Trajectories of nutritional status and cognitive impairment among older Taiwanese with hip fracture

H. P. Wang, J. Liang, Li-Min Kuo, C.Y. Chen, Yea Ing L Shyu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

ObjectiveThis paper describes the trajectories of nutritional status and cognitive impairment and their correlation among older Taiwanese over 1 year after hip-fracture surgery.DesignSecondary analysis of data from a clinical trial evaluating the effects of three types of post-discharge care for 292 older hip-fracture patients (age >>60 years).MeasurementsNutritional status was assessed by the Mini Nutritional Assessment before and 1, 3, 6, 12 months after hospital discharge. Cognitive function was measured by the Mini-Mental State Examination before surgery, at hospital discharge, 6 and 12 months after discharge. Trajectories of nutritional status and cognitive impairment were depicted by latent class growth modeling, whereas linkages between nutritional-status and cognitive-impairment trajectories were assessed by multinomial logistic regression.ResultsNutritional status in general improved significantly, particularly during the first 3 months after discharge. We identified three trajectories of nutritional status: malnourished (15.4%), at risk for malnutrition (38.9%), and well-nourished (45.7%). In contrast, cognitive changes followed four largely linear but distinct trajectories: moderately impaired (12.2%), mildly impaired (27.8%), borderline impaired (21.8%), and cognitively intact (38.2%). Trajectories of nutritional status were significantly associated with cognitive-function trajectories. For instance, relative to malnourished patients, well-nourished patients were 95% less likely (OR=0.05, CI =0.01-0.24) to be moderately cognitively impaired.ConclusionA good nutritional-status trajectory after hip fracture was associated with better cognitive function. To treat and care for elderly hip-fractured patients, specific interventions need to target those who are malnourished or at risk of malnutrition to decrease their risk for cognitive impairment.
Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalJournal of Nutrition, Health and Aging
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 1 2017

Fingerprint

Hip Fractures
Nutritional Status
Cognition
Malnutrition
Nutrition Assessment
Cognitive Dysfunction
Hip
Logistic Models
Clinical Trials
Growth

Keywords

  • Cognitive function
  • Nutritional status
  • trajectory group
  • hip fracture

Cite this

Trajectories of nutritional status and cognitive impairment among older Taiwanese with hip fracture. / Wang, H. P.; Liang, J.; Kuo, Li-Min; Chen, C.Y.; Shyu, Yea Ing L.

In: Journal of Nutrition, Health and Aging, Vol. 21, No. 1, 01.01.2017, p. 1-8.

Research output: Contribution to journalArticle

Wang, H. P. ; Liang, J. ; Kuo, Li-Min ; Chen, C.Y. ; Shyu, Yea Ing L. / Trajectories of nutritional status and cognitive impairment among older Taiwanese with hip fracture. In: Journal of Nutrition, Health and Aging. 2017 ; Vol. 21, No. 1. pp. 1-8.
@article{9e76620c9a0c4a47910be988354b4003,
title = "Trajectories of nutritional status and cognitive impairment among older Taiwanese with hip fracture",
abstract = "ObjectiveThis paper describes the trajectories of nutritional status and cognitive impairment and their correlation among older Taiwanese over 1 year after hip-fracture surgery.DesignSecondary analysis of data from a clinical trial evaluating the effects of three types of post-discharge care for 292 older hip-fracture patients (age >>60 years).MeasurementsNutritional status was assessed by the Mini Nutritional Assessment before and 1, 3, 6, 12 months after hospital discharge. Cognitive function was measured by the Mini-Mental State Examination before surgery, at hospital discharge, 6 and 12 months after discharge. Trajectories of nutritional status and cognitive impairment were depicted by latent class growth modeling, whereas linkages between nutritional-status and cognitive-impairment trajectories were assessed by multinomial logistic regression.ResultsNutritional status in general improved significantly, particularly during the first 3 months after discharge. We identified three trajectories of nutritional status: malnourished (15.4{\%}), at risk for malnutrition (38.9{\%}), and well-nourished (45.7{\%}). In contrast, cognitive changes followed four largely linear but distinct trajectories: moderately impaired (12.2{\%}), mildly impaired (27.8{\%}), borderline impaired (21.8{\%}), and cognitively intact (38.2{\%}). Trajectories of nutritional status were significantly associated with cognitive-function trajectories. For instance, relative to malnourished patients, well-nourished patients were 95{\%} less likely (OR=0.05, CI =0.01-0.24) to be moderately cognitively impaired.ConclusionA good nutritional-status trajectory after hip fracture was associated with better cognitive function. To treat and care for elderly hip-fractured patients, specific interventions need to target those who are malnourished or at risk of malnutrition to decrease their risk for cognitive impairment.",
keywords = "Cognitive function, Nutritional status, trajectory group, hip fracture",
author = "Wang, {H. P.} and J. Liang and Li-Min Kuo and C.Y. Chen and Shyu, {Yea Ing L}",
year = "2017",
month = "1",
day = "1",
doi = "10.1007/s12603-016-0756-4",
language = "English",
volume = "21",
pages = "1--8",
journal = "Journal of Nutrition, Health and Aging",
issn = "1279-7707",
publisher = "Springer Paris",
number = "1",

}

TY - JOUR

T1 - Trajectories of nutritional status and cognitive impairment among older Taiwanese with hip fracture

AU - Wang, H. P.

AU - Liang, J.

AU - Kuo, Li-Min

AU - Chen, C.Y.

AU - Shyu, Yea Ing L

PY - 2017/1/1

Y1 - 2017/1/1

N2 - ObjectiveThis paper describes the trajectories of nutritional status and cognitive impairment and their correlation among older Taiwanese over 1 year after hip-fracture surgery.DesignSecondary analysis of data from a clinical trial evaluating the effects of three types of post-discharge care for 292 older hip-fracture patients (age >>60 years).MeasurementsNutritional status was assessed by the Mini Nutritional Assessment before and 1, 3, 6, 12 months after hospital discharge. Cognitive function was measured by the Mini-Mental State Examination before surgery, at hospital discharge, 6 and 12 months after discharge. Trajectories of nutritional status and cognitive impairment were depicted by latent class growth modeling, whereas linkages between nutritional-status and cognitive-impairment trajectories were assessed by multinomial logistic regression.ResultsNutritional status in general improved significantly, particularly during the first 3 months after discharge. We identified three trajectories of nutritional status: malnourished (15.4%), at risk for malnutrition (38.9%), and well-nourished (45.7%). In contrast, cognitive changes followed four largely linear but distinct trajectories: moderately impaired (12.2%), mildly impaired (27.8%), borderline impaired (21.8%), and cognitively intact (38.2%). Trajectories of nutritional status were significantly associated with cognitive-function trajectories. For instance, relative to malnourished patients, well-nourished patients were 95% less likely (OR=0.05, CI =0.01-0.24) to be moderately cognitively impaired.ConclusionA good nutritional-status trajectory after hip fracture was associated with better cognitive function. To treat and care for elderly hip-fractured patients, specific interventions need to target those who are malnourished or at risk of malnutrition to decrease their risk for cognitive impairment.

AB - ObjectiveThis paper describes the trajectories of nutritional status and cognitive impairment and their correlation among older Taiwanese over 1 year after hip-fracture surgery.DesignSecondary analysis of data from a clinical trial evaluating the effects of three types of post-discharge care for 292 older hip-fracture patients (age >>60 years).MeasurementsNutritional status was assessed by the Mini Nutritional Assessment before and 1, 3, 6, 12 months after hospital discharge. Cognitive function was measured by the Mini-Mental State Examination before surgery, at hospital discharge, 6 and 12 months after discharge. Trajectories of nutritional status and cognitive impairment were depicted by latent class growth modeling, whereas linkages between nutritional-status and cognitive-impairment trajectories were assessed by multinomial logistic regression.ResultsNutritional status in general improved significantly, particularly during the first 3 months after discharge. We identified three trajectories of nutritional status: malnourished (15.4%), at risk for malnutrition (38.9%), and well-nourished (45.7%). In contrast, cognitive changes followed four largely linear but distinct trajectories: moderately impaired (12.2%), mildly impaired (27.8%), borderline impaired (21.8%), and cognitively intact (38.2%). Trajectories of nutritional status were significantly associated with cognitive-function trajectories. For instance, relative to malnourished patients, well-nourished patients were 95% less likely (OR=0.05, CI =0.01-0.24) to be moderately cognitively impaired.ConclusionA good nutritional-status trajectory after hip fracture was associated with better cognitive function. To treat and care for elderly hip-fractured patients, specific interventions need to target those who are malnourished or at risk of malnutrition to decrease their risk for cognitive impairment.

KW - Cognitive function

KW - Nutritional status

KW - trajectory group

KW - hip fracture

UR - http://link.springer.com/article/10.1007/s12603-016-0756-4

U2 - 10.1007/s12603-016-0756-4

DO - 10.1007/s12603-016-0756-4

M3 - Article

VL - 21

SP - 1

EP - 8

JO - Journal of Nutrition, Health and Aging

JF - Journal of Nutrition, Health and Aging

SN - 1279-7707

IS - 1

ER -