Prevalence and risk factors of malnutrition in older hospitalized patients: An observational study in a Middle East tertiary hospital

Arab, Hasan; Saad, Randa; Déchelotte, Pierre; Aoun, Antoine; Osta, Lana El; Osta, Nada El

doi:10.1016/j.clnu.2018.06.1888

Cited by 2 publications

(7 citation statements)

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“…Age was also the most important and strongest significant factor that influenced the nutritional status (Lee et., 2013;Prilich et al, 2005). Our results also confirm the findings of the study done in Lebanon by Déchelotte et al (2018), suggesting that age is a predictor of malnutrition in this population. However age didn't appear to be associated with malnutrition identified through AND/ASPEN (p=0.123) and GLIM criteria (p=0.100).…”

Section: Compared To the Dietitians'supporting

confidence: 91%

“…variables in the univariate analysis that were associated with malnutrition, the multivariate analysis showed that recent weight loss, apparent bony structure, decreased appetite, diarrhea, inadequate energy intake, and male sex were the only variables that remained significantly associated with malnutrition (de Aquino & Philippi, 2011). In a study done in a tertiary hospital in Lebanon, higher age was found to be one of the risk factor of malnutrition (p<0.05) in a sample of institutionalized older adults (Déchelotte et al, 2018).…”

Section: Agementioning

confidence: 97%

“…These health outcomes, including hospital readmissions, length of stay, and cost of treatment, could be improved by proper nutritional care (Al-Zeer et al, 2015). An observational study carried out in a tertiary hospital in Beirut-Lebanon, reported a high prevalence of malnutrition (13.5%) and at risk patients (52%) in a sample of hospitalized older adults (Déchelotte et al, 2018).…”

Section: Overview and Prevalence Of Malnutritionmentioning

confidence: 99%

“…On the other hand Haile et al (2015) reported that illiterate patients were twice more likely to be malnourished that patients who are literate. Similarly, a lower educational level, in older adults admitted to a Lebanese hospital, was found to be a risk factor in malnutrition development (Déchelotte et al, 2018). Single and divorced patients were 2.4 and 2.7 times more likely to be malnourished when compared to married patients (Haile et al 2015).…”

Section: Level Of Education Marital and Living Statusmentioning

confidence: 99%

“…All of which are factors that are considered to trigger or worsen malnutrition either individually or collectively. Déchelotte et al, (2018) reported polypharmacy to be a risk factor for malnutrition in their population aged 60 and above.…”

Section: Polypharmacymentioning

confidence: 99%

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Screening, Diagnosis, and Assessment of Malnutrition Risk Factors in a Hospital Care Setting Prior and Post a Multidisciplinary Educational Intervention. (c2020)

Chaar¹

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Hospital malnutrition among newly admitted hospital patients has been reported to impose deteriorating outcomes on the health status of hospitalized patients and impose burdens on the hospitals and healthcare systems. Early detection, identification of risk factors, and appropriate multidisciplinary treatment of malnutrition remain crucial in attenuating its effects. This study aimed to identify malnourished patients using two screening tools: Mini Nutritional Assessment (MNA) and Nutrition Risk Screening-2002 (NRS-2002), and three diagnostic tools: European Society for Clinical Nutrition and Metabolism (ESPEN) criteria, Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition (AND/ASPEN) criteria, and Global Leadership Initiative (GLIM) consensus. In addition, it aimed to assess the potential risk factors of malnutrition, their change with the use of different tools of identification, and evaluate the impact of an educational intervention on the nurses’ knowledge and practices regarding malnutrition. This single center, quasi-experimental study recruited and screened a total of 579 patients, 121(20.90%) of which were identified as nutritionally at risk on the screening tools. Diagnostic assessment revealed that 9.30% of the patients were malnourished on the ESPEN diagnostic tool, 20.62% on the AND/ASPEN tools, and 20.30% on the GLIM consensus. The risk factors of malnutrition differed based on the method used for screening or assessment. Body mass index (BMI), presence of pressure ulcers (PU), and Charlson Comorbidity Index (CCI) score remained significant (p<0.0001) across different logistic regression models for various identification tools. The educational intervention, which was conducted for 101 nurses, revealed significant improvement in knowledge of the nurses regarding their role in malnutrition (p<0.0001). However, only slight advancement in practice was detected as the agreement of the initial malnutrition screening, using the NRS-2002, between the nurses and the dietitians improved from a slight agreement (k=0.612) to a fair agreement (k=0.241). In conclusion, focusing on appropriate screening and assessment of newly hospitalized malnourished patients, identifying potential risk factors of malnutrition, and optimizing multidisciplinary care plans yields better outcomes for patients and health care systems.

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Section: Compared To the Dietitians'supporting

confidence: 91%

Section: Agementioning

confidence: 97%

Section: Overview and Prevalence Of Malnutritionmentioning

confidence: 99%

Section: Level Of Education Marital and Living Statusmentioning

confidence: 99%

Section: Polypharmacymentioning

confidence: 99%

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Screening, Diagnosis, and Assessment of Malnutrition Risk Factors in a Hospital Care Setting Prior and Post a Multidisciplinary Educational Intervention. (c2020)

Chaar¹

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Association Between Dietary Patterns and Prevalence of Frailty in Community-Dwelling Lebanese Older Adults. (c2020)

Daou¹

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Background and aims: The older adult population has been on the rise lately, especially in developing countries. Along with aging, a common geriatric syndrome occurs often, that is frailty. Healthy dietary patterns can contribute to successful aging through reducing risk of frailty. In this study, we aimed to identify the prevalence of frailty, and to explore the potential association between frailty and apriori patterns. Methods: A cross-sectional study was conducted among 112 community-dwelling older adults aged ≥65 from Beirut and Jbeil governorates. Demographic and clinical characteristics were collected through interviews. A 61-item food frequency questionnaire (FFQ) was used to collect dietary intake data, and adherence to the Lebanese Mediterranean diet (LMD) and Mediterranean diet (MeDi) was calculated. Frailty was defined by the presence of three out of the five criterion developed by Fried et al. (2001): weight loss, weakness, exhaustion, slowness, and low activity. Binary logistic regression was used to examine the relationship between LMD and MeDi adherence and frailty. Results: In general, older adults in this sample did not meet the recommendations of the Lebanese Cedar food guide, and had low adherence to the LMD. Sixteen (14.3%) individuals were identified as frail. Frail individuals were significantly older (p=0.001), depressed (p<0.001), at risk of cognitive impairment (p=0.006), and reported polypharmacy (p=0.003). No associations were found between LMD adherence and frailty, however, middle adherence to MeDi diet was associated with lower prevalence of frailty (OR=0.034, 95% CI 0.001-0.904, p=0.043). Conclusion: Larger, randomized, longitudinal studies are needed to clarify the relationship between LMD and frailty in Lebanese older adults. Nonetheless, interventions should be aimed towards promoting a Mediterranean-type diet among the Lebanese population.

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Prevalence and risk factors of malnutrition in older hospitalized patients: An observational study in a Middle East tertiary hospital

Cited by 2 publications

References 0 publications

Screening, Diagnosis, and Assessment of Malnutrition Risk Factors in a Hospital Care Setting Prior and Post a Multidisciplinary Educational Intervention. (c2020)

Screening, Diagnosis, and Assessment of Malnutrition Risk Factors in a Hospital Care Setting Prior and Post a Multidisciplinary Educational Intervention. (c2020)

Association Between Dietary Patterns and Prevalence of Frailty in Community-Dwelling Lebanese Older Adults. (c2020)

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