Malnutrition screening and early nutrition intervention in hospitalised patients in acute aged care: A randomised controlled trial

Holyday, M.; Daniells, Suzie; Baré, Marisa; Caplan, Gideon A.; Petocz, Peter; Bolin, T. D.

doi:10.1007/s12603-012-0022-3

Cited by 72 publications

(94 citation statements)

References 39 publications

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“…Older patients are commonly malnourished during hospital stay (8) , and a high prevalence of malnutrition is found in hospitalized patients aged more than 65 years (13) . Therefore, the use of nutritional screening instruments (24) is critical given the prevalence of malnutrition and/or nutritional risk in hospitalized older adults (8,24) .…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, the use of nutritional screening instruments (24) is critical given the prevalence of malnutrition and/or nutritional risk in hospitalized older adults (8,24) . In a recent prospective study, Calvo et al, 2012, found that 77% of hospitalized older adults were at risk of malnutrition or malnourished according to the mini-nutritional assessment, and that low serum albumin, cholesterol, and vitamins A and D were associated with malnutrition or risk of malnutrition (3) .…”

Section: Introductionmentioning

confidence: 99%

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Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Leandro-Merhi

Braz

Aquino

2017

Arq. Gastroenterol.

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BACKGROUND Older patients are commonly malnourished during hospital stay, and a high prevalence of malnutrition is found in hospitalized patients aged more than 65 years. OBJECTIVE To investigate whether total lymphocyte count is related to other nutritional markers in hospitalized older adults. METHODS Hospitalized older adults (N=131) were recruited for a cross-sectional study. Their nutritional status was assessed by the Nutritional Risk Screening (NRS), anthropometry, and total lymphocyte count. The statistical analyses included the chi-square test, Fisher's exact test, and Mann-Whitney test. Spearman's linear correlation coefficient determined whether total lymphocyte count was correlated with the nutritional markers. Multiple linear regression determined the parameters associated with lymphocyte count. The significance level was set at 5%. RESULTS According to the NRS, 41.2% of the patients were at nutritional risk, and 36% had mild or moderate depletion according to total lymphocyte count. Total lymphocyte count was weakly correlated with mid-upper arm circumference (r=0.20507); triceps skinfold thickness (r=0.29036), and length of hospital stay (r= -0.21518). Total lymphocyte count in different NRS categories differed significantly: older adults who were not at nutritional risk had higher mean and median total lymphocyte count ( P =0.0245). Multiple regression analysis showed that higher lymphocyte counts were associated with higher triceps skinfold thicknesses and no nutritional risk according to the NRS. CONCLUSION Total lymphocyte count was correlated with mid-upper arm circumference, triceps skinfold thickness, and nutritional risk according to the NRS. In multiple regression the combined factors that remained associated with lymphocyte count were NRS and triceps skinfold thickness. Therefore, total lymphocyte count may be considered a nutritional marker. Other studies should confirm these findings.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Leandro-Merhi

Braz

Aquino

2017

Arq. Gastroenterol.

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“…In the subacute inpatient setting the prevalence is approximately 30-50% (6). Evidence suggests early recognition of malnutrition and initiation of effective nutrition support can alleviate negative outcomes associated with recovery from acute illness in the hospitalised elderly and reduce length of inpatient stay (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Can the mini nutritional assessment (MNA®) be used as a nutrition evaluation tool for subacute inpatients over an average length of stay?

McDougall

Cooper

Stewart

et al. 2015

J Nutr Health Aging

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“…Lack of difference between designated intervention and control areas may be attributed to the fact that this was at baseline and no intervention had taken place other than preparatory work. This helps to minimize possibility of confounding of the baseline differences on effect of intervention as shown in a study by Holyday et al(2012) 25 . Where significant differences at baseline exist appropriate analysis techniques will be used to control for them at follow-up and endline evaluation of the project.…”

Section: Source Of Nutrition Informationmentioning

confidence: 99%

Nutritional status, feeding practices and state of other related indicators at onset of a multi-model community nutrition intervention program in Mpigi District, Uganda

et al. 2017

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Introduction: In Uganda, malnutrition level has persistently remained high among the under-fives and this has led NGOs like World Vision, Uganda into finding innovative ways for intervention. This paper presents an assessment of nutrition status and values of related indicators at onset of a community intervention program in four sub-counties of Mpigi district in Central Uganda.Methods: This was a cross-sectional study to provide baseline information for a nutrition intervention. The study units were index children aged 6-59 months from 818 households. Face to face interviews were conducted using semi-structured questionnaires. Values of key indicators were computed and compared between designated control and intervention areas. Results: Stunting level was 32% while wasting was 3% and underweight at 10%. Most of the index children (78%) started breastfeeding within the first hour of birth. Nearly a third of the households visited had a kitchen garden and this did not differ by intervention status. Conclusion: Like at regional level, nutrition status and feeding practices in the study area were poor. The values of these indicators did not significantly change by designated intervention status. Much effort was needed to realize a difference in nutrition and feeding practices in designated intervention areas.

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Malnutrition screening and early nutrition intervention in hospitalised patients in acute aged care: A randomised controlled trial

Abstract: Malnutrition in the older hospital population is common. Malnutrition screening on hospital admission facilitated targeted nutrition intervention, however length of stay and re-presentations were only reduced in older malnourished patients with an MNA score less than 17.

Cited by 72 publications

References 39 publications

Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Is total lymphocyte count related to nutritional markers in hospitalized older adults?

Can the mini nutritional assessment (MNA®) be used as a nutrition evaluation tool for subacute inpatients over an average length of stay?

Nutritional status, feeding practices and state of other related indicators at onset of a multi-model community nutrition intervention program in Mpigi District, Uganda

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