Nutritional screening and assessment tools for older adults: literature review

Green, Sue; Watson, Roger

doi:10.1111/j.1365-2648.2006.03841.x

Cited by 129 publications

(102 citation statements)

References 44 publications

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“…There is a need to conduct prospective longitudinal studies along with appropriate nutritional interventions as emphasized by Roberts et al (2007). Green and Watson (2006) Implementation of routine nutrition screening in general practice is an ideal strategy for timely malnutrition risk identification and provision of appropriate nutrition interventions and follow up (Flanagan et al, 2012;Hamirudin et al, 2014). However, reports of nutrition screening initiatives conducted in general practice are uncommon, as confirmed in this review.…”

Section: Discussionmentioning

confidence: 64%

“…Nutrition screening can be summarised as a simple and quick process to identify malnourished or at risk individuals who require nutrition assessment by a dietitian and prioritised nutrition intervention (American Dietetic Association, 1994;BAPEN Malnutrition Advisory Group, 2003a;Kondrup et al, 2003;Teitelbaum et al, 2005;Watterson et al, 2009). Green and Watson (2006) identified 21 screening and assessment tools specifically designed for older adults, each with different cut-off points and characteristics. Validity and reliability of the tools are essential criteria (Green and Watson, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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“…A screening tool needs to be simple, easy to use and patientfriendly (Green and Watson, 2005). Over 70 nutritional screening tools have been described in different populations (Green and Watson, 2006), but they present differences in validity, reliability, ease of use and acceptability (Elia et al, 2005). Most screening tools are based on variables such as recent weight loss, food intake, body mass index and severity of disease.…”

Section: Introductionmentioning

confidence: 99%

Comparison of four nutritional screening tools to detect nutritional risk in hospitalized patients: a multicentre study

García²,

et al. 2010

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Background/Objectives: The prevalence of malnutrition in hospitals is high. No nutritional screening tool is considered the gold standard for identifying nutritional risk. The aims of this study were to evaluate nutritional risk in hospitalized patients using four nutritional screening tools. Subjects/Methods: Four nutritional screening tools were evaluated: nutritional risk screening (NRS-2002), the malnutrition universal screening tool (MUST), the subjective global assessment (SGA) and the mini nutritional assessment (MNA). Patients were assessed within the first 36 h after hospital admission. Date of admission, diagnosis, complications and date of discharge were collected. To compare the tools, the results were reorganized into: patients at risk and patients with a good nutritional status. The statistical analysis included the w 2 -test to assess differences between the tests and the k statistic to assess agreement between the tests.

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“…24 Devido à heterogeneidade existente na população idosa (≥ 65 anos) e fenómenos que se traduzem numa alteração do IMC, 25,26 foi utilizada a classificação do Nutritional Screening Initiative (NSI) dependente do sexo e da idade para os participantes com mais de 65 anos. 27 Os participantes foram classificados com risco de desenvolvimento de complicações metabólicas com valores de perímetro da cintura, acima de 88cm para as mulheres e 102cm para os homens.…”

Section: Recolha De Dados E Variáveisunclassified

Intervenção PRAdA: Efeitos no Peso Induzidos por Proposta de Alteração de Comportamento Alimentar em Hipertensos Medicados Nativos Portugueses e Imigrantes de Origem Africana

Peixoto¹,

Carrilho²,

Alarcão³

et al. 2014

Acta Med Port

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Resultados: Dos 110 participantes, com IMC médio de 31,6 ± 3,7 kg/m 2 e idade média 61,3 ± 10,0 anos, 60 eram imigrantes. Durante a intervenção os NOP perderam 1,4 ± 2,7% do peso e os IOA 0,8 ± 3,6%, sendo a perda superior comparativamente com a fase observacional. Ser do sexo masculino e consumir pelo menos duas porções de lacticínios magros por dia associou-se a maior perda de peso durante a intervenção, independentemente da idade e origem. Houve um aumento significativo no número de recomendações dietéticas conhecidas e cumpridas, com os NOP a cumprirem em média mais recomendações. Discussão: A intervenção foi bem sucedida relativamente à perda de peso, especialmente no grupo dos NOP, confirmando outros estudos. Conclusão: A intervenção aumentou os conhecimentos e adesão às recomendações, realçando a pertinência da educação alimentar, culturalmente adaptada, nos cuidados de saúde primários. Palavras-chave: África; Emigrantes e Imigrantes; Estudos de Intervenção; Hábitos Alimentares; Hipertensão; Perda de Peso; Portugal. ABSTRACTIntroduction: Blood pressure is significantly improved with weight loss. Behavioral interventions for weight loss seem to be less successful in African immigrants. Our main aims were to assess the effect of a dietary and lifestyle intervention on weight among hypertensive Portuguese natives and immigrants and to identify success factors for weight loss, and also to evaluate changes in knowledge and compliance with food recommendations. Material and Methods: Hypertensive medicated patients followed in primary care setting were randomly enrolled in a two phase study, observational (15-months) and behavioral intervention (six months). Participants were divided in two groups: immigrants from African Countries of Portuguese Official Language and Portuguese natives. Participants were given dietary and life styles recommendations in individual face-to-face and telephone sessions. Results: Of 110 participants with a mean BMI of 31.6 ± 3.7 Kg/m 2 , 60 were immigrants. The number of dietary recommendations known and followed at the end was significantly greater than at baseline; however natives performed a greater number of recommendations. Weight loss during intervention was in average 1.4 ± 2.7% in natives and 0.8 ± 3.6% in immigrants and was greater than in the observational period. Being male and consuming more than 2 servings of low-fat dairy products/day was associated with higher weight loss, independently of age and ethnicity. Discussion: In general the proposed intervention was efficacious especially in Portuguese natives, confirming other studies. Conclusion:The intervention increased knowledge and adherence to recommendations, highlighting the relevance of nutrition education, culturally adapted in primary care.

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Nutritional screening and assessment tools for older adults: literature review

Cited by 129 publications

References 44 publications

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Comparison of four nutritional screening tools to detect nutritional risk in hospitalized patients: a multicentre study

Intervenção PRAdA: Efeitos no Peso Induzidos por Proposta de Alteração de Comportamento Alimentar em Hipertensos Medicados Nativos Portugueses e Imigrantes de Origem Africana

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