Validation of a modified-multidimensional prognostic index (m-MPI) including the mini nutritional assessment short-form (MNA-SF) for the prediction of one-year mortality in hospitalized elderly patients

Introduction: The Chronic Disease Self-Management Program (CDSMP) improves self-efficacy and health outcomes in people with chronic diseases. In the context of the EFFICHRONIC project, we evaluated the efficacy of CDSMP in relieving frailty, as assessed by the self-administered version of Multidimensional Prognostic Index (SELFY-MPI), identifying also potential predictors of better response over 6-month follow-up. Methods: The SELFY-MPI explores mobility, basal and instrumental activities of daily living (Barthel mobility, ADL, IADL), cognition (Test Your Memory-TYM Test), nutrition (Mini Nutritional Assessment-Short Form-MNA-SF), comorbidities, medications, and socio-economic conditions (social-familiar evaluation scale-SFES). Participants were stratified in three groups according to the 6-month change of SELFY-MPI: those who improved after CDSMP (Δ SELFY-MPI < 0), those who remained unchanged (Δ SELFY-MPI = 0), and those who worsened (Δ SELFY-MPI > 0). Multivariable logistic regression was modeled to identify predictors of SELFY-MPI improvement. Results: Among 270 participants (mean age = 61.45 years, range = 26–93 years; females = 78.1%) a benefit from CDSMP intervention, in terms of decrease in the SELFY-MPI score, was observed in 32.6% of subjects. SELFY-MPI improvement was found in participants with higher number of comorbidities (1–2 chronic diseases: adjusted odd ratio (aOR)=2.38, 95% confidence interval (CI) =1.01, 5.58; ⩾ 3 chronic diseases: aOR = 3.34, 95% CI = 1.25, 8.90 vs no chronic disease), poorer cognitive performance (TYM ⩽ 42: aOR = 2.41, 95% CI = 1.12, 5.19 vs TYM > 42) or higher risk of malnutrition (MNA-SF ⩽ 11: aOR = 6.11, 95% CI = 3.15, 11.83 vs MNA-SF > 11). Conclusion: These findings suggest that the CDSMP intervention contributes to decreasing the self-perceived severity of frailty (SELFY-MPI score) in more vulnerable participants with several chronic diseases and lower cognitive performance and nutritional status.

Download Full-text

Nurse protocol: nutrition and malnutrition assessment

Russian Journal of Geriatric Medicine ◽

10.37586/2686-8636-1-2020-93-97 ◽

2020 ◽

pp. 93-97

Author(s):

N. V. Sharashkina ◽

N. K. Runikhina ◽

O. N. Tkacheva

Keyword(s):

At Risk ◽

Elderly Patients ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Management Plan ◽

Artificial Nutrition ◽

Patient Mobility ◽

Physiological Factors ◽

Hospitalized Elderly ◽

Hospitalized Older Adults

Hospitalized older adults are at risk of malnutrition. Nurses should carefully assess and monitor the nutritional status of the older hospitalized patient so that appropriate nutrition-related interventions can be implemented in timely fashions.Elderly patients are at risk of malnutrition due to dietary, economic, psychological and physiological factors. Older people are at risk of developing malnutrition. This condition or the risk of its development is observed in 39–47% of hospitalized elderly patients. The use of the Mini-Nutritional Assessment (MNA) is recommended to identify malnutrition or the risks of its development. The MNA scale takes into account the diet, patient mobility, BMI, the dynamics of weight loss, psychological stress, acute diseases, dementia and other mental features of the patient.Management plan of a patient with malnutrition: monitoring the implementation of the recommendations of a dietitian, clinical pharmacologist, and other specialists who determine the patient’s nutrition, ensuring adequate supply of nutrients, clinical nutrition (artificial nutrition, special nutritional support, parenteral, enteral nutrition, or a combination thereof), oral administration dietary supplements.

Download Full-text

Health-related behavioural differences between the sexes determines nutrition status in hospitalized elderly patients/ Różnice behawioralne związane z zachowaniami zdrowotnymi między płciami, determinujące stan odżywienia u hospitalizowanych pacjentów w podeszłym wieku

HIGHER SCHOOL’S PULSE ◽

10.5604/01.3001.0010.5031 ◽

2017 ◽

Vol 11 (3) ◽

pp. 4-9

Author(s):

Grażyna Puto ◽

Iwona Repka ◽

Kornelia Biłko ◽

Mirosława Dzikowska

Keyword(s):

Elderly Patients ◽

Health Behaviour ◽

Positive Attitude ◽

Eating Habits ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Nutrition Status ◽

Hospitalized Elderly ◽

Health Related ◽

Hospitalized Elderly Patients

Background: Health-related behaviours affect the preservation and maintenance of health. They form a important part of the everyday life of all individuals including the elderly. Some of the most significant factors affecting health are eating habits, physical activity, and the ability to handle stress and limiting the use of substances. Aim of the study: The aim of this paper was to assess the effect of health-related behaviours on nutrition in hospitalized elderly patients. Material and Methods: The study population consisted of 151 subjects over 60 years old. The study tools included a diagnostic survey, the Health Behaviour Inventory and the Mini Nutritional Assessment. Statistical significance for differences and strength of correlation between the variables was set at p<0.05. Results: The general indicator of health behaviour was higher among women (88.78±13.82 vs. 83.55±12.93; p=0.01). The analysis of health behaviour showed significant differences between men and women in relation to good eating habits (p=0.01) and prophylactic behaviour (p=0.01). Conclusions: Elderly people who followed a proper diet, which included fruit and vegetables, and avoided food with preservatives, were better nourished. A positive attitude was connected with the state of nutrition. Wellnourished status can be observed among the elderly who have positive attitude, avoid anger, anxiety and depression, and have friends and a stable family life.

Download Full-text