- J Nutr Health Aging. 2010 Jan;14(1):16-22 - PubMed
- Dysphagia. 2008 Sep;23(3):244-50 - PubMed
- Clin Nutr. 2009 Aug;28(4):359-64 - PubMed
- J Am Diet Assoc. 2000 Nov;100(11):1354-60 - PubMed
- Dysphagia. 1991;6(3):129-34 - PubMed
Objectives: To collect information on actual nutritional intervention requirements in long-term care institutions and on the role of institutional factors in nutritional care.
Design: A cross-sectional analysis of baseline data (collected between September 2011 and September 2013) within the context of a multicenter prospective cohort study.
Setting: Nineteen long-term care institutions.
Participants: Thirteen hundred and ninety-four resident elderly (age ≥60 years).
Measurements: The prevalence of nutritional derangements (MNA-Short Form) and the need to introduce nutritional interventions on the residents.
Results: Prevalence of malnutrition and risk of malnutrition were 35.2% [95%CI, 32.8-37.8] and 52.6% [95%CI, 50.0-55.2], respectively. Malnutrition was more frequent upon admission and in larger institutions (≥50 beds). Overall, 50% of the residents requiring an individualized nutritional care plan (any type) were not receiving it. Oral diet, the use of fluid thickeners and oral nutritional supplements had to be introduced in 306 (22.5%), 201 (15%) and 175 (13%) residents, respectively. The need to implement the oral diet was mainly due to inadequacy of texture according to chewing and swallowing capabilities. In gender and age-adjusted multivariable logistic regression models, nutritional interventions were associated with worse nutritional status (P
Conclusions: In long-term care elderly residents nutritional derangements are very common, underdiagnosed and undertreated. Nutritional screening should be part of routine care. However, also the systematic involvement of a nutritional care specialist appears to be an urgent need, particularly in larger institutions where the standards of care are likely to be lower.
Lelovics Z. Lelovics Z. Orv Hetil. 2009 Nov 1;150(44):2028-36. doi: 10.1556/OH.2009.28723. Orv Hetil. 2009. PMID: 19861289 Hungarian.
Keller HH, Carrier N, Slaughter SE, Lengyel C, Steele CM, Duizer L, Morrison J, Brown KS, Chaudhury H, Yoon MN, Duncan AM, Boscart V, Heckman G, Villalon L. Keller HH, et al. J Am Med Dir Assoc. 2017 Nov 1;18(11):941-947. doi: 10.1016/j.jamda.2017.05.003. Epub 2017 Jun 28. J Am Med Dir Assoc. 2017. PMID: 28668663
Saarela RK, Soini H, Hiltunen K, Muurinen S, Suominen M, Pitkälä K. Saarela RK, et al. J Nutr Health Aging. 2014 Jan;18(1):34-8. doi: 10.1007/s12603-013-0358-3. J Nutr Health Aging. 2014. PMID: 24402386
Labossiere R, Bernard MA. Labossiere R, et al. Curr Opin Clin Nutr Metab Care. 2008 Jan;11(1):1-6. doi: 10.1097/MCO.0b013e3282f323e0. Curr Opin Clin Nutr Metab Care. 2008. PMID: 18090650 Review.
Cereda E, Pedrolli C, Klersy C, Bonardi C, Quarleri L, Cappello S, Turri A, Rondanelli M, Caccialanza R. Cereda E, et al. Clin Nutr. 2016 Dec;35(6):1282-1290. doi: 10.1016/j.clnu.2016.03.008. Epub 2016 Apr 6. Clin Nutr. 2016. PMID: 27086194 Review.
Yuruyen M, Polat O, Denizli BO, Cirak M, Polat H. Yuruyen M, et al. Ir J Med Sci. 2023 Aug;192(4):1561-1567. doi: 10.1007/s11845-022-03186-5. Epub 2022 Oct 20. Ir J Med Sci. 2023. PMID: 36261749
Shu W, Tao W, Chunyan H, Jie F, Yuan L, Yan X, Huan Z, Liang X. Shu W, et al. PLoS One. 2022 Feb 2;17(2):e0262630. doi: 10.1371/journal.pone.0262630. eCollection 2022. PLoS One. 2022. PMID: 35108317 Free PMC article.
Bardon LA, Corish CA, Lane M, Bizzaro MG, Loayza Villarroel K, Clarke M, Power LC, Gibney ER, Dominguez Castro P. Bardon LA, et al. BMC Geriatr. 2021 Dec 4;21(1):676. doi: 10.1186/s12877-021-02583-2. BMC Geriatr. 2021. PMID: 34863118 Free PMC article.
Cichero JAY. Cichero JAY. Geriatrics (Basel). 2018 Oct 12;3(4):69. doi: 10.3390/geriatrics3040069. Geriatrics (Basel). 2018. PMID: 31011104 Free PMC article.
Kuo SM. Kuo SM. Curr Dev Nutr. 2017 Nov 28;2(2):nzx004. doi: 10.3945/cdn.117.001180. eCollection 2018 Feb. Curr Dev Nutr. 2017. PMID: 30377676 Free PMC article. Review.