Malnutrition and falls risk in community-dwelling older adults

Isenring, Elisabeth; Baker, J. Stannard; Kerr, Graham

doi:10.1007/s12603-012-0408-2

Cited by 21 publications

(12 citation statements)

References 15 publications

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“…In the present study, no association was found between being malnourished and a low MMSE score which is in line with previous studies [ 6 , 14 ] in a population of geriatric patients.…”

Section: Discussionsupporting

confidence: 93%

Is being malnourished according to the ESPEN definition for malnutrition associated with clinically relevant outcome measures in geriatric outpatients?

et al. 2018

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Background and aimA body of evidence is supporting the association between (the risk of) malnutrition in relation to physical performance, muscle strength, risk for depression and cognitive status in geriatric outpatients. Associations between being malnourished according to the newly proposed ESPEN definition for malnutrition and clinically relevant outcome measures of the aforementioned variables have not been confirmed yet. Therefore, the aim of this study was to examine the association between being malnourished according to the ESPEN definition and clinically relevant outcome measures in geriatric outpatients.MethodsAssociations between malnutrition and handgrip strength (HGS, kg), short physical performance battery (SPPB-score, points), timed up and go test (TUG, seconds), and hospital anxiety and depression scale (HADS depression score, points), were analysed using linear regression. History of falls (falls, yes/no) and a low score on the Mini Mental-State Examination (MMSE-score ≤ 24 points) were analysed using logistic regression. All analyses were adjusted for age and gender.ResultsA total of 185 geriatric outpatients (60% women) were included. The mean age was 82 (± 7.3) years. Being malnourished (8.2%) according to the ESPEN definition was significantly associated with a lower HGS (− 3.38 kg, p = 0.031), lower SPPB score (− 1.8 point, p = 0.025), higher TUG time (1.35 times higher time, p = 0.020) and higher HADS depression score (2.03 times higher score, p = 0.007). Being malnourished tended towards an association with falls (OR 3.84, p = 0.087). No significant association was found with low MMSE score (OR 2.61, p = 0.110).ConclusionThis study is the first to confirm the association between being malnourished, defined by the ESPEN definition and clinically relevant outcome measures in geriatric outpatients.

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“…In the present study, no association was found between being malnourished and a low MMSE score which is in line with previous studies [ 6 , 14 ] in a population of geriatric patients.…”

Section: Discussionsupporting

confidence: 93%

Is being malnourished according to the ESPEN definition for malnutrition associated with clinically relevant outcome measures in geriatric outpatients?

et al. 2018

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“…A plausible mechanism for these findings could be that low phase angle might reflect a condition inclusive of multiple risk factors for falls, such as sarcopenia, physical inactivity and malnutrition, all of which have been reported to increase the risk of falls in older adults . Age, sex, fluid distribution, body mass index and inflammation are known as basic determinants of phase angles .…”

Section: Discussionmentioning

confidence: 98%

Association of bioimpedance phase angle and prospective falls in older adults

Uemura

Yamada

Okamoto

2019

Geriatrics Gerontology Int

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Aim: Bioelectrical impedance analysis-derived phase angle has been shown to reflect multiple health conditions, including sarcopenia and malnutrition. We aimed to investigate the prospective association between phase angle and incident falls in older adults.Methods: Community-dwelling adults aged ≥65 years (n = 205) participated in this study. Phase angle was examined using a multifrequency bioelectrical impedance analysis at baseline. Participants in the first tertile (T1), which had the lowest phase angle, were compared with those in the second and third tertiles (T2/3). Potential confounding factors, such as demographics, sarcopenia status and medications, were also assessed. Falls were recorded prospectively using falls diaries.Results: Over a median follow-up period of 181 days, a total of 11.7% of the sample (n = 24) experienced falls, with an overall incidence rate of 250.4 per 1000 person-years. Univariate Cox regression analysis showed that T1 had a significant relationship to incident falls compared with T2/3 (hazard ratio 2.51, 95% confidence interval 1.13-5.60). Multivariate Cox regression analysis with stepwise selection identified the phase angle (hazard ratio 2.32, 95% CI 1.03-5.21) and the number of medications (hazard ratio 1.21, 95% CI 1.003-1.45) as significant risk factors for incident falls.Conclusions: Older adults with lower phase angles are more likely to experience prospective falls compared with those with normal-high phase angles. Bioelectrical impedance analysisderived phase angle can be used as a valuable prognostic tool to predict future falls and the resulting negative consequences in older adults.

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“…Fall-related injury emerges as an important cause of morbidity and mortality in the elderly (29). Damages caused by falling lead to an increase in nursing home admission and dependence (30). The results of studies on nutritional status and fall risk in the literature are contradictory.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status Might Be Related to Physical Performance and Functionality in Older Adults

Koçyiğit¹,

Aydın²,

Işık³

2021

Osmangazi̇ Journal of Medicine

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It was aimed to investigate the effect of malnutrition with and the risk of malnutrition in elderly individuals with regards to other geriatric syndromes and comprehensive geriatric assessment (CGA) parameters. Patients who applied to the geriatric outpatient clinic between January 2019 and June 2020 were included in the study. 460 patients were examined. The patients were divided into three groups according to malnutrition, malnutrition-risk, and normal nutritional status. These three groups were compared in terms of geriatric syndromes and CGA parameters. The well-nourished group and the risk of malnutrition and malnutrition group were compared in terms of geriatric syndromes and CGA parameters adjusted for age and gender. Of 460 patients, 64.5% of these patients were female, and the mean age was 77.75±8.12, 65 had malnutrition, and 141 had malnutrition-risk. When the well-nourished group was compared with the malnutrition and malnutrition-risk group, age, education year, frequency of cerebrovascular disease were statistically different. The frequency of falls, dementia, sleep disturbance, urinary incontinence, orthostatic hypotension, polypharmacy, sarcopenia, and frailty was higher in groups with malnutrition and malnutrition-risk than in the normal group (p<0.05). Also, activities of daily living (ADLs) and gait and balance scores were lower in the group with malnutrition and malnutrition risk (p<0.05). In the regression analysis adjusted for age and gender, geriatric depression, urinary incontinence, dementia, orthostatic hypotension, sarcopenia, and frailty were increased in the group with malnutrition and malnutrition risk compared to the normal group (p<0.05). Malnutrition and risk of malnutrition is associated with other geriatric syndromes and deterioration in ADLs. Therefore, nutritional evaluation must be included in the assessment of older adults, and necessary interventions should be made to optimize the nutritional status.

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Malnutrition and falls risk in community-dwelling older adults

Abstract: There was a low prevalence of malnutrition risk in this sample of community-dwelling older adults and no association between nutritional risk and falls. Screening as part of a falls prevention program should focus on the risk of developing malnutrition as this is associated with falls.

Cited by 21 publications

References 15 publications

Is being malnourished according to the ESPEN definition for malnutrition associated with clinically relevant outcome measures in geriatric outpatients?

Is being malnourished according to the ESPEN definition for malnutrition associated with clinically relevant outcome measures in geriatric outpatients?

Association of bioimpedance phase angle and prospective falls in older adults

Nutritional Status Might Be Related to Physical Performance and Functionality in Older Adults

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