Relationship between anemia, hemoglobin concentration and nutritional status of hospitalized elderly

Authors

DOI:

https://doi.org/10.17058/reci.v12i3.16490

Keywords:

Saúde do Idoso. Anemia. Hematologia. Estado Nutricional. Desnutrição.

Abstract

Background and Objectives: Malnutrition is frequent in hospitalized older adults, favoring nutritional deficiencies, such as anemia. Several studies have associated anemia with reduced performance in daily activities, which may increase morbidity and mortality. This study aimed to assess the relation between anemia and older adults’ nutritional status. Methods: This is a cross-sectional study with hospitalized older adults. Anemia was investigated via hemoglobin. The chosen outcome variables were anemia and hemoglobin and the exposure variables gender, age group, skin color, marital status, education, and nutritional status. Variables were described in absolute and relative frequencies. For statistical analysis, the Chi-square and ANOVA tests were used. Results: Overall, we evaluated 272 hospitalized older adults and fund a 65.1% prevalence of anemia. We associated anemia with age group, malnutrition, and decreased muscle mass. Hemoglobin levels decreased as participants’ nutritional status worsened, with malnutrition showing the lowest average. Conclusion: Anemia was associated with nutritional status by the evaluated instruments and we observed a reduction in hemoglobin levels as volunteers’ nutritional status worsened. Therefore, research must understand the factors associated with anemia, and healthcare providers should investigate anemic older adults’ clinical history anemic to search for its basic cause.

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Author Biographies

Leucinéia Schmidt, Universidade de Passo Fundo (UPF).

Nutricionista. Mestranda em Envelhecimento Humano pela Universidade de Passo Fundo.

Daiana Argenta Kümpel, Universidade de Passo Fundo (UPF).

Nutricionista. Doutoranda em Envelhecimento Humano pela Universidade de Passo Fundo.

Ana Luisa Sant´Anna Alves, Universidade de Passo Fundo (UPF).

Nutricionista. Pós-doutorado na Technische Universität Kaiserslautern.

Marilene Rodrigues Portella, Universidade de Passo Fundo (UPF).

Enfermeira. Doutora em Enfermagem pela Universidade Federal de Santa Catarina.

References

Fundo de População das Nações Unidas. Envelhecimento no Século XXI: Celebração e Desafio. Nova York: UNFPA; Help Age International; 2012. 8 p.

Ervatti LR, Borges GM, Jardim AP, organizadores. Mudança demográfica no Brasil no início do século XXI: subsídios para as projeções da população. Rio de Janeiro: IBGE; 2015. 156 p.

Sahin S, Tasar PT, Simsek H, et al. The prevalence of anemia and malnutrition and the relationship between anemia and malnutrition [Internet]. Eur Geriatr Med 2013;4(Suppl 1):S133. http://dx.doi.org/10.1016/j.eurger.2013.07.438

Pourhassan M, Wirth R. An operationalized version of the mini-nutritional assessment short form using comprehensive geriatric assessment [Internet]. Clin Nutr ESPEN 2018;27:100-4. http://dx.doi.org/10.1016/j.clnesp.2018.05.013

Miao J-P, Quan X-Q, Zhang C-T, et al. Comparison of two malnutrition risk screening tools with nutritional biochemical parameters, BMI and length of stay in Chinese geriatric inpatients: a multicenter, cross-sectional study [Internet]. BMJ Open 2019;9(2):e022993. http://dx.doi.org/10.1136/bmjopen-2018-022993

Zhang XY, Zhang XL, Zhu YX, et al. Low Calf Circumference Predicts Nutritional Risks in Hospitalized Patients Aged More Than 80 Years [Internet]. Biomed Environ Sci 2019;32(8):571-7. http://dx.doi.org/10.3967/bes2019.075

Cervi A, Franceschini SCC, Priore SE. Análise crítica do uso do índice de massa corporal para idosos [Internet]. Rev Nutr 2005;18(6):765-75. http://dx.doi.org/10.1590/S1415-52732005000600007

Lipschitz DA. Screening for nutritional status in the elderly. Prim Care 1994;21(1):55-67.

Röhrig G, Klossok W, Becker I, et al. Prevalence of anemia among elderly patients in an emergency room setting [Internet]. Eur Geriatr Med 2014;5(1):3-7. http://dx.doi.org/10.1016/j.eurger.2013.10.008

Stauder R, Valent P, Theurl I. Anemia at older age: etiologies, clinical implications, and management [Internet]. Blood 2018;131(5):505-14. http://dx.doi.org/10.1182/blood-2017-07-746446

Gaskell H, Derry S, Moore RA, et al. Prevalence of anaemia in older persons: systematic review [Internet]. BMC Geriatr 2008;8(1). http://dx.doi.org/10.1186/1471-2318-8-1

World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity [Internet]. Geneva: World Health Organization; 2011. 6 p. [2021 March 18]. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/85839/WHO_NMH_NHD_MNM_11.1_eng.pdf?sequence=22&isAllowed=y

Ng WL, Collins PF, Hickling DF, et al. Evaluating the concurrent validity of body mass index (BMI) in the identification of malnutrition in older hospital inpatients [Internet]. Clin Nutr 2019;38(5):2417-22. http://dx.doi.org/10.1016/j.clnu.2018.10.025

Guigoz Y, Vellas B, Garry PJ. Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol 1994;4(Suppl 2):15-59.

Pagotto V, Santos KF, Malaquias SG, et al. Circunferência da panturrilha: validação clínica para avaliação de massa muscular em idosos [Internet]. Rev Bras Enferm 2018;71(2):343-50. http://dx.doi.org/10.1590/0034-7167-2017-0121

Sahin S, Tasar PT, Simsek H, et al. Prevalence of anemia and malnutrition and their association in elderly nursing home residents [Internet]. Aging Clin Exp Res 2016;28(5):857-62. http://dx.doi.org/10.1007/s40520-015-0490-5

Zilinski J, Zillmann R, Becker I, et al. Prevalence of anemia among elderly inpatients and its association with multidimensional loss of function [Internet]. Ann Hematol 2014;93(10):1645-54.http://dx.doi.org/10.1007/s00277-014-2110-4

Michalak SS, Rupa-Matysek J, Gil L. Comorbidities, repeated hospitalizations, and age ≥ 80 years as indicators of anemia development in the older population [Internet]. Ann Hematol 2018; 97(8): 1337-47. http://dx.doi.org/10.1007/s00277-018-3321-x

Vanasse GJ, Berliner N. Anemia in elderly patients: an emerging problem for the 21st century [Internet]. Hematology Am Soc Hematol Educ Program. 2010;2010(1):271-5. http://dx.doi.org/10.1182/asheducation-2010.1.271

Frangos E, Trombetti A, Graf CE, et al. Malnutrition in very old hospitalized patients: a new etiologic factor of anemia? [Internet]. J Nutr Health Aging 2016;20(7):705-13. http://dx.doi.org/10.1007/s12603-015-0641-6

Mello FS, Waisberg J, Silva MLN. Circunferência da panturrilha associa-se com pior desfecho clínico em idosos internados [Internet]. Geriatr Gerontol Aging 2016;10(2):80-5. http://dx.doi.org/10.5327/Z2447-211520161600011

Reck-De-Jesus S, Alves BP, Golin A, et al. Association of anemia and malnutrition in hospitalized patients with exclusive enteral nutrition [Internet]. Nutr Hosp 2018;35(4):753-60. http://dx.doi.org/10.20960/nh.1628

Luma HN, Eloumou SAFB, Mboligong FN, et al. Malnutrition in patients admitted to the medical wards of the Douala General Hospital: a cross-sectional study [Internet]. BMC Res Notes 2017;10(1):238. http://dx.doi.org/10.1186/s13104-017-2592-y

Abd Aziz NAS, Mohd Fahmi Teng NI, Kamarul Zaman M. Geriatric Nutrition Risk Index is comparable to the mini nutritional assessment for assessing nutritional status in elderly hospitalized patients [Internet]. Clin Nutr ESPEN 2019;29:77-85. http://dx.doi.org/10.1016/j.clnesp.2018.12.002

Machado IE, Malta DC, Bacal NS, et al. Prevalência de anemia em adultos e idosos brasileiros [Internet]. Rev Bras Epidemiol 2019;22(Suppl 2): E190008.SUPL.2. http://dx.doi.org/10.1590/1980-549720190008

Published

2022-10-07

How to Cite

Schmidt, L., Kümpel, D. A., Alves, A. L. S., & Portella, M. R. (2022). Relationship between anemia, hemoglobin concentration and nutritional status of hospitalized elderly. Revista De Epidemiologia E Controle De Infecção, 12(3). https://doi.org/10.17058/reci.v12i3.16490

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Section

ORIGINAL ARTICLE