Screening for malnutrition in nursing home residents: comparison of different risk markers and their association to functional impairment

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Details zur Publikation

Autorinnen und Autoren: Stange I, Pöschl K, Stehle P, Sieber C, Volkert D
Zeitschrift: The journal of nutrition, health & aging
Verlag: Springer Verlag (Germany)
Jahr der Veröffentlichung: 2013
Band: 17
Heftnummer: 4
Seitenbereich: 357-363
ISSN: 1279-7707
eISSN: 1760-4788
Sprache: Englisch


Abstract

OBJECTIVES
To identify nursing home residents with malnutrition or at risk of malnutrition by using different markers, determine if the Mini Nutritional Assessment (MNA®) is able to identify all residents at risk according to single risk markers and explore the relation between risk markers and functional impairment.
DESIGN
Cross-sectional study.
SETTING
Six German nursing homes.
PARTICIPANTS
286 residents (86±7y, 89% female).
MEASUREMENTS
Screening for malnutrition or its risk included low BMI (≤22 kg/m²), recent weight loss (WL), low food intake (LI) as single risk markers and MNA (<24 points, p.) as composite marker. Prevalence of single nutritional risk markers in different MNA categories was compared by cross-tables. Mental (cognition, mood) and physical function (mobility) were assessed by interviewing nursing staff and association of impaired status to nutritional risk markers determined by Chi² test.
RESULTS
32.9% of residents had a low BMI, 11.9% WL and 21.3% LI. 60.2% were categorized malnourished (18.2%) or at risk of malnutrition (42.0%) by MNA. 64% presented at least one of these nutritional risk markers. Of those classified malnourished by MNA, 96.2% also showed low BMI, WL or LI. In contrast, eleven residents (9.6%) considered well-nourished by MNA presented single risk markers (9 low BMI, 2 WL). Cognitive impairment, depressive symptoms and immobility was present in 59.0%, 20.8% and 25.5%, respectively. Functional impairment, and in particular severe impairment, was to a higher proportion present in residents at nutritional risk independent of the chosen marker (MNA<24 p., low BMI, WL, LI).
CONCLUSION
The high prevalence of nutritional risk highlights the importance of regular screening of nursing home residents. The MNA identified nearly all residents with low BMI, WL and LI. The close association between nutritional risk and functional impairment requires increased awareness for nutritional problems especially in functionally impaired residents, to early initiate nutritional measures and thus, prevent further nutritional and functional deterioration.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Sieber, Cornel Prof. Dr.
Lehrstuhl für Innere Medizin (Geriatrie)
Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter


Einrichtungen weiterer Autorinnen und Autoren

Rheinische Friedrich-Wilhelms-Universität Bonn


Zitierweisen

APA:
Stange, I., Pöschl, K., Stehle, P., Sieber, C., & Volkert, D. (2013). Screening for malnutrition in nursing home residents: comparison of different risk markers and their association to functional impairment. The journal of nutrition, health & aging, 17(4), 357-363. https://dx.doi.org/10.1007/s12603-013-0021-z

MLA:
Stange, Inken, et al. "Screening for malnutrition in nursing home residents: comparison of different risk markers and their association to functional impairment." The journal of nutrition, health & aging 17.4 (2013): 357-363.

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Zuletzt aktualisiert 2018-09-07 um 13:38