Epidemiology of Malnutrition in the Elderly

  • Shing-Shing Yeh
  • Michael W. Schuster


Weight loss among geriatric patients is not unusual. In fact, 30–50% of nursing-home residents have substandard body weight, substandard mid-arm muscle circumference, and low serum albumin levels [1] [8]. The incidence of weight loss has been reported to be 5–15% in the elderly community overall [9]. Morley and Kraenzle [10] found that among 156 nursing home residents, 15–21% had weight loss of 5 lbs. or more over 3–6 months.


Nursing Home Nursing Home Resident Nutr Health Aging Unintentional Weight Loss Involuntary Weight Loss 
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  1. 1.
    Abbasi AA, Rudman D (1993) Observations on the prevalence of protein-calorie undernutrition in VA nursing homes. J Am Geriatr Soc41:117–121PubMedGoogle Scholar
  2. 2.
    Abbasi AA, Rudman D (1994) Undernutrition in the nursing home: prevalence, consequences, causes and prevention. Nutr Rev 52:113–122PubMedCrossRefGoogle Scholar
  3. 3.
    Wallace JI, Schwartz RS (2002) Epidemiology of weight loss in humans with special reference to wasting in the elderly. Int J Cardiol 85:15–21PubMedCrossRefGoogle Scholar
  4. 4.
    Rabinovitz M, Pitlik SD, Leifer M et al (1986) Unintentional weight loss: an analysis of 154 cases. Arch Int Med 146:186–187CrossRefGoogle Scholar
  5. 5.
    Huerta G, Viniegra L (1989) Involuntary weight loss as a clinical problem. Rev Invest Clin 41:5–9PubMedGoogle Scholar
  6. 6.
    Marton KI, Sox HCJr, Krupp JR (1981)Involuntary weight loss: diagnostic and prognostic significance. Ann Intern Med 95:568–574PubMedGoogle Scholar
  7. 7.
    Lankisch P, Gerzmann M, Gerzmann JF, Lehnick D (2001) Unintentional weight loss: diagnosis and prognosis. The first prospective follow-up study from a secondary referral centre. J Intern Med 249:41–46PubMedCrossRefGoogle Scholar
  8. 8.
    Thompson M, Morris L (1991) Unexplained weight loss in ambulatory elderly. J Am Geriatr Soc 39:497–500PubMedGoogle Scholar
  9. 9.
    Wallace JI, Schwartz RS (1997) Involuntary weight loss in elderly outpatients: recognition, etiologies, and treatment. Clin Geriatr Med 13:717–735PubMedGoogle Scholar
  10. 10.
    Morley J, Kraenzle D (1994) Causes of weight loss in a community nursing home. J Am Geriatr Soc 42: 583–585PubMedGoogle Scholar
  11. 11.
    Wallace JI, Schwartz RS, LaCroix AZ et al (1995) Involuntary weight loss in older outpatients: incidence and clinical significance. J Am Geriatr Soc 43:329–337PubMedGoogle Scholar
  12. 12.
    Incalzi RA, Gemma A, Capparella O et al (1996) Energy intake and in-hospital starvation. A clinically relevant relationship. Arch Intern Med 156:425–429PubMedCrossRefGoogle Scholar
  13. 13.
    Willard MD, Gilsdorf RB, Price RA (1980) Protein-calorie malnutrition in a community hospital. JAMA 243:1720–1722PubMedCrossRefGoogle Scholar
  14. 14.
    Thomas DR, Verdery RB, Gardner L et al (1991) A prospective study of outcome from protein-energy malnutrition in nursing home residents. JPEN J Parenter Enterai Nutr 15:400–404Google Scholar
  15. 15.
    Lipschitz DA (1982) Protein calorie malnutrition in the hospitalized elderly. Prim Care 9:531–543PubMedGoogle Scholar
  16. 16.
    Rudman D, Feller AG (1989) Protein-calorie under-nutrition in the nursing home. J Am Geriatr Soc 37:173–183PubMedGoogle Scholar
  17. 17.
    Thomas DR, Zdrowski CD, Wilson MM et al (2002) Malnutrition in subacute care. Am J Clin Nutr 75:308–313PubMedGoogle Scholar
  18. 18.
    Dionigi R, Dominioni L, Jemos V et al (1986) Diagnosing malnutrition. Gut 27(Suppl l):5–8PubMedCrossRefGoogle Scholar
  19. 19.
    Morley JE (2003) Anorexia and weight loss in older persons. J Gerontol A Biol Sci Med Sci 58:131–137PubMedGoogle Scholar
  20. 20.
    Kergoat MJ, Leclerc BS, Petitclerc C, Imbach A (1987) Discriminant biochemical markers for evaluating the nutritional status of elderly patients in long-term care. Am J Clin Nutr 46:849–861PubMedGoogle Scholar
  21. 21.
    Morgan DB, Newton HM, Schorah CJ et al (1986) Abnormal indices of nutrition in the elderly: a study of different clinical groups. Age Ageing 15:65–76PubMedCrossRefGoogle Scholar
  22. 22.
    Bastow MD (1982) Anthropometries revisited. Proc Nutr Soc 41:381–388PubMedCrossRefGoogle Scholar
  23. 23.
    Chandra RK (1983) Nutrition, immunity and infection present knowledge and future directions. Lancet 1:688–691PubMedGoogle Scholar
  24. 24.
    Haydock D, Hill G (1987) Improved wound healing in surgical patients receiving intravenous nutrition. B J Surg 4:320–323CrossRefGoogle Scholar
  25. 25.
    Lennmarken C, Larson J (1986) Skeletal muscle function and energy metabolites in malnourished surgical patients. Acta Chir Scand 152:169–173PubMedGoogle Scholar
  26. 26.
    Pinchcofsky-Devin GD, Kaminski MVJr (1986) Correlation of pressure sores and nutritional status. J Am Geriatr Soc34:435–440PubMedGoogle Scholar
  27. 27.
    Silver AJ, Morley JE, Strome LS et al (1988) Nutritional status in an academic nursing home. J Am Geriatr Soc 36:487–491PubMedGoogle Scholar
  28. 28.
    Rudman D, Mattson DE, Nagraj HS et al (1987) Antecedents of death in the men of a Veterans Administration nursing home. J Am Geriatr Soc 35:496–502PubMedGoogle Scholar
  29. 29.
    Rudman D, Feller AG, Nagraj HS et al (1987) Relation of serum albumin concentration to death rate in nursing home men. JPEN J Parenter Enterai Nutr 11:360–363Google Scholar
  30. 30.
    Rudman D, Feller AG(1989) Protein-calorie under-nutrition in the nursing home. J Am Geriatr Soc 37:173–183PubMedGoogle Scholar
  31. 31.
    Goodwin JS, Goodwin JM, Garry PJ (1983) Association between nutritional status and cognition in a healthy elderly population. JAMA 249:2917–2921PubMedCrossRefGoogle Scholar
  32. 32.
    Braun JV, Wykle MH, Cowling WR3rd (1988) Failure to thrive in older persons: a concept derived. Gerontologist 28:809–812PubMedGoogle Scholar
  33. 33.
    Morley J (1996) Anorexia in older persons: epidemiology and optimal treatment. Drugs Aging 8:134–156PubMedGoogle Scholar
  34. 34.
    Yamashita BD, Sullivan DH, Morley JE et al (2002) The GAIN (Geriatric Anorexia Nutrition) Registry: the impact of appetite and weight on mortality in a long-term care population. J Nutr Health Aging 6:275–281PubMedGoogle Scholar
  35. 35.
    Ho SC, Woo J, Sham A (1994) Risk factor change in older persons, a perspective from Hong Kong: weight change and mortality. J Gerontol 49:M269–M272PubMedGoogle Scholar
  36. 36.
    Newman AB, Yanez D, Harris T et al (2001) Weight change in old age and its association with mortality. J Am Geriatr Soc 49:1309–1318PubMedCrossRefGoogle Scholar
  37. 37.
    Reynolds MW, Fredman L, Langenberg P, Magaziner J (1999) Weight, weight change, mortality in a random sample of older community-dwelling women. J Am Geriatr Soc 47:1409–1414PubMedGoogle Scholar
  38. 38.
    Morley JE (1997) Anorexia of aging: physiologic and pathologic. Am J Clin Nutr 66:760–773PubMedGoogle Scholar
  39. 39.
    Blaum CS, Fries BE, Fiatarone MA (1995) Factors associated with low body mass index and weight loss in nursing home residents. J Gerontol A Biol Sci Med Sci 50:M162–M168PubMedGoogle Scholar
  40. 40.
    Coats KG, Morgan SL, Bartolucci AA, Weinsier RL (1993) Hospital-associated malnutrition: a reevaluation 12 years later. J Am Diet Assoc 93:27–33PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2006

Authors and Affiliations

  • Shing-Shing Yeh
    • 1
  • Michael W. Schuster
    • 2
  1. 1.Department of Medicine - GeriatricsUniversity of New York at Stony Brook VAMCNorthportUSA
  2. 2.Bone Marrow and Blood Stem Cell Transplantation ProgramCenter for Lymphoma and Myeloma, New York Presbyterian Hospital/Weill Medical CenterNew YorkUSA

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