Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease

Matsumura, Takuro; Mitani, Yuji; Oki, Yutaro; Fujimoto, Yuki; Ohira, Mineko; Kaneko, Hiromi; Kawashima, T; Nishio, Masato; Ishikawa, Akira

doi:10.1016/j.hrtlng.2015.08.004

Cited by 54 publications

(48 citation statements)

References 29 publications

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“…About a third of geriatric patients being recruited in this study were underweight and all of them were malnourished based on clinical assessment of PG-SGA. These findings were higher than the prevalence in other studies among hospitalised geriatric patients locally (Sakinah & Tan 2012;Shahar et al 2002) and other countries including Portugal and Japan (Amaral et al 2010;Matsumura et al 2015). This could be due to the fact subjects in this study were candidates of ONS, who had a higher risk of malnutrition as compared to general geriatric patients as in other studies.…”

Section: Discussioncontrasting

confidence: 64%

Factors Affecting Compliance Rate towards Oral Nutritional Supplements Intake Among Geriatric Patients in Hospital Kuala Lumpur

Ching

Zulkifli

Akmar

et al. 2019

JSKM

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Compliance rate towards consumption of oral nutritional supplement (ONS) is low among geriatric patients. Thus, this study aimed to examine factors affecting low compliance of ONS intake among a sample of geriatric patients. A crosssectional survey was carried out involving 30 geriatric patients being prescribed with ONS during their stay in Hospital Kuala Lumpur. Information on compliance rate and influencing factors were collected through interview and observation. Nutritional status was assessed using anthropometry and Patient Generated Subjective Global Assessment (PG-SGA). 50.0% subjects were underweight and 70.0% and 30.0% were moderate and severely malnourished, respectively. A total of 43.3% were categorised as low, 53.4% medium and 3.3% high compliance towards consumption of ONS. Most of the subjects with low compliance agreed expressed that they need more nursing support (53.8%). Less than half perceived they had been given the needed nursing support (44.4%), and with respect to ONS: knowledgeable (38.5%), timely given (37.5%), understood the importance (35.7%), were able to finish it (35.0%), well-aware of the reasons of prescription (33.3%), satisfied with its taste (33.3%), received suitable volume (33.3%), satisfied with the texture (31.6%), and received suitable frequency (28.6%). In conclusion, approximately 40% of subjects had low compliance towards ONS. Awareness and nursing support were important factors associated with low compliance. There is a need to ensure adequate nursing support and education been given to patients prescribed with ONS in order to increase the compliance rate.

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Section: Discussioncontrasting

confidence: 64%

Factors Affecting Compliance Rate towards Oral Nutritional Supplements Intake Among Geriatric Patients in Hospital Kuala Lumpur

Ching

Zulkifli

Akmar

et al. 2019

JSKM

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“…[5][6][7][8][9][10] Sarcopenia is defined as an age-related involuntary loss of skeletal muscle mass and strength, and it results in physical disability, a poor quality of life and increased risk of death. [13][14][15][16] Previous studies have shown positive correlations between the GNRI and functional independence measures, such as activities of daily living (ADL) and quality of life, [13][14][15][16] however, the target GNRI for independent walking ability in maintenance hemodialysis patients is not clear. [13][14][15][16] Previous studies have shown positive correlations between the GNRI and functional independence measures, such as activities of daily living (ADL) and quality of life, [13][14][15][16] however, the target GNRI for independent walking ability in maintenance hemodialysis patients is not clear.…”

Section: Introductionmentioning

confidence: 99%

“…11,12 However, few studies have focused on the relationship between the GNRI and sarcopenia. [13][14][15][16] Previous studies have shown positive correlations between the GNRI and functional independence measures, such as activities of daily living (ADL) and quality of life, [13][14][15][16] however, the target GNRI for independent walking ability in maintenance hemodialysis patients is not clear.…”

Section: Introductionmentioning

confidence: 99%

Geriatric Nutritional Risk Index for independent walking function in maintenance hemodialysis patients: A single‐facility retrospective cohort study

Tanaka¹,

Nishiyama

Yamamura

et al. 2018

Geriatrics Gerontology Int

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Aim The target Geriatric Nutritional Risk Index (GNRI) for patients on chronic maintenance hemodialysis is unclear. We aimed to determine the relationship between the GNRI and independent walking ability in such patients. Methods In the present retrospective cohort study, 90 patients receiving chronic maintenance hemodialysis were included. Logistic regression analyses were carried out to evaluate the relationship between the GNRI and independent walking ability. Receiver operating characteristic curve analysis was carried out to determine the cut‐off GNRI for predicting independent walking ability. Results Multivariate logistic regression analysis showed significant differences in age (odds ratio [OR] 0.8, 95% confidence interval [CI] 0.6–0.9), creatinine generation rate percentage (OR 1.1, 95% CI 1.0–1.2), GNRI (OR 1.4, 95% CI 1.1–1.8; P < 0.01) and urea removal rate (OR 0.3, 95% CI 0.1–0.9; P < 0.05). The cut‐off GNRI for independent walking ability was 86.7 (area under the curve 0.80, sensitivity 92.1%, specificity 66.7%, positive hit ratio 86.6%, negative hit ratio 78.3%). The factors correlated with survival in the univariate analysis were the GNRI, equilibrated Kt/V, urea removal rate, clear space rate, salt intake amount (P < 0.01), number of days of hospitalization and %creatinine generation rate (P < 0.05). The Cox proportional hazard regression model showed an OR of 0.77 (95% CI 0.32–1.8) at a GNRI <86/GNRI ≥86. In the multivariate survival analysis, we observed no significant differences in any of the factors. Conclusions GNRI was correlated with walking ability, which indicated that GNRI might predict future walking ability; also, a GNRI of 87 might be the target for maintaining walking ability. Geriatr Gerontol Int 2018; 18: 1556–1561.

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“…In this regard, several nutritional assessment tools have been developed and validated: The nutrition risk index (NRI), malnutrition inflammation score, malnutrition universal screening tool, prognostic nutritional index (PNI), and GNRI (18)(19)(20)(21). Among them, recent reports revealed that GNRI has been identified as a prognostic indicator in patients with heart failure and chronic renal disease (6)(7)(8). GNRI was originally developed to evaluate malnutrition and related morbidity and mortality in elderly patients (22).…”

Section: Discussionmentioning

confidence: 99%

“…Therfore, in order to reduce those medical costs and hospital stays, necessitating prompt identification and prevention of SSIs are clinically very important. More recently, the geriatric nutritional risk index (GNRI) has gained favor in assessing a patient's nutritional status and in predicting the clinical outcomes of elderly patients, particularly those with chronic kidney disease and heart failure (6)(7)(8). More importantly, GNRI is easily and inexpensively attainable, as it only requires body weight, height and serum albumin levels.…”

Section: Introductionmentioning

confidence: 99%

Geriatric nutritional risk index predicts surgical site infection after pancreaticoduodenectomy

Funamizu¹,

Nakabayashi²,

Iida³

et al. 2018

mol clin onc

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Surgical site infections (SSIs) are a well-known potential complication of surgery. They are assocaited with preoperative malnutrition and lead to increased medical costs and longer hospital stays. Therefore, surgeons should appropriately identify patients who are at a high risk. The geriatric nutritional risk index (GNRI) is a tool, increasingly utilized to assess the degree of malnutrition, particularly in elderly patients. Therefore, the present study attempted to validate whether GNRI could predict the risk of SSI in patients following pancreaticoduodenectomy (PD). A cohort study was retrospectively conducted on 106 patients in the Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Japan from January 2007 to December 2017. All patients were subjected to nutritional screening using GNRI and followed up for the occurrence of postoperative complications, including SSI post PD. Additionally, risk factors for developing SSI, and the patient's height, body mass index and preoperative laboratory values were documented. Patients were divided into SSI (n=15) and non-SSI (n=91) groups with a determined incidence of 14.2% (15/106) for SSI. The results revealed that the SSI group had GNRI values that were significantly reduced compared with the non-SSI group (P<0.001). Receiver operating characteristic curve analysis was performed to determine the cut-off value of GNRI that conferred an increased risk of SSI; it was determined as 94 (sensitivity 80.0%, specificity 83.5%). Univariate analysis confirmed that a GNRI <94 was significantly associated with SSI (P<0.001), whereas multivariate logistic regression analysis revealed that a GNRI <94 was independently associated with SSI following PD (relative risk=1.73, 95% confidence interval=1.23-2.43; P<0.001). Therefore, a GNRI <94 is a potential predictive marker for SSI risk following PD.

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Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease

Cited by 54 publications

References 29 publications

Factors Affecting Compliance Rate towards Oral Nutritional Supplements Intake Among Geriatric Patients in Hospital Kuala Lumpur

Factors Affecting Compliance Rate towards Oral Nutritional Supplements Intake Among Geriatric Patients in Hospital Kuala Lumpur

Geriatric Nutritional Risk Index for independent walking function in maintenance hemodialysis patients: A single‐facility retrospective cohort study

Geriatric nutritional risk index predicts surgical site infection after pancreaticoduodenectomy

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