Evaluation of the taste of older people and their relationship with nutritional state and food habits
DOI:
https://doi.org/10.15448/2357-9641.2020.1.37707Keywords:
taste, nutritional status, food habits, aged, dysgeusiaAbstract
Aims: to assess the prevalence of dysgeusia (reduced taste) and the association with nutritional status and eating practices in a group of elderly people, as well as to identify the most affected and preserved tastes.
Methods: cross-sectional study with a sample recruited at Leisure Center for the elderly in the city of Porto Alegre / RS. Taste was assessed using taste strips and nutritional status using the Body Mass Index. Eating practices were investigated through a questionnaire. For statistical analysis, the chi-square and ANOVA tests were used, with a significance level of p <0.05.
Results: 62 elderly people (84% female, mean 70±7.6 years) were evaluated, prevalence of dysgeusia was 19.4% (n = 12), 58% overweight (n = 36), 40.5% eutrophy (n = 25) and 1.5% of low weight (n = 1), with no significant association between changes in taste and nutritional status (p = 0.397). Around 55% of the elderly had elevated sodium consumption. There was no significant difference in the mean of points for acid taste between the elderly who season the salad with lemon or vinegar and those who do not (p = 0.054 and p = 0.935, respectively). The average points for salty taste did not differ between those who prepare meals with spices rich in sodium and those who do not use them (p = 0.055). The sweet was the most preserved taste, while the acid was more reduced.
Conclusions: despite the contrary evidence, the impact of taste changes on nutritional status and eating practices was not identified. Even so, new studies that include these variables are necessary.
Downloads
References
Mistretta CM. Aging Effects on Anatomy and Neurophysiology of Taste and Smell. Gerodontology. 1984;3(2):131-6. https://doi.org/10.1111/j.1741-2358.1984.tb00364.x
Ahne G, Erras A, Hummel T, Kobal G. Assessment of Gustatory Function by Means of Tasting Tablets. Laryngoscope. 2000;110(8):1396-401. https://doi.org/10.1097/00005537-200008000-00033
Mueller C, Kallert S, Renner B, Stiassny K, Temmel AF, Hummel T, Kobal G. Quantitative assessment of gustatory function in a clinical context using impregnated “taste strips”. Rhinology. 2003;41(1):2-6.
Gudziol H, Hummel T. Normative values for the assessment of gustatory function using liquid tastants. Acta Oto-Laryngol. 2007;127(6):658-61. https://doi.org/10.1080/00016480600951491
Nordin S, Brämerson A, Bringlöv E, Kobal G, Hummel T, Bende M. Substance and tongue-region specific loss in basic taste-quality identification in elderly adults. Eur Arch Otorhinolaryngol. 2007;264(3):285-9. https://doi.org/10.1007/s00405-006-0169-9
Landis BN, Welge-Luessen A, Brämerson A, Bende M, Mueller CA, Nordin S, Hummel T. “Taste Strips” - A rapid, lateralized, gustatory bedside identification test based on impregnated filter papers. J Neurol. 2009; 256(2):242-8. https://doi.org/10.1007/s00415-009-0088-y
Yen PK. Nutrition and sensory loss. Geriatric Nurs. 2004;25(2):118-9. https://doi.org/10.1016/j.gerinurse.2003.12.011
Paula RS, Colares FCJ, Oliveira JN, Nóbrega O. Alterações gustativas no envelhecimento. Rev Kairós. 2008;11(1):217-35.
Boyce JM, Shone GR. Effects of ageing on smell and taste. Postgrad Med J. 2006;82(966):239-41. https://doi.org/10.1136/pgmj.2005.039453
Pribitkin E, Rosenthal MD, Cowart BJ. Prevalence and causes of severe taste loss in a chemosensory clinic population. Ann Otol Rhinol Laryngol. 2003;112(11):971-8. https://doi.org/10.1177/000348940311201110
Schiffman SS. Taste and smell losses in normal aging and disease. JAMA. 1997;278(16):1357-62. https://doi.org/10.1001/jama.1997.03550160077042
Pavlos P, Vasilios N, Antonia A, Dimitrios K, Georgios K, Georgios A. Evaluation of young smokers and non-smokers with Electrogustometry and Contact Endoscopy. BMC Ear Nose Throat Disord. 2009;9(9). https://doi.org/10.1186/1472-6815-9-9
Kina L, Belotti A, Bruneti RF. Alterações da sensibilidade gustativa no paciente idoso. Atual Geriatr. 1998;3(18):20-2.
Cambraia RPB. Aspectos psicobiológicos do comportamento alimentar. Rev Nutr. 2004;17(2):217-25. https://doi.org/10.1590/S1415-52732004000200008
Campos MTFS, Monteiro JBR, Ornelas APRC. Fatores que afetam o consumo alimentar e a nutrição do idoso. Rev Nutr. 2000;13(3):157-65. https://doi.org/10.1590/S1415-52732000000300002
Vidal L, Cadena RS, Antúnez L, Giménez A, Varela P, Ares G. Stability of sample configurations from projective mapping: How many consumers are necessary. Food Qual Prefer. 2014;34:79-87. https://doi.org/10.1016/j.foodqual.2013.12.006
Brasil. Ministério da Saúde. Orientações para a coleta e análise de dados antropométricos em serviços de saúde [Internet]. Norma Técnica - SISVAN. Brasília, DF: MS; 2004 [cited 10 abr 2020]. Disponível em: http://tabnet.datasus.gov.br/cgi-win/SISVAN/CNV/notas_sisvan.html.
Lipschitz, DA. Screening for nutritional status in the elderly. Primary Care. 1994; 21(1): 55-67.
Hoffman HJ, Ishii EK, Macturk RH. Age-related changes in the prevalence of smell/taste problems among the United States adult population. Results of the 1994 Disability supplement to the National Health Interview Survey (NHIS). Ann N Y Acad Sci. 1998;855:716-22. https://doi.org/10.1111/j.1749-6632.1998.tb10650.x
Neumann L, Schauren BC, Adami FS. Sensibilidade gustativa de adultos e idosos. Rev Bras Geriatr Gerontol. 2016;19(5):797-808. https://doi.org/10.1590/1809-98232016019.150218
Strapasson GC, Lopez ACM, Basso T, Santos DF, Mulinari RA, Wille GMFC, et al. Percepção de sabor: uma revisão. Visão Acad. 2011;(12)1:65-73. https://doi.org/10.5380/acd.v12i1.27247
Schimidt IL, Oliveira JS, Assis SO, Simões FV, Pratte-Santos R, Freire SCV. Sensibilidade gustativa à feniltiocarbamida. Rev Bras Pesq Saúde. 2018;20(1):148-56. https://doi.org/10.21722/rbps.v20i1.20619
Lima LM, Souza RJS, Cunha MRH, Leopoldo AS, Lima-Leopoldo AP. Prevalência de Sobrepeso e Obesidade em Idosas do Centro de Convivência para a Terceira Idade de Vitória/ES. Rev Bras Ciênc Saúde. 2017;21(2):119-126. https://doi.org/10.22478/ufpb.2317-6032.2017v21n2.22921
Pereira IFS, Spyrides M77HC, Andrade LMB. Estado nutricional de idosos no Brasil: uma abordagem multinível. Cad Saúde Pública. 2016;32(5): e00178814. https://doi.org/10.1590/0102-311X00178814
Silveira E, Kac G, Barbosa L. Prevalência e fatores associados à obesidade em idosos residentes em Pelotas, Rio Grande do Sul, Brasil: classificação da obesidade segundo dois pontos de corte do índice de massa corporal. Cad Saúde Pública. 2009;25(7):1569-77. https://doi.org/10.1590/S0102-311X2009000700015
Leite-Cavalcanti C, Rodrigues-Gonçalves MC, Rios-Asciutti LS, Leite-Cavalcanti A. Prevalência de doenças crônicas e estado nutricional em um grupo de idosos brasileiros. Rev Salud Pública. 2009;11(6):865-77. https://doi.org/10.1590/S0124-00642009000600003
Proença RPC, Sousa AA, Veiros MB, Hering B. Qualidade nutricional e sensorial na produção de refeições. Florianópolis: UFSC; 2005.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira [Internet]. 2. ed. E 1. reimpr. Brasília: Ministério da Saúde; 2014 [cited 10 abr 2020]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_alimentar_populacao_brasileira_2ed.pdf.
Sergi G, Bano G, Pizzato S, Veronese N, Manzato E. Taste loss in the elderly: possible implications for dietary habits. Crit Rev Food Sci Nutr. 2017;57(17):3684-9. https://doi.org/10.1080/10408398.2016.1160208
Ceolin J, Pinheiro TLF. Sensibilidade gustativa em idosos. Pajar. 2017;5(2):78-84. https://doi.org/10.15448/2357-9641.2017.2.28259
Pieroni DCB, Carlins NC, Polato P, Mezzomo TR. Sensibilidade gustativa e estado nutricional de idosas participantes de um Centro Municipal de Atividades para Idosos, Curitiba-PR. O Mundo da Saúde. 2017;41(2):203-11. https://doi.org/10.15343/0104-7809.20174102203211
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 PAJAR - Pan American Journal of Aging Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to PAJAR implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite PAJAR as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.