Abstract
Objective
Elderly nursing home residents are under high risk of malnutrition. Early interventions to prevent malnutrition may play a critical role in malnutrition-mortality correlation. This study aimed to obtain insight into the prevalence of malnutrition in nursing homes in the capital city of Turkey and the role of malnutrition in predicting the risk for short-term mortality.
Design
This study was conducted in seven different residential care facilities in Ankara.
Measurements
Nutritional status was evaluated by Mini Nutritional Assessment-Short Form.
Results
The mean age of the 534 participants was 79.46±7.22 years. Nutritional assessment revealed that 15.9% of all older adults suffered from malnutrition and another 53.6% were at risk of malnutrition. The mortality rate for all subjects was 118 (22.1%) over 18 months, which was significantly higher in participants with malnutrition.
Conclusions
We noted a high prevalence of malnutrition and a strong correlation of increased mortality with malnutrition in nursing home residents. Given the negative impact of malnutrition on mortality and morbidity, an emphasis should be placed on an effective nutritional policy in nursing homes.
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References
Ulger Z, Halil M, Kalan I, Yavuz BB, Cankurtaran M, Güngör E, Arioğul S. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010 Aug;29:507–11.
Pauly L, Stehle P, Volkert D. Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr. 2007 Feb; 40:3–12.
Johansson L, Sidenvall B, Malmberg B, Christensson L. Who will become malnourished? A prospective study of factors associated with malnutrition in older persons living at home. J Nutr Health Aging. 2009 Dec;13:S55–S61.
Chan M, Lim YP, Ernest A, Tan TL. Nutritional assessment in an Asian nursing home and its association with mortality. J Nutr Health Aging. 2010 Jan; 14:23–28.
Amer MS, Mousa SM, Abdel Rahman TT, Saber HG. Malnutrition and its risk factors in nursing home residents in Cairo. J Am Geriatr Soc. 2009 Sep;57:1716–1718.
Chang CC. Prevalence and factors associated with feeding difficulty in institutionalized elderly with dementia in Taiwan. J Nutr Health Aging. 2012 Mar;l6:258–261.
Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, Thomas DR, Anthony P, Charlton KE, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging. 2009 Nov;13:782–788.
Mahoney FI, Barthel DW. Functional Evaluation: The Barthel Index. Md State Med J. 1965 Feb;14:61–65.
Bassey EJ. Demi-span as a measure of skeletal size. Ann Hum Biol. 1986 Sep–Oct;13:499–502.
Carlsson M, Gustafson Y, Eriksson S, Håglin L. Body composition in Swedish old people aged 65–99 years, living in residential care facilities. Arch Gerontol Geriatr. 2009 2009 Jul–Aug;49:98–107.
Salva A, Coll-Planas L, Bruce S, De Groot L, Andrieu S, Abellan G, Vellas B, Bartorelli L, Bemer YN, et al. Nutritional assessment of residents in long-term care facilities (LTCFs): recommendations of the task force on nutrition and ageing of the LAGG European region and the IANA. J Nutr Health Aging. 2009 Jun;13:475–483.
Beck AM, Ovesen L. Body mass index, weight loss and energy intake of old Danish nursing home residents and home-care clients. Scand J Caring Sci. 2002 Mar; 16:86–90.
Fries BE, Hawes C, Morris JN, Phillips CD, Mor V, Park PS. Effect of the National Resident Assessment Instrument on selected health conditions and problems. J Am Geriatr Soc. 1997 Aug;45:994–1001.
Bates CJ, Benton D, Biesalski HK, Staehelin HB, van Staveren W, Stehle P, Suter PM, Wolfram G. Nutrition and aging: a consensus statement. J Nutr Health Aging. 2002;6:103–116.
McCormack P. Undernutrition in the elderly population living at home in the community: a review of the literature. J Adv Nurs. 1997 Nov;26:856–863.
Alibhai SM, Greenwood C, Payette H. An approach to the management of unintentional weight loss in elderly people. CMAJ. 2005 Mar;172:773–780.
Pirlich M, Lochs H. Nutrition in the elderly. Best Praet Res Clin Gastroenterol. 2001 Dec; 15:869–884.
Nakamura H, Fukushima H, Miwa Y, Shiraki M, Gomi I, Saito M., Mawatari K, Kobayashi H, Kato M, Moriwaki H. A longitudinal study on the nutritional state of elderly women at a nursing home in Japan. Intern Med. 2006;45:1113–1120.
Alberda C, Graf A, McCargar L. Malnutrition: etiology, consequences, and assessment of a patient at risk. Best. Pract Res Clin Gastroenterol. 2006;20:419–439.
Lok K, Woo J, Hui E, Kwok T. Usefulness of the Chinese Nutrition Screening (CNS) tool in predicting 12 month mortality in elderly Hong Kong Chinese living in institutions. J Nutr Health Aging. 2009 Feb;13:96–101.
Rubenstein LZ, Harker JO, Salvà A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci. 2001 Jun;56:M366–M372.
Frankenfield DC, Rowe WA, Cooney RN, Smith JS, Becker D. Limits of body mass index to detect obesity and predict body composition. Nutrition 2001; 17:26–30.
Gallagher D, Ruts E, Visser M, Heshka S, Baumgartner RN, Wang J, Pierson RN, Pi-Sunyer FX, Heymsfield SB. Weight stability masks sarcopenia in elderly men and women. Am J Physiol Endocrinol Metab. 2000;279:366–375.
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Ulger, Z., Halil, M., Cankurtaran, M. et al. Malnutrition in Turkish nursing homes: A correlate of short term mortality. J Nutr Health Aging 17, 305–309 (2013). https://doi.org/10.1007/s12603-013-0016-9
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DOI: https://doi.org/10.1007/s12603-013-0016-9