Nutritional screening of older home-dwelling Norwegians: a comparison between two instruments

Söderhamn, Ulrika; Dale, Bjørg; Sundsli, Kari; Söderhamn, Olle

doi:10.2147/cia.s35986

Cited by 38 publications

(67 citation statements)

References 48 publications

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“…A Norwegian community-based study using MNA-screening that included 6033 randomised subjects over the age of 65 found 13.5% of individuals to be at risk. One notable finding being that this risk increased with age (32).…”

Section: Discussionmentioning

confidence: 99%

Prevalencia de desnutrición en sujetos mayores de 65 años en la Comunidad de Madrid. Estudio DREAM + 65

et al. 2016

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Cuerda C, Álvarez J, Ramos P, Abánades JC, García-de-Lorenzo A, Gil P, de-la-Cruz JJ. Prevalence of malnutrition in subjects over 65 years of age in the Community of Madrid. ResumenIntroducción: la desnutrición relacionada con la enfermedad (DRE) es un problema sociosanitario frecuente que afecta preferentemente a los mayores de 65 años, que aumenta la morbimortalidad y disminuye la calidad de vida.Objetivo: estudiar la prevalencia de DRE en mayores de 65 años en diferentes centros sociosanitarios del Servicio Regional de Bienestar Social de la Comunidad de Madrid.Métodos: estudio transversal en 33 centros sociosanitarios de Madrid (6 centros de atención primaria [AP], 9 centros de mayores [CM], 9 hospitales [H] y 9 residencias [R]) seleccionados mediante muestreo polietápico. Las variables estudiadas fueron edad, sexo, nivel de dependencia según la escala de incapacidad de la Cruz Roja, motivo de ingreso y enfermedad de base, hábitat (urbano-periurbano-rural) y distribución geográfica (norte-centro-sur). Como herramienta de cribado nutricional se utilizó el Mini Nutritional Assessment (MNA-cribaje) en todos los centros. En los pacientes con cribado positivo (en riesgo-desnutrición) se realizó el MNA-evaluación. El estudio estadístico se realizó con el paquete SSS 21.0 e incluyó estadística descriptiva, test de Chi-cuadrado y prueba exacta de Fisher, ANOVA de un factor, Kruskal-Wallis y análisis de regresión logística (RL) binaria univariante y multivariante. Se consideró significación estadística p < 0,05.Resultados: se reclutaron 1.103 sujetos (275 AP, 278 CM, 281 H, 269 R), edad media de 79,5 ± 8,4 años (41,2% varones, 58,8% mujeres). Los sujetos procedentes de H y R tuvieron un mayor grado de incapacidad (p < 0,001). La prevalencia global de DRE fue del 10%, encontrándose un 23,3% en riesgo de desnutrición, con diferencias entre los cuatro tipos de centros sociosanitarios (p < 0,001). El análisis univariante de RL mostró diferencias significativas en la prevalencia de desnutrición según la edad, sexo, grado de dependencia, tipo de centro sociosanitario, hábitat y zona geográfica. Sin embargo, en el análisis multivariante solo el grado de dependencia, el tipo de centro y el hábitat tuvieron significación estadística.Conclusiones: la prevalencia de DRE en mayores de 65 años en la Comunidad de Madrid es del 10%, encontrándose además un 23,3% en riesgo de desnutrición. Las únicas variables que se relacionaron de forma independiente con la desnutrición en el análisis multivariante fueron el nivel de dependencia de los pacientes y el tipo y hábitat de centro sociosanitario. AbstractIntroduction: Disease-related malnutrition (DRM) is a frequent community healthcare problem that predominantly affects adults over 65 years of age and increases morbidity and mortality rates, while also decreasing quality of life.

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Section: Discussionmentioning

confidence: 99%

Prevalencia de desnutrición en sujetos mayores de 65 años en la Comunidad de Madrid. Estudio DREAM + 65

et al. 2016

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“…Moreover, older people who are widowed (3) , living alone (2,9) and of advanced age (3,4,8) are especially vulnerable for being at risk for undernutrition.…”

Section: Instrument Testing Nutrition Older People Screening Instrumentmentioning

confidence: 99%

Reliability and validity of the Chinese version of the Nutritional Form For the Elderly

Gao¹,

Söderhamn²,

Zhang³

et al. 2015

Public Health Nutr.

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Objective: The present study aimed to translate the English version of the Nutritional Form For the Elderly into Simplified Chinese, as well as to test the reliability (homogeneity and stability) and validity (content and construct validity) of the Chinese version of the Nutritional Form For the Elderly (NUFFE-CHI). Design: The study adopted a cross-sectional design. The English version of the NUFFE was translated into Simplified Chinese and a questionnaire survey was conducted. The data were analysed with statistical methods to estimate the homogeneity, stability, content and construct validity. Setting: Jinzhou City, China. Subjects: A total number of 701 community-dwelling older adults answered the questionnaire, including background variables and the NUFFE-CHI. A small group of the participants (n 50) completed the NUFFE-CHI twice for test-retest reliability. Results: Cronbach's α was 0·65 and the split-half reliability was 0·67. Item-to-total correlation analyses showed that the scale has sufficient internal consistency. The test-retest reliability regarding the total scores of NUFFE-CHI was reflected in an intra-class correlation coefficient of 0·88. The intra-class correlation coefficients between the test and retest of the NUFFE-CHI items varied between 0·43 and 0·98. A content validity index of 0·83 explained good content validity. Construct validity was demonstrated in an exploratory factor analysis with a six-factor solution, explaining 57·65 % of the variance. Conclusions: This first testing of the NUFFE-CHI indicates sufficient evidence for reliability, content and construct validity. Further testing studies regarding homogeneity, concurrent validity, sensitivity and specificity are required before the NUFFE-CHI can be used as a screening instrument in clinical settings and in research. Keywords Instrument testing Nutrition Older people Screening instrumentThe prevalence of older people who are undernourished or at risk of undernutrition is high; for example, the prevalence rate was 27 % among geriatric in-and out-patients in a French study (1) and 22 % among older home-dwelling people in a Swedish study (2) . However, among older community-dwelling Chinese people, the prevalence rate was found to be 44 % (3) , and it was as high as 76 % among very old (90 + years) Chinese community-dwelling people (4) . In other Chinese studies performed among hospitalised patients, the prevalence has been found to vary between 20 % and 40 % (5,6) .To be undernourished or at risk of undernutrition among older people is an extensive problem, since it is associated with several serious factors including morbidity, longer hospital stays, mortality, deteriorated functional ability (7) , mobility impairment (8) , cognitive dysfunction (4,7,8) , reduced well-being (7) and poor self-rated health (2,4) . Moreover, older people who are widowed (3) , living alone (2,9) and of advanced age (3,4,8) are especially vulnerable for being at risk for undernutrition.In order to find potential and existing nutritional problem...

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“…Successful actions have been taken in the past 15 years to prevent and treat malnutrition and these have also shown that nutritional care is important (Westergren, Axelsson, et al, 2009;Törmä, Winblad, Cederholm, & Saletti, 2013). Screening of nutritional status and identifying what may be associated with nutritional problems, have proven to be useful interventions in preventing malnutrition Söderhamn, Dale, Sundsli, & Söderhamn, 2012;Söderström et al, 2013). During recent years, new and improved screening methods have been developed.…”

Section: Nutrition Status In the Elderlymentioning

confidence: 99%

Eating Difficulties, Nutrition, Meal Preferences and Experiences Among Elderly A Literature Overview From a Scandinavian Context

Nyberg¹,

Olsson²,

Pajalić

et al. 2014

JFR

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The risk of malnutrition increases with ageing, resulting in poorer health and higher risk of disease. Eating difficulties are important risk factors for malnutrition. Moreover, independence in relation to food and meals is highly rated by the elderly and has been associated with health and well-being. The purpose of this literature overview was to provide insights into nutritional status, food choice and preferences as well as the meal situations of home-living elderly (65+) people with motoric eating difficulties focusing on Scandinavia. The overall aim is to support independence and to prevent malnutrition. Nutritional status in the elderly was found to be negatively influenced by motoric eating difficulties including problems with manipulating food on the plate and transporting food to the mouth. Motoric eating difficulties may result in practical simplifications such as use of pre-prepared meals, less advanced cooking, and omission of certain meal constituents in order to avoid e.g. mismanagement and spillage. Eating difficulties are often accompanied by feelings of guilt and shame. Choosing smaller portions, reducing the number of eating episodes and not cooking independently have been associated with a higher risk of malnutrition. The nutritional effects of eating difficulties may be exacerbated by diminished chemosensory functions. Furthermore, both past and present food preferences should be considered in order to meet nutritional needs and meal satisfaction. Development of refined and socially accepted eating aids, in combination with tasty and nutritious products, is important in order to promote healthy and independent living among home-living elderly with motoric eating difficulties.

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Nutritional screening of older home-dwelling Norwegians: a comparison between two instruments

Cited by 38 publications

References 48 publications

Prevalencia de desnutrición en sujetos mayores de 65 años en la Comunidad de Madrid. Estudio DREAM + 65

Prevalencia de desnutrición en sujetos mayores de 65 años en la Comunidad de Madrid. Estudio DREAM + 65

Reliability and validity of the Chinese version of the Nutritional Form For the Elderly

Eating Difficulties, Nutrition, Meal Preferences and Experiences Among Elderly A Literature Overview From a Scandinavian Context

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