Nutritional screening in a population-based cohort of community-dwelling older people

Nykänen, Irma; Lönnroos, Eija; Kautiainen, Hannu; Sulkava, Raimo; Hartikainen, Sirpa

doi:10.1093/eurpub/cks026

Cited by 66 publications

(75 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Also, no serious pain or stiffness in muscles and joints, much interest shown from others, no psychological distress, no weekly use of analgesics, hypnotics, tranquilisers or antidepressants, no fall last year, and weekly commitment to light physical activity were closely linked with FA. The finding that intake of potatoes and vegetables were linked with FA are in line with findings of independent walking ability being inversely associated with malnutrition [15]. Furthermore, except for the higher total serum cholesterol in functionally able men, the anthropometric measurements and serum analyses indicate a healthier metabolism [16] and higher level of physical fitness [17] among the functionally able women and men than among those with functional limitations.…”

Section: Discussionsupporting

confidence: 67%

“…Furthermore, except for the higher total serum cholesterol in functionally able men, the anthropometric measurements and serum analyses indicate a healthier metabolism [16] and higher level of physical fitness [17] among the functionally able women and men than among those with functional limitations. In contrast, functionally able men had a slightly higher mean level of total cholesterol than men with impairments, which could be due to a more adequate nutrition [15]. Men were more functionally able (80%) than women (70%).…”

Section: Discussionmentioning

confidence: 84%

See 1 more Smart Citation

Functional Ability, Physical Activity and Self-rated Health in Old Age A Cross Sectional Population-based Study in Norway

Forsén¹

2012

TOPHJ

View full text Add to dashboard Cite

Functional ability (FA) is here defined as having no limitations in five questions related to the ICF dimensions "Activity" and "Participation" (ICF=International Classification of Functioning). The aim was to explore how individual and contextual factors were associated with FA in each gender, and to explore to what extent physical activity (PA) and this measure of FA used in large multipurpose health surveys seem to measure different constructs, and how close the association between PA and FA was, and whether it differed within self-rated health (SRH), lifestyle and contextual factors. Methods: All men and women aged 75-77 (N=11684) in five counties in Norway were invited to health surveys in 2000-2003. 49% participated (2626 men, 3146 women) with answers on the five questions on FA. Data were analysed using logistic regression, factor analysis, and Structural Equation Modelling (SEM). Results: Good SRH, no serious pain or stiffness in muscles and joints, interest from others, no psychological distress and no weekly use of analgesics, hypnotics, tranquilisers or antidepressants showed the highest positive associations with FA for both men and women. The SEMestimated correlation of FA and PA items was lowest in healthy elderly (r=0.19 (0.11-0.24)) compared to those with poor health (r=0.40 (0.35-0.45)). FA and PA measured different constructs. Conclusion: According to low correlation between FA and PA in healthy men and women, we suggest that FA and PA did not measure the same construct, and impairments in functional ability did not necessarily mean low level of physical activity if SRH was good.

show abstract

Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 84%

Functional Ability, Physical Activity and Self-rated Health in Old Age A Cross Sectional Population-based Study in Norway

Forsén¹

2012

TOPHJ

View full text Add to dashboard Cite

show abstract

“…Twenty-eight percent of 2327 community living older adults in Turkey appeared to be at risk of malnutrition (score ≤ 11) in an outpatient geriatric clinic (Ülger et al, 2010). A higher prevalence of being at risk of malnutrition (70.4%) was documented in China (Ji et al, 2012), while aa Finnish study reported 15% of older adults to be either malnourished or at risk (Nykänen et al, 2013).…”

Section: Mini Nutritional Assessment-short Form (Mna-sf ® )mentioning

confidence: 95%

“…Poor self-rated health, receiving home care and meal services, polypharmacy, symptoms of depression, cognitive impairment, older age, and poor functional status were associated with an increased malnutrition risk (Nykänen et al, 2013).…”

Section: Mini Nutritional Assessment-short Form (Mna-sf ® )mentioning

confidence: 97%

“…Five studies used the MNA ® -SF to screen for malnutrition and all of them were crosssectional in design (Ji et al, 2012;Nykänen et al, 2013;Timpini et al, 2011;Ülger et al, 2010;Winter et al, 2013). Less than 8% of older adults were malnourished and at risk of malnutrition in a sub-urban area in Italy (Timpini et al, 2011).…”

Section: Mini Nutritional Assessment-short Form (Mna-sf ® )mentioning

confidence: 99%

See 1 more Smart Citation

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

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

View full text Add to dashboard Cite

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 ...

show abstract

Consensus‐based nutrition care pathways for hospital‐to‐community transitions and older adults in primary and community care

Keller

Donnelly

Laur

et al. 2021

J Parenter Enteral Nutr

View full text Add to dashboard Cite

Background Practical guidance for providers on preventing, detecting, and treating malnutrition in primary care (PC) and the community is limited. The purpose of this study was to develop nutrition care pathways for adult patients (aged ≥18 years) transitioning from hospital to community and community‐dwelling older adults (aged ≥65 years) who are at risk for malnutrition. Methods A review of best‐practice nutrition evidence and guidelines published between 2009 and 2019 was performed using PubMed and CINAHL. Findings were summarized into two draft care pathways by the Primary Care Working Group of the Canadian Malnutrition Task Force. Diverse stakeholders (n = 21) reviewed and suggested revisions at a 1‐day meeting. Revisions were made and an online survey was conducted to determine the relevance and importance of discrete care practices, and to establish consensus for which practices should be retained in the pathways. Providers (e.g., dietitians, physicians, nurses; n = 291) across healthcare settings completed the survey. Consensus on relevance and importance of practices was set at ≥80%. Results One hundred twenty‐eight resources were identified and used to develop the draft pathways. Survey participants assigned ratings of ≥80% for relevance and importance for all nutrition care practices, except community service providers monitoring patient weight and appetite. Conclusion These evidence‐ and consensus‐based nutrition pathways offer guidance to healthcare and service providers on how to deliver nutrition care during hospital‐to‐community transitions for malnourished adult patients and community‐dwelling older adults at risk for malnutrition. These pathways are flexible for diverse PC and community models.

show abstract

Nutritional screening in a population-based cohort of community-dwelling older people

Abstract: Being at risk of malnutrition was common among community-dwelling older people. Problems with mouth, IADL and cognitive impairments were linked to possible nutritional risks.

Cited by 66 publications

References 28 publications

Functional Ability, Physical Activity and Self-rated Health in Old Age A Cross Sectional Population-based Study in Norway

Functional Ability, Physical Activity and Self-rated Health in Old Age A Cross Sectional Population-based Study in Norway

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

Consensus‐based nutrition care pathways for hospital‐to‐community transitions and older adults in primary and community care

Contact Info

Product

Resources

About