patient at risk of malnutrition, would contribute significantly to their health in a health system that needs to work more on prevention to reduce costs. The need to know more about this type of population and the few studies conducted in the elderly Spanish population and especially in institutionalized elders, motivates the realization of this work, where the nutritional status of an institutionalized elderly population of the community of Madrid is evaluated, taking into account different variables that will be addressed in the discussion and whose relationship with the nutritional status and cognitive impairment seeks to try to generate more knowledge, to be able to create programs for the prevention and management of malnutrition in this type of population...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, leída el 08/01/2016
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