Identifying the elderly at risk for malnutrition

Guigoz, Y.; Lauque, S.; Vellas, Bruno

doi:10.1016/s0749-0690(02)00059-9

Cited by 827 publications

(541 citation statements)

References 74 publications

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“…The MNA test gives a maximum of 30 points. Less than 17 points is regarded as indicating malnutrition, 17-23.5 a risk for malnutrition and 24 points or more indicate a good nutritional status (Vellas et al, 1997;Guigoz et al, 2002). In addition, the structured questionnaire included information on demographic characteristics, functional status, swallowing and diseases of the residents.…”

Section: Methodsmentioning

confidence: 99%

“…The nutritional status of aged individuals may be reliably assessed by the widely used Mini Nutritional Assessment (MNA) test (Guigoz et al, 2002). The MNA is a simple and well-validated scale to estimate the nutritional status of aged individuals.…”

Section: Introductionmentioning

confidence: 99%

“…It is also suitable for systematic and large studies (Compan et al, 1999). The MNA test has been used in several studies among aged residents living in various settings (Guigoz et al, 2002). According to the MNA, poor nutritional status has been associated with increased inhospital mortality, a higher rate of discharge to nursing homes and a longer length of stay in hospitals (Van Nes et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

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Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Muurinen²,

et al. 2005

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Objective: To acquire information about nutritional problems and factors associated with them in all nursing homes in Helsinki, Finland. Design: Descriptive, cross-sectional study. The residents were assessed by the Mini Nutritional Assessment test (MNA) and information was gathered about residents' backgrounds, functional status, diseases and about daily routines in institutions providing nutritional care. Setting: All nursing homes in Helsinki community, the capital of Finland. Subjects: Of 2424 eligible subjects, 2114 (87%) aged residents, mean age 82 y, were examined. Results: One-third (29%) of the studied residents suffered from malnutrition (MNAo17), and 60% were at risk (MNA 17-23.5). Malnutrition was associated with the female gender, a longer stay in the nursing home, functional impairment, dementia, stroke, constipation and difficulties in swallowing. In addition, eating less than half of the offered food portion, not eating snacks and resident's weight control at long intervals were associated with malnutrition. In logistic regression analysis mainly patientrelated factors predicted malnutrition: impaired functioning (OR 3.71, 95% CI 2.76-4.99), swallowing difficulties (OR 3.03, 95% CI 2.10-4.37), dementia (OR 2.06, 95% CI 1.45-2.93), constipation (OR 1.84, 95% CI 1.38-2.47), but also eating less than half of the offered food portion (OR 3.03, 95% CI 2.21-4.15). Conclusions: Although internal factors explain most about the poor nutritional status of aged residents in nursing homes, the factors related to nutritional care need further investigation to clarify their role in maintaining the nutritional status of aged residents.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Muurinen²,

et al. 2005

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“…To determine difficulties in aspects of instrumental ADL, participants were asked whether they needed assistance during several activities including taking care of the household (yes/no), buying groceries (yes/no) and preparing meals (yes/no). Mobility was assessed using a single item from the Mini Nutritional Assessment (MNA) tool, which asked participants whether they were bound to the bed or chair and/or whether they were able to move around the house but unable to go outside independently (or were able to go outside independently) (32) . Difficulty climbing stairs was assessed using the SNAQ 65 + item (yes/no).…”

Section: Physical Functioning Domainmentioning

confidence: 99%

Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care: a cross-sectional study in the Netherlands

Pols-Vijlbrief¹,

Wijnhoven²,

Molenaar³

et al. 2016

Public Health Nutr.

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Objective: It is generally thought that causes of undernutrition are multifactorial, but there are limited quantitative studies performed. We therefore examined a wide range of potential factors associated with undernutrition in communitydwelling older adults. Design: Cross-sectional study. Setting: Community-dwelling older adults (≥65 years) receiving home care in the Netherlands. Subjects: Data on potential factors associated with (risk of) undernutrition were collected among 300 older adults. Nutritional status was assessed by the SNAQ 65 + instrument. Undernutrition was defined as mid-upper arm circumference <25 cm or unintentional weight loss of ≥4 kg in 6 months. Being at risk of undernutrition was defined as having poor appetite and inability to walk up and down stairs of fifteen steps, without resting. Results: Of all participants, ninety-two (31·7 %) were undernourished and twentyfour (8·0 %) were at risk of undernutrition. Based on multivariate logistic regression analyses, the statistically significant factors associated with (risk of) undernutrition (P < 0·05) were: unable to go outside (OR = 5·39), intestinal problems (OR = 2·88), smoking (OR = 2·56), osteoporosis (OR = 2·46), eating fewer than three snacks daily (OR = 2·61), dependency in activities of daily living (OR = 1·21), physical inactivity (OR = 2·01), nausea (OR = 2·50) and cancer (OR = 2·84); a borderline significant factor was depression symptoms (OR = 1·83, P = 0·053). Conclusions: The study suggests that (risk of) undernutrition is a multifactorial problem and that associated factors can be found in several domains. These findings may support the development of intervention trials for the prevention and treatment of undernutrition in community-dwelling older adults. Keywords Mid-upper arm circumferenceWeight loss Cross-sectional Older adults Community-dwellingIn older adults, undernutrition or protein-energy malnutrition is a commonly reported and worldwide health problem (1) , but there is considerable variety in the reported prevalence rates due to different assessment methods (2,3) . When based on low mid-upper arm circumference (MUAC < 25 cm) and/or unintentional weight loss of ≥4 kg in 6 months, the prevalence of undernutrition in community-dwelling older adults is estimated to be between 11 and 35 % (4) . The prevalence of (risk of) undernutrition, defined as poor appetite in the previous week in combination with difficulty climbing stairs, is estimated between 2 and 9 % (4) . Due to the ageing population, increasing pressure on health-care systems initiates a shift in care from the institutional setting to the community. For this reason, prevention and treatment of undernutrition in community-dwelling older adults is essential.In order to prevent and treat undernutrition in community-dwelling older adults, clear insight into the primary and secondary factors associated with undernutrition is needed. In previous studies undernutrition in older adults was associated with poor health outcomes including decreased functionali...

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“…Even though the nutritional status of the participants was assessed using Mini Nutritional Assessment [MNA] (14), the researchers did not evaluate their food and nutrient intake. According to the MNA results, 16% suffered from malnutrition and 65% were at risk of malnutrition.…”

Section: Dear Editormentioning

confidence: 99%

Effect of high-intensity exercise and protein supplementation on muscle mass in ADL dependent older people with and without malnutrition — A randomized controlled trial

Jyväkorpi¹,

Puranen²,

Suominen³

2012

The Journal of nutrition, health and aging

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Identifying the elderly at risk for malnutrition

Cited by 827 publications

References 74 publications

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care: a cross-sectional study in the Netherlands

Effect of high-intensity exercise and protein supplementation on muscle mass in ADL dependent older people with and without malnutrition — A randomized controlled trial

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