Assessing the nutritional status of older individuals in family practice: Evaluation and implications for management

Mastronuzzi, Tecla; Paci, C.; Portincasa, Piero; Montanaro, Nicoletta; Grattagliano, Ignazio

doi:10.1016/j.clnu.2014.12.005

Cited by 24 publications

(29 citation statements)

References 26 publications

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“…For the patients' nutritional assessment, we chose the Mini‐Nutritional Assessment—Short Form ® because it is the one most commonly used in nursing homes, it provides a comprehensive description of nutritional status, and identifies malnourished subjects in a better way than the mere use of BMI (Mastronuzzi, Paci, Portincasa, Montanaro, & Grattagliano, ). The Italian version of the Mini‐Nutritional Assessment—Short Form (MNA‐SF) was translated and validated by the Nestlé Nutrition Institute.…”

Section: Methodsmentioning

confidence: 99%

“…For the patients' nutritional assessment, we chose the Mini-Nutritional Assessment-Short Form â because it is the one most commonly used in nursing homes, it provides a comprehensive description of nutritional status, and identifies malnourished subjects in a better way than the mere use of BMI (Mastronuzzi, Paci, Portincasa, Montanaro, & Grattagliano, 2015). For each patient, anthropometrical, biochemical, nutritional and functional parameters (Table 1) were collected retrospectively, 6 months before the start of the study, at time zero and, T A B L E 1 The nutritional, biochemical and functional parameters assessed for each patient during the observational study Anthropometric parameters (weight, height, BMI) Plasmatic biochemical nutritional parameters (total protein, albumin, transferrin, lymphocytes, creatinine, total and HDL cholesterol, triglycerides)…”

Section: Data Collectionmentioning

confidence: 99%

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A Dedicated Nutritional Care Program (NUTRICARE) to reduce malnutrition in institutionalised dysphagic older people: A quasi‐experimental study

Zanini

Bagnasco

Catania

et al. 2017

Journal of Clinical Nursing

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Section: Methodsmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

A Dedicated Nutritional Care Program (NUTRICARE) to reduce malnutrition in institutionalised dysphagic older people: A quasi‐experimental study

Zanini

Bagnasco

Catania

et al. 2017

Journal of Clinical Nursing

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“…In older adults, the prevalence of malnutrition was 23% in one study across Europe, USA, and South Africa [11]. Prevalence differs since malnutrition occurs in about 5-12% of people leaving at home, in 26-65% of hospitalized patients, and up to 85% of those living in health residences [12][13][14][15]. The wide range of reported prevalence can also depend on different definition criteria of malnutrition, diagnosis, and settings.…”

Section: General Considerationsmentioning

confidence: 99%

“…MNA also predicts the long-and short-term mortality and morbidity in hospitalized patients [106]. The MNA short form is reliable also in General Practice [13]. Table 4 Mini Nutritional Assessment -short form Questions A.…”

Section: B Assessment Of Nutritional Status In At-risk Individualsmentioning

confidence: 99%

Aging and nutrition. Paving the way to better health

Molina-Molina

Garruti

Shanmugam

et al. 2020

Romanian Journal of Internal Medicine

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AbstractSufficient caloric intake is important to maintain the balanced health status, especially during the period of aging, as aging and sickness share paths. Maintaining adequate nutritional balance is the best preventive measure to counteract the risk of malnutrition. There are several causes for malnutrition in elderly people, and some techniques such as anthropometric measurements, laboratory and clinical parameters could help to diagnose malnutrition in these patients. The use of a simple validated questionnaire called the ‘Mini Nutritional Assessment’ measures the nutritional status of elderly patients. In this review, we discuss about the malnutrition in elderly people with and without a known cause and we present some of nutritional intervention. There are promising strategies that help overcoming malnutrition.

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“…Estimates show that 42% of the elderly residents of institutions and 51% of hospitalized elderly patients in the United States are affected by malnutrition [6]. In Europe and Asia [3,7,8] prevalence of malnutrition varies from 12 to 84%. The prevalence of malnutrition is estimated to be 9.2% among elderly living at home and 21.6% among elderly residents of nursing homes in Iran [7].…”

Section: Introductionmentioning

confidence: 99%

Nutrition assessment and geriatric associated conditions among community dwelling Iranian elderly people

2020

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Background: Although malnutrition risk is well documented in elderly care institutions, few studies have been conducted to address concerns regarding community-dwelling elderly people. This study has been aimed to describe the nutritional status and its related socioeconomic and geriatric factors in community-dwelling elders with malnutrition. Method: For this study, a randomized sampling among people aged 60 has been done (n = 326). Information on nutrition status (full MNA) and health information, like cognitive status (MMSE), daily functional status (ADL and IADL scales) and frailty was obtained. Multiple logistic regression analyses have been carried out, in order to identify the association of demographical and clinical factors with malnutrition. Results: 28.1% of the participants suffered from poor nutrition. In the binary analysis, low MNA scores were associated with increasing age, female gender, lower education level, financial dependence, solitary life, poor selfrated health, multiple physical disabilities and chronic disease, polypharmacy, smoking, functional and cognitive decrease and frailty. In the final model of the multivariate analysis, living alone (OR:1.249,CI:1.105-2.620), multiple physical disabilities (OR:2.183,CI:1.246 ± 3..250) and chronic disease (OR: 2.148,CI:1.167-2.879) were independently associated with malnutrition. Also financial independency (OR:0.625,CI:0.233-0.938), functional ability on ADL (OR: 0.536,CI:0.327-0.976) and IADL (OR:0.319,CI:0.194-0.856), normal cognitive (OR:0.456,CI:0.293-0.934) and no frailty (OR:0.253,CI:0.117-0.729) independently were inversely associated with malnutrition. The model was adjusted for all socio-demographic and health variables that were significantly related in the previous models. Conclusions: Our results indicated a strong correlation between malnutrition and health status. Identifying predictive factors can potentially improve prevention and management strategies used for malnutrition in elderly.

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Assessing the nutritional status of older individuals in family practice: Evaluation and implications for management

Cited by 24 publications

References 26 publications

A Dedicated Nutritional Care Program (NUTRICARE) to reduce malnutrition in institutionalised dysphagic older people: A quasi‐experimental study

A Dedicated Nutritional Care Program (NUTRICARE) to reduce malnutrition in institutionalised dysphagic older people: A quasi‐experimental study

Aging and nutrition. Paving the way to better health

Nutrition assessment and geriatric associated conditions among community dwelling Iranian elderly people

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