Farmacéuticos Comunitarios. 2017 Jun 30; 9(2):5-23 DOI: 10.5672/FC.2173-9218.(2017/Vol9).002.02

Assessment of the nutritional condition of over 65s in community pharmacies

Mera-Gallego I1, Fornos-Pérez JA2, Ferrer-Úbeda JA3, Ruiz-Lara A4, Mera-Gallego R5, García-Rodríguez P6, Barreiro-Juncal M7, Andrés-Rodríguez NF5
1. FC en Maella (Zaragoza). Grupo Berbés de Investigación y Docencia. 2. FC en Cangas do Morrazo (Pontevedra). Grupo Berbés de Investigación y Docencia. Grupo de Diabetes de SEFAC. 3. FC en Valencia. Grupo de Diabetes de SEFAC 4. FC en Cuenca. Grupo de Diabetes de SEFAC 5. FC en Vigo. Grupo Berbés de Investigación y Docencia. Grupo de Diabetes de SEFAC. 6. FC en Cangas do Morrazo (Pontevedra). Grupo Berbés de Investigación y Docencia. 7. FC en Vigo. Grupo Berbés de Investigación y Docencia.
Mera-Gallego I, Fornos-Pérez JA, Ferrer-Úbeda JA, Ruiz-Lara A, Mera-Gallego R, García-Rodríguez P, Barreiro-Juncal M, Andrés-Rodríguez NF. Evaluación en farmacias comunitarias del estado nutricional de mayores de 65 años. Farmacéuticos Comunitarios. 2017 Jun 30; 9(2):5-23 DOI: 10.5672/FC.2173-9218.(2017/Vol9).002.02
Abstract : 

Objectives: To assess the nutritional condition of over 65s with diabetes that go community pharmacies, and compare it to individuals without diabetes.

Method: Observational-transversal study in Spanish pharmacies by pharmacists that are SEFAC partners, from November 9 to December 9 2015. Inclusion criteria: ≥65 years old, in two groups: diabetic and non-diabetic. Variables: anthropometric characteristics, floor-knee distance (cm), brachial circumference (cm), calf circumference (cm), diabetes (YES/NO) and nutritional condition (Mini Nutritional Assessment).

Results: 1078 elderly; 652 (60.5%) women, 75.5±7.4 years old; 461 (42.8%) diabetic. 73.4% overweight/obese. BMI=28.6±4.8 with no significant differences between genders; higher in diabetics (29.0±4.8 vs. 28.3±4.8 p=0.0173). 7.5% of diabetics presented symptoms of malnutrition vs. 6.5% of non-diabetics. 39.2% of diabetics at risk of malnutrition vs. 29.8% of non-diabetics. There were more women at risk of malnutrition and/or presenting symptoms of malnutrition than men (46.3% vs. 32.4% p>0.0001). Higher in diabetic women than in non-diabetic women (52.4% vs. 39.3% p=0.0075). 73.1% of diabetics believe they suffer from nutritional issues vs. 80.7% of non-diabetics p=0.0132. 30.0% of diabetics believe their health is better vs. 45.9% of non-diabetics.

Conclusions: Eighty-two percent of over 65s present symptoms of malnutrition and/or are at risk of malnutrition; the rate is higher among diabetics than non-diabetics and among women than men. Three in every four over 65s are overweight or obese; the rate is higher in men than women and in diabetics than non-diabetics.

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