Identifying and treating older patients with malnutrition in primary care: the MUST screening tool

Murphy, Jane; Mayor, Alice; Forde, Emer

doi:10.3399/bjgp18x697853

Cited by 26 publications

(19 citation statements)

References 5 publications

(5 reference statements)

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“…The rise in hospital screening is currently not reflected in the community, despite policy recommendations, and there is a lack of research on attributable clinical outcomes in this setting [27,44,45]. This is problematic considering the high numbers of older people with frailty in the community, and has led to a call for high quality research into the effectiveness of nutritional screening in this setting [46].…”

Section: Screening and Identification Of Malnutritionmentioning

confidence: 99%

“…Malnutrition is associated with increased risk of frailty, sarcopenia, falls, dependence in activities of daily living (ADL), hospital admission and longer length of stay, with poor wound healing and more complications, increased mortality and poor health-related quality of life [3]. Malnutrition is associated with increased use of primary care services [27] and a study of community dwelling older Canadians reported 20% higher odds of hospital admission and 60% higher odds of death over 3 years among those at risk of poor nutrition [28]. Among a cohort of 800 Colombian hospital patients, malnutrition was associated with 30% higher costs of hospital stay [29].…”

Section: Introductionmentioning

confidence: 99%

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The Challenge of Managing Undernutrition in Older People with Frailty

et al. 2019

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Many older people with frailty are at risk of malnutrition and poor health, yet there is evidence that improving nutrition and weight loss can reduce frailty. This will become more important as the number of older people with frailty increases worldwide in future. Identifying those at risk is challenging due to the difficulty of reaching and screening those older people most at risk, the large number of nutritional assessment tools used, and the lack of consensus on the criteria to make a diagnosis of malnutrition. The management of older people with or at risk of malnutrition should be multi-modal and multi-disciplinary, and all care staff have an important role in delivering appropriate nutritional advice and support. This paper will highlight a number of practical approaches that clinicians can take to manage malnutrition in older people with frailty in community and acute settings, including environmental changes to enhance mealtime experience, food fortification and supplementation.

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Section: Screening and Identification Of Malnutritionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Challenge of Managing Undernutrition in Older People with Frailty

et al. 2019

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“…Malnutrition is underdiagnosed in the community setting [6], although it is associated with increased numbers of consultations with the general physician (GP), and increased costs [7]. Therefore, early detection and treatment of malnutrition are highly warranted to prevent deterioration and malnutrition-related complications.…”

Section: Introductionmentioning

confidence: 99%

A visual analogue scale for food intake as a screening test for malnutrition in the primary care setting: Prospective non-interventional study

et al. 2021

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“…It is necessary to invest in the development of social networks and community partnerships available to older adults, integral to support participation with their 'food system'. This need extends to improving opportunities for social eating (Vesnaver and In addition, such findings may offer implications for newer iterations for 'nutrition wheels' (Murphy, Mayor, and Forde 2018 . Delineate between food insecurity and food poverty in research and policy to build more holistic methods of measurement, intervention and national surveillance.…”

Section: Discussionmentioning

confidence: 96%

Exploring Household Food Security and Malnutrition Risk with Psychosocial Indicators of Healthy Ageing in Place: The Food Train - Eat Well Age Well Partnership Project

Reid¹,

Lido²,

Ross³

et al. 2020

Preprint

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In Scotland, and United Kingdom, there are stark inequalities in the experience of older age, particularly for those with limited social contact, poorer health, located in deprived neighbourhoods (Centre for Ageing Better 2015). This mixed-methodology research, reports survey findings with n=169 community dwelling older adults in Scotland (average age 79.5), supported with qualitative interviews to evidence the underexplored connection between food insecurity and physiological risk indicators of undernutrition (malnutrition), with psychosocial indicators of healthy ageing. Findings are grounded in collaboration with a third sector social enterprise – Food Train, who provide food shopping and volunteer meal making for those aged 65+. Findings revealed correlations between food insecurity and early indicators of malnutrition risk with poorer wellbeing, and social connectedness. Supported food access mitigates the negative cycle of food insecurity on mental health, via empowerment (locus of control) over one’s life. Qualitative findings suggest that risks of food insecurity may not be financial (food poverty), or attributable to health realities associated with ageing. Rather, psychosocial health and wellbeing diverge as older adults attempt to draw upon available resources, reflective of their own social capital. Mitigators of malnutrition risk includes empowerment through social care located in the third sector, as well as social aspects of food access e.g. social eating, warranting future investigation. These findings are considered post Covid-19, with key policy implications.

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Identifying and treating older patients with malnutrition in primary care: the MUST screening tool

Cited by 26 publications

References 5 publications

The Challenge of Managing Undernutrition in Older People with Frailty

The Challenge of Managing Undernutrition in Older People with Frailty

A visual analogue scale for food intake as a screening test for malnutrition in the primary care setting: Prospective non-interventional study

Exploring Household Food Security and Malnutrition Risk with Psychosocial Indicators of Healthy Ageing in Place: The Food Train - Eat Well Age Well Partnership Project

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