Nutritional Status and Functional Outcomes in Older Adults Admitted to Geriatric Rehabilitations: The SAFARI Study

Lelli, Diana; Calle, Alicia; Pérez, Laura Mónica; Onder, Graziano; Morandi, Alessandro; Ortolani, Elena; Colominas, Miriam; Pedone, Claudio; Inzitari, Marco

doi:10.1080/07315724.2018.1541427

Cited by 23 publications

(18 citation statements)

References 22 publications

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“…Our findings in orthogeriatric patients are in line with other studies, where nutritional status was associated with functional recovery [ 49 , 50 ]. In these studies, follow-up at 3 or 6 months by telephone interview also showed that in patients with poorer nutritional status, functional outcomes remained worse than in those with better status [ 49 , 50 ]. To our knowledge, this is the first study to analyze the association between malnutrition at admission and the evolution of physical performance throughout the rehabilitation process in orthogeriatric patients.…”

Section: Discussionsupporting

confidence: 93%

Nutritional Status Is Associated with Function, Physical Performance and Falls in Older Adults Admitted to Geriatric Rehabilitation: A Retrospective Cohort Study

Urquiza

Fernandez²,

Arrinda³

et al. 2020

Nutrients

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Nutritional status is relevant to functional recovery in patients after an acute process requiring rehabilitation. Nevertheless, little is known about the impact of malnutrition on geriatric rehabilitation. This study aimed to determine the association between nutritional status at admission and the evolution of functional and physical outcomes, as well as the capability of nutritional status to identify fallers among patients admitted to geriatric rehabilitation for different reasons. This was a retrospective cohort study of 375 patients. Data collected included age, gender, diagnosis at admission, comorbidities, cognitive and nutritional status, functional and physical measurements, length of stay, mortality and falls. Orthogeriatric patients with worse nutritional status according to the Mini Nutritional Assessment-Short Form (MNA-SF) had a significantly lower Barthel Index at admission and discharge with worse functional gain and poorer outcomes in the Short Physical Performance Battery (SPPB). However, in hospital-deconditioned patients, the MNA-SF score was not significantly associated with functional and physical recovery. Poor nutritional status at admission increased the risk of experiencing at least one fall during rehabilitation in orthogeriatric patients. However, hospital-deconditioned patients who fell had better SPPB scores than those who did not fall. Our results demonstrate the importance of nutritional status in the clinical evolution of orthogeriatric patients throughout the rehabilitation process.

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Section: Discussionsupporting

confidence: 93%

Nutritional Status Is Associated with Function, Physical Performance and Falls in Older Adults Admitted to Geriatric Rehabilitation: A Retrospective Cohort Study

Urquiza

Fernandez²,

Arrinda³

et al. 2020

Nutrients

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“…The number of patients diagnosed with muscle impairment by the 3 criteria varied greatly: 30 patients had low HGS, 14% (12) of NDD, 14% (11) of HD, 13% (3) of PD, and 5% (4) of KTx; 132 had low ALM, 28% (23) of NDD, 69% (55) of HD, 52% (12) of PD, and 52% (42) of KTX; 136 had low ALMI, 25% (41) of NDD, 65% (52) of HD, 43% (10) of PD and 41% (33) of KTx. The HD group presented the highest prevalence of muscle impairment and the NDD group the lowest.…”

Section: Resultsmentioning

confidence: 99%

“…The prevalence of muscle impairment (low muscle mass or strength) and sarcopenia (low muscle mass in addition to low muscle strength) is higher in CKD patients [1] than in the general population [11]. Diagnostic criteria were recently proposed by the European Working Group on Sarcopenia in Older People [12], but other international entities have proposed their own criteria [13,14], and there is no consensus.…”

Section: Introductionmentioning

confidence: 99%

Sarcopenic Obesity in Chronic Kidney Disease: Challenges in Diagnosis Using Different Diagnostic Criteria

2021

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Obesity and muscle impairment (low muscle mass or strength) are present in chronic kidney disease (CKD) and associated to worse prognosis. However, the various existing definitions for these conditions make the diagnosis variable. The aim of the study was to evaluate the agreement between diagnostic criteria for sarcopenic obesity and its components in CKD. Two hundred and sixty seven patients with CKD were included in the study. We assessed body composition by dual energy X-ray absorptiometry (DXA) and muscle function by handgrip strength (HGS); adiposity by BMI, waist circumference (WC), fat mass index (FMI), and percentage of fat mass (%FM). Diagnosis of muscle impairment was made by HGS, appendicular lean mass (ALM) and index (ALMI); obesity by BMI, WC, FMI and %FM, and sarcopenic obesity was diagnosed by concomitant presence of muscle impairment and obesity. Prevalence of muscle impairment varied from 11 to 50%, higher when low muscle mass criteria was used. Prevalence of obesity varied from 26 to 62%, higher when WC and %FM criteria was used. Prevalence of sarcopenic obesity varied from 2 to 23%. Women were more affected by sarcopenic obesity. Muscle impairment and sarcopenic obesity were more prevalent among patients on hemodialysis and obesity among non-dialysis-dependent and kidney transplant patients. The agreement was poor between muscle mass and strength criteria; substantial between FMI, BMI, and %FM and only fair between WC and the others measures; for sarcopenic obesity, varied from poor to almost perfect. Significant differences were found among the various diagnostic criteria that are used in the diagnosis of sarcopenic obesity.

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“…Malnutrition as a marker of disease severity in elderly people appears in Table 1. Early diagnosis of malnutrition in elderly people is important, since effects of malnutrition are associated with both morbidity and mortality [21], physical function [22], use of health care resources [23], and length of hospital stay [24,25]. In previously undernourished patients, a weight increase of at least 5% of body weight is associated with a decreased incidence of death.…”

Section: Causes Of Malnutritionmentioning

confidence: 99%

Aging and nutrition. Paving the way to better health

Molina-Molina

Garruti

Shanmugam

et al. 2020

Romanian Journal of Internal Medicine

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AbstractSufficient caloric intake is important to maintain the balanced health status, especially during the period of aging, as aging and sickness share paths. Maintaining adequate nutritional balance is the best preventive measure to counteract the risk of malnutrition. There are several causes for malnutrition in elderly people, and some techniques such as anthropometric measurements, laboratory and clinical parameters could help to diagnose malnutrition in these patients. The use of a simple validated questionnaire called the ‘Mini Nutritional Assessment’ measures the nutritional status of elderly patients. In this review, we discuss about the malnutrition in elderly people with and without a known cause and we present some of nutritional intervention. There are promising strategies that help overcoming malnutrition.

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Nutritional Status and Functional Outcomes in Older Adults Admitted to Geriatric Rehabilitations: The SAFARI Study

Cited by 23 publications

References 22 publications

Nutritional Status Is Associated with Function, Physical Performance and Falls in Older Adults Admitted to Geriatric Rehabilitation: A Retrospective Cohort Study

Nutritional Status Is Associated with Function, Physical Performance and Falls in Older Adults Admitted to Geriatric Rehabilitation: A Retrospective Cohort Study

Sarcopenic Obesity in Chronic Kidney Disease: Challenges in Diagnosis Using Different Diagnostic Criteria

Aging and nutrition. Paving the way to better health

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