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

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dc.contributor.authorWolters, Maike
dc.contributor.authorVolkert, Dorothee
dc.contributor.authorStreicher, Melanie
dc.contributor.authorKiesswetter, Eva
dc.contributor.authorTorbahn, Gabriel
dc.contributor.authorO'Connor, Eibhlís M.
dc.contributor.authorO'Keeffe, Mary
dc.contributor.authorKelly, Mary
dc.contributor.authorO'Herlihy, Eileen
dc.contributor.authorO'Toole, Paul W.
dc.contributor.authorTimmons, Suzanne
dc.contributor.authorO'Shea, Emma
dc.contributor.authorKearney, Patricia M.
dc.contributor.authorvan Zwienen-Pot, Judith
dc.contributor.authorVisser, Marjolein
dc.contributor.authorMaitre, Isabelle
dc.contributor.authorVan Wymelbeke, Virginie
dc.contributor.authorSulmont-Rossé, Claire
dc.contributor.authorNagel, Gabriele
dc.contributor.authorFlechtner-Mors, Marion
dc.contributor.authorGoisser, Sabine
dc.contributor.authorTeh, Ruth
dc.contributor.authorHebestreit, Antje
dc.contributor.funderAgence Nationale de la Rechercheen
dc.contributor.funderBundesanstalt für Landwirtschaft und Ernährungen
dc.contributor.funderBundesministerium für Ernährung und Landwirtschaften
dc.contributor.funderDepartment of Agriculture, Food and the Marineen
dc.contributor.funderHealth Research Boarden
dc.contributor.funderInstituto de Salud Carlos IIIen
dc.contributor.funderSeventh Framework Programmeen
dc.contributor.funderZonMwen
dc.date.accessioned2018-12-18T15:41:05Z
dc.date.available2018-12-18T15:41:05Z
dc.date.issued2018-11-03
dc.date.updated2018-12-18T15:27:27Z
dc.description.abstractSummary 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.en
dc.description.sponsorshipBundesministerium für Ernährung und Landwirtschaft (German Federal Ministry of Food and Agriculture ((BMEL) through the Federal Office for Agriculture and Food (BLE), grant number 2815ERA09E)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationWolters, M. et al (2018) 'Prevalence of malnutrition using harmonized definitions in older adults from different settings – A MaNuEL study', Clinical Nutrition, In Press, doi: 10.1016/j.clnu.2018.10.020en
dc.identifier.doi10.1016/j.clnu.2018.10.020
dc.identifier.endpage35en
dc.identifier.issn0261-5614
dc.identifier.journaltitleClinical Nutritionen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/7242
dc.language.isoenen
dc.publisherElsevieren
dc.relation.projectinfo:eu-repo/grantAgreement/EC/FP7::SP1::HEALTH/305930/EU/Development and clinical trials of a new Software ENgine for the Assessment & Optimization of drug and non-drug Therapy in Older peRsons/SENATORen
dc.relation.urihttp://www.sciencedirect.com/science/article/pii/S0261561418324919
dc.rights© 2018 Elsevier Ltd. and European Society for Clinical Nutrition and Metabolism. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 licenseen
dc.subjectMalnutritionen
dc.subjectOlder adultsen
dc.subjectPrevalenceen
dc.subjectOlder peopleen
dc.subjectElderlyen
dc.titlePrevalence of malnutrition using harmonized definitions in older adults from different settings – A MaNuEL studyen
dc.typeArticle (peer-reviewed)en
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