Prevention of malnutrition in older people during and after hospitalisation: results from a randomised controlled clinical trial

Gazzotti, C.; Arnaud-Battandier, F; Parello, Maria; Farine, Sylvie; Seidel, Laurence; Albert, Adelin; Pétermans, Jean

doi:10.1093/ageing/32.3.321

Cited by 111 publications

(84 citation statements)

References 25 publications

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“…That older patients in hospital are being at greater risk for undernutrition than those who just had been admitted from home is in line with the results from a study among young and older patients by Rasmussen et al (2004), who found a statistically significant relationship between lengths of stay and weight loss. This can be compared to Gazzotti et al (2003), who showed statistically significant weight loss during the hospital stay in older patients not receiving oral supplementation. Furthermore, Margetts et al (2003) have shown in a study that older male patients in hospital were more likely to be at medium or high risk for undernutrition.…”

Section: Discussionmentioning

confidence: 93%

Self-care ability and sense of coherence in older nutritional at-risk patients

Söderhamn

Bachrach‐Lindström

2007

Eur J Clin Nutr

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Objective: To investigate self-care ability and sense of coherence in geriatric rehabilitation patients nutritionally screened using the Nutritional Form For the Elderly and to relate the patients' perceived health to self-care ability and sense of coherence. Design: Cross-sectional study. Setting: A geriatric rehabilitation ward in a hospital in western Sweden. Subjects: A sample of 172 consecutively recruited patients (65 þ years) fulfilled the inclusion criteria. One hundred forty-four patients were included in the study because 16 patients refused to take part and 12 could not complete the entire data collection procedure. Methods: Interviews, using one instrument for nutritional screening and other instruments measuring self-care ability and sense of coherence and one question about perceived health, were performed. Results: Patients at medium or high risk for undernutrition had lower self-care ability (Po0.001) and weaker sense of coherence (P ¼ 0.007) than patients at low risk for undernutrition. Lower self-care ability, being single and admitted from another hospital ward was found to be predictors for being at medium or high risk for undernutrition. Patients who perceived good health had higher self-care ability (Po0.001) and stronger sense of coherence (Po0.001) than patients who perceived ill health. Conclusions: There is an indication that older patients at low risk for undernutrition have a greater capability to care for themselves than patients at medium or high risk for undernutrition. Perceived ill health in older patients is associated with lower self-care ability and weaker sense of coherence. Sponsorship: Supported by

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Section: Discussionmentioning

confidence: 93%

Self-care ability and sense of coherence in older nutritional at-risk patients

Söderhamn

Bachrach‐Lindström

2007

Eur J Clin Nutr

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“…However, there have been some other studies, often small in size, in which the nutritional status of elderly patients in Belgian hospitals was investigated. [20][21][22][23][24] These studies focused, for example, on the prevention of malnutrition, a nutritional care program, a minimum geriatric screening tool to detect geriatric problems including nutrition, and the use of the MNA. In two of these studies the prevalence of malnutrition was explored.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition and associated factors in elderly hospital patients: A Belgian cross-sectional, multi-centre study

et al. 2010

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“…Several studies have documented hospitalisation as an important risk factor for UWL (12,33,34), a finding that may indicate a special nutrition-directed home nurse visit after discharge. We noticed that the meals-on-wheels activity was the same regardless of weight loss, so the simple addition of meals on wheels is not enough to ensure that lost weight is regained.…”

Section: Identifying Signs Of An Early Stage Of Undernutrition In a Hmentioning

confidence: 99%

Unintended weight loss in the elderly living at home: The aged in home care project (ADHOC)

Sørbye¹,

Schroll

Finne-Soveri³

et al. 2008

The Journal of nutrition, health and aging

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Abstract:Objective: To describe associations between unintended weight loss (UWL) and characteristics of nutritional status. Design: A comparative cross-sectional assessment study at 11 sites in Europe. The target population was a stratified random sample of 4,455 recipients of home care (405 in each random sample from 11 urban areas) aged 65 years and older. Measurements: the Resident Assessment Instrument for Home Care, version 2.0. Epidemiological and medical characteristics of clients and service utilisation were recorded in a standardized, comparative manner. UWL was defined as information of 5% or more weight loss in the last 30 days (or 10% or more in the last 180 days). Results: The final sample consisted of 4,010 persons; 74% were female. The mean ages were 80.9 ± 7.5 years (males) and 82.8 ± 7.3 years (females). No associations were found between single diagnoses and UWL, except for cancer. Cancer patients were excluded from further analyses. Persons with a Cognitive Performance Scale value (CPS) > 3 (impaired) had increased risk of UWL (OR = 2.0) compared with those scoring < 3 (less impaired). Only in the oldest group did we find a significant association between UWL and reduction in ADL and IADL functions, comparing those who scored 3 or less with those who scored more than 3 (disabled). A binary logistic regression model explained 26% of UWL: less than one meal/day, reduced appetite, malnutrition, reduced social activity, experiencing a flare-up of a recurrent or chronic problem, and hospitalisation were important indicators. Conclusion: We recommend a regular comprehensive assessment in home care to identify clients with potential risk factors for weight loss and malnutrition, in particular those discharged from hospital, and those with physical dependency or cognitive problems. This study may provide incentives to create tailored preventive strategies.

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Prevention of malnutrition in older people during and after hospitalisation: results from a randomised controlled clinical trial

Abstract: use of daily oral supplementation during and after hospitalisation maintains body weight and increases Mini Nutritional Assessment score in patients at risk of undernutrition.

Cited by 111 publications

References 25 publications

Self-care ability and sense of coherence in older nutritional at-risk patients

Self-care ability and sense of coherence in older nutritional at-risk patients

Malnutrition and associated factors in elderly hospital patients: A Belgian cross-sectional, multi-centre study

Unintended weight loss in the elderly living at home: The aged in home care project (ADHOC)

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