Undernutrition in geriatric institutions in South-West France: Policies and risk factors

Abstract

Objective: This study aimed to describe the nutritional status of geriatric home residents according to their place of dwelling and to identify institutional factors associated with higher rates of undernutrition. Method: Results:The estimated prevalence of undernutrition was 19.1 (95% CI: 14.0-24.2) with a higher rate in long-term care (48.0 % (95% CI: 15.9-80.2) than in nursing homes (14.5 % (95% CI: 10.6-18.4), p< .0001). In univariate analyses the risk of undernutrition was higher in long-term care (P < .0001), in settings with better weighing equipment (P < .0001), higher * Manuscript 2 staff ratio (P = .0001), higher rate of subjects needing help for eating (P < .0001) and was lower in settings with a higher rate of training in nutrition screening (P = .0001) and management (P < .0001). In nursing homes, each item of the MNA-Short Form was independently predictive of undernutrition. In multivariate analyses in nursing homes only, better weighing equipment (OR adj 2.34, 95% CI 1.39-4.12, P = .0017) and higher staff ratio (OR adj 1.03, 95% CI 1.00-1.05, P = .0230) were associated with higher rates of undernutrition.Conclusions: Undernutrition in institutions was linked to the resident health problems with little evidence in favor of the influence of institutional policies

Do study circles and a nutritional care policy improve nutritional care in a short- and long-term perspective in special accommodations?

“…In Danish nursing homes (23) the prevalence of underweight was 33% (BMI cut-off 20) and in a study from France it was 25% (BMI cut-off 21). In the French long-term care homes, the proportion with underweight was as high as 31% (12). In the French study 21% needed eating assistance in nursing homes and 58% in long-term care homes, while in this study the equivalent number was about 50%.…”

“…For instance, it was recently shown in two studies that educational programmes according to the study circle methodology improved the nutritional care (NC) and outcome in SAs (2, 11). In addition, in geriatric home settings with a higher rate of training in nutritional screening and management, the risk of UN among residents was found to be lower (12). …”

Nutritional Care in a Nursing Home in Italy

“…In Europe, considering the time of admission to hospital, prevalence of PEM ranges from 10 to 80%, with an average value of 35% [4] upon hospital admission, and it tends to worsen in most cases during the hospitalization [5], while in long- term care settings and in nursing homes the average prevalence is 30% [6]–[8].…”

Fatores associados à desnutrição em idosos institucionalizados

“…14 No que se refere à capacidade funcional, os estudos verificaram que idosos desnutridos apresentaram maior dependência nas atividades de vida diária, especialmente as relacionadas ao modo de se alimentar. 14,15,19,20 Muitos não conseguiam se alimentar sozinhos e precisavam de apoio no momento das refeições, e ainda necessitavam de certas adaptações dos talheres e outros utensílios para facilitar a alimentação.…”

“…Altenhoevel A. et al 24 Variáveis investigadas Estado nutricional 4,13,[14][15][16][17]19,20,24,25,29,30 , idade e sexo 4,[13][14][15][16][17]20,24,25,29,30 , estado civil e escolaridade [13][14][15][16]29,30 , renda 15,30 , naturalidade 29 , profissão 13,15,29 , condição de saúde (tipo e número de doenças e medicamentos em uso) 4,[13][14][15][16][17]20,24,25,29 , presença de depressão 4,13,17,24 ,capacidade funcional 13,…”