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How Does Poor Appetite Affect Nutrition in Community-Dwelling Elderly People?

Yıl 2025, Cilt: 12 Sayı: 1, 1 - 14

Öz

Objectives: The study aimed to assess the impact of lifestyle habits and nutritional status on elderly individuals with varying appetite levels in the community.
Materials and Methods: The study was conducted on 6,094 elderly individuals aged ≥65 years living in the community. A questionnaire designed to assess general characteristics, anthropometric measurements, and 24-hour dietary recalls of the individuals was administered through face-to-face interviews.
Results: Elderly individuals with good appetite had significantly higher daily intake of calcium, iron, zinc, vitamin B12, and folate compared to those with poor appetite, meeting their requirements at significantly higher rates (p<0.001). Except for legumes, nuts and seeds, and sugar consumption, the consumption amounts of all other foods were significantly higher in elderly individuals with good appetite compared to those with poor appetite (p<0.001). Furthermore, those with good appetite exhibited higher median values of body mass index, upper mid-arm circumference, and calf circumference compared to those with poor appetite (p<0.001), with a greater proportion meeting the recommended cut-off value (p<0.005). Involuntary weight loss of >5% in the last six months is significantly lower in elderly individuals with good appetite compared to those with moderate and poor appetite (p<0.001).
Conclusion: Overall, the study underscores the influence of appetite status on food consumption, nutrient intake, and anthropometric measurements in the elderly. Identifying and addressing decreased appetite in aging individuals is crucial for designing effective dietary interventions to enhance their nutritional and health outcomes.

Kaynakça

  • Baltacı, P., Tanrıöver, Ö., Yavuzer, H., Erdinçler, D. S., & Eyupoglu, O. E. (2023). Evaluation of diet quality and associated factors in geriatric outpatients: A cross-sectional study. Mediterranean Journal of Nutrition and Metabolism, (Preprint), 1-14. https://doi.org/10.3233/MNM-220112
  • BeBiS. Nutrition Data Base Software, Turkish version BeBiS. 2010. p. Data base: The German Food Code and Nutrient Data Base. With additions from USDA-SR and other sources.
  • Buhl, S. F., Olsen, P. Ø., Thilsing, T., & Caserotti, P. (2023). Association between malnutrition risk factors and physical function in community-dwelling adults≥ 80 years. Journal of Ageing and Longevity, 3(1), 33-45. https://doi.org/10.3390/jal3010003
  • Chang, M., Geirsdottir, O. G., Launer, L. J., Gudnasson, V., Visser, M., & Gunnarsdottir, I. (2021). A poor appetite or ability to eat and its association with physical function amongst community-dwelling older adults: age, gene/environment susceptibility-Reykjavik study. European Journal of Ageing, 18, 405-415. https://doi.org/10.1007/s10433-020-00588-1
  • Coelho-Júnior, H. J., Calvani, R., Landi, F., Picca, A., & Marzetti, E. (2021). Protein intake and cognitive function in older adults: a systematic review and meta-analysis. Nutrition and metabolic insights, 14, 11786388211022373. https://doi.org/10.1177/11786388211022373
  • Cronin, S. J., Woolf, C. J., Weiss, G., & Penninger, J. M. (2019). The role of iron regulation in immunometabolism and immune-related disease. Frontiers in molecular biosciences, 6, 116. https://doi.org/10.3389/fmolb.2019.00116
  • de Souto Barreto, P., Cesari, M., Morley, J. E., Gonzalez-Bautista, E., Rolland, Y., Azzolino, D., Vellas, B., Fielding, R.A., Andrieu, S., Aubertin-Leheudre, M., et al. (2023). Assessment and Management of Appetite Loss in Older Adults: An ICFSR Task Force Report. The Journal of frailty & aging, 12(1), 1-6. https://doi.org/10.14283/jfa.2022.64
  • de Souza Genaro, P., & Martini, L. A. (2010). Effect of protein intake on bone and muscle mass in the elderly. Nutrition reviews, 68(10), 616-623. https://doi.org/10.1111/j.1753-4887.2010.00321.x
  • Demirdag, F., Kolbasi, E. N., & Pehlivan, O. (2022). Prevalence of malnutrition according to the global leadership initiative on malnutrition criteria in community-dwelling older adults in Turkey. Medeniyet Medical Journal, 37(3), 234. https://doi.org/10.4274/MMJ.galenos.2022.14377
  • FAO/WHO/UNU Expert Consultation. (2005). Human energy requirements: report of a joint FAO/WHO/UNU Expert Consultation. Food and Nutrition Bulletin, 26(1),166.
  • Fielding, R. A., Landi, F., Smoyer, K. E., Tarasenko, L., & Groarke, J. (2023). Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review. Journal of cachexia, sarcopenia and muscle, 14(2), 706-729. https://doi.org/10.1002/jcsm.13186
  • Horvat, P., Gardiner, J., Kubinova, R., Pajak, A., Tamosiunas, A., Schöttker, B., Pikhart, H., Peasey, A., Jansen, E., & Bobak, M. (2016). Serum folate, vitamin B-12 and cognitive function in middle and older age: The HAPIEE study. Experimental gerontology, 76, 33-38. https://doi.org/10.1016/j.exger.2016.01.011
  • Hung, Y., Wijnhoven, H. A., Visser, M., & Verbeke, W. (2019). Appetite and protein intake strata of older adults in the European Union: socio-demographic and health characteristics, diet-related and physical activity behaviours. Nutrients, 11(4), 777. https://doi.org/10.3390/nu11040777
  • İlhan, B., Bahat, G., Erdoğan, T., Kilic, C., & Karan, M. A. (2019). Anorexia is independently associated with decreased muscle mass and strength in community dwelling older adults. The journal of nutrition, health & aging, 23, 202-206. https://doi.org/10.1007/s12603-018-1119-0
  • Jelliffe, D. B., & Jelliffe, E. F. P. (1989). Community Nutritional Assessment. Assessment of ecological variables II. Food considerations. Oxford: Oxford Medical Publications, ss, 221, 701-703.
  • Karpouzos, A., Diamantis, E., Farmaki, P., Savvanis, S., & Troupis, T. (2017). Nutritional aspects of bone health and fracture healing. Journal of osteoporosis, 2017. https://doi.org/10.1155/2017/4218472
  • Khalaf, S. A., Ahmed, G. K., Abdullah, S. O., & Labieb, M. M. (2023). Correlation between community participation, nutritional appetite and psychological distress among comorbid older persons. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 59(1), 111. https://doi.org/10.1186/s41983-023-00708-5
  • Lee, R.D., Nieman, D.C. (Ed.). (2003). Nutritional assessment. (3rd ed.) New York: The McGraw-Hill Companies Inc.
  • Marshall, S., Young, A., Bauer, J., & Isenring, E. (2016). Nutrition screening in geriatric rehabilitation: criterion (concurrent and predictive) validity of the Malnutrition Screening Tool and the Mini Nutritional Assessment− Short Form. Journal of the Academy of Nutrition and Dietetics, 116(5), 795-801. https://doi.org/10.1016/j.jand.2015.06.012
  • Miller, S. L., & Wolfe, R. R. (2008). The danger of weight loss in the elderly. The Journal of Nutrition Health and Aging, 12, 487-491. https://doi.org/10.1007/BF02982710
  • Ni Lochlainn, M., Cox, N. J., Wilson, T., Hayhoe, R. P., Ramsay, S. E., Granic, A., Isanejad, M., Roberts, H. C., Wilson, D., Welch, C., et al. (2021). Nutrition and frailty: opportunities for prevention and treatment. Nutrients, 13(7), 2349. https://doi.org/10.3390/nu13072349
  • Öztürk, E. E. (2022). Assessment of the Relationship Between Anorexia of Aging and Dietary Intake. European Journal of Geriatrics & Gerontology, 4(3). https://doi.org/10.4274/ejgg.galenos.2022.2022-4-2
  • Öztürk, M. E., Poínhos, R., Afonso, C., Ayhan, N. Y., de Almeida, M. D. V., & Oliveira, B. M. (2023). Nutritional status among Portuguese and Turkish older adults living in the community: Relationships with sociodemographic, health and anthropometric characteristics. Nutrients, 15(6), 1333. https://doi.org/10.3390/nu15061333
  • Phillips, M. B., Foley, A. L., Barnard, R., Isenring, E. A., & Miller, M. D. (2010). Nutritional screening in community-dwelling older adults: a systematic literature review. Asia Pacific journal of clinical nutrition, 19(3), 440-449.
  • Rakıcıoğlu, N., Tek Acar, N., Ayaz, A., & Pekcan, G. (2009). Photograph catalog of food and dishes: Portion sizes and amounts. Ata Ofset Pub, Ankara, Turkey,.
  • Rudzińska, A., Piotrowicz, K., Perera, I., Gryglewska, B., & Gąsowski, J. (2023). Poor Appetite in Frail Older Persons—A Systematic Review. Nutrients, 15(13), 2966. https://doi.org/10.3390/nu15132966
  • Sawada, N., Takeuchi, N., Ekuni, D., & Morita, M. (2023). Effect of oral health status and oral function on malnutrition in community‐dwelling older adult dental patients: A two‐year prospective cohort study. Gerodontology. https://doi.org/10.1111/ger.12718
  • Scheufele, P., Rappl, A., Visser, M., Kiesswetter, E., & Volkert, D. (2023). Characterisation of community-dwelling older adults with poor appetite. European Journal of Nutrition, 1-10. https://doi.org/10.1016/j.clnesp.2022.09.446
  • Tsai, L. T., Boyle, E., Buhl, S. F., Kock, G., Brønd, J. C., Visser, M., Mendonça, N., Shiroma, E.J., & Caserotti, P. (2023). Associations between appetite, physical activity and sedentary behaviour from hip‐and wrist‐worn accelerometers in community‐dwelling older adults. Geriatrics & Gerontology International. https://doi.org/10.1111/ggi.14588
  • Turkish Dietary Guideline (TÜBER). (2022). Ministry of Health, General Directorate of Public Health, Ministry of Health Publication No: 1031, Ankara.
  • van der Meij, B. S., Wijnhoven, H. A., Lee, J. S., Houston, D. K., Hue, T., Harris, T. B., Kritchevsky, S.B., Newmani A.B., & Visser, M. (2017). Poor appetite and dietary intake in community‐dwelling older adults. Journal of the American Geriatrics Society, 65(10), 2190-2197. https://doi.org/10.1111/jgs.15017
  • Wessels, I., Maywald, M., & Rink, L. (2017). Zinc as a gatekeeper of immune function. Nutrients, 9(12), 1286. https://doi.org/10.3390/nu9121286
  • Weyh, C., Krüger, K., & Strasser, B. (2020). Physical activity and diet shape the immune system during aging. Nutrients, 12(3), 622. https://doi.org/10.3390/nu12030622
  • Wijnhoven, H. A., Kok, A. A., Schaap, L. A., Hoekstra, T., van Stralen, M. M., Twisk, J. W., & Visser, M. (2024). The associations between sleep quality, mood, pain and appetite in community dwelling older adults: a daily experience study. The Journal of nutrition, health and aging, 100028. https://doi.org/10.1016/j.jnha.2023.100028
  • Yabanci-Ayhan, N., Bilgic, P., Simsek, I., Tayfur, M., & Hongu, N. (2015). The determination of total energy and nutrient intake in older adults in Turkey. Studies on Ethno-Medicine, 9(3), 319-326. https://doi.org/10.1080/09735070.2015.11905449
  • Yokoro, M., Otaki, N., Imamura, T., Tanino, N., & Fukuo, K. (2023). Association between social network and dietary variety among community-dwelling older adults. Public Health Nutrition, 26(11), 2441-2449. https://doi.org/10.1017/S1368980023001325
Yıl 2025, Cilt: 12 Sayı: 1, 1 - 14

Öz

Kaynakça

  • Baltacı, P., Tanrıöver, Ö., Yavuzer, H., Erdinçler, D. S., & Eyupoglu, O. E. (2023). Evaluation of diet quality and associated factors in geriatric outpatients: A cross-sectional study. Mediterranean Journal of Nutrition and Metabolism, (Preprint), 1-14. https://doi.org/10.3233/MNM-220112
  • BeBiS. Nutrition Data Base Software, Turkish version BeBiS. 2010. p. Data base: The German Food Code and Nutrient Data Base. With additions from USDA-SR and other sources.
  • Buhl, S. F., Olsen, P. Ø., Thilsing, T., & Caserotti, P. (2023). Association between malnutrition risk factors and physical function in community-dwelling adults≥ 80 years. Journal of Ageing and Longevity, 3(1), 33-45. https://doi.org/10.3390/jal3010003
  • Chang, M., Geirsdottir, O. G., Launer, L. J., Gudnasson, V., Visser, M., & Gunnarsdottir, I. (2021). A poor appetite or ability to eat and its association with physical function amongst community-dwelling older adults: age, gene/environment susceptibility-Reykjavik study. European Journal of Ageing, 18, 405-415. https://doi.org/10.1007/s10433-020-00588-1
  • Coelho-Júnior, H. J., Calvani, R., Landi, F., Picca, A., & Marzetti, E. (2021). Protein intake and cognitive function in older adults: a systematic review and meta-analysis. Nutrition and metabolic insights, 14, 11786388211022373. https://doi.org/10.1177/11786388211022373
  • Cronin, S. J., Woolf, C. J., Weiss, G., & Penninger, J. M. (2019). The role of iron regulation in immunometabolism and immune-related disease. Frontiers in molecular biosciences, 6, 116. https://doi.org/10.3389/fmolb.2019.00116
  • de Souto Barreto, P., Cesari, M., Morley, J. E., Gonzalez-Bautista, E., Rolland, Y., Azzolino, D., Vellas, B., Fielding, R.A., Andrieu, S., Aubertin-Leheudre, M., et al. (2023). Assessment and Management of Appetite Loss in Older Adults: An ICFSR Task Force Report. The Journal of frailty & aging, 12(1), 1-6. https://doi.org/10.14283/jfa.2022.64
  • de Souza Genaro, P., & Martini, L. A. (2010). Effect of protein intake on bone and muscle mass in the elderly. Nutrition reviews, 68(10), 616-623. https://doi.org/10.1111/j.1753-4887.2010.00321.x
  • Demirdag, F., Kolbasi, E. N., & Pehlivan, O. (2022). Prevalence of malnutrition according to the global leadership initiative on malnutrition criteria in community-dwelling older adults in Turkey. Medeniyet Medical Journal, 37(3), 234. https://doi.org/10.4274/MMJ.galenos.2022.14377
  • FAO/WHO/UNU Expert Consultation. (2005). Human energy requirements: report of a joint FAO/WHO/UNU Expert Consultation. Food and Nutrition Bulletin, 26(1),166.
  • Fielding, R. A., Landi, F., Smoyer, K. E., Tarasenko, L., & Groarke, J. (2023). Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review. Journal of cachexia, sarcopenia and muscle, 14(2), 706-729. https://doi.org/10.1002/jcsm.13186
  • Horvat, P., Gardiner, J., Kubinova, R., Pajak, A., Tamosiunas, A., Schöttker, B., Pikhart, H., Peasey, A., Jansen, E., & Bobak, M. (2016). Serum folate, vitamin B-12 and cognitive function in middle and older age: The HAPIEE study. Experimental gerontology, 76, 33-38. https://doi.org/10.1016/j.exger.2016.01.011
  • Hung, Y., Wijnhoven, H. A., Visser, M., & Verbeke, W. (2019). Appetite and protein intake strata of older adults in the European Union: socio-demographic and health characteristics, diet-related and physical activity behaviours. Nutrients, 11(4), 777. https://doi.org/10.3390/nu11040777
  • İlhan, B., Bahat, G., Erdoğan, T., Kilic, C., & Karan, M. A. (2019). Anorexia is independently associated with decreased muscle mass and strength in community dwelling older adults. The journal of nutrition, health & aging, 23, 202-206. https://doi.org/10.1007/s12603-018-1119-0
  • Jelliffe, D. B., & Jelliffe, E. F. P. (1989). Community Nutritional Assessment. Assessment of ecological variables II. Food considerations. Oxford: Oxford Medical Publications, ss, 221, 701-703.
  • Karpouzos, A., Diamantis, E., Farmaki, P., Savvanis, S., & Troupis, T. (2017). Nutritional aspects of bone health and fracture healing. Journal of osteoporosis, 2017. https://doi.org/10.1155/2017/4218472
  • Khalaf, S. A., Ahmed, G. K., Abdullah, S. O., & Labieb, M. M. (2023). Correlation between community participation, nutritional appetite and psychological distress among comorbid older persons. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 59(1), 111. https://doi.org/10.1186/s41983-023-00708-5
  • Lee, R.D., Nieman, D.C. (Ed.). (2003). Nutritional assessment. (3rd ed.) New York: The McGraw-Hill Companies Inc.
  • Marshall, S., Young, A., Bauer, J., & Isenring, E. (2016). Nutrition screening in geriatric rehabilitation: criterion (concurrent and predictive) validity of the Malnutrition Screening Tool and the Mini Nutritional Assessment− Short Form. Journal of the Academy of Nutrition and Dietetics, 116(5), 795-801. https://doi.org/10.1016/j.jand.2015.06.012
  • Miller, S. L., & Wolfe, R. R. (2008). The danger of weight loss in the elderly. The Journal of Nutrition Health and Aging, 12, 487-491. https://doi.org/10.1007/BF02982710
  • Ni Lochlainn, M., Cox, N. J., Wilson, T., Hayhoe, R. P., Ramsay, S. E., Granic, A., Isanejad, M., Roberts, H. C., Wilson, D., Welch, C., et al. (2021). Nutrition and frailty: opportunities for prevention and treatment. Nutrients, 13(7), 2349. https://doi.org/10.3390/nu13072349
  • Öztürk, E. E. (2022). Assessment of the Relationship Between Anorexia of Aging and Dietary Intake. European Journal of Geriatrics & Gerontology, 4(3). https://doi.org/10.4274/ejgg.galenos.2022.2022-4-2
  • Öztürk, M. E., Poínhos, R., Afonso, C., Ayhan, N. Y., de Almeida, M. D. V., & Oliveira, B. M. (2023). Nutritional status among Portuguese and Turkish older adults living in the community: Relationships with sociodemographic, health and anthropometric characteristics. Nutrients, 15(6), 1333. https://doi.org/10.3390/nu15061333
  • Phillips, M. B., Foley, A. L., Barnard, R., Isenring, E. A., & Miller, M. D. (2010). Nutritional screening in community-dwelling older adults: a systematic literature review. Asia Pacific journal of clinical nutrition, 19(3), 440-449.
  • Rakıcıoğlu, N., Tek Acar, N., Ayaz, A., & Pekcan, G. (2009). Photograph catalog of food and dishes: Portion sizes and amounts. Ata Ofset Pub, Ankara, Turkey,.
  • Rudzińska, A., Piotrowicz, K., Perera, I., Gryglewska, B., & Gąsowski, J. (2023). Poor Appetite in Frail Older Persons—A Systematic Review. Nutrients, 15(13), 2966. https://doi.org/10.3390/nu15132966
  • Sawada, N., Takeuchi, N., Ekuni, D., & Morita, M. (2023). Effect of oral health status and oral function on malnutrition in community‐dwelling older adult dental patients: A two‐year prospective cohort study. Gerodontology. https://doi.org/10.1111/ger.12718
  • Scheufele, P., Rappl, A., Visser, M., Kiesswetter, E., & Volkert, D. (2023). Characterisation of community-dwelling older adults with poor appetite. European Journal of Nutrition, 1-10. https://doi.org/10.1016/j.clnesp.2022.09.446
  • Tsai, L. T., Boyle, E., Buhl, S. F., Kock, G., Brønd, J. C., Visser, M., Mendonça, N., Shiroma, E.J., & Caserotti, P. (2023). Associations between appetite, physical activity and sedentary behaviour from hip‐and wrist‐worn accelerometers in community‐dwelling older adults. Geriatrics & Gerontology International. https://doi.org/10.1111/ggi.14588
  • Turkish Dietary Guideline (TÜBER). (2022). Ministry of Health, General Directorate of Public Health, Ministry of Health Publication No: 1031, Ankara.
  • van der Meij, B. S., Wijnhoven, H. A., Lee, J. S., Houston, D. K., Hue, T., Harris, T. B., Kritchevsky, S.B., Newmani A.B., & Visser, M. (2017). Poor appetite and dietary intake in community‐dwelling older adults. Journal of the American Geriatrics Society, 65(10), 2190-2197. https://doi.org/10.1111/jgs.15017
  • Wessels, I., Maywald, M., & Rink, L. (2017). Zinc as a gatekeeper of immune function. Nutrients, 9(12), 1286. https://doi.org/10.3390/nu9121286
  • Weyh, C., Krüger, K., & Strasser, B. (2020). Physical activity and diet shape the immune system during aging. Nutrients, 12(3), 622. https://doi.org/10.3390/nu12030622
  • Wijnhoven, H. A., Kok, A. A., Schaap, L. A., Hoekstra, T., van Stralen, M. M., Twisk, J. W., & Visser, M. (2024). The associations between sleep quality, mood, pain and appetite in community dwelling older adults: a daily experience study. The Journal of nutrition, health and aging, 100028. https://doi.org/10.1016/j.jnha.2023.100028
  • Yabanci-Ayhan, N., Bilgic, P., Simsek, I., Tayfur, M., & Hongu, N. (2015). The determination of total energy and nutrient intake in older adults in Turkey. Studies on Ethno-Medicine, 9(3), 319-326. https://doi.org/10.1080/09735070.2015.11905449
  • Yokoro, M., Otaki, N., Imamura, T., Tanino, N., & Fukuo, K. (2023). Association between social network and dietary variety among community-dwelling older adults. Public Health Nutrition, 26(11), 2441-2449. https://doi.org/10.1017/S1368980023001325
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı Beslenmesi
Bölüm Makaleler
Yazarlar

Neslişah Rakıcıoğlu 0000-0001-8763-7407

Hande Gül Ulusoy Gezer

Erken Görünüm Tarihi 31 Ocak 2025
Yayımlanma Tarihi
Gönderilme Tarihi 27 Şubat 2024
Kabul Tarihi 29 Nisan 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 12 Sayı: 1

Kaynak Göster

APA Rakıcıoğlu, N., & Ulusoy Gezer, H. G. (2025). How Does Poor Appetite Affect Nutrition in Community-Dwelling Elderly People?. Hacettepe University Faculty of Health Sciences Journal, 12(1), 1-14. https://doi.org/10.21020/husbfd.1443788