Screening for malnutrition in community dwelling older Japanese: Preliminary development and evaluation of the Japanese Nutritional Risk Screening Tool (NRST)

Htun, Nay Chi; Ishikawa-Takata, Kazuko; Kuroda, Aki; Tanaka, Tomoki; Kikutani, Takeshi; Obuchi, Shuichi; Hirano, Hirohiko; Iijima, Katsuya

doi:10.1007/s12603-015-0555-3

Cited by 27 publications

(23 citation statements)

References 34 publications

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“…16,17 The decline in mobility at discharge in the present study supports the findings of these previous studies. HF patients and community-dwelling elderly with malnutrition are known to have decreased muscle mass, 29,30 and decreased mobility was shown to be associated with the reduced muscle mass of HF patients. HF patients and community-dwelling elderly with malnutrition are known to have decreased muscle mass, 29,30 and decreased mobility was shown to be associated with the reduced muscle mass of HF patients.…”

Section: Recovery Of Mobility and Activities Of Daily Livingmentioning

confidence: 97%

“…16,17 We also found that nutritional status was related to the recovery of mobility in the hospitalized patients. HF patients and community-dwelling elderly with malnutrition are known to have decreased muscle mass, 29,30 and decreased mobility was shown to be associated with the reduced muscle mass of HF patients. 31 It was also reported that elderly people require more protein than do younger adults, that the reduction in protein associated with malnutrition may reduce muscle mass, 32 and that the combination of protein intake and exercise therapy increases the muscle mass of elderly people.…”

Section: Recovery Of Mobility and Activities Of Daily Livingmentioning

confidence: 97%

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Differences in nutritional status and activities of daily living and mobility in elderly hospitalized patients with heart failure

Kitamura

Izawa

Yaekura³

et al. 2019

ESC Heart Failure

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Aims This study aims to examine the effect of differences in nutritional status on activities of daily living (ADL) and mobility recovery of hospitalized elderly patients with heart failure (HF). Methods and results From among 377 consecutive HF patients who underwent rehabilitation at one acute‐care hospital from January 2013 to August 2015, those who were aged ≥ 65 years could walk with assistance before hospitalization and who were hospitalized for the first time were included in this retrospective cohort study. Exclusion criteria were pacemaker surgery during hospitalization, change to other departments, death during hospitalization, and unmeasured ADL. We investigated patient characteristics, basic attributes, Geriatric Nutritional Risk Index (GNRI), ADL [motor Functional Independence Measure (motor FIM)], and Rivermead Mobility Index (RMI). Of these 377 patients, 96 met the inclusion criteria and were divided into the low GNRI group ( n = 38, 83.5 ± 8.3 years, 44.7% male) and high GNRI group ( n = 58, 81.0 ± 6.6 years, 55.2%). Patient characteristics and the difference between motor ADL and motility recovery and nutrition data were analysed with unpaired t ‐test, χ 2 test, and two‐way analysis of covariance. In comparing the two groups, the following parameters were significantly lower in the low GNRI group than in the high GNRI group: body mass index (18.7 ± 2.2 vs. 23.2 ± 2.7 kg/m 2 , P < 0.01), albumin (3.4 ± 0.4 vs. 3.8 ± 0.4 g/dL, P < 0.01), diabetes mellitus ratio (21.1% vs. 50.0%, P < 0.01), RMI at discharge (6.8 ± 2.6 vs. 8.2 ± 2.2, P = 0.01), and motor FIM at discharge (67.2 ± 19.5 vs. 75.6 ± 13.3, P = 0.02). RMI showed a significant group and term main effect and interaction effect ( P < 0.05). Motor FIM showed a significant main effect of group and term ( P < 0.05), and no significant interaction effect. Conclusions Low nutritional status in hospitalized elderly HF patients affected their recovery of mobility but did not appear to affect the recovery of ADL.

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Section: Recovery Of Mobility and Activities Of Daily Livingmentioning

confidence: 97%

Section: Recovery Of Mobility and Activities Of Daily Livingmentioning

confidence: 97%

Differences in nutritional status and activities of daily living and mobility in elderly hospitalized patients with heart failure

Kitamura

Izawa

Yaekura³

et al. 2019

ESC Heart Failure

View full text Add to dashboard Cite

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“…In contrast, some studies reported that ADL in hospitalized HF patients with poor nutritional status is reduced, perhaps due to a decrease in muscle mass and function [37,38]. In addition, a relation between poor nutritional status and sarcopenia in heart disease and chronic disease has been reported [39][40][41]. Therefore, the relation between low ADL and poor nutritional status in hospitalized HF patients may affect their rate of readmission.…”

Section: Relation Between Adl Gnri and The Rate Of Readmissionmentioning

confidence: 99%

Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure

Kitamura

Izawa

Yaekura

et al. 2019

IJERPH

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Purpose: This investigation aimed to examine the relationship among activities of daily living (ADL), nutritional status and 90-day hospital readmission in elderly heart failure (HF) patients. Methods: Participants were selected from 634 HF patients consecutively hospitalized at one institution. We investigated patient characteristics, ADL (motor and cognitive items of Functional Independence Measure (FIM)) and nutritional status (Geriatric Nutritional Risk Index (GNRI)). Data were analyzed using unpaired t-test, χ 2 test, Cox proportional hazard model, and Kaplan-Meier method. Results: The 169 participants that met inclusion criteria were divided into two groups based on hospital readmission within 90 days of discharge. Body mass index (BMI) (p = 0.03), hemoglobin (p = 0.047), GNRI (p = 0.02) and motor-FIM (p = 0.007) were significantly different between the readmission (n = 31) and non-readmission (n = 138) groups. After Cox proportional hazard model analysis, GNRI (HR: 0.96; p = 0.048) and motor-FIM (HR: 0.97; p = 0.03) scores remained statistically significant. Participants were then classified into four groups based on a previous study's cut-off values of prognosis for GNRI and motor-FIM. Readmission avoidance rate was significantly lower (p = 0.002) in the group with GNRI <92 and motor FIM <75. Conclusions: This study showed that motor-FIM and GNRI scores for hospitalized elderly HF patients were predictors of readmission within 90 days of discharge.

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“…Notably, the prevalence of spinal sarcopenia varies in different regions worldwide [6][7][8][9][10]. For one systemic review, a meta-analysis was conducted, and the overall prevalence was estimated to be 10% (95%, confidence interval (CI): 8-12%) in men and 10% in women (95%, CI: 8-13%) [11].…”

Section: Introductionmentioning

confidence: 99%

Novel Insights into the Pathogenesis of Spinal Sarcopenia and Related Therapeutic Approaches: A Narrative Review

Kuo

Lin

Lee

et al. 2020

IJMS

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Spinal sarcopenia is a complex and multifactorial disorder associated with a loss of strength, increased frailty, and increased risks of fractures and falls. In addition, spinal sarcopenia has been associated with lumbar spine disorders and osteoporosis, which renders making decisions on treatment modalities difficult. Patients with spinal sarcopenia typically exhibit lower cumulative survival, a higher risk of in-hospital complications, prolonged hospital stays, higher postoperative costs, and higher rates of blood transfusion after thoracolumbar spine surgery. Several studies have focused on the relationships between spinal sarcopenia, appendicular muscle mass, and bone-related problems—such as osteoporotic fractures and low bone mineral density—and malnutrition and vitamin D deficiency. Although several techniques are available for measuring sarcopenia, each of them has its advantages and shortcomings. For treating spinal sarcopenia, nutrition, physical therapy, and medication have been proven to be effective; regenerative therapeutic options seem to be promising owing to their repair and regeneration potential. Therefore, in this narrative review, we summarize the characteristics, detection methodologies, and treatment options for spinal sarcopenia, as well as its role in spinal disorders.

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Screening for malnutrition in community dwelling older Japanese: Preliminary development and evaluation of the Japanese Nutritional Risk Screening Tool (NRST)

Abstract: These results indicate that the NRST is a promising screening tool for the prediction of malnutrition and sarcopenia in community-dwelling older Japanese people. Further development of a full Japanese version of the SCREEN II is indicated.

Cited by 27 publications

References 34 publications

Differences in nutritional status and activities of daily living and mobility in elderly hospitalized patients with heart failure

Differences in nutritional status and activities of daily living and mobility in elderly hospitalized patients with heart failure

Relationship among Activities of Daily Living, Nutritional Status, and 90 Day Readmission in Elderly Patients with Heart Failure

Novel Insights into the Pathogenesis of Spinal Sarcopenia and Related Therapeutic Approaches: A Narrative Review

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