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Cited by 56Nutrition and Health in AgingClinical Nutrition and GastroenterologyGeriatric Care and Nursing Homes

Prevalence of Malnutrition in Orally and Tube-Fed Elderly Nursing Home Residents in Germany and Its Relation to Health Complaints and Dietary Intake

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Volkert, Dorothee, Pauly, Lioba, Stehle, Peter, Sieber, Cornel C.·2011·Gastroenterology Research and Practice
DOI 10.1155/2011/247315PMC PMC3112531
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Abstract

Objective. To investigate the prevalence of malnutrition in orally and tube-fed nursing home (NH) residents in Germany and its relation to common health complaints and dietary intake.Methods. In 350 NH residents, subjects' characteristics, Mini Nutritional Assessment (MNA), and several health problems were inquired with the nursing staff using standardised interviews. In a subset of 122 residents, dietary intake was assessed by 3-day weighing records.Results. 7.7% of the participants were tube fed. 24.1% of orally nourished and 57.7% of tube-fed residents were malnourished (MNA < 17 p.). Malnutrition was significantly related to nausea/vomiting, constipation, pressure ulcers, dehydration, infections, antibiotic use, and hospitalisation. Mean daily energy intake was 1535 ± 413 kcal and mean protein intake was 54.2 ± 0.9 g/d irrespective of the nutritional state.Conclusion. In Germany, malnutrition is widespread among NH residents and is related to common health problems. The MNA rather reflects health condition than currently reduced dietary intake.

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  • Several studies demonstrate some improvement of nutritional state after initiation of enteral nutrition in older patients.

    “Several studies demonstrate some improvement of nutritional state after initiation of EN in older patients (129,130,(138)(139)(140)(141)(142)(143).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [143]

    The Discussion (page unavailable) says that a normal BMI can be maintained or achieved by tube-feeding, which supports a possible improvement in one measure of nutritional state. But this study did not assess residents before and after initiation of enteral nutrition; it also reports a high prevalence of malnutrition among tube-fed residents. It therefore does not demonstrate improvement after initiation. (LLM, conf=0.82)

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  1. [1]MacIntosh C Morley JE Chapman IM The anorexia of aging Nutrition 2000 16 10 983 995 11054605
  2. [2]Pauly L Stehle P Volkert D Nutritional situation of elderly nursing home residents Zeitschrift für Gerontologie und Geriatrie 2007 40 1 3 12 17318726
  3. [4]Saletti A Lindgren EY Johansson L Cederholm T Nutritional status according to mini nutritional assessment in an institutionalized elderly population in Sweden Gerontology 2000 46 3 139 145 10754371
  4. [6]Sampson EL Candy B Jones L Enteral tube feeding for older people with advanced dementia Cochrane Database of Systematic Reviews 2009 2 Article ID CD007209. PMC7182132 19370678
  5. [7]Wirth R Voss C Smoliner C Sieber CC Bauer JM Volkert D Complications and mortality after percutaneous endoscopic gastrostomy in geriatrics—a prospective multicenter observational trial submitted 21872536
  6. [8]Wirth R Bauer JM Willschrei HP Volkert D Sieber CC Prevalence of percutaneous endoscopic gastrostomy in nursing home residents—a nationwide survey in Germany Gerontology 2010 56 4 371 377 20016122
  7. [9]Silver HJ Wellman NS Arnold DJ Livingstone AS Byers PM Older adults receiving home enteral nutrition: enteral regimen, provider involvement, and health care outcomes Journal of Parenteral and Enteral Nutrition 2004 28 2 92 98 15080603
  8. [10]Dávalos A Ricart W Gonzalez-Huix F Effect of malnutrition after acute stroke on clinical outcome Stroke 1996 27 6 1028 1032 8650709
  9. [11]Covinsky KE Martin GE Beyth RJ Justice AC Sehgal AR Landefeld CS The relationship between clinical assessments of nutritional status and adverse outcomes in older hospitalized medical patients Journal of the American Geriatrics Society 1999 47 5 532 538 10323645
  10. [12]Sullivan DH Walls RC Impact of nutritional status on morbidity in a population of geriatric rehabilitation patients Journal of the American Geriatrics Society 1994 42 5 471 477 8176139
  11. [13]Sullivan DH Walls RC The risk of life-threatening complications in a select population of geriatric patients: the impact of nutritional status Journal of the American College of Nutrition 1995 14 1 29 36 7706607
  12. [14]Mahoney FI Barthel DW Functional evaluation: the barthel index Maryland State Medical Journal 1965 14 61 65 14258950
  13. [16]Guigoz Y Lauque S Vellas BJ Identifying the elderly at risk for malnutrition. The mini nutritional assessment Clinics in Geriatric Medicine 2002 18 4 737 757 12608501
  14. [17]Chumlea WC Guo SS Wholihan K Cockram D Kuczmarski RJ Johnson CL Stature prediction equations for elderly non-Hispanic white, non-Hispanic black, and Mexican-American persons developed from NHANES III data Journal of the American Dietetic Association 1998 98 2 137 142 12515412
  15. [19]Volkert D Frauenrath C Micol W Kruse W Oster P Schlierf G Nutritional status of the very old: anthropometric and biochemical findings in apparently healthy women in old people’s homes Aging Clinical and Experimental Research 1992 4 1 21 28 1627672
  16. [20]Schmid A Weiss M Heseker H Recording the nutrient intake of nursing home residents by food weighing method and measuring the physical activity Journal of Nutrition, Health and Aging 2003 7 5 294 295 12917742
  17. [21]Shahin ES Meijers JM Schols JM Tannen A Halfens RJ Dassen T The relationship between malnutrition parameters and pressure ulcers in hospitals and nursing homes Nutrition 2010 26 9 886 889 20444575
  18. [22]Valentini L Schindler K Schlaffer R The first nutritionDay in nursing homes: participation may improve malnutrition awareness Clinical Nutrition 2009 28 2 109 116 19264381
  19. [23]Kaiser R Winning K Uter W Comparison of two different approaches for the application of the mini nutritional assessment in nursing homes: resident interviews versus assessment by nursing staff Journal of Nutrition, Health and Aging 2009 13 10 863 869 19924345
  20. [24]Kaiser R Winning K Uter W Functionality and mortality in obese nursing home residents: an example of ‘Risk Factor Paradox’? Journal of the American Medical Directors Association 2010 11 6 428 435 20627184
  21. [25]Dinkel RH Lebok UH The effects of dementia in German acute care hospitals Dementia and Geriatric Cognitive Disorders 1997 8 5 314 319 9298633
  22. [26]Kondrup J Allison SP Elia M Vellas B Plauth M ESPEN guidelines for nutrition screening 2002 Clinical Nutrition 2003 22 4 415 421 12880610
  23. [27]Sieber CC Nutritional screening tools—how does the MNA compare? Proceedings of the session held in Chicago May 2-3, 2006 (15 Years of Mini Nutritional Assessment) Journal of Nutrition, Health and Aging 2006 10 6 488 492 17183420
  24. [28]Beck AM Ovesen L Schroll M Validation of the Resident Assessment Instrument triggers in the detection of under-nutrition Age and Ageing 2001 30 2 161 165 11395347
  25. [29]Beck AM Ovesen L Body mass index, weight loss and energy intake of old Danish nursing home residents and home-care clients Scandinavian Journal of Caring Sciences 2002 16 1 86 90 11985754
  26. [30]Crogan NL Pasvogel A The influence of protein-calorie malnutrition on quality of life in nursing homes Journals of Gerontology Series A 2003 58 2 159 164 12586854
  27. [31]Crogan NL Alvine C Testing of the Individual Nutrition Rx assessment process among nursing home residents Applied Nursing Research 2006 19 2 102 104 16728294 PMC1472293
  28. [32]Akner G Flöistrup H Individual assessment of intake of energy, nutrients and water in 54 elderly multidiseased nursing-home residents Journal of Nutrition, Health and Aging 2003 7 1 2 12 12679834
  29. [33]Rolland Y Lauwers-Cances V Cournot M Sarcopenia, calf circumference, and physical function of elderly women: a cross-sectional study Journal of the American Geriatrics Society 2003 51 8 1120 1124 12890076
  30. [34]Manders M De Groot LC Hoefnagels WH The effect of a nutrient dense drink on mental and physical function in institutionalized elderly people Journal of Nutrition, Health and Aging 2009 13 9 760 767 19812865
  31. [35]Ruiz-López MD Artacho R Oliva P Nutritional risk in institutionalized older women determined by the Mini Nutritional Assessment test: what are the main factors? Nutrition 2003 19 9 767 771 12921887
  32. [36]Rösler A Lehmann F Krause T Wirth R von Renteln-Kruse W Nutritional and hydration status in elderly subjects: clinical rating versus bioimpedance analysis Archives of Gerontology and Geriatrics 2010 50 3 e81 e85 19616321
  33. [37]Volkert D Cederholm T Coti Bertrand P ESPEN guidelines on enteral nutrition: geriatrics Clinical Nutrition 2006 25 2 330 360 16735082
  34. [38]Callahan CM Haag KM Weinberger M Outcomes of percutaneous endoscopic gastrostomy among older adults in a community setting Journal of the American Geriatrics Society 2000 48 9 1048 1054 10983903
  35. [39]Abitbol V Selinger-Leneman H Gallais Y Percutaneous endoscopic gastrostomy in elderly patients. A prospective study in a geriatric hospital Gastroenterologie Clinique et Biologique 2002 26 5 448 453 12122353
  36. [40]Nair S Hertan H Pitchumoni CS Hypoalbuminemia is a poor predictor of survival after percutaneous endoscopic gastrostomy in elderly patients with dementia American Journal of Gastroenterology 2000 95 1 133 136 10638571
  37. [41]Okada K Yamagami H Sawada S The nutritional status of elderly bed-ridden patients receiving tube feeding Journal of Nutritional Science and Vitaminology 2001 47 3 236 241 11575579
  38. [42]Paillaud E Bories PN Merlier I Richardet JP Jeanfaivre V Campillo B Prognosis factors of short and long-term survival in elderly hospitalized patients after percutaneous endoscopic gastrostomy Gastroenterologie Clinique et Biologique 2002 26 5 443 447 12122352
  39. [43]Holt PR Gastrointestinal diseases in the elderly Current Opinion in Clinical Nutrition and Metabolic Care 2003 6 1 41 48 12496679
  40. [44]Bhutto A Morley JE The clinical significance of gastrointestinal changes with aging Current Opinion in Clinical Nutrition and Metabolic Care 2008 11 5 651 660 18685464
  41. [45]Suominen M Muurinen S Routasalo P Malnutrition and associated factors among aged residents in all nursing homes in Helsinki European Journal of Clinical Nutrition 2005 59 4 578 583 15744328
  42. [46]Tariq SH Constipation in long-term care Journal of the American Medical Directors Association 2007 8 4 209 218 17498603
  43. [47]Mamhidir AG Ljunggren G Kihlgren M Kihlgren A Wimo A Underweight, weight loss and related risk factors among older adults in sheltered housing—A Swedish follow-up study Journal of Nutrition, Health and Aging 2006 10 4 255 262 16886095
  44. [48]Thomas DR The role of nutrition in prevention and healing of pressure ulcers Clinics in Geriatric Medicine 1997 13 3 497 511 9227941
  45. [49]Kulnik D Elmadfa I Assessment of the nutritional situation of elderly nursing home residents in Vienna Annals of Nutrition and Metabolism 2008 52 1, supplement 51 53 18382080
  46. [50]Lammes E Akner G Repeated assessment of energy and nutrient intake in 52 nursing home residents Journal of Nutrition, Health and Aging 2006 10 3 222 230 16622584
  47. [51]Aghdassi E McArthur M Liu B McGeer A Simor A Allard JP Dietary intake of elderly living in Toronto long-term care facilities: comparison to the dietary reference intake Rejuvenation Research 2007 10 3 301 309 17559335
  48. [52]Ödlund Olin A Koochek A Ljungqvist O Cederholm T Nutritional status, well-being and functional ability in frail elderly service flat residents European Journal of Clinical Nutrition 2005 59 2 263 270 15483631
  49. [54]Vellas B Guigoz Y Baumgartner M Garry PJ Lauque S Albarede JL Relationships between nutritional markers and the mini-nutritional assessment in 155 older persons Journal of the American Geriatrics Society 2000 48 10 1300 1309 11037019
  50. [55]Murphy MC Brooks CN New SA Lumbers ML The use of the Mini-Nutritional Assessment (MNA) tool in elderly orthopaedic patients European Journal of Clinical Nutrition 2000 54 7 555 562 10918465

Cited by

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Authors
Volkert, D., Pauly, L., Stehle, P., & Sieber, C. C.
Affiliations
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
  • University of Bonn (DE)
Corresponding author
Volkert, Dorothee
ORCID
Venue
Gastroenterology Research and Practice
Publisher
Hindawi Limited
Published
2011
Volume
2011
Pages
1-9
ISSN
  • 1687-6121 (ISSN-L)
  • 1687-630X
DOI
10.1155/2011/247315
PMC
PMC3112531
OpenAlex
W1972456630
Cited by
56
References
2
Citations by year
2026: 3 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 7 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 3 · 2013: 8 · 2012: 7
FWCI
3.93
Type
journal article
Language
en
Open access
Licence
Locations
  • Gastroenterology Research and Practice (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • OPUS FAU (Kooperativer Bibliotheksverbund Berlin-Brandenburg (KOBV), on behalf of the Universitätsbibliothek Erlangen-Nürnberg) (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 › General Health Professions › Geriatric Care and Nursing Homes
Keywords
malnutrition, nursing home residents, older adults, tube feeding, oral feeding, Mini Nutritional Assessment, dietary intake, energy intake, protein intake, health complaints, pressure ulcers, dehydration, infection, hospitalization, Germany

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