A concept analysis of malnutrition in the elderly

Chen, Chia‐Hui; Schilling, Lynne S.; Lyder, Courtney H.

doi:10.1046/j.1365-2648.2001.01950.x

Cited by 261 publications

(247 citation statements)

References 87 publications

(75 reference statements)

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“…Other studies recently reviewed by Chen et al (2001) used a mix of diagnosis criteria, and mostly included small numbers of subjects drawn from long-term care or hospital settings. To date there have been few community based studies.…”

Section: Discussionmentioning

confidence: 99%

“…Malnutrition is a general term that has been used to mean over nutrition, undernutrition, specific nutrient deficiencies, or imbalances (Chen et al, 2001). In the present paper we are describing undernutrition.…”

Section: Introductionmentioning

confidence: 99%

“…Pragmatically most definitions include an anthropometric measure (weight for height or body mass index (BMI) measured most commonly) with or without weight loss, and some include serum albumin. Chen et al (2001) have reviewed the definitions used by workers around the world. Because of different methods used the prevalence estimates of undernutrition vary from 10 to 85% in different groups of the older age groups around the world.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of risk of undernutrition is associated with poor health status in older people in the UK

et al. 2003

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Objectives: To establish the prevalence of the risk of undernutrition, using criteria similar to those used by the Malnutrition Advisory Group (MAG), in people aged 65 y and over, and to identify relationships between risk of undernutrition and health and demographic characteristics. Design: A cross-sectional nationally representative sample of free-living and institutionalized older people in the UK (65 y of age and over). Secondary analysis of the National Diet and Nutrition Survey based on 1368 people aged 65 y and over. Results: About 14% (21% in those living in institutions) were at medium or high risk of undernutrition based on a composite measure of low body mass index and recent reported weight loss. Having a long-standing illness was associated with a statistically significantly increased risk of undernutrition (odds ratio: men 2.34, 95% CI 1.20 -4.58; women 2.98; 1.58 -5.62). The risk of undernutrition increased: in women reporting bad or very bad health status; in men living in northern England and Scotland; for those aged 85 y and older; for those hospitalized in the last year, and those living in an institution. Lower consumption of energy, meat products or fruit and vegetables and lower blood measures of zinc, vitamins A, D, E and C were associated with statistically significantly increased risk of undernutrition. Conclusions: A substantial proportion of the older population of the UK is at risk of undernutrition. High-risk subjects are more likely to have poorer health status. It is unlikely that the individuals at high risk are being detected currently, and therefore effective care is not being provided, either in the community or in institutions. Sponsorship: This analysis was partly funded by a grant from the Department of Health. We are grateful for helpful comments from Professor MJ Wiseman and the anonymous reviewers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of risk of undernutrition is associated with poor health status in older people in the UK

et al. 2003

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“…It refers to faulty or inadequate nutritional status, undernourishment characterized by insufficient dietary intake, poor appetite, muscle wasting and weight loss (1) . Malnutrition prevalence varies from 10 % to 85 % in different older age groups around the world due to the different assessment methods used (2) .…”

Section: Prevalence Malnutrition Malnutrition Risk Mini Nutritional Amentioning

confidence: 99%

Health determinants of nutritional status in community-dwelling older population: the VERISAÚDE study

Maseda¹,

Gómez-Caamaño²,

Lorenzo-López³

et al. 2016

Public Health Nutr.

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Objective: Malnutrition is a common and relevant syndrome in elderly people due to its influence on quality of life. The main aim of the present study was to identify health determinants of malnutrition or risk of malnutrition. Design: Cross-sectional study collecting information on sociodemographic and health factors (co-morbidity, cognitive or affective problems, prescription medication use, frailty status, self-rated health) as determinants of nutritional status, assessed by the short form of the Mini Nutritional Assessment. Setting: Forty-three senior centres from Galicia (north-western Spain) participated to recruit participants. Subjects: A representative community-dwelling sample of 749 elderly people aged ≥65 years. Results: Of the total participants, 14·3 % were malnourished/at risk of malnutrition. Presence of overweight or obesity, depressive symptoms, polypharmacy (use of five or more prescription medications), presence of pre-frailty or frailty status and poor selfrated health showed the strongest relationship to malnutrition/risk of malnutrition. This model predicted 86·0 % of the cases correctly. The best determinants for women were polypharmacy and poor self-rated health, reaching 82·8 % of cases of malnourishment/risk of malnutrition predicted correctly. In men, the main determinants were overweight or obesity, depressive symptomatology and polypharmacy, with 89·8 % of cases of malnourishmen/risk of malnutrition predicted correctly. Conclusions: Screening for nutritional status and its determinant factors should be included as part of comprehensive assessments to ensure an early screening of malnutrition and to propose possible intervention strategies that would be important for both elderly people and the health-care system. Keywords Prevalence Malnutrition Malnutrition risk Mini Nutritional Assessment ElderlyMalnutrition is a frequent syndrome in the elderly. It refers to faulty or inadequate nutritional status, undernourishment characterized by insufficient dietary intake, poor appetite, muscle wasting and weight loss (1) . Malnutrition prevalence varies from 10 % to 85 % in different older age groups around the world due to the different assessment methods used (2) . A combined database (3) from all five continents including 4507 people reported a mean prevalence of 22·8 %, with considerable differences among settings (rehabilitation, 50·5 %; hospital, 38·7 %; nursing home, 13·8 %; community, 5·8 %). In this combined database, the 'at risk' group had a mean prevalence of 46·2 %. In Spain, a prevalence of malnutrition among the elderly living at home of 12·5 % was reported and 57·5 % for those who were at risk (4) .Nutritional status or nutritional risk screening should be incorporated in comprehensive assessments of the elderly population (5) . Age-associated physiological and psychological alterations, functional or cognitive impairment and socio-economic aspects are considered among the main determinants of malnutrition (6) , being associated with multiple risk factors (7)(8)(9) : ...

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“…Poremeća-ji nutritivnog statusa i nastanak malnutricije obično nastaju zbog promjene apetita, ograničene pokretljivosti, prisustva hroničnih bolesti, depresije, oštećenja kognitivnih funkcija i uzimanja većeg broja lijekova [7]. Prema Chen-u [8], malnutricija starih osoba definiše se kao neadekvatan nutritivni status ili pothranjenost, koja se manifestuje nedovoljnim unosom hrane, gubitkom apetita, gubitkom tjelesne težine i smanjenjem mišićne mase. Malnutricija jeste uzrok različitih zdravstvenih problema, poput povećanja rizika za nastanak patoloških fraktura i mortaliteta, otežanog zarastanja rana, pojave dekubitusa, oslabljene funkcionalnosti, nedostatka apetita, povećanja broja hospitalizacija i broja dana provedenih na bolničkom liječenju, kao i stope mortaliteta [9].…”

Section: Nutritivni Status I Učestalost Malnutricijeunclassified

Nutritivni status kod starih osoba

Pavlović

Joković

Hadživuković

et al. 2017

Biomedicinska istraž.

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Kratak sadržajStarenje stanovništva, a samim tim i povećanje očekivanog trajanja života su danas globalni fenomeni. U okviru poremećaja stanja uhranjenosti kod starih posebno treba obratiti pažnju na pothranjenost, odnosno proteinsko-energetski deficit, nutritivnu anemiju i gojaznost. Nutritivnа anemija kod starih najčešće je posljedica nedostatka gvožđa, folata i vitamina B12, a često je udružena sa infekcijom ili je posljedica nekog hroničnog oboljenja. Prеvаlеncа gојаznоsti imа stаlаn porаst i prеdstаvljа znаčајаn zdrаvstvеni prоblеm u vеćini industriјаlizоvаnih zеmаljа. Proces nutritivne njege mora da bude kontinuiran, a procjena nutritivnog statusa, otkrivanje faktora rizika za malnutriciju i pravovremena primjena odgovarajućeg liječenja doprinose smanjenju morbiditeta, mortaliteta, troškova liječenja i poboljšanju kvaliteta života starih osoba.

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A concept analysis of malnutrition in the elderly

Cited by 261 publications

References 87 publications

Prevalence of risk of undernutrition is associated with poor health status in older people in the UK

Prevalence of risk of undernutrition is associated with poor health status in older people in the UK

Health determinants of nutritional status in community-dwelling older population: the VERISAÚDE study

Nutritivni status kod starih osoba

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