Prevalence of factors associated with malnutrition among acute geriatric patients in Norway: a cross-sectional study
نویسندگان
چکیده
OBJECTIVES Data on acute geriatric patients' nutritional status are lacking, and the associations among physical function, sarcopenia, health status and nutritional status are not sufficiently investigated in this population. The aims of this study are to investigate (1) nutritional status and sarcopenia in a group of acute geriatric patients, (2) the association between nutritional status, physical function and sarcopenia in acute geriatric patients, controlling for health status. DESIGN A cross-sectional study. SETTING Two acute geriatric hospital wards in Norway. PARTICIPANTS This study included 120 patients with a mean age of 82.6±8 years. The following inclusion criteria were used: age ≥65 years and admitted to an acute geriatric ward. The exclusion criteria included terminal illness, Mini-Mental State Examination <23, language difficulties or severe aphasia. MAIN OUTCOME MEASURES Nutritional status was assessed using the Mini Nutritional Assessment (MNA). Physical function was measured using the Barthel activities of daily life index and the Short Physical Performance Battery (SPPB). Sarcopenia was diagnosed using the mid-arm muscle circumference, gait speed and grip strength, in accordance with the EWGSOP algorithm. Diseases are organised by organ system classification. RESULTS On the basis of the MNA classification, nearly one in two patients were at risk of malnutrition, while one in four were malnourished. Sarcopenia was present in 30% of the patients. A multivariate linear regression model was estimated and showed significant independent associations between SPPB score (β 0.64, 95% CI 0.38 to 0.90), sarcopenia (β -3.3, 95% CI -4.9 to -1.7), pulmonary disease (β -2.1, 95% CI -3.7 to -0.46), cancer (β -1.7, 95% CI -3.4 to -0.033) and nutritional status. CONCLUSIONS Our study shows a high prevalence of risk of malnutrition, malnutrition and sarcopenia. Further, the results indicate that a low total SPPB score, sarcopenia, cancer and pulmonary disease are significantly associated with declines in nutritional status, as measured by the MNA, in acute geriatric patients.
منابع مشابه
Effective Factors on Acute Malnutrition in Children Aged 6 to 59 Months in the Centre-West Region of Burkina Faso
Background: In Burkina Faso, malnutrition is a public health problem. Despite the significant drop in the prevalence of malnutrition since 2009 according to the Directorate of Nutrition, malnutrition is still a major concern with regard to its consequences. The objective of this study was to determine the factors associated with acute malnutrition in children aged 6 to 59 months in the Sabou He...
متن کاملThe Prevalence of Malnutrition and Associated Factors Among Hemodialysis Patients at Al-Shifa Medical Complex in Gaza Strip, Palestine
Background and Objectives: Malnutrition is highly prevalent worldwide among hemodialysis patients and is one of the strongest predictors of morbidity and mortality.This study was conducted to estimate the prevalence of malnutrition and to determine the related demographic socioeconomic factors associated with malnutrition indicators among hemodialysis patients at Al-Shifa Medic...
متن کاملMaternal Education, Reported Morbidity and Number of Siblings are Associated with Malnutrition among Lodha Preschool Children of Paschim Medinipur, West Bengal, India
Background: Malnutrition among tribal preschool children is highly prevalent in almost all states of India and is the predisposing factor for morbidity as well as mortality. Objectives: Aim of the study was to detect prevalence of malnutrition and their associated factors. Study design: A cross sectional study. Study subjects: Lodha tribal children aged 1-5 years. Sample size: A total of 141 ch...
متن کاملDepression in Acute Coronary Syndrome Patients: A Cross-sectional Study in Malaysia
Background and purpose: Linked with high mortality rate, depression is common among acute coronary syndrome (ACS) patients. The current study sought to identify the factors associated with depression among ACS patients in Malaysia. Materials and Methods: A cross-sectional study was conducted on 400 ACS patients in two Malaysian hospitals: Hospital Universiti Sains Malaysia (USM), Kelantan and ...
متن کاملGeriatric Disability and Associated Risk Factors: A Community Based Study in a Rural Area of West Bengal, India
Background: Similar to developed countries, aging is increased in India. Because of the epidemiology and demographic transition phase, chronic diseases and disabilities along with health costs are increasing day by day. As social factors and chronic diseases are the major reasons for geriatric disability, the present study was done with the following objectives: to assess and compare the socio-...
متن کامل