Mini Nutritional Assessment and Functional Status As Predictors of Development of Pressure Ulcers in Acute Setting of Care

Background: The population of elderly people aged ≥60 years is increasing worldwide and is projected to reach 1.5 billion by 2050. In India, the elderly people constitute 8.1% of the total population. Malnutrition is highly prevalent in the elderly population due to various diseases and impairments.Methods: A cross-sectional study was carried out amongst 209 elderly people from February 2018 to April 2018. A questionnaire was used to collect data related to socio-demographic characteristics, Mini Nutritional Assessment (MNA) and regarding medication use, comorbidity, use of a walking aid, smoking and alcohol consumption. The MNA tool was used for the assessment of nutrition status. For an assessment of functional status, the activities of daily living scale and instrumental activities of daily living scale were used. Descriptive analysis and Chi-square test were used to present the data.Results: The average MNA score was 23.5 (SD=4.3, range: 7-30) and that of BMI was 23.8 (SD=3.9, range: 15.6-38.9). Of 209 study participants, 9.1% were malnourished, 32.5% were at risk of malnutrition and remaining 58.4% were having normal nutritional status. The possible predictors of malnutrition were older age, lower education level, staying single, unemployed, low income and less than three meals daily.Conclusions: The overall prevalence of malnutrition was found to be 9.1% but the proportion of elderly people at risk of malnutrition was relatively high. Diagnosis and treatment of elderly people at high risk for malnutrition based on the findings of this study may improve functional status and prognosis of elderly people.

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Immune Function Is Impaired With a Mini Nutritional Assessment Score Indicative of Malnutrition in Nursing Home Elders With Pressure Ulcers

Journal of Parenteral and Enteral Nutrition ◽

10.1177/0148607104028006416 ◽

2004 ◽

Vol 28 (6) ◽

pp. 416-422 ◽

Cited By ~ 21

Author(s):

Jan Hudgens ◽

Bobbi Langkamp-Henken ◽

Joyce K. Stechmiller ◽

Kelli A. Herrlinger-Garcia ◽

Carmelo Nieves

Keyword(s):

Nursing Home ◽

Immune Function ◽

Pressure Ulcers ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Assessment Score

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Malnutrition and depression as predictors for 30-day unplanned readmission in older patient: a prospective cohort study to develop 7-point scoring system

BMC Geriatrics ◽

10.1186/s12877-021-02198-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ika Fitriana ◽

Siti Setiati ◽

Edy W Rizal ◽

Rahmi Istanti ◽

Ikhwan Rinaldi ◽

...

Keyword(s):

Functional Status ◽

Scoring System ◽

Nutritional Assessment ◽

Short Form ◽

Demographic Data ◽

Depression Scale ◽

Area Under The Curve ◽

Mini Nutritional Assessment ◽

Unplanned Readmission ◽

Tertiary Referral Centre

Abstract Background Readmission is related to high cost, high burden, and high risk for mortality in geriatric patients. A scoring system can be developed to predict the readmission of older inpatients to perform earlier interventions and prevent readmission. Methods We followed prospectively inpatients aged 60 years and older for 30 days, with initial comprehensive geriatric assessment (CGA) on admission in a tertiary referral centre. Patients were assessed with CGA tools consisting of FRAIL scale (fatigue, resistance, ambulation, illness, loss of weight), the 15-item Geriatric Depression Scale, Mini Nutritional Assessment short-form (MNA-SF), the Barthel index for activities of daily living (ADL), Charlson Comorbidity Index (CCI), caregiver burden based on 4-item Zarit Burden Index (ZBI), and cognitive problem with Abbreviated Mental Test (AMT). Demographic data, malignancy diagnosis, and number of drugs were also recorded. We excluded data of deceased patients and patients transferred to other hospitals. We conducted stepwise multivariate regression analysis to develop the scoring system. Results Thirty-day unplanned readmission rate was 37.6 %. Among 266 patients, 64.7 % of them were malnourished, and 46.5 % of them were readmitted. About 24 % were at risk for depression or having depressed mood, and 53.1 % of them were readmitted. In multivariate analysis, nutritional status (OR 2.152, 95 %CI 1.151–4.024), depression status (OR 1.884, 95 %CI 1.071–3.314), malignancy (OR 1.863 95 %CI 1.005–3.451), and functional status (OR 1.584, 95 %CI 0.885–2.835) were included in derivation of 7 score system. The scoring system had maximum score of 7 and incorporated malnutrition (2 points), depression (2 points), malignancy (2 points), and dependent functional status (1 point). A score of 3 or higher suggested 82 % probability of readmission within 30 days following discharge. Area under the curve (AUC) was 0.694 (p = 0.001). Conclusions Malnutrition, depression, malignancy and functional problem are predictors for 30-day readmission. A practical CGA-based 7 scoring system had moderate accuracy and strong calibration in predicting 30-day unplanned readmission for older patients.

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Nutritional and Functional Indicators and Their Association With Mortality Among Older Adults With Alzheimer’s Disease

American Journal of Alzheimer s Disease & Other Dementias® ◽

10.1177/1533317520907168 ◽

2020 ◽

Vol 35 ◽

pp. 153331752090716

Author(s):

O. Vicente de Sousa ◽

J. Mendes ◽

T. F. Amaral

Keyword(s):

Alzheimer’S Disease ◽

Older Adults ◽

Alzheimer's Disease ◽

Functional Status ◽

Gait Speed ◽

Nutritional Assessment ◽

Handgrip Strength ◽

Mini Nutritional Assessment ◽

Community Dwelling ◽

Calf Circumference

This study investigated how different nutritional and functional status indicators are associated with mortality in patients with Alzheimer’s disease (AD). A prospective cohort study was conducted among 79 community-dwelling older adults with AD. Follow-up was 60 months. Undernutrition status was evaluated by Mini Nutritional Assessment (MNA), body mass index, mid-arm muscle circumference (MAMC), calf circumference, and phase angle. Functional status was assessed by handgrip strength, and usual gait speed. Twenty-two participants died (27.8%). Results show that undernutrition (hazard ratio [HR] 5.69, 95% confidence interval [CI] 2.21-14.61), weight loss (HR 3.82, 95% CI 1.37-10.63), underweight (HR 3.24, 95% CI 1.18-8.82), low MAMC (HR 4.54, 95% CI 1.65-12.48), calf circumference ≤ 31 (HR 4.27, 95% CI 1.63-11.16), low HGS (HR 3.11, 95% CI 1.18-8.17), and low gait speed (HR 4.73, 95% CI 1.68-13.27) were all associated with mortality. In conclusion, a poor nutritional and functional status was associated with a higher risk of mortality, regardless of sex, age, marital status, education, and cognitive function.

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Mini Nutritional Assessment and Screening Scores Are Associated with Nutritional Indicators in Elderly People with Pressure Ulcers

Journal of the American Dietetic Association ◽

10.1016/j.jada.2005.07.005 ◽

2005 ◽

Vol 105 (10) ◽

pp. 1590-1596 ◽

Cited By ~ 36

Author(s):

Bobbi Langkamp-Henken ◽

Jan Hudgens ◽

Joyce K. Stechmiller ◽

Kelli A. Herrlinger-Garcia

Keyword(s):

Elderly People ◽

Pressure Ulcers ◽

Nutritional Assessment ◽

Mini Nutritional Assessment

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The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

Nutrients ◽

10.3390/nu13113716 ◽

2021 ◽

Vol 13 (11) ◽

pp. 3716

Author(s):

Itxaso Mugica-Errazquin ◽

Idoia Zarrazquin ◽

Jesús Seco-Calvo ◽

Javier Gil-Goikouria ◽

Ana Rodriguez-Larrad ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Nutritional Status ◽

Functional Status ◽

Physical Performance ◽

Barthel Index ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Multiple Linear Regression Model

Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.

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