Country of origin predicts nutrition risk among community living older people

Wham, Carol; Carr, Robert W.; Heller, Fabien

doi:10.1007/s12603-010-0305-5

Cited by 24 publications

(25 citation statements)

References 34 publications

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“…In addition, perceived helplessness was a predictor in the second regression analysis, which was also identified in a study by Tomstad et al10 These factors highlight the close relationship between lower self-care ability and risk of undernutrition 10,30,31,38. In other studies, functional dependency6,7,33 and disability12 have also been found to be related to risk of undernutrition. Consequently, physical impairment requires special attention 36…”

Section: Discussionsupporting

confidence: 72%

“…It has been found that advanced age,4–7 the presence of several comorbidities,5–7 hospitalization in the previous year,7 decline in intellectual activity,8 being functionally dependent,6,7 receiving help to manage daily life,7,9,10 and receiving meals on wheels11 are associated with undernutrition or risk of undernutrition among home-dwelling older people. Loss of a spouse,6,8,12 living alone,9,10 having a lower level of education,5 perceiving impaired health,7,9,11 and lowered quality of life7 are further factors found to be related to impaired nutritional status in older home-living people.…”

Section: Introductionmentioning

confidence: 99%

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

Söderhamn¹,

Dale²,

Sundsli³

et al. 2012

CIA

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BackgroundIt is important to obtain knowledge about the prevalence of nutritional risk and associated factors among older home-dwelling people in order to be able to meet nutritional challenges in this group in the future and to plan appropriate interventions. The aim of this survey was to investigate the prevalence of home-dwelling older people at nutritional risk and to identify associated factors using two different nutritional screening instruments as self-report instruments.MethodsThis study had a cross-sectional design. A postal questionnaire, including the Norwegian versions of the Nutritional Form for the Elderly (NUFFE-NO) and Mini Nutritional Assessment – Short Form (MNA-SF), background variables, and health-related questions was sent to a randomized sample of 6033 home-dwelling older people in southern Norway. A total of 2106 (34.9%) subjects were included in the study. Data were analyzed using descriptive statistics and logistic regression analyses.ResultsWhen using the NUFFE-NO and MNA-SF, 426 (22.3%) and 258 (13.5%) older persons, respectively, were identified to be at nutritional risk. The risk of undernutrition increased with age. Several predictors for being at risk of undernutrition, including chronic disease/handicap and receiving family help, as well as protective factors, including sufficient food intake and having social contacts, were identified.ConclusionHealth professionals must be aware of older people’s vulnerability to risk of undernutrition, perform screening, and have a plan for preventing under-nutrition. For that purpose, MNA-SF and NUFFE-NO can be suggested for screening older people living at home.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

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

Söderhamn¹,

Dale²,

Sundsli³

et al. 2012

CIA

View full text Add to dashboard Cite

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“…A combination of at risk and high risk categories resulted in a prevalence of up to 62% (Southgate et al, 2010;Watson et al, 2010;Wham et al, 2011c). Living alone (McElnay et al, 2012;Ramage-Morin and Garriguet, 2013;Wham et al, 2011c), less social support (Ramage-Morin and Garriguet, 2013), depression (Ramage-Morin and Garriguet, 2013), poor self rated health (Wham et al, 2011a), disability (Wham et al, 2011a) and eating alone (Watson et al, 2010;Wham et al, 2011a) were identified as factors associated with malnutrition risk. Meanwhile, a higher mortality rate within 5 years was documented in the high nutritional risk group, compared to those in other groups (Broeska et al, 2013).…”

Section: Screen © IImentioning

confidence: 99%

“…SCREEN © II, an improved version of SCREEN © , identified 31-52% of individuals to be at high risk of malnutrition (Broeska et al, 2013;McElnay et al, 2012;Ramage-Morin and Garriguet, 2013;Wham et al, 2011a;Wham et al, 2011c). A combination of at risk and high risk categories resulted in a prevalence of up to 62% (Southgate et al, 2010;Watson et al, 2010;Wham et al, 2011c).…”

Section: Screen © IImentioning

confidence: 99%

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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“…Recent research estimates 31-60% of the older NZ population to be at high nutrition risk. [9][10][11] Dietitians apply robust scientific knowledge about food and nutrition to promote optimal health outcomes to individuals, groups and communities in states of both health and disease. Dietitians are registered health professionals who meet standards required by the NZ Dietitians Board under the NZ Health Practitioners Competence Assurance Act (HPCA) 2003.…”

Section: What Gap This Fillsmentioning

confidence: 99%