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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/108450

    Title: Combined effect of eating alone and a poor nutritional status on cognitive decline
    Authors: Yeh, 李政倫;Cheng-Lun Li;董和銳;Ho-Jui Tung;Ming-Chin Ye;Ming-Chin
    Contributors: 健康產業管理學系
    Date: 2017
    Issue Date: 2017-12-08 14:17:55 (UTC+8)
    Abstract: Background and Objectives: Nutritional status is not only associated with older
    individuals’ physical health but also has an impact on their cognitive functioning. Evidence
    indicates that a socially integrated lifestyle in the later stages of life protects against
    cognitive decline and dementia. This study tested the combined effect of two hazards, the
    risk of malnutrition and eating meals alone, on the cognitive changes among a
    representative sample of older Taiwanese individuals over an 8-year period. Methods and
    Study Design: Data were taken from the Taiwan Longitudinal Survey on Aging. In 1999,
    2584 respondents aged 65 years were surveyed, and follow-up surveys were performed in
    2003 and 2007. The Short Portable Mental Status Questionnaire (SPMSQ) and Mini
    Nutritional Assessment were used to evaluate participants’ cognitive functioning and
    nutritional status, respectively. Nutritional status and eating alone data assessed at baseline
    were combined to predict changes in SPMSQ scores longitudinally. Generalized estimating
    equations were used to evaluate the longitudinal changes from baseline to 2007. Results:
    Findings suggest that nutritional status was a salient predictor for cognitive decline among
    the older Taiwanese adults over the 8-year period. Female respondents who had a
    compromised nutritional status at baseline and who were eating their meals alone exhibited
    a greater decrease in SPMSQ scores compared with those who had a normal nutritional
    status and who were eating their meals with others. Conclusion: Nutritional programs for
    the elderly should focus on what they eat as well as who they eat their meals with to
    prevent social isolation, especially among older women.
    Appears in Collections:[健康產業管理學系] 期刊論文

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