Malnutrition Is Associated With Impaired Functional Status in Older People Receiving Home Care Nursing Service

Leão, Luana Lemos; Engedal, Knut; Tangen, Gro Gujord; Krogseth, Maria

doi:10.3389/fnut.2021.684438

Cited by 9 publications

(8 citation statements)

References 41 publications

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“…Additionally, identifying subjects with functional impairment would allow the placement of appropriate medical–nutrition strategies to avoid physical dependence, which could improve the life quality of subjects [ 27 , 28 ]. It is important to note that malnutrition and functionality impairment have a negative impact on healthcare systems and in several scenarios that involve patients, owing to increased hospital expenditures, drug consumption and length of recovery time [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Phase Angle as a Potential Screening Tool in Adults with Metabolic Diseases in Clinical Practice: A Systematic Review

Praget-Bracamontes

González-Arellanes

Aguilar-Salinas

et al. 2023

IJERPH

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Background: Phase angle (PhA) has been used as mortality prognostic, but there are no studies about its possible use as a screening tool. Therefore, an assessment of the possible utility of PhA in clinical practice is required. The aim of this systematic review was to explore all recent available evidence of PhA, and its possible utility as a screening tool in clinical practice in subjects with chronic metabolic diseases. Materials and Methods: This systematic review was performed and written as stated in the PRISMA 2020 guidelines. The search was conducted in PubMed, ScienceDirect and SciElo. In order to be considered eligible, within the entire search, only articles involving PhA and their utility in metabolic diseases were included. Results: PhA was associated with hyperuricemia and vitamin D deficiency in obese subjects, and decreased cardiovascular risk and malnutrition in hospitalized patients. Conclusion: PhA may be a potential screening tool in clinical practice to evaluate different biomarkers, cardiovascular risk, and nutritional diagnosis in metabolic diseases in adults.

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Section: Discussionmentioning

confidence: 99%

Phase Angle as a Potential Screening Tool in Adults with Metabolic Diseases in Clinical Practice: A Systematic Review

Praget-Bracamontes

González-Arellanes

Aguilar-Salinas

et al. 2023

IJERPH

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“…However, nutritional status evaluated using the MNA showed a significant association with discharge location and geriatric syndrome, whereas nutritional status evaluated using serum albumin had no significant association. This may be because the MNA has the advantage of predicting functional decline ( 49 , 50 ). The fact that the MNA is a multidimensional tool that includes general assessment, dietary assessment, and anthropometric assessment can make this prediction possible ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of malnutrition evaluated by the mini nutritional assessment on the prognosis of acute hospitalized older adults

Kang

Choi²,

Yoo³

et al. 2023

Front. Nutr.

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BackgroundMalnutrition is prevalent among hospitalized older patients. Therefore, this study aimed to investigate the association between nutritional status [assessed using the Mini Nutritional Assessment (MNA) and serum albumin levels] and adverse outcomes in hospitalized older patients. We also aimed to compare the predictive utility of our findings.MethodsThis retrospective cohort study was conducted between January 2016 and June 2020. In total, 808 older patients (aged ≥ 65 years, mean age 82.8 ± 6.70 years, 45.9% male) admitted to the acute geriatric unit were included in our sample. Comprehensive geriatric assessments, including the MNA, were performed. Malnutrition and risk of malnutrition were defined as MNA < 17, albumin < 3.5 g/dL and 17 ≤ MNA ≤ 24, 3.5 g/dL ≤ albumin < 3.9 g/dL, respectively. The primary outcome was that patients could not be discharged to their own homes. The secondary outcomes were overall all-cause mortality, 3-month all-cause mortality, and incidence of geriatric syndrome, including delirium, falls, and newly developed or worsening pressure sores during hospitalization.ResultsPoor nutritional status was associated with older age; female sex; admission from the emergency room; high risk of pressure sores and falls; lower physical and cognitive function; higher depressive score; and lower serum albumin, protein, cholesterol, and hemoglobin levels. In the fully adjusted model, malnutrition assessed using the MNA predicted discharge to nursing homes or long-term care hospitals [odds ratio (OR) 5.822, 95% confidence interval (CI): 2.092–16.199, P = 0.001], geriatric syndrome (OR 2.069, 95% CI: 1.007–4.249, P = 0.048), and 3-month mortality (OR 3.519, 95% CI: 1.254–9.872, P = 0.017). However, malnutrition assessed using albumin levels could only predict 3-month mortality (OR 3.848, 95% CI: 1.465–10.105, P = 0.006). The MNA predicted 3-month mortality with higher precision than serum albumin levels (P = 0.034) when comparing the areas under the receiver operating characteristic curve.ConclusionNutritional risk measured by the MNA was an independent predictor of various negative outcomes in hospitalized older patients. Poor nutritional status assessed by serum albumin levels, the most widely used biochemical marker, could predict mortality, but not the development of geriatric syndrome or discharge location reflecting functional status.

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“…The Short Form, available on Nestlé's website, was developed and validated specifically for an older population (>60 years) [2]. Completion of the MNA-SF results in a score with 3 categories: normal (12)(13)(14), risk of malnutrition (8)(9)(10)(11), and malnourished (0-7).…”

Section: Mini Nutritional Assessment Short Form (Mna-sf)mentioning

confidence: 99%

“…Nursing homes must deal with large numbers of senior citizens, often with a wide range of pathologic conditions and clinical status, from active aging seniors to very dependent older patients. Studies have reported that malnutrition is directly associated with the functional impairment of senior populations, and nutritional status is indirectly associated with the presence and severity of comorbidities [7,8]. Given the diversity and number of senior citizens that require assessment, nursing homes have a need to identify simple, inexpensive, and fast tools to assess nutritional risk and/or status in order to save time for health professional and reduce inconvenience to the senior population [9].…”

Section: Introductionmentioning

confidence: 99%

Comparing Assessment Tools as Candidates for Personalized Nutritional Evaluation of Senior Citizens in a Nursing Home

et al. 2021

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Nutrition is an important health issue for seniors. In nursing homes, simple, inexpensive, fast, and validated tools to assess nutritional risk/status are indispensable. A multisurvey cross-sectional study with a convenient sample was created, comparing five nutritional screening/assessment tools and the time required for each, in order to identify the most useful instrument for a nursing home setting. Nutrition risk/status was evaluated using the following tools: Subjective Global Assessment (SGA), Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Nutritional Risk Screening 2002 (NRS 2002), and calf girth (CG). The time spent completing each tool was recorded. Eighty-three subjects were included. MNA-SF and CG were the screening tools that ranked highest with regards to malnutrition identification. CG failed to identify nutritional risk/malnutrition in seniors with lower limb edema. CG was the fastest tool while SGA was the slowest. This was the first study comparing non-invasive nutritional tools with time expended as a consideration in the implementation. CG is responsive, fast, and reliable in elders without edema. MNA-SF was more efficient at detecting malnutrition cases in the elderly population. Both MNA-SF and CG are considered the most suitable for the nursing home setting.

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Malnutrition Is Associated With Impaired Functional Status in Older People Receiving Home Care Nursing Service

Cited by 9 publications

References 41 publications

Phase Angle as a Potential Screening Tool in Adults with Metabolic Diseases in Clinical Practice: A Systematic Review

Phase Angle as a Potential Screening Tool in Adults with Metabolic Diseases in Clinical Practice: A Systematic Review

Impact of malnutrition evaluated by the mini nutritional assessment on the prognosis of acute hospitalized older adults

Comparing Assessment Tools as Candidates for Personalized Nutritional Evaluation of Senior Citizens in a Nursing Home

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