Publication: Effects of COVID-19 lockdown on nutritional, functional and frailty biomarkers of people living in nursing homes. a prospective study
Authors
Oliveira, Adriana C. De Souza ; Gómez Martínez, Carmelo ; López Mongil, Rosa ; Moreno Molina, Jorge ; Hernández Morante, Juan José ; Echevarría Pérez, Paloma ; Gómez Gallego, María
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Publisher
SAGE Publications
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DOI
https://doi.org/10.1177/10998004231176249
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info:eu-repo/semantics/article
Description
© The Author(s) 2023. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
This document is the Accepted version of a Published Work that appeared in final form in Biological Research For Nursing. To access the final edited and published work see https://doi.org/10.1177/10998004231176249
Abstract
Abstract
Background: Nursing home residences suffered a lockdown from the beginning of the COVID-19 pandemic. The present study prospectively evaluates the frailty, functional, and nutritional statuses of nursing home residents. Methods: Three hundred and one residents from three nursing homes took part in the study. Frailty status was measured using the FRAIL scale. Functional status was evaluated using the Barthel Index. Additionally, Short Physical Performance Batter (SPPB), SARC-F, hand grip strength, and gait speed were also evaluated. Nutritional status was determined using the mini nutritional assessment test (MNA) and several anthropometrical and biochemical markers. Results: Mini Nutritional Assessment test scores decreased in 20% throughout the confinement (p < .001). Barthel index, SPPB and SARC-F scores also decreased, although to a lesser extent, reflecting a decrease in functional capacity. However, both anthropometric parameters, hand grip strength and gait speed, remained stable throughout confinement (p > .050 in all cases). Morning cortisol secretion significantly decreased by 40% from baseline to post-confinement. A significant reduction in daily cortisol variability was observed, which may suggest increased distress. Fifty-six residents died during the period of confinement (81.4% survival rate). Sex, FRAIL and Barthel Index scores were significant predictors of resident survival. Conclusion: After the first COVID-19 blockade, several alterations in residents’ frailty markers were observed, which were small and potentially reversible. However, many of the residents were pre-frail after the lockdown. This fact highlights the need for preventive strategies to reduce the impact of future social and physical stressors on these vulnerable individuals.
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Citation
Biological Research For Nursing, 2023, Vol. 25, Issue 4, pp. 615-626
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Este ítem está sujeto a una licencia Creative Commons. http://creativecommons.org/licenses/by-nc-nd/4.0/