Outcomes of Screening And Nutritional Intervention Among Older Adults in Healthcare Facilities
Abstract
A nutritional screening and early intervention program was administered to older adults in a subacute care facility. The study group was recruited among patients aged 65 or older, who were admitted to the geriatric and rehabilitation units of two hospitals. Two simple, reliable, and valid tools were used to screen subjects for the risk or presence of malnutrition. Those determined to be at high nutritional risk (n=62) were included in the study. Dietitians then conducted a full nutritional assessment and implemented a nutritional care plan for these subjects. Weekly follow-up was completed to measure oral intake, weight, and biochemical indices. A Short-Form 36 Health Survey was administered upon admission and discharge. Results showed significant increases in energy (p=0.0001) and protein (p=0.01) intakes, and in serum albumin (p=0.001), prealbumin (p=0.003), transferrin (p=0.024), and hematocrit (p=0.026) levels. There was also a significant increase in seven of the eight dimensions of the health-related quality of life questionnaire (p<0.05). Outcomes improve when older adults are screened for the risk or presence of malnutrition and receive an early nutritional care program.
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In geriatric acute care and rehabilitation hospital units, nutritional assessment and implementation of a nutritional care plan improve energy and protein intake, serum proteins, and health-related quality of life.
“In geriatric acute care and rehabilitation hospital units, nutritional assessment and implementation of a nutritional care plan have been shown to improve energy and protein intake, serum proteins and health-related quality of life of the patients (39).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [39]
Cites
Weight Change in Old Age and its Association with Mortality
Newman, A. B., Yanez, D., Harris, T., Duxbury, A., Enright, P. L., Fried, L. P., & for the Cardiovascular Study Research Group (2001) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2001.49258.x · Cited by 566 · see citing works
Nutritional supplementation and dietary advice in geriatric patients at risk of malnutrition
Persson, M., Hytter-Landahl, Å., Brismar, K., & Cederholm, T. (2007) · Clinical Nutrition · doi:10.1016/j.clnu.2006.12.002 · Cited by 85 · see citing works
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ESPEN practical guideline: Clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.01.024 · Cited by 516 · see citing works
- Authors
- Babineau, J., Villalon, L., Laporte, M., & Payette, H.
- Affiliations
- Université de Moncton (CA)
- École des Sciences des aliments, de nutrition et d’études familiales, Université de Moncton, Moncton, NB
- Restigouche Health Authority, Campbellton, NB
- Université de Sherbrooke (CA)
- ORCID
- Laporte, Manon
- Venue
- Canadian Journal of Dietetic Practice and Research
- Publisher
- Dietitians of Canada
- Published
- 2008-07
- Volume
- 69
- Issue
- 2
- Pages
- 91-96
- ISSN
- 1486-3847 (ISSN-L)
- 2292-9592
- OpenAlex
- W1984306425
- Cited by
- 31
- References
- 2
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2022: 1 · 2020: 2 · 2018: 3 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 4
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Journal of Dietetic Practice and Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Université de Moncton
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- nutritional screening, malnutrition, older adults, dietary intervention, nutritional care plan, nutritional risk assessment, subacute care, hospitalized older adults, rehabilitation inpatients, nutritional assessment, serum albumin, prealbumin, transferrin, hematocrit, energy intake, protein intake, health-related quality of life, Short Form 36 Health Survey
- MeSH terms
- Aged, Aged, 80 and over, Female, Health Status, Health Status Indicators, Hematocrit, Humans, Male, Mass Screening, Nutritional Status, Quality of Life, Serum Albumin, Transferrin, Geriatric Assessment, Nutrition Assessment, Body Mass Index, Risk Assessment, Malnutrition
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