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Verfasst von:Wolters, Maike [VerfasserIn]   i
 Goisser, Sabine [VerfasserIn]   i
Titel:Prevalence of malnutrition using harmonized definitions in older adults from different settings - A MaNuEL study
Verf.angabe:Maike Wolters, Dorothee Volkert, Melanie Streicher, Eva Kiesswetter, Gabriel Torbahn, Eibhlís M. O'Connor, Mary O'Keeffe, Mary Kelly, Eileen O'Herlihy, Paul W. O'Toole, Suzanne Timmons, Emma O'Shea, Patricia Kearney, Judith van Zwienen-Pot, Marjolein Visser, Isabelle Maitre, Virginie Van Wymelbeke, Claire Sulmont-Rossé, Gabriele Nagel, Marion Flechtner-Mors, Sabine Goisser, Ruth Teh, Antje Hebestreit, on behalf of the MaNuEL consortium
Jahr:2019
Jahr des Originals:2018
Umfang:10 S.
Fussnoten:Available online 3 November 2018 ; Gesehen am 29.11.2019
Titel Quelle:Enthalten in: Clinical nutrition
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1982
Jahr Quelle:2019
Band/Heft Quelle:38(2019), 5, Seite 2389-2398
ISSN Quelle:1532-1983
Abstract: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/m2; age-specific BMI <20 if age 65-<70 and <22 kg/m2 if age ≥70 years), previous weight loss (WL), moderate and severe decrease in food intake, and combined BMI <20 kg/m2 and/or WL in participants aged ≥65 years. - 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/m2, 1.6 and 9% of geriatric day hospital patients, 4.5-9.4% of hospital patients and 3.8-18.2% of nursing home residents. Using age-specific cut-offs doubled these prevalences. WL was reported in 2.3-10.5% of community-dwelling persons, 6% and 12.6% of geriatric day hospital patients, 5-14% of hospitalized patients and 4.5-7.7% of nursing home residents. Severe decrease in food intake was recorded in up to 9.6% of community-dwelling persons, 1.5% and 12% of geriatric day hospital patients, 3.4-34.2% of hospitalized patients and 1.5-8.2% of nursing home residents. The criteria age-specific BMI and WL showed opposing prevalences across all settings. Compared to women, low BMI and moderate decrease in food intake showed low prevalences in men but similar prevalences were observed for weight loss and severe decrease in food intake. In half of the study samples, participants in a younger age group had a higher prevalence of WL compared to those of an older age group. Prevalence of BMI <20 kg/m2 and WL at the same time did not exceed 2.6% in all samples. The highest prevalences were observed based on combined definitions when only one of the three criteria had to be present. - 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.
DOI:doi:10.1016/j.clnu.2018.10.020
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.clnu.2018.10.020
 Verlag: http://www.sciencedirect.com/science/article/pii/S0261561418324919
 DOI: https://doi.org/10.1016/j.clnu.2018.10.020
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Elderly
 Malnutrition
 Older adults
 Older people
 Prevalence
K10plus-PPN:1683825853
Verknüpfungen:→ Zeitschrift

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