Prevalence of malnutrition using harmonized definitions in older adults from different settings - A MaNuEL study.


Journal

Clinical nutrition (Edinburgh, Scotland)
ISSN: 1532-1983
Titre abrégé: Clin Nutr
Pays: England
ID NLM: 8309603

Informations de publication

Date de publication:
10 2019
Historique:
received: 21 06 2018
revised: 12 09 2018
accepted: 28 10 2018
pubmed: 19 11 2018
medline: 9 9 2020
entrez: 19 11 2018
Statut: ppublish

Résumé

Malnutrition is widespread among older people and related to poor outcome. Reported prevalences vary widely, also because of different diagnostic criteria used. This study aimed to describe prevalences in several populations of older persons in different settings using harmonized definitions. Available studies within the Joint Programming Initiative (JPI) Knowledge Hub 'Malnutrition in the Elderly' (MaNuEL) were used to calculate and compare prevalences of malnutrition indicators: low BMI (<20 kg/m Fifteen samples with in total 5956 participants (59.3% women) were included: 7 consisting of community-dwelling persons, 2 studies in geriatric day hospitals, 3 studies in hospitalized patients and 3 in nursing homes. Mean age of participants ranged between 67 and 87 years. Up to 4.2% of community-dwelling persons had a BMI <20 kg/m Prevalences for different criteria vary between and within the settings which might be explained by varying functional status. The criteria used strongly affect prevalence and it may be preferable to look at each criterion separately as each may indicate a nutritional problem.

Sections du résumé

BACKGROUND & AIMS
Malnutrition is widespread among older people and related to poor outcome. Reported prevalences vary widely, also because of different diagnostic criteria used. This study aimed to describe prevalences in several populations of older persons in different settings using harmonized definitions.
METHODS
Available studies within the Joint Programming Initiative (JPI) Knowledge Hub 'Malnutrition in the Elderly' (MaNuEL) were used to calculate and compare prevalences of malnutrition indicators: low BMI (<20 kg/m
RESULTS
Fifteen samples with in total 5956 participants (59.3% women) were included: 7 consisting of community-dwelling persons, 2 studies in geriatric day hospitals, 3 studies in hospitalized patients and 3 in nursing homes. Mean age of participants ranged between 67 and 87 years. Up to 4.2% of community-dwelling persons had a BMI <20 kg/m
CONCLUSIONS
Prevalences for different criteria vary between and within the settings which might be explained by varying functional status. The criteria used strongly affect prevalence and it may be preferable to look at each criterion separately as each may indicate a nutritional problem.

Identifiants

pubmed: 30448194
pii: S0261-5614(18)32491-9
doi: 10.1016/j.clnu.2018.10.020
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2389-2398

Informations de copyright

Copyright © 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Auteurs

Maike Wolters (M)

Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany. Electronic address: wolters@leibniz-bips.de.

Dorothee Volkert (D)

Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408 Nuremberg, Germany.

Melanie Streicher (M)

Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408 Nuremberg, Germany.

Eva Kiesswetter (E)

Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408 Nuremberg, Germany.

Gabriel Torbahn (G)

Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408 Nuremberg, Germany.

Eibhlís M O'Connor (EM)

Dept Biological Sciences, Health Research Institute, University of Limerick, V94 T9PX Limerick, Ireland.

Mary O'Keeffe (M)

Dept Biological Sciences, Health Research Institute, University of Limerick, V94 T9PX Limerick, Ireland.

Mary Kelly (M)

Dept Biological Sciences, Health Research Institute, University of Limerick, V94 T9PX Limerick, Ireland.

Eileen O'Herlihy (E)

School of Microbiology and APC Microbiome Ireland, University College Cork, Cork, T12 Y337, Ireland.

Paul W O'Toole (PW)

School of Microbiology and APC Microbiome Ireland, University College Cork, Cork, T12 Y337, Ireland.

Suzanne Timmons (S)

Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.

Emma O'Shea (E)

Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, Cork, Ireland.

Patricia Kearney (P)

Dept Epidemiology and Public Health, University College Cork, Cork, Ireland.

Judith van Zwienen-Pot (J)

Department of Internal Medicine, Nutrition and Dietetics, VU University Medical Center, de Boelelaan 1117, 1081 HV Amsterdam, the Netherlands.

Marjolein Visser (M)

Department of Health Sciences, Faculty Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.

Isabelle Maitre (I)

USC 1422 GRAPPE, Ecole Supérieure d'Agricultures (ESA), SFR 4207 QUASAV, INRA, 55 Rue Rabelais, F-49007 Angers, France.

Virginie Van Wymelbeke (V)

Centre Hospitalier Universitaire Dijon Bourgogne, Centre Champmaillot, Unité de Recherche Pôle Personnes Âgées, 2 Rue Jules Violle, F-21000 Dijon, France; Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, 9(E) Boulevard Jeanne d'Arc, F-21000 Dijon, France.

Claire Sulmont-Rossé (C)

Centre des Sciences du Goût et de l'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, 9(E) Boulevard Jeanne d'Arc, F-21000 Dijon, France.

Gabriele Nagel (G)

Institute of Epidemiology and Medical Biometry, Ulm University, Helmholtzstr. 22, 89081 Ulm, Germany.

Marion Flechtner-Mors (M)

Medical Center, Division of Sports and Rehabilitation Medicine, University of Ulm, Leimgrubenweg 14, 89075 Ulm, Germany.

Sabine Goisser (S)

Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408 Nuremberg, Germany; Network Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany.

Ruth Teh (R)

General Practice and Primary Health Care, School of Population Health, University of Auckland, Private Bag 92019, Auckland Mail Centre, Auckland 1142, New Zealand.

Antje Hebestreit (A)

Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstr. 30, 28359 Bremen, Germany.

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