0000000000125090

AUTHOR

Lorenzo M. Donini

showing 7 related works from this author

Disability assessment in an Italian cohort of patients with obesity using an International Classification of Functioning, Disability and Health (ICF)…

2020

Background Obesity is a clinical condition that contributes to the development of related disability in different areas (physical, psychological and social). Multidisciplinary treatment calls for specific instruments able to evaluate all related functional problems. We have developed a tool (an ICF-based assessment instrument, the ICF-OB schedule) to evaluate obesity-related disability, composed of an inventory of 71-items from the WHO International Classification of Functioning, Disability and Health (ICF). Aim The aim of the present study was to validate this new tool for the definition of obesity-related disability. We also sought to examine the relationship between obesity disability, a…

GerontologyAdultMalemedicine.medical_treatmentPopulationMEDLINEPhysical Therapy Sports Therapy and RehabilitationCohort StudiesDisability EvaluationInternational Classification of Functioning Disability and HealthRating scaleInternational Classification of Functioning Disability and HealthSurveys and QuestionnairesActivities of Daily LivingMedicineHumansObesityeducationeducation.field_of_studyRehabilitationbusiness.industryRehabilitationMiddle Agedmedicine.diseaseObesitydisability AssessmentItalyCohortFemalebusinessBody mass indexICF derived questionnaire.obesity; disability; relationEuropean journal of physical and rehabilitation medicine
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Agreement between different versions of MNA.

2013

Malnutrition occurs frequently in the elderly with important clinical and functional consequences. Moreover, the treatment of malnutrition in the elderly may be effective if clinical and nutritional interventions are performed in the early stages. Therefore the early identification of the risk of malnutrition using validated and handy tools plays a pivotal role in terms of clinical outcome. Mini Nutritional Assessment (MNA) was validated for this purpose since many years but it is still ongoing the debate over whether the use of different items in certain clinical conditions can be effective without affecting the validity of the nutritional status evaluation. The aim of this study was to as…

GerontologyMaleMini nutritional assessmentMEDLINEMedicine (miscellaneous)Nutritional StatuselderlyRisk AssessmentSensitivity and SpecificityBody Mass IndexNutritional InterventionsRisk FactorsSurveys and Questionnairesmedicine80 and overNutrition and DieteticPrevalenceSurveys and QuestionnaireHomes for the AgedHumanselderly; malnutrition; MNA; Aged; Aged 80 and over; Body Mass Index; Female; Geriatric Assessment; Humans; Italy; Male; Malnutrition; Nutritional Status; Prevalence; Risk Assessment; Risk Factors; Sensitivity and Specificity; Surveys and Questionnaires; Homes for the Aged; Nursing Homes; Nutrition Assessment; Medicine (miscellaneous); Nutrition and Dietetics; Geriatrics and GerontologyNutritional riskGeriatric AssessmentAgedAged 80 and overNutrition and Dieteticsbusiness.industryRisk FactorMalnutritionNutritional statusmedicine.diseaseNursing HomesMalnutritionNutritional StatuNursing HomeNutrition AssessmentMNAItalymna; elderly; malnutritionFemaleGeriatrics and GerontologybusinessRisk assessmentBody mass indexHumanThe journal of nutrition, healthaging
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Malnutrition in elderly: Social and economic determinants

2013

Abstract: Malnutrition occurs frequently in the frailest groups of the population, especially in people who are on a low income and elderly subjects, overall if they are institutionalized. The aim of this study was to assess the prevalence of malnutrition in a sample of elderly people living in different settings and to identify the determinants of malnutrition. Methods: A total of 718 subjects, 472 females (F) and 246 males (M), were recruited from nursing homes or were free living in three different regions in Italy. Nutritional status, depression, social, functional and cognitive status, were evaluated. Results: According to the Mini Nutritional Assessment (MNA), a high prevalence of mal…

Low incomeGerontologyMaleSettore MED/09 - Medicina InternapovertyMalnutrition elderly poverty.PopulationNutritional StatusMedicine (miscellaneous)Guidelines as TopicelderlyGeriatric populationRisk Factorspoverty; elderly; malnutrition80 and overPrevalenceElderly peopleMedicineHumanseducationGeriatric AssessmentDepression (differential diagnoses)AgedAged 80 and overeducation.field_of_studyNutrition and Dieteticsbusiness.industryMalnutritionNutritional statuselderly; Malnutrition; poverty; Aged; Aged 80 and over; Female; Geriatric Assessment; Guidelines as Topic; Humans; Italy; Male; Malnutrition; Nursing Homes; Nutrition Assessment; Nutritional Status; Prevalence; Risk Factors; Socioeconomic Factors; Medicine (miscellaneous); Nutrition and Dietetics; Geriatrics and Gerontologymedicine.diseaseNursing HomesMalnutritionNutrition AssessmentItalySocioeconomic FactorsFemaleGeriatrics and GerontologybusinessNursing homes
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Prevention of Functional Decline by Reframing the Role of Nursing Homes?

2017

Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more effective, geriatric medicine must evolve to intervene at an earlier stage of the disability process. Could nursing homes (NHs) transform from settings in which many residents dwell to settings in which the NH residents and those living in neighboring communities benefit from staff expertise to enhance quality of life and maintain or slow functional decline? A task force of clinical researchers met in Toulouse on December 2, 2015, to address some of t…

United StateGerontologymedicine.medical_specialtyActivities of daily livingInstitutionalisationFrail ElderlyCalidad de vidaGerontologíafrailty03 medical and health sciencesMedicina preventiva0302 clinical medicineQuality of life (healthcare)preventionNursingIntervention (counseling)Activities of Daily LivingHumansMedicineCognitive Dysfunction030212 general & internal medicineNursing (all)2901 Nursing (miscellaneous)General NursingHealth policyAgedGeriatricsNursing homebusiness.industryMedicine (all)Health PolicyCognitionGeneral MedicineCognitive reframingUnited StatesNursing Homes3. Good healthGeriatríafunctional declinefrailty; functional decline; Nursing home; prevention; Nursing (all)2901 Nursing (miscellaneous); Medicine (all); Health PolicyGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryHumanJournal of the American Medical Directors Association
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Anorexia and Eating Patterns in the Elderly

2013

Objectives To evaluate the change in eating habits occurring in community- dwelling and institutionalized elderly subjects with senile anorexia. Design Cross- sectional, observational. Setting Community, nursing homes and rehabilitation or acute care facilities in four Italian regions. Participants A random sample of 526 subjects, aged 65 years and older (217 free living individuals, 213 residents in nursing homes, and 93 patients in rehabilitation and acute wards). Measurements All subjects underwent a multidimensional geriatric evaluation of: nutritional status, anthropometric parameters, health and cognitive status, depression, taste, chewing and swallowing function, and some hormones re…

MaleGerontologyAgingAnatomy and PhysiologySettore MED/09 - Medicina InternaEpidemiologyCross-sectional studyEating Disorderslcsh:MedicineAnorexia nervosaFood groupAcute careMedicinelcsh:Sciencemedia_commonAged 80 and overPsychiatryGeriatricsMultidisciplinarydigestive oral and skin physiologyEpidemiology of AgingAnorexiaMental HealthMedicineFemalemedicine.symptomeating pattern; senile anorexia; elderly; malnutritionResearch Articlesenile anorexiamedicine.medical_specialtymedia_common.quotation_subjectmalnutritionAnorexiaelderlyAnorexia aging nutrition malnutritionHumanseating patternBiologyAgedNutritionPopulation Biologybusiness.industrylcsh:RAppetiteFeeding Behaviormedicine.diseaseCross-Sectional StudiesGeriatricslcsh:QObservational studyPhysiological Processesbusiness
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Are the Recommended Dietary Allowances for Vitamins Appropriate for Elderly People?

2015

Background: An adequate vitamin intake is essential for a good nutritional status, especially in older women, who are more sensitive to nutritional deficiencies. The American, European and Italian Recommended Dietary Allowances (RDAs) derive mainly from studies on adults, and it is not clear whether they also apply to elderly people. Comparing the RDAs with the actual vitamin intake of a group of healthy older women could help to clarify the real needs of elderly people. Objective: Our aim was to compare the American, European, and Italian RDAs with the actual vitamin intake of a group of healthy older women. Design: This was a cross-sectional study. Participants: The study included 286 hea…

Dietary FiberRiboflavinRiboflavinAscorbic AcidRecommended Dietary AllowancesPantothenic AcidBody Mass Indexchemistry.chemical_compoundPantothenic acid80 and overMicronutrientMicronutrientsMicronutrient; Older people; Recommended Dietary Allowances (RDA); Vitamins; Aged; Aged 80 and over; Ascorbic Acid; Body Mass Index; Body Weight; Cross-Sectional Studies; Dietary Carbohydrates; Dietary Fats; Dietary Fiber; Dietary Proteins; Energy Intake; Female; Folic Acid; Humans; Micronutrients; Nutrition Assessment; Nutritional Status; Pantothenic Acid; Portion Size; Riboflavin; Vitamin A; Vitamin B 12; Vitamin B 6; Recommended Dietary Allowances; Food Science; Nutrition and Dietetics; Medicine (all)Vitamin AAged 80 and overNutrition and DieteticsMedicine (all)General MedicineVitaminsMicronutrientVitamin B 12FemaleDietary ProteinsVitaminNutritional Statusvitamis elderlyFolic AcidEnvironmental healthmedicineRecommended Dietary Allowances (RDAs)Dietary CarbohydratesHumansAgedRecommended Dietary Allowances (RDA)business.industryBody WeightPortion SizeRetinol Equivalentmedicine.diseaseAscorbic acidDietary FatsVitamin B 6MalnutritionCross-Sectional StudiesNutrition AssessmentchemistryOlder peoplebusinessEnergy IntakeBody mass indexFood Science
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Senile anorexia in acute-ward and rehabilitations settings.

2008

The most common pathological change in eating behaviour among older persons is anorexia, which accounts for a large percent of undernutrition in older adults. The main research aims are to determine, in a sample of acute and rehabilitation elderly subjects, the prevalence of anorexia of aging and the causes most impacting on senile anorexia.Methods: four different Units cooperated to this research study. Patients were recruited from geriatric acute and rehabilitation wards in Italy. Each Research Unit, for the estimation of the prevalence of anorexia in elderly subjects evaluated all the patients aged over 65 recruited from April 2006 to June 2007. Nutritional status, depression, social, fu…

Malemedicine.medical_specialtyAgingmedicine.medical_treatmentHealth StatusMedicine (miscellaneous)Nutritional StatusAnorexiaSwallowingQuality of lifemedicinePrevalenceHumansGeriatric AssessmentDepression (differential diagnoses)AgedAged 80 and overNutrition and DieteticsRehabilitationbusiness.industrydigestive oral and skin physiologyAnthropometrymedicine.diseaseComorbidityAnorexiaMalnutritionC-Reactive ProteinNutrition AssessmentCase-Control StudiesPhysical therapyQuality of LifeFemaleGeriatrics and Gerontologymedicine.symptombusinessThe journal of nutrition, healthaging
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