Perceived health and risk of undernutrition: a comparison of different nutritional screening results in older patients

Söderhamn, Ulrika; Flateland, Sylvi; Jessen, Liss; Söderhamn, Olle

doi:10.1111/j.1365-2702.2010.03677.x

Cited by 13 publications

(10 citation statements)

References 37 publications

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“…Two other studies, using the instrument Mini Nutritional Assessment, reported that 17%10 and 14.5%11 of the older home-living participants were identified to be at risk of undernutrition. Compared with studies among older hospital patients24,43,44 and older people living in residential living,1,45 the screening results in the present study showed a lower rate of nutritional risk. It has been shown that older home-dwelling people have lower risk of undernutrition than those living in institutions 46.…”

Section: Discussioncontrasting

confidence: 80%

Living alone, receiving help, helplessness, and inactivity are strongly related to risk of undernutrition among older home-dwelling people

Tomstad

Söderhamn²,

Söderhamn³

2012

IJGM

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BackgroundBeing at risk of undernutrition is a global problem among older people. Undernutrition can be considered inadequate nutritional status, characterized by insufficient food intake and weight loss. There is a lack of Norwegian studies focusing on being at risk of undernutrition and self-care ability, sense of coherence, and health-related issues among older home-dwelling people.AimTo describe the prevalence of being at risk of undernutrition among a group of older home-dwelling individuals in Norway, and to relate the results to reported self-care ability, sense of coherence, perceived health and other health-related issues.MethodsA cross-sectional design was applied. A questionnaire with instruments for nutritional screening, self-care ability, and sense of coherence, and health-related questions was sent to a randomized sample of 450 persons (aged 65+ years) in southern Norway. The study group included 158 (35.1%) participants. Data were analysed using statistical methods.ResultsThe results showed that 19% of the participants were at medium risk of undernutrition and 1.3% at high risk. Due to the low response rate it can be expected that the nonparticipants can be at risk of undernutrition. The nutritional at-risk group had lower self-care ability and weaker sense of coherence. Living alone, receiving help regularly to manage daily life, not being active and perceived helplessness emerged as predictors for being at risk of undernutrition. The results indicate difficulties in identifying people at nutritional risk and supporting self-care activities to maintain a good nutritional status.ConclusionHealth care professionals have to be able to identify older home-dwelling people at risk of undernutrition, support self-care activities to enable people at risk to maintain a sufficient nutritional status, and be aware that older people living alone, who receive help, feel helpless, and are inactive are especially vulnerable.

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Section: Discussioncontrasting

confidence: 80%

Living alone, receiving help, helplessness, and inactivity are strongly related to risk of undernutrition among older home-dwelling people

Tomstad

Söderhamn²,

Söderhamn³

2012

IJGM

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“…However, the area under the ROC curve was larger, ie, 0.77 23. According to Söderhamn et al,36 the NUFFE-NO using a cut-off point ≥ 6, the MNA, and the MNA-SF were found to identify approximately the same number of nutritionally at-risk patients. However, the present study and that by Tomstad et al23 highlight the fact that the MNA-SF and MNA are not equivalent when used as standards for testing sensitivity and specificity of NUFFE-NO in order to determine a cut-off point.…”

Section: Discussionmentioning

confidence: 98%

“…In a study by Lengyel et al,35 an association was found between consuming vegetables and fruit and greater life satisfaction in older community-dwelling men. Moreover, an association between not being satisfied with life and being at nutritional risk has been found using the Swedish22 and Norwegian versions of NUFFE36,37 in older hospitalized patients as well as among older home-dwelling people. Likewise, perceived ill health was found to be associated with a higher risk of undernutrition, as reported by other studies 4,22,36,38…”

Section: Discussionmentioning

confidence: 99%

Psychometric testing of the Norwegian version of the Nutritional Form For the Elderly among older home-dwelling people

Söderhamn¹,

Dale²,

Sundsli³

et al. 2012

JMDH

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BackgroundNutritional screening instruments need to be evaluated in terms of reliability and validity and being able to demonstrate sensitivity and specificity for use in clinical practice and research. The aims of this study were to test the reliability and validity of the Norwegian version of the Nutritional Form For the Elderly (NUFFE-NO) in a sample of older home-dwelling people, and to use the short form of the Mini Nutritional Assessment (MNA-SF) as a standard.MethodsA postal questionnaire, including the two instruments, background variables, and health-related questions, was sent to 6033 home-dwelling older people (65+ years) in southern Norway. In total, 2106 persons responded and were included. Data were analyzed statistically regarding homogeneity, concurrent and construct validity, sensitivity, and specificity of NUFFE-NO.ResultsA Cronbach’s alpha coefficient of 0.71 and significant item-to-total correlations were obtained as measures of homogeneity. Concurrent validity was assessed by a correlation coefficient of −0.37 (P < 0.001) between NUFFE-NO and MNA-SF. NUFFE-NO could separate known nutritional at-risk groups as a measure of construct validity. A cut-off point of ≥4 for identification of older people at nutritional risk was found for NUFFE-NO with MNA-SF as a standard.ConclusionNUFFE-NO shows adequate psychometric properties regarding homogeneity and construct validity. MNA-SF was not found to be the most suitable standard to use, because a low correlation coefficient was obtained as a measure of concurrent validity and a lower cut-off point was found compared with another study using the Mini Nutritional Assessment (MNA®) as a standard for NUFFE-NO. The obtained cut-off point of ≥4 is not recommended for use in practice or research, because many false positive nutritional at-risk persons would then be identified. Further studies with suitable design have to be performed among older home-dwelling people using the MNA as a standard.

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“…Varios estudios (18,28,35,36) han encontrado que el estado nutricional tiene un impacto en la calidad de vida percibida por los pacientes, ya que el mantenimiento de un estado nutricional adecuado permite mejorar diferentes aspectos implicados en la calidad de vida (9). En cuanto a la presencia de disfagia, nuestros datos son similares a lo que muestran otros estudios que estiman su prevalencia en el 30% después de un ictus (10).…”

Section: Discussionunclassified

Valoración Nutricional Con La Situación Funcional Tras Sufrir Un Ictus.

Espuela¹,

Portilla-Cuenca²,

Mohedas³

et al. 2017

Nutr Hosp

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Palabras clave:Ictus. Mini Nutritional Assessment. Malnutrición. Dependencia. ResumenObjetivo: valorar el estado nutricional (EN) del paciente a los tres meses de sufrir un ictus y establecer la relación del EN con la recuperación funcional y las complicaciones en este periodo. Material y métodos: estudio observacional y transversal que evaluó el EN de pacientes mayores de 65 años a los tres meses de presentar un ictus. El EN se valoró mediante el Mini Nutritional Assessment (MNA). Se recogieron datos sociodemográficos, antropométricos, factores de riesgo cardiovascular, así como el estado funcional (mediante el índice de Barthel y la escala de Rankin modificada) y las complicaciones presentadas. Resultados: incluimos 103 pacientes, con edad media de 75,81 (± 6,73) años. La puntuación en el MNA fue de 23,13 puntos (± 4,47); el 8,2% presentaba malnutrición y el 38,1%, riesgo de malnutrición. No se observaron diferencias en el EN entre mujeres y hombres (p = 0,076) ni relación del EN con la edad. El estado nutricional deficitario se asoció a peor situación funcional (r = 0,608; p < 0,001), al desarrollo de complicaciones (infección urinaria y fiebre) (p = 0,044) y a la disfagia (p = 0,014). Además, aquellos pacientes con mejor EN presentaban mejor calidad de vida (r = 0,506; p < 0,001). También se relacionó con peor nivel socioeconómico (p = 0,020) y mayor institucionalización en centros sociosanitarios (p = 0,004). Conclusiones: el riesgo de desnutrición a corto plazo es frecuente en los supervivientes a un ictus. Este EN se asocia con una peor situación funcional y calidad de vida autopercibida y mayor tasa de complicaciones. Es fundamental detectar precozmente el riesgo de desnutrición en pacientes que han sufrido un ictus. Key words:Stroke. Mini Nutritional Assessment. Malnutrition. Disability. AbstractObjective: To assess the nutritional status (NS) of patients at three months of suffering a stroke, and to establish the relationship between functional recovery and complications in this period. Material and methods: A cross-sectional observational study evaluating the NS of patients older than 65 years at three months of having a stroke. The NS was assessed using the Mini Nutritional Assessment (MNA). Sociodemographic and anthropometric data, cardiovascular risk factors, as well as functional status (through the Barthel index and the modified Rankin scale) and the presented complications were collected. Results: One hundred and three patients were included, with a medium age of 75.81 (± 6.73). The MNA score was 23.13 points (± 4.47); 8.2% had malnutrition and 38.1% had risk of malnutrition. There were no differences in the NS between women and men (p = 0.076) neither relation of the NS with age. NS deficiency was associated with poorer function (r = 0.608; p < 0.001), the development of complications (urinary tract infection and fever) (p = 0.044) and dysphagia (p = 0.014). In addition, those patients with better nutritional status had a better quality of life (r = 0.506; p < 0.001). It was also associated wit...

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Perceived health and risk of undernutrition: a comparison of different nutritional screening results in older patients

Cited by 13 publications

References 37 publications

Living alone, receiving help, helplessness, and inactivity are strongly related to risk of undernutrition among older home-dwelling people

Living alone, receiving help, helplessness, and inactivity are strongly related to risk of undernutrition among older home-dwelling people

Psychometric testing of the Norwegian version of the Nutritional Form For the Elderly among older home-dwelling people

Valoración Nutricional Con La Situación Funcional Tras Sufrir Un Ictus.

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