The Relationship between Nutritional Status and Physical Activity, Ulcer History and Ulcer-related Problems in Patients with Leg and Foot Ulcers

Wissing, Ulla; Unosson, Mitra

doi:10.1080/02839319950162679

Cited by 20 publications

(18 citation statements)

References 8 publications

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“…The MNA has been found to predict length of hospital stay, costs (Pertoldi et al, 1996), and mortality (Beck et al, 1999;Comban et al, 1999). The tool has been used in elderly Swedish people receiving primary health care (Wissing & Unosson, 1999) and those in home nursing care (Saletti et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care

2002

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Objectives: To evaluate the Subjective Global Assessment (SGA) and the Mini Nutritional Assessment (MNA) with regard to validity using a combination of anthropometric and serum-protein measurements as standard criteria to assess protein-energy malnutrition (PEM). Design: Cross-sectional study with consecutive selection of residents aged ! 65 y. Setting: A municipality in the south of Sweden. Subjects: During a year, starting in October 1996, 148 females and 113 males, aged ! 65 -104 y of age, newly admitted to special types of housing for the elderly, were included in the study. Results: According to SGA, 53% were assessed as malnourished or moderately malnourished on admission. The corresponding figure from MNA was 79% malnourished or at risk of malnutrition. Both tools indicated that anthropometric values and serum proteins were significantly lower in residents classified as being malnourished (P < 0.05). Sensitivity in detecting PEM was in SGA 0.93 and in MNA 0.96 and specificity was 0.61 and 0.26, respectively. Using regression analysis, weight index and serum albumin were the best objective nutritional parameters in predicting the SGA-and MNA classifications. Item 'muscle wasting' in SGA and 'self-experienced health status' in MNA showed most predictive power concerning the odds of being assessed as malnourished. Conclusions: SGA was shown to be the more useful tool in detecting residents with established malnutrition and MNA in detecting residents who need preventive nutritional measures.

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Section: Introductionmentioning

confidence: 99%

Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care

2002

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“…This is probably so because orange juice for breakfast and vegetables and fruit within evening meals are not very common among the elderly. It has been shown that potatoes form the major source of vitamin C, with very little being obtained from fruit or fruit juices in elderly patients with venous leg ulcers ( Lewis et al ., 1993 ). Low levels of vitamin C in leucocytes ( Lewis et al ., 1993 ) and a serious deficiency of the vitamin have been seen in patients with leg ulcers ( Balaji & Mosley, 1995).…”

Section: Discussionmentioning

confidence: 99%

“…If an individual is unable to get or to eat the nutrients required, malnutrition will occur sooner or later. Various studies indicate that patients with chronic leg ulcers are at risk of malnutrition ( Lewis et al ., 1993 ; Balaji & Mosley, 1995; Wissing & Unosson, 1999). Diseases and restrictions in mobility may decrease the leg ulcer patient’s ability to purchase and prepare their own food.…”

Section: Introductionmentioning

confidence: 99%

Meal patterns and meal quality in patients with leg ulcers

Wissing

Lennernäs

et al. 2000

J Human Nutrition Diet

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Background Wound healing is a complex process, which requires adequate energy sources, proteins, and specific minerals and vitamins. If an individual is unable to get or to eat the nutrients required, the wound healing process might be disrupted. The aim of this study was to investigate food‐related factors, meal patterns and meal quality in relation to nutritional status in elderly out‐patients with leg ulcers. Methods Nutritional status was assessed by use of the Mini Nutritional Assessment in 70 patients living in their own homes. Fifty‐six of the patients recorded actual meals and snacks over four consecutive days. Meal patterns and meal quality were evaluated with the help of a qualitative classification system, the Food Based Concept for Classification of Eating Episodes. Results Thirty‐six patients were classified as well‐nourished, 32 were at risk of malnutrition and two were malnourished. More patients in the risk group for malnutrition did not buy their own food, and usually ate alone. Incomplete Meals and Low Quality Snacks were the most common eating types. The patients at risk of malnutrition had significantly fewer prepared Complete Meals than the well‐nourished patients. Conclusion The results show a diet and meal quality which hardly meets the requirements for nutrients that are important in wound healing, especially for those patients assessed at risk of malnutrition.

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“…One concerned not acutely ill elderly visiting their general practitioner (Beck et al, 2001), and the other reported elderly with foot ulcers contacted for research purposes (Wissing & Unosson, 1999). The prevalence of undernutrition was 0 and 3%, respectively.…”

Section: Methodsmentioning

confidence: 99%

“…The inter-reviewer kappa was 0.68 (95% confidence interval (CI): 0.54-0.83). From the references of the initially included articles, we included one additional study (Wissing & Unosson, 1999). Articles were excluded because they did not describe prevalence studies (eg narrative reviews) or did not concern a general practice population (eg community dwelling).…”

Section: Methodsmentioning

confidence: 99%

Nutritional deficiency in general practice: a systematic review

et al. 2005

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Objective: Nutritional deficiency is an independent risk factor for mortality. Despite its clinical relevance, the prevalence in a primary care setting is poorly documented. We performed a systematic review of reported prevalence and clinical assessment of nutritional deficiency in general practice. Methods: From MEDLINE, Current Contents and EMBASE, we derived articles and checked the initially included ones for references on prevalence data. Of the eligible articles, we assessed the quality of research and results. Results: We finally included eight studies. The prevalence ranged from 0 to 13%. However, the study populations were heterogeneous and all studies contained methodological flaws, especially selection bias. In addition, the clinical assessment differed between studies. Conclusion: Literature on the prevalence of nutritional deficiency within general practice is rare and provides disputable prevalence assessments.

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The Relationship between Nutritional Status and Physical Activity, Ulcer History and Ulcer-related Problems in Patients with Leg and Foot Ulcers

Cited by 20 publications

References 8 publications

Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care

Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care

Meal patterns and meal quality in patients with leg ulcers

Nutritional deficiency in general practice: a systematic review

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