Geriatric syndromes and nutrition status of elderly osteoarthritis patients

This study describes numerous characteristics of comorbidities and geriatric syndromes in elderly osteoarthritis patients at the National Geriatrics Hospital. A cross-sectional study on 184 knee osteoarthritis (OA) patients aged ≥ 60 years old treated at the National Geriatrics Hospital.
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Geriatric syndromes and nutrition status of elderly osteoarthritis patients JOURNAL OF MEDICAL RESEARCH GERIATRIC SYNDROMES AND NUTRITION STATUS OF ELDERLY OSTEOARTHRITIS PATIENTS Tran Viet Luc1,2,, Nguyen Ngoc Tam1,2 Nguyen Thi Hoai Thu1,2, Vu Thi Thanh Huyen1,2 1 National Geriatric Hospital 2 Hanoi Medical University This study describes numerous characteristics of comorbidities and geriatric syndromes in elderly osteoarthritispatients at the National Geriatrics Hospital. A cross-sectional study on 184 knee osteoarthritis (OA) patientsaged ≥ 60 years old treated at the National Geriatrics Hospital. The mean age of the patients was 73.12 ± 8.62years, male patients accounted for 83.7%. Most participants (85.9%) had experienced 2 sides of knee OA, morethan half of these participants (63.6%) were experiencing moderate pain. There were 73 patients with reducedmobility accounting for 39.7%. The dependency ratio of functional activities on the ADL scale was 32.6%, and onthe IADL scale it was 35.9%. The number of participants using less than 5 drugs was 45.7%. More than half ofthe survey participants used polypharmacy accounting for 54.3%. There was a significant association betweennutritional status and reduced physical function (ADLs and IADLs), impaired cognitive function, depressionstatus and sleep disorder. Geriatric syndromes and risk of malnutrition are common in older OA patients, andassessment for them should be done routinely in these patients to early detect impaired physical activities,impaired cognitions, depression problems, sleep disturbances and progressive symptoms of knee osteoarthritis.Keywords: Knee osteoarthritis, Geriatric syndrome, older patient.I. INTRODUCTION Aging is characterized by a gradual loss - 2050), the proportion of elderly in developingof normal physiological function, the result countries is rising more rapidly, in comparisonof the accumulation of a wide variety of with developed ones.4 However, the trend ofmolecular and cellular damage over time, population aging also entails health problemsculminating in frailty, a lack of resilience and and the possibility of chronic diseases relatedincreased susceptibility to several diseases.1,2 to the aging process in old age. The incidenceAccording to the World Health Organization, of chronic diseases has been shown toaging is a course of biological reality which increase rapidly especially among the elderly.5starts at conception and ends with death.3 In In particular, osteoarthritis (OA) is one of themost of the developed countries, the age of chronic diseases encountered in old age.60 is considered equivalent to retirement age Nutrition is defined as the process of takingand it is said to be the beginning of old age.3 in food and using it for growth, metabolism,According to World Population Prospects (1950 and repair. With age, the process of self- synthesis and regeneration of joint cartilageCorresponding author: Tran Viet Luc is greatly reduced. This leads to a lack ofNational Geriatric Hospital nutrients that protect joint cartilage, making itEmail: tranvietluc@hmu.edu.vn more susceptible to damage and wear. TheReceived: 17/02/2023 main changes found in body composition ofAccepted: 20/03/2023 elderly is reduction of muscle mass, which can120 JMR 166 E12 (5) - 2023 JOURNAL OF MEDICAL RESEARCHcause non-transmissible chronic diseases and Inclusion criteriagreat impact in nutritional status. Older people 5 -Patients 60 years and older were diagnosedafter 60 years of age are found to have a clear knee OA according to the American Society ofreduction in free adipose muscle mass, usually Rheumatology criteria 1987.8,9changes in muscle mass, bone mineral density, -Agreement to participate in the study fromcausing decreased muscle strength, difficulties the patients and family.in daily life.6 -Had the physical and cognitive abilities to Comorbidity may lead to additional do a face-to-face interview.impairments that may thus contribute to Exclusion criteriathe development of geriatric syndromes. -The patient and family declined toThe extent to which individual disease or participate.comorbidity contributes to the development of -Patients with the inability to communicate.geriatric syndromes is still unknown. Diseases -Subjects who had the medical history of chronic inflammatory diseases (such asaffecting old age are noted as high blood rheumatoid arthritis), systemic diseasespressure, diabetes, o ...