Screening for malnutrition in nursing home residents: Comparison of different risk markers and their association to functional impairment

Stange, Inken; Poeschl, Karin; Stehle, Peter; Sieber, Cornel; Volkert, Dorothee

doi:10.1007/s12603-013-0021-z

Cited by 64 publications

(60 citation statements)

References 41 publications

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“…The prevalence of undernutrition risk reported in this analysis 12 is even higher: 47% in hospitalized older adults, 54% in older adults living in nursing homes and 32% living in a community 12 . More recent studies confirm these results, showing that approximately two thirds of older adults are at nutritional risk or undernourished [13][14][15] .…”

Section: Introductionmentioning

confidence: 71%

“…Factors associated with undernutrition -logistic regression multivariable model. 14 . However, they differ from those of other international studies conducted in a community in which the prevalence of undernutrition is lower and ranges between 1.7% and 5.8%, and undernutrition risk varies between 13.1% and 31.9% 12,[26][27][28][29] .…”

Section: Discussionmentioning

confidence: 99%

“…Based on previous data from studies conducted in other countries [12][13][14][15] , an estimated prevalence of undernutrition of 50.0% was considered. Assuming the following values: statistical power of 80.0%, alpha = 0.5, and effect size 1, a sample size of 131 older adults was obtained.…”

Section: E T H O D Smentioning

confidence: 99%

“…Many factors have been associated with undernutrition in older adults, such as older age, low income, low educational level, social isolation, institutionalization [13][14][15] , food insecurity 16 , negative self-perception of health 17 , and depression 14 . Changes associated with anorexia and the functional difficulties that interfere with feeding, such as dysphagia, decreased mobility, and changes in smell and taste, are related to an increased risk of undernutrition 18 .…”

Section: Introductionmentioning

confidence: 99%

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Undernutrition and associated factors in a Portuguese older adult community

2015

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A B S T R A C T ObjectiveTo evaluate the prevalence of undernutrition in older adults aged ≥75 years living in communities and to identify the main factors independently associated with undernutrition. MethodsA cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged ≥75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. ResultsA total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. ConclusionThe current study shows that undernutrition is highly prevalent in Portuguese older adults aged ≥75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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Section: Introductionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: E T H O D Smentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Undernutrition and associated factors in a Portuguese older adult community

2015

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“…Bollwein et al analysed the relationship between MNA and frailty in community living older persons (15). Stange et al (16) focus on the relationship between nutrition and functionality in a large population of nursing home residents, while Kiesswetter et al illustrate this aspect in older adults receiving home care (17). little information has been available in this regard before.…”

mentioning

confidence: 99%

The MNA in 2013 — Still going stronger after almost twenty years

Bauer

2013

The Journal of nutrition, health and aging

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Relationships between plasma and erythrocyte fatty acids in the de novo lipogenesis pathway, and metabolic disorders in French elderly patients

Henry

Vaysse

López

et al. 2015

Euro J Lipid Sci & Tech

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Undernutrition has been identified as a major contributing factor to morbidity and mortality in hospitalized aged patients. The lipid calorie undernutrition may lead to de novo lipogenesis (DNL); among the endogenous fatty acids, 16: 1(n‐9) and 18:1 (n‐7) have been previously associated with a higher risk of sudden cardiac arrest (SCA). The aim was to examine possible associations between the fatty acids in the DNL pathway present in both plasma and erythrocytes of 188 patients aged 84 ± 7 years (48 men and 140 women) entering the geriatric department for evaluation and rehabilitation, and their metabolic disorders. The 18:1(n‐7) content in plasma cholesteryl esters (CE) was significantly higher in men (1.67 vs. 1.58% in women; P < 0.05). An inverse relationship was found between 18:1 (n‐7) and the two precursors of essential fatty acids (EFA), that is linoleic acid [18:2 (n‐6); LA] and alpha‐linolenic acid [18:3 (n‐3); ALA]. Moreover, an inverse relationship was found between 16: 1(n‐9) and LA. Sixty‐four percent of men suffered from dysglycemia versus 46% of women (P < 0.05). These patients were characterized by significantly higher content (+37%) of 16:1(n‐7) which derives mostly from DNL. Prevalence of metabolic syndrome (MetS) was 30–40%, associated with a higher level of 18:0, regardless of sex. Practical applications: Improving nutrition for the elderly patients is a key challenge for rehabilitation. The diet of our oldest old patients was low in total calories and low in fat; it might be partly responsible for the levels of fatty acids from DNL observed. Further study is needed to investigate whether it is possible to reduce both 18:1 (n‐7) and 16: 1(n‐9) levels. We propose to test the improvement of diet for our oldest old patients by increasing fat up to 70 g/d which is the lower limit of the recommended amounts. Simplified summary of the main objective: to examine potential relationships between the fatty acids in the DNL pathway and metabolic disorders (dysglycemia and MetS), factors of the cardiovascular risk in the elderly patients by sex.

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Screening for malnutrition in nursing home residents: Comparison of different risk markers and their association to functional impairment

Cited by 64 publications

References 41 publications

Undernutrition and associated factors in a Portuguese older adult community

Undernutrition and associated factors in a Portuguese older adult community

The MNA in 2013 — Still going stronger after almost twenty years

Relationships between plasma and erythrocyte fatty acids in the de novo lipogenesis pathway, and metabolic disorders in French elderly patients

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