Relationship between malnutrition and different fall risk assessment tools in a geriatric in-patient unit

Adly, Nermien Naim; Abd‐El‐Gawad, Wafaa Mostafa; Abou-Hashem, Rania Mohammed

doi:10.1007/s40520-019-01309-0

Cited by 20 publications

(15 citation statements)

References 45 publications

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“…Kidney function was measured, according to estimated glomerular filtration rate (eGFR) category, based on the GFR BIS equation, which is among the few equations specifically developed and validated among people aged 70 or more [31,32]: 3736 Â creatinine -0:87 Â age -0:95 Â0:82 if female ½ Participants were divided into 4 groups presenting stages of CKD: G1-2 (60 or more); G3A (45-59.9); G3B (30-44.9); G4 (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), and were also dichotomized as CKD(−) group (GFR ≥ 60) and CKD(+) group (GRF < 60) [33].…”

Section: Kidney Functionmentioning

confidence: 99%

“…CKD may be associated with relevant changes in appetite and taste perception, as well as impaired thirst mechanism and increased risk of dehydration [11]. All these changes may increase the risk of malnutrition [12], which in turn may lead to functional impairment [13,14], sarcopenia and frailty [15], increased risk of falls [16], hospitalization and mortality [17,18]. On the other hand, age-related hormonal changes together with lower physical activity may promote obesity in the older adults [19,20].…”

Section: Introductionmentioning

confidence: 99%

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Association between kidney function, nutritional status and anthropometric measures in older people

Lattanzio

Corsonello

Bustacchini³

et al. 2020

BMC Geriatr

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Background Different mechanisms connect the nutritional status with the occurrence and the course of chronic kidney disease (CKD). The end-stage renal disease is complicated by catabolic inflammatory reactions and cachexia which leads to malnutrition (undernutrition). On the other hand, obesity is an important risk factor for the development and acceleration of CKD. Methods In the SCOPE study, community-dwelling persons aged 75 years and over, from 6 European countries and Israel were examined at the baseline phase. We assessed the relationship between anthropometric measures (Body Mass Index (BMI), circumferences of arm (AC), waist (WC), hip (HC), and calf (CC), waist-to-hip ratio - WHR, waist-to-height ratio - WHtR, risk of malnutrition (Mini Nutritional Assessment - MNA), serum albumin) and estimated glomerular filtration rate (eGFR) calculated by Berlin Initiative Study (BIS) equation. Results We studied 2151 subjects (932 men and 1219 women) with a mean age of 79.5 ± 5.9 years. A total of 1333 (62%) participants had CKD (GRF < 60 ml/min/1.73 m2). Negative correlations between eGFR and weight, AC, WC, HC, CC, BMI, WHtR were observed. Positive correlation occurred between eGFR and MNA score (Spearman’s rho = 0.11) and albumin concentration (rho = 0.09). Higher weight, AC, WC, HC, CC, BMI and WHtR increased the odds ratio of CKD; higher MNA (OR = 0.98, 95% CI 0.94–1.0) and higher serum albumin (OR = 0.73, 95% CI 0.53–1.0) were weakly associated with reduced odds. The risk of malnutrition was the highest with eGFR < 30 as compared to eGFR > 60 (OR = 2.95, 95%CI = 1.77–4.94 for MNA < 24; OR = 5.54, 95%CI = 1.66–18.5 for hypoalbuminemia < 3.5 g/dL). Conclusion The population of community dwelling people aged 75+ with CKD shows general features of overweight and obesity with a small prevalence of malnutrition. For anthropometric measures, the strongest association with eGFR and the highest odds of CKD were identified using WC, HC, CC and WHtR. Albumin level and MNA, but not MNA Short Form, indicated an increased odds of malnutrition with a decrease in eGFR.

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Section: Kidney Functionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between kidney function, nutritional status and anthropometric measures in older people

Lattanzio

Corsonello

Bustacchini³

et al. 2020

BMC Geriatr

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“…Malnutrition is a major health concern in older people, is a strong predictor of the onset of sarcopenia [1,2], and is related to a reduced physical performance, poor outcomes during hospitalization, falls [3], and death [4e7]. One of the most remarkable features of malnutrition is that it can be reversed when early identified and targeted therapies are applied [2,8].…”

Section: Introductionmentioning

confidence: 99%

Prediction of 5-year mortality risk by malnutrition according to the GLIM format using seven pragmatic approaches to define the criterion of loss of muscle mass

et al. 2021

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“…More recently, bone density has been reported to be associated with risk factors for DRF and factors associated with falls after DRF [6,12]. Low bone mineral density has also been reported in malnutrition [13,14], while Adly et al have reported that malnutrition increased the risk of falls [15]. However, there have been no reports describing the relationship between nutritional status and DRF or factors associated with falls after DRF.…”

Section: Introductionmentioning

confidence: 99%

Nutrition status and functional prognosis among elderly patients with distal radius fracture: a retrospective cohort study

et al. 2020

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Background: Distal radius fractures (DRF) are common in the elderly and are typically caused falls. Malnutrition has also been identified as a poor prognostic factor in elderly patients with fractures. However, the relationship between nutritional status and subsequent falls and functional prognosis for DRF in the elderly is not clear. The aim of the present study was to investigate the association between nutritional status and functional prognosis in elderly patients with DRF. Methods: Study participants included 229 outpatients who required surgical treatment for DRF. The patients' clinical information, including age, sex, body mass index, bone mineral density, geriatric nnutritional risk index (GNRI), total number of drugs being treated with on admission, use of drugs for osteoporosis, comorbidity severity, the Barthel Index (BI), presence of subsequent falls, fracture type, postoperative follow-up period, and Mayo wrist score was reviewed. Subjects were further divided into two groups according to their GNRI: the malnutrition group and the normal group. Propensity score matching was used to confirm factors affecting the BI and subsequent falls. Results: Thirty-one patients (13.5%) presented with malnutrition before surgery for DRF. According to multiple liner regression analysis, the GNRI positively affected the efficiency of the BI (β = 0.392, 95% confidence interval [CI], 0.001 to 0.351, p = 0.039). Furthermore, on logistic regression analysis, subsequent falls were associated with serum albumin levels (odds ratio = 0.033, 95% CI, 0.002 to 0.477, p = 0.012). Conclusion: Malnutrition impaired improvement of activities of daily living (ADL) and increased the incidence of subsequent falls. Improvement of nutritional status before DRF surgery may further improve ADL and prevent falls.

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Relationship between malnutrition and different fall risk assessment tools in a geriatric in-patient unit

Cited by 20 publications

References 45 publications

Association between kidney function, nutritional status and anthropometric measures in older people

Association between kidney function, nutritional status and anthropometric measures in older people

Prediction of 5-year mortality risk by malnutrition according to the GLIM format using seven pragmatic approaches to define the criterion of loss of muscle mass

Nutrition status and functional prognosis among elderly patients with distal radius fracture: a retrospective cohort study

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