Mealtime habits and meal provision are associated with malnutrition among elderly patients admitted to hospital
Open accessAbstract
Background & aims Large-scale studies performed in hospitals with the validated Mini Nutritional Assessment (MNA) tool are scarce. However, factors associated with malnutrition are important for identifying individuals at risk. The aims of the present study were to estimate the prevalence of malnutrition and to examine the association between mealtime habits, meal provision, and malnutrition among elderly patients admitted to hospital. Methods This cross-sectional study included patients aged ≥65 years admitted to internal medicine, surgical or orthopaedic wards. The MNA was used for their nutritional assessment, and factors potentially associated with malnutrition were recorded. Results Of 1771 patients (mean age 78 years), 35.5% were well-nourished, 55.1% were at risk of malnutrition and 9.4% were malnourished. Overnight fasts exceeding 11 h, fewer than four eating episodes a day, and not cooking independently were associated with both malnutrition and risk of malnutrition. Conclusions The risk of malnutrition was high among elderly patients admitted to hospital, whereas the proportion with fully developed malnutrition was lower than expected. A long overnight fast, few eating episodes, and not cooking independently were associated with an increased risk of malnutrition. Knowledge of these factors when providing care to the elderly may assist health-care professionals to prevent malnutrition.
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Munk et al. showed that protein enriched meals gave a significantly higher protein intake (not energy intake) (the relative risk was 2.20).
“Munk et al showed that protein enriched meals gave a significantly higher 568 protein intake (not energy intake) (the relative risk was 2.20 [44]).”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [44]
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Nutrition and the gut microbiome in the elderly
Salazar, N., Valdés-Varela, L., González, S., Gueimonde, M., & de los Reyes-Gavilán, C. G. (2017) · Gut Microbes · doi:10.1080/19490976.2016.1256525 · Cited by 282 · see citing works
ESPEN guideline on hospital nutrition
Thibault, R., Abbasoglu, O., Ioannou, E., Meija, L., Ottens-Oussoren, K., Pichard, C., Rothenberg, E., Rubin, D., Siljamäki-Ojansuu, U., Vaillant, M.-F., et al. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.09.039 · Cited by 259 · see citing works
- Authors
- Söderström, L., Thors Adolfsson, E., Rosenblad, A., Frid, H., Saletti, A., & Bergkvist, L.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Söderström, Lisa
- Rosenblad, Andreas
- Frid, Hanna
- Saletti, Anja
- Bergkvist, Leif
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 32
- Issue
- 2
- Pages
- 281-288
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2113944864
- Cited by
- 53
- References
- 3
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 9 · 2017: 8 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Update notices
- erratum (2018-10-01)
- Open access
- green
- urn.kb.se
- Licence
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Keywords
- malnutrition, elderly patients, hospitalized older adults, mealtime behavior, meal provision, overnight fasting, meal frequency, Mini Nutritional Assessment, malnutrition risk, nutritional assessment, malnutrition prevalence
- MeSH terms
- Aged, Aged, 80 and over, Cross-Sectional Studies, Feeding Behavior, Female, Hospitalization, Humans, Male, Nutritional Status, Risk Factors, Sweden, Geriatric Assessment, Nutrition Assessment, Prevalence, Malnutrition, Meals
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