Nutritional status and associations with falls, balance, mobility and functionality during hospital admission

Vivanti, Angela; Ward, Nicolas; Haines, Terrence Peter

doi:10.1007/s12603-010-0302-8

Cited by 69 publications

(53 citation statements)

References 31 publications

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“…These results can be expected as undernourishment, depression, and poor health are identified risk factors related to falls and poor physical performance 10,26,28,53. Falls were reported to be lower in protein/energy-supplemented older adults 54.…”

Section: Discussionmentioning

confidence: 83%

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Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions

Singh¹,

Manaf²,

Yusoff³

et al. 2014

CIA

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PurposeThe consequences of combined undernourishment and decreased physical performance in older adults are debilitating and increases cost of care. To date, the information regarding the association between nutritional status and physical performance does not provide a complete picture. Most studies used limited or self-reported measures to evaluate physical performance. The objective of this study was to examine the correlation between nutritional status and comprehensive physical performance measures among undernourished older adults who reside in residential institutions.MethodsForty-seven older adults (26 males, 21 females) aged ≥60 (69.23±8.63) years who were identified as undernourished from two residential institutions participated in this study. A battery of physical performance tests (10 m gait speed test, dominant hand grip strength test, timed five-repetition sit-to-stand test, ten step test, arm curl test, scratch test, and respiratory muscle strength test), biochemical profiles (serum albumin, hemoglobin, serum ferritin, and prealbumin levels), and falls risk using the short-form Physiological Profile Approach were performed. The Functional Ability Questionnaire and Geriatric Depression Scale were also administered.ResultsThe results demonstrated that generally older adults with undernourishment scored poorly on the physical performance tests, had depression, and a high risk of falls. Biochemical results demonstrated that 10.9% of the participants were anemic, 63% had hypoalbuminemia (<3.5 g/dL), and 21.7% were at risk of protein energy malnutrition with prealbumin level (100–170 mg/L). A significant correlation (P<0.05) was demonstrated between hand grip strength and ferritin, between self-reported mobility dependence and prealbumin levels, and between self-reported mobility tiredness and body mass index.ConclusionThese results confirm that older adults with undernutrition have poor physical function, higher falls risk, and depression. Clinically, overall health that includes nutritional status, physical function, and depression level should be taken into consideration in the assessment and treatment of older adults residing at residential institutions.

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Section: Discussionmentioning

confidence: 83%

“…However, assessment of nutritional status is rarely performed among older adult fallers 26. There is a positive relationship between falls and undernutrition among older adults that are hospitalized or residing at care homes 10,26. In contrast, this was not applicable to community-dwelling older adults 27…”

Section: Introductionmentioning

confidence: 99%

Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions

Singh¹,

Manaf²,

Yusoff³

et al. 2014

CIA

View full text Add to dashboard Cite

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“…There is also an association between falls and undernourishment in elderly people who are either hospitalized or living in long-term care facilities [8]. Despite these consequences, several reports have shown that malnutrition remains under-recognized in the hospitalized elderly, where is no standard procedure is available for proper documentation due to insufficient awareness among healthcare professionals [9].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of malnutrition and associated factors among hospitalized elderly patients in King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Alzahrani

Alamri

2017

BMC Geriatr

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BackgroundMalnutrition is a nutritional disorder that adversely affects the body from a functional or clinical perspective. It is very often observed in the elderly population. This study aimed to estimate the prevalence of malnutrition among hospitalized elderly patients and its associated factors and outcomes in terms of length of stay and mortality in King Abdulaziz University Hospital, Jeddah, Saudi Arabia.MethodsIn a cross-sectional study, we evaluated the nutritional status of hospitalized elderly patients using the most recent version of the short form of Mini Nutritional Assessment (MNA-SF).ResultsA total of 248 hospitalized patients were included (70.0 ± 7.7 years; 60% female). According to the MNA-SF, a total of 76.6% patients were either malnourished or at risk of malnutrition. Malnourished patients had significantly lower levels of serum albumin (28.2 ± 7.7), hemoglobin (10.5 ± 1.8), and lymphocyte (1.7 ± 0.91). They had increased tendency to stay in the hospital for longer durations (IQR, 5-11 days; median = 7 days) and had a mortality rate of 6.9%.ConclusionMalnutrition was highly prevalent among hospitalized elderly and was associated with increased length of stay and mortality.

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“…However, usually older people admited to nursing homes are screened or assessed for either malnutrition or sarcopenia, but rarely for both conditions concurrently. In several populations, malnutrition and sarcopenia are present simultaneously and manifest clinically through a combination of decreased nutrient intake, decreased body weight, along with a decrease in muscle mass, strength and/or physical function [17].…”

Section: Malnutrition-sarcopenia Syndromementioning

confidence: 99%

Sarcopenia and Malnutrition in the Elderly

Lardiés-Sánchez¹,

Sanz-París²

2017

Frailty and Sarcopenia - Onset, Development and Clinical Challenges

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Sarcopenia and malnutrition are both commonly occurring conditions in elderly population. As understood today, sarcopenia is a syndrome characterised by progressive and generalised loss of skeletal muscle mass, physical performance and/or strength, whereas malnutrition has been deined as a condition of an imbalance of energy, protein and other nutrients that can cause measurable negative efects. In many populations, malnutrition and sarcopenia are present simultaneously, and they appear clinically through a combination of decreased body weight and nutrient intake, along with a decrease in muscle mass and function. Moreover, malnutrition is one of the key pathophysiological causes of sarcopenia. Both entities result in numerous and substantial negative outcomes to the patients and the healthcare system, including decreased quality of life and functionality and increased healthcare costs, hospitalisation rates, morbidity and mortality. Early identiication of sarcopenia would be of great clinical relevance because the loss of muscle mass and strength with ageing can be largely reversed by proper exercise and nutritional intervention. Clinicians should integrate nutritional assessment with sarcopenia screening for optimal evaluation of these two interrelated issues to help improve clinical outcomes.

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Nutritional status and associations with falls, balance, mobility and functionality during hospital admission

Cited by 69 publications

References 31 publications

Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions

Correlation between nutritional status and comprehensive physical performance measures among older adults with undernourishment in residential institutions

Prevalence of malnutrition and associated factors among hospitalized elderly patients in King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Sarcopenia and Malnutrition in the Elderly

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