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Malnutrition Screening and Assessment in Hospitalised Older People: A Review

  • Published:
The journal of nutrition, health & aging

Abstract

Malnutrition (undernutrition) remains one of the most serious health problems for older people worldwide. Many factors contribute to malnutrition in older people, including: loss of appetite, polypharmacy, dementia, frailty, poor dentition, swallowing difficulties, social isolation, and poverty. Malnutrition is common in the hospital setting, yet often remains undetected by medical staff. The objective of this review is to compare the validity and reliability of Nutritional Screening Tools (NSTs) for older adults in the hospital setting. We also provide an overview of the various nutritional screening and assessment tools used to identify malnutrition in hospitalised older adults. These include: Subjective Global Assessment (SGA), the Mini Nutritional Assessment (MNA), MNA-short form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Simplified Nutritional Appetite Questionnaire (SNAQ), Geriatric Nutrition Risk Index (GNRI) and anthropometric measurements. The prevalence and outcomes of malnutrition in hospitalised older adults are also addressed.

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Authors and Affiliations

  1. Torrens University Australia, Level 1, 220 Victoria Square, Adelaide, 5000, Australia

    Elsa Dent

  2. Baker Heart and Diabetes Institute, Melbourne, Australia

    Elsa Dent

  3. School of Public Health, The University of Adelaide, Adelaide, Australia

    Elsa Dent

  4. Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, VU University Medical Center, Amsterdam, the Netherlands

    E. O. Hoogendijk

  5. National Health and Medical Research Council of Australia Centre of Research Excellence Frailty Trans-disciplinary Research To Achieve Healthy Ageing, Adelaide, South Australia, Australia

    R. Visvanathan

  6. Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia

    R. Visvanathan

  7. School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia

    O. R. L. Wright

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Dent, E., Hoogendijk, E.O., Visvanathan, R. et al. Malnutrition Screening and Assessment in Hospitalised Older People: A Review. J Nutr Health Aging 23, 431–441 (2019). https://doi.org/10.1007/s12603-019-1176-z

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