Behavioral and Cognitive Problems as Determinants of Malnutrition in Long-Term Care Facilities, a Cross-Sectional and Prospective Study

Borkent, Jos W.; Hout, Hein van; Feskens, Edith J. M.; Naumann, Elke; Schueren, M.A.E. de van der

doi:10.1007/s12603-022-1827-3

Cited by 5 publications

(7 citation statements)

References 43 publications

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“…For this research we used cross-sectional as well as prospective data obtained from the Dutch InterRAI database for Long-Term Care Facilities (InterRAI LTCF). These data have been previously described by our group [236].…”

Section: Data Sourcesupporting

confidence: 78%

“…In contrast, neuropsychological problems, which are widely accepted as a risk factor for developing malnutrition [66], were not associated with lower intakes in our study. A previous study by our group showed that especially residents with multiple cognitive problems are at increased risk of developing malnutrition [236]. As we had only limited data on neuropsychological problems, we were not able to test the relation of multiple cognitive problems on protein and energy intake.…”

Section: Discussionmentioning

confidence: 89%

“…A previous study on this data performed by our group showed effect modification by gender and type of first assessment ('admission assessment' vs. 'delayed first assessment') [236]. Therefore, effect modification was tested based on interaction terms between diseases/health-related problems and gender, and type of first assessment.…”

Section: Effect-modificationmentioning

confidence: 99%

“…However, the nutritional status of newly admitted residents is often poor, as already one out of three newly-admitted residents has a low age-specific BMI (<20 kg/m 2 in residents <70 years or <22 kg/m 2 in residents ≥70 years) [251]. In addition, approximately 10% of all residents will become malnourished during their stay [236]. These high numbers can be explained by the presence of risk factors for malnutrition, such as multimorbidity, decreased appetite, poor oral health, cognitive decline, and the inability to eat alone without help [252].…”

Section: Introductionmentioning

confidence: 99%

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Malnutrition during the journey of ageing

Borkent¹

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Table of contentsChapter 1 General introduction Chapter 2 Prevalence and determinants of undernutrition in a sample of Dutch community-dwelling older adults: Results from two online screening tools.Chapter 3 Cross-country differences and similarities in undernutrition prevalence and risk as measured by SCREEN II in communitydwelling older adults.Chapter 4 What do screening tools measure? lessons learned from SCREEN II and SNAQ 65+ .Chapter 5 The ConsuMEER study: A randomized trial towards the effectiveness of protein-rich ready-made meals and protein-rich dairy products in increasing protein intake of community-dwelling older adults after switching from self-prepared meals towards ready-made meals.Chapter 6 Behavioural and cognitive problems as determinants of malnutrition in long-term care facilities, a cross-sectional and prospective study.Chapter 7 Diseases, health-related problems and the incidence of malnutrition in long-term care facilities.Chapter 8 Low protein and energy intake in Dutch nursing homes residents.Chapter 9 General discussion.

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Section: Data Sourcesupporting

confidence: 78%

Section: Discussionmentioning

confidence: 89%

Section: Effect-modificationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Malnutrition during the journey of ageing

Borkent¹

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“…For this research, we used cross-sectional, as well as prospective, data obtained from the Dutch InterRAI database for Long-Term Care Facilities (InterRAI LTCF). These data have been previously described by our group [ 20 ].…”

Section: Methodsmentioning

confidence: 73%

Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities

Borkent

Hout

Feskens

et al. 2023

IJERPH

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Certain diseases and malnutrition are known to co-occur in residents of long-term care facilities (LTCF). We assessed which diseases and health-related problems are associated with malnutrition at admission or with incident malnutrition during stays and how different definitions of malnutrition affect these associations. Data of Dutch LTCF residents were obtained from the InterRAI-LTCF instrument (2005–2020). We analyzed the association of diseases (diabetes, cancer, pressure ulcers, neurological, musculoskeletal, psychiatric, cardiac, infectious and pulmonary diseases) and health-related problems (aspiration, fever, peripheral edema, aphasia, pain, supervised/assisted eating, balance, psychiatric, GI tract, sleep, dental and locomotion problems) with malnutrition (recent weight loss (WL), low age-specific BMI (BMI), and ESPEN 2015 definition (ESPEN)) at admission (n = 3713), as well as with incident malnutrition during stay (n = 3836, median follow-up ~1 year). Malnutrition prevalence at admission ranged from 8.8% (WL) to 27.4% (BMI); incident malnutrition during stay ranged from 8.9% (ESPEN) to 13.8% (WL). At admission, most diseases (except cardiometabolic diseases) and health-related problems were associated with higher prevalence of malnutrition based on either criterion, but strongest with WL. This was also seen in the prospective analysis, but relationships were less strong compared to the cross-sectional analysis. A considerable number of diseases and health-related problems are associated with an increased prevalence of malnutrition at admission and incident malnutrition during stays in LTCFs. At admission, low BMI is a good indicator of malnutrition; during stays, we advise use of WL.

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