Prevalence and the factors associated with malnutrition risk in elderly Chinese inpatients
Open Access
- 17 February 2021
- journal article
- research article
- Published by Wiley in Aging Medicine
- Vol. 4 (2), 120-127
- https://doi.org/10.1002/agm2.12143
Abstract
Malnutrition is an under recognized, but common issue in elderly patients. This study aimed to investigate the prevalence of poor nutritional status and identify comprehensive geriatric assessment‐based clinical factors associated with increased malnutrition risk to assessing malnutrition risk in hospitalized elderly patients in China. A total of 365 elderly hospitalized patients (178 women, 76.37 ± 7.74 years) undertook a comprehensive geriatric assessment (CGA), and have their nutritional status assessed using the short‐form mini‐nutritional assessment. Among 365 patients, 32 (8.77%) were malnourished and 112 (30.68%) were at risk of malnutrition. A logistic regression analysis showed that age (odds ratio [OR], 1.59; 95% confidence interval [CI], 1.13‐2.23), alcohol consumption (OR, 2.04; 95% CI, 1.19‐3.48), presence or history of cancer or heart failure (OR, 3.48 and 2.86; 95% CI, 1.49‐8.13 and 1.12‐7.27), depression (OR, 2.86; 95% CI, 1.97‐4.17), body mass index (OR, 5.62; 95% CI, 3.62‐8.71), being dependent in activity of daily living (OR, 3.81; 95% CI, 2.61‐5.57), a lower score in instrumental activities of daily living (OR, 3.01; 95% CI, 2.09‐4.33), recent fall(s) (OR, 2.22; 95% CI, 1.37‐2.91), cognitive impairment (OR, 1.81; 95% CI, 1.30‐2.53), insomnia (OR, 1.49; 95% CI, 1.07‐2.06), hemoglobin and albumin level (OR, 1.72 and 2.86; 95% CI, 1.17‐2.50 and 1.53‐5.36) were independent correlates of malnutrition in older patients. Our study demonstrated that age, alcohol consumption, chronic diseases (cancer and heart failure), depression, body mass index, function status, recent fall(s), cognitive impairment, insomnia, and low hemoglobin and albumin levels were independently associated with malnutrition in these patients. Comprehensive geriatric assessment can provide detailed information of older patients and can be a useful tool for assessing malnutrition risk‐associated factors.Keywords
Funding Information
- National Natural Science Foundation of China (71964021)
This publication has 33 references indexed in Scilit:
- Substantial Health And Economic Returns From Delayed Aging May Warrant A New Focus For Medical ResearchHealth Affairs, 2013
- Cognitive impairment and malnutrition, predictors of all-cause mortality in hospitalized elderly subjects with cardiovascular diseaseArchives of Cardiovascular Diseases, 2013
- Factors associated with poor nutritional status among the oldest-oldClinical Nutrition, 2012
- Influencia de la desnutrición en la mortalidad a largo plazo de pacientes hospitalizados por insuficiencia cardiacaRevista Espanola de Cardiologia, 2011
- Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adultsClinical Nutrition, 2010
- Assessment and management of nutrition in older people and its importance to healthClinical Interventions in Aging, 2010
- Validation of the Mini Nutritional Assessment short-form (MNA®-SF): A practical tool for identification of nutritional statusThe journal of nutrition, health & aging, 2009
- Nutritional status evaluation and survival in haemodialysis patients in one centre from RomaniaNephrology Dialysis Transplantation, 2009
- Changes in appetite, food preference, and eating habits in frontotemporal dementia and Alzheimer's diseaseJournal of Neurology, Neurosurgery & Psychiatry, 2002
- Taste: Robust across the Age Span?Annals of the New York Academy of Sciences, 1989