Medical nutrition therapy for the prevention and treatment of unintentional weight loss in residential healthcare facilities

Splett, Patricia L.; Roth-Yousey, Lori

doi:10.1053/jada.2003.50050

Cited by 29 publications

(11 citation statements)

References 32 publications

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“…In some studies, gender was a factor correlated to malnutrition, and the frequency observed in men was more than women (4,5,11). The other studies revealed that weight loss during hospitalization was higher in women than in men (6,25). However, there was no significant gender difference in the risk of malnutrition in the present study.…”

Section: Discussioncontrasting

confidence: 70%

Prevalence of Malnutrition Amongst Adult Patients Admitted to Emam Ali Hospital in Zahedan, 2016

Montazerifar

Karajibani

Dashipour

et al. 2018

Zahedan J Res Med Sci

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Background: Malnutrition in hospitalized patients is a major health problem, which has devastating effects on the healthcare system. Objectives: The main objective of this study was to estimate the prevalence of malnutrition in adult patients on admission to the hospital. Methods: In a cross-sectional study, 450 adult patients (mean aged 44.6 ± 15.3 years), on admission to the hospital, were selected from a general teaching hospital in Zahedan, Iran. The assessment of malnutrition was performed based on the anthropometric parameters and using of malnutrition universal screening tool (MUST). In addition, serum albumin level was also measured. Results: The prevalence of malnutrition, according to the MUST criteria, was 40%. The prevalence in age group > 50 years old was markedly higher compared to those < 30 years (56.2% vs. 37.7%, OR = 1.6; 95% CI: 0.71-2.5; P < 0.01). The patients with mid upper arm circumference (MUAC) < 5th (53.6% vs. 31.9%, OR = 2.6; 95% CI: 1.93-3.47; P = 0.009) and also those with serum albumin < 3 g/dL (71.9 % vs 50%, OR = 1.6; 95% CI: 0.93-2.2; P = 0.047) had significantly higher odds of malnutrition as compared to normal patients. The highest prevalence of malnutrition was observed in the nephrology ward (48%). Conclusions: The findings showed that the prevalence of malnutrition in patients admitted is relatively high. Since, nutritional status may be deteriorated during hospital stay, it is suggested that nutritional screening by a simple procedure are applied at admission to hospital.

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Section: Discussioncontrasting

confidence: 70%

Prevalence of Malnutrition Amongst Adult Patients Admitted to Emam Ali Hospital in Zahedan, 2016

Montazerifar

Karajibani

Dashipour

et al. 2018

Zahedan J Res Med Sci

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“…The majority of studies targeting nutrition evaluated nutritional supplementation using vitamin, mineral, and/or protein-energy supplementation [78,79,81-89,93]. Three studies, all from the same authors, evaluated the effect of megestrol acetate on nutritional biomarkers [90-92].…”

Section: Resultsmentioning

confidence: 99%

A systematic mapping review of Randomized Controlled Trials (RCTs) in care homes

et al. 2012

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BackgroundA thorough understanding of the literature generated from research in care homes is required to support evidence-based commissioning and delivery of healthcare. So far this research has not been compiled or described. We set out to describe the extent of the evidence base derived from randomized controlled trials conducted in care homes.MethodsA systematic mapping review was conducted of the randomized controlled trials (RCTs) conducted in care homes. Medline was searched for “Nursing Home”, “Residential Facilities” and “Homes for the Aged”; CINAHL for “nursing homes”, “residential facilities” and “skilled nursing facilities”; AMED for “Nursing homes”, “Long term care”, “Residential facilities” and “Randomized controlled trial”; and BNI for “Nursing Homes”, “Residential Care” and “Long-term care”. Articles were classified against a keywording strategy describing: year and country of publication; randomization, stratification and blinding methodology; target of intervention; intervention and control treatments; number of subjects and/or clusters; outcome measures; and results.Results3226 abstracts were identified and 291 articles reviewed in full. Most were recent (median age 6 years) and from the United States. A wide range of targets and interventions were identified. Studies were mostly functional (44 behaviour, 20 prescribing and 20 malnutrition studies) rather than disease-based. Over a quarter focussed on mental health.ConclusionsThis study is the first to collate data from all RCTs conducted in care homes and represents an important resource for those providing and commissioning healthcare for this sector. The evidence-base is rapidly developing. Several areas - influenza, falls, mobility, fractures, osteoporosis – are appropriate for systematic review. For other topics, researchers need to focus on outcome measures that can be compared and collated.

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“…Unfortunately, the most vulnerable older adults, i.e., older women, minorities, rural-living, and the poor are at greatest risk. 5,9,10 Although age as a risk factor for undernutrition is not modifiable, targeting older adults for dietary supplementation may help them overcome the detrimental effects of undernutrition. In addition to identifying at-risk older adults using valid nutrition screening tools, there is also a need for evidence-based nutrition interventions.…”

Section: Introductionmentioning

confidence: 99%

Oral strategies to supplement older adults’ dietary intakes: comparing the evidence

Silver

2009

Nutrition Reviews

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Despite the current global obesity crisis, undernutrition remains prevalent among older adults worldwide. This review compares the efficacy of the main oral strategies used to increase older adults' energy and nutrient intakes, i.e., meal enhancement, multivitamin/multimineral supplementation and oral liquid nutrition supplements. Well-designed long-term investigations that are adequately powered to differentiate effects on nutritional, clinical, functional, and cost outcomes are much needed before scientific and clinical consensus can be reached on where and when to implement any strategy as the optimal choice for improving dietary intakes in a specific older adult population.

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Medical nutrition therapy for the prevention and treatment of unintentional weight loss in residential healthcare facilities

Cited by 29 publications

References 32 publications

Prevalence of Malnutrition Amongst Adult Patients Admitted to Emam Ali Hospital in Zahedan, 2016

Prevalence of Malnutrition Amongst Adult Patients Admitted to Emam Ali Hospital in Zahedan, 2016

A systematic mapping review of Randomized Controlled Trials (RCTs) in care homes

Oral strategies to supplement older adults’ dietary intakes: comparing the evidence

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