PD993 - ALTERATIONS IN FOOD INTAKE AS A CONSEQUENCE OF PSYCHO-AFFECTIVE DISORDERS

PD993

ALTERATIONS IN FOOD INTAKE AS A CONSEQUENCE OF PSYCHO-AFFECTIVE DISORDERS

M. I. Porras Guerra^1,*

¹GERIATRÍA, HOSPITAL VIRGEN DE LA CONCHA, ZAMORA, Spain

 

Rationale: Affective disorders frequently present with alterations in food intake, both insufficient and excessive. These alterations, the symptoms of the illness, and the side effects of treatment lead to nutritional disorders that significantly worsen the health of these individuals.

Objetive

To determine the nutritional status of older patients with a history of affective disorders and the influence of these disorders on their nutritional status.

Methods: Observational, longitudinal, descriptive study.

Data collected from medical records and interviews. Patients: both sexes, aged 75years or older, attending consultations for various reasons.

Follow-up: 1year

Variables: sex, age, address, psycho-affective disorders, treatment, body mass index(BMI), Mini Nutritional Assessment(MNA), dietary survey.

 

Results:  

Sample:837patients, 73.4%women, 26.6%men, mean age 85.4years. 15.9% lived alone, 48.5% with family members, 35.6% institutionalized. 38.3% presented with psychiatric disorders, 26.1% with psychoaffective disorders: depression(15.9%), anxiety(3.7%), anxiety-depressive disorder(6.3%). 59% take psychotropic drugs; especially benzodiazepines and hypnotics.

7.1% of those living at home, 19.8% of those institutionalized presented with malnutrition(BMI <18). According to the MNA:(0-7), 18.5% of those living at home and 22.5% of the institutionalized presented with malnutrition.

Best nutritional status: men living alone with anxiety. Worst nutritional status: women living alone with depression. Weight loss: more significant and frequent in patients with depressive disorder(both sexes).

 

 

Conclusion:  

- High prevalence of psychoaffective disorders and psychotropic drug use.

- Malnutrition according to the MNA is similar regardless of residence; according to BMI, it is higher in institutionalized individuals.

- Low food intake due to food refusal is the main cause of malnutrition in these patients.

 

Disclosure of Interest: None declared