Screening for Malnutrition in Older People

Guyonnet, Sophie; Rolland, Yves

doi:10.1016/j.cger.2015.04.009

Cited by 94 publications

(100 citation statements)

References 15 publications

(28 reference statements)

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“…It is prevalent in elderly people, especially in hospitalized elderly patients 4, 7 . In previous studies, the prevalence of malnutrition in elderly inpatients ranged from approximately 20 to 60% 3, 4, 8 . Fortunately, early detection and interventions for malnutrition (e.g., oral nutritional supplements or dietary counseling) in elderly inpatients can significantly improve their major clinical outcomes, such as mortality and quality of life 5, 7, 9, 10 .…”

Section: Introductionmentioning

confidence: 94%

“…Fortunately, early detection and interventions for malnutrition (e.g., oral nutritional supplements or dietary counseling) in elderly inpatients can significantly improve their major clinical outcomes, such as mortality and quality of life 5, 7, 9, 10 . Therefore, nutritional status screening is currently recommended as a routine process across the continuum of care, especially in the acute care setting 8, 10 .…”

Section: Introductionmentioning

confidence: 99%

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Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition

Jiang

Chen

et al. 2017

Sci Rep

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The European Society of Clinical Nutrition and Metabolism (ESPEN) recently published new diagnostic criteria for malnutrition. The aim of this study was to evaluate whether malnutrition by the new ESPEN diagnostic criteria can predict long-term mortality in elderly inpatients. We conducted a prospective study in the acute geriatric wards. Malnutrition was defined according to the new ESPEN criteria and the Mini Nutritional Assessment (MNA), respectively. The survival status was determined by telephone interviews at 3-years. A total of 437 elderly adults were included. According to the new ESPEN criteria, 66 participants (15.1%) were malnourished. According to the MNA, 45 participants (10.3%) were identified as malnourished. The 3-year all-cause mortality was 41.7% in participants with malnutrition defined by the ESPEN criteria and 15.3% in participants without malnutrition (p < 0.001). After adjusting for relevant confounders, malnutrition defined by the ESPEN criteria was a significant predictor of 3-year all-cause mortality (hazard ratio [HR] 2.98, 95% confidence interval [CI] 1.87–4.86). However, malnutrition defined by the MNA was not a significant predictor of 3-year all-cause mortality (HR 1.67, 95% CI 0.89–2.31). In conclusion, the new ESPEN diagnostic criteria for malnutrition are reliable in predicting 3-year all-cause mortality among elderly inpatients.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition

Jiang

Chen

et al. 2017

Sci Rep

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“…Particularmente en los adultos mayores, la desnutrición es una condición multifactorial agravada por los cambios propios del envejecimiento como son la disminución de la masa magra, alteraciones fisiológicas del sistema digestivo, pérdida sensorial del olfato y el gusto, y pérdidas dentales acompañadas de la presencia de enfermedades crónicas, polifarmacia, depresión, problemas cognitivos y aislamiento social. Estos factores actúan de manera sinér-gica haciendo que esta población sea más vulnerable a esta condición nutricional 4 .…”

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Factores asociados a la desnutrición o al riesgo de desnutrición en adultos mayores de San Juan de Pasto, Colombia: Un estudio transversal

Giraldo

Arturo

Idárraga

et al. 2017

Rev Esp Nutr Hum Diet

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Introducción: La desnutrición es un problema común en los adultos mayores relacionada tanto con los cambios propios del envejecimiento como con otros factores de salud, sociales y econó-micos. El objetivo de este estudio fue determinar la frecuencia de desnutrición o riesgo de desnutrición y los factores asociados, en adultos mayores de San Juan de Pasto, Nariño, Colombia. Material y Métodos:Estudio transversal en una muestra de 261 adultos mayores. Para valorar el estado nutricional se utilizó el Mini Nutritional Assessment (MNA) y para la evaluación cognitiva se aplicó el Mini-Mental State Examination (MMSE). Los síntomas depresivos se determinaron a través de la escala Yesavage y el grado de independencia funcional con la escala de Lawton y Brody. Para establecer la asociación entre los factores sociodemográficos y clínicos con el MNA, se realizó un modelo de regresión logística y se calculó la Odds Ratio (OR) crudo y ajustado con su respectivo intervalo de confianza del 95% (IC95%).Resultados: El 60,1% de los adultos mayores presentó riesgo de desnutrición y el 6,5% desnutrición. Quienes pertenecían a niveles socioeconómicos bajos (OR=2,07; IC95%:1,18-3,64), con nivel de dependencia funcional (OR=2,74; IC95%:1,07-5,53) y sintomatología depresiva (OR=7,02; IC95%:2,08-23,74), presentaron mayor desnutrición o riesgo de desnutrición. Conclusiones:Estos hallazgos muestran un alto porcentaje de adultos mayores con desnutrición o riesgo de desnutrición asociados a un nivel socioeconómico bajo, implicación o dependencia funcional y sintomatología depresiva. Se requiere un manejo integral orientado hacia la valoración e intervención planificada, teniendo en cuenta los factores asociados a esta condición nutricional.

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“…Moreover, malnutrition is fairly common among older adults, affecting about 5% to 30% of those living in the community and up to 50% in hospital settings. [52] Two widely used and accepted screening tools, which have been tested for validity and reliability, are the MiniNutritional Assessment -short form (MNA-SF) and the Malnutrition Universal Screening Tool (MUST). [53] Table 1 provides information on each of these screening tools.…”

Section: Screeningmentioning

confidence: 99%

Sarcopenia-A baby boomers dilemma for nurse practitioners to discover, diagnose, and treat

Jackson

Hunt²,

Chapa³

et al. 2018

JNEP

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Objective: Sarcopenia is a disease of low skeletal muscle mass and strength that occurs with aging. It is most commonly seen in individuals aged 50 years and over. Nurse practitioners can take a proactive approach to the understanding and screening of this disease in attempts to prolong its onset or to treat the condition before it leads to additional adverse consequences. Methods: A comprehensive review of the literature, including evidence-based literature from peer-reviewed articles, including randomized controlled trials, was conducted.Results: This review of the literature indicated patients can benefit greatly from nurse practitioner's awareness and intervention by screening for sarcopenia as well as offering appropriate education and treatment to their patients. Once a diagnosis is reached, the nurse practitioner can then collaborate with other disciplines such as nutrition, medicine, exercise physiology and/or physical therapy to develop an intervention strategy that can treat or prevent this condition before it leads to decreased independence, early onset disability and decreased quality of life, among other adverse health outcomes. Conclusions: There is a call to action on the part of nurse practitioners in efforts to prevent and/or slow the onset of age-related sarcopenia and its adverse consequences.

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Screening for Malnutrition in Older People

Cited by 94 publications

References 15 publications

Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition

Predicting long-term mortality in hospitalized elderly patients using the new ESPEN definition

Factores asociados a la desnutrición o al riesgo de desnutrición en adultos mayores de San Juan de Pasto, Colombia: Un estudio transversal

Sarcopenia-A baby boomers dilemma for nurse practitioners to discover, diagnose, and treat

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