M. Streicher

Predictors of Incident Malnutrition in Older Irish Adults from the Irish Longitudinal Study on Ageing Cohort—A MaNuEL study

Older adults are at increased risk of malnutrition which is associated with poorer health, quality of life, and worse disease outcomes. This study identifies predictors of incident malnutrition using data from a sub-sample (n=1,841) of The Irish Longitudinal Study on Ageing (TILDA). Participants were excluded if they were <65 years, missing BMI data at baseline/follow-up, missing baseline weight loss (WL) data or malnourished at baseline (BMI <20kg/m2 or unplanned WL ≥4.5kg in the previous year). Logistic regression analysis was performed with incident malnutrition (BMI <20kg/m2 and/or calculated WL >10% over follow-up) as the dependent variable. Factors showing significant (p<0.05) univariate associations with incident malnutrition were entered into a multivariate model. The analysis was then repeated, stratified by sex. The 2-year incidence of malnutrition was 10.7%. Unmarried/separated/divorced status (vs.married but not widowed), hospitalisation in the previous year, difficulties walking 100m or climbing stairs independently predicted incident malnutrition at follow-up. When examined by sex, hospitalisation in the previous year, falls during follow-up and self-reported difficulties climbing stairs predicted malnutrition in males. Receiving social support and cognitive impairment predicted malnutrition in females.The development of malnutrition has a range of predictors. These can be assessed using simple questions to identify vulnerable persons.

Determinants of Incident Malnutrition in Community-Dwelling Older Adults: A MaNuEL Multicohort Meta-Analysis: Determinants of incident malnutrition

To identify determinants of incident malnutrition in community‐dwelling older adults.

nutritionDay: 10 years of growth

BACKGROUND & AIMS Despite high prevalence at hospital admission, disease related malnutrition (DRM) remains under recognized and undertreated. DRM is associated with increased morbidity, hospital readmission rate, and burden for the healthcare system. The compelling need to increase awareness and knowledge through an international survey has triggered the launch of the nutritionDay (ND) concept. METHODS ND is a worldwide annual systematic collection and analysis of data in hospital wards, intensive care units and nursing homes. ND is based on questionnaires to systematically collect and analyze the patients characteristics, food intake and nutrition support, as well as the determinants of their environment (facility, health care personal, etc …). Questionnaires, outcome documentation sheets and step-by-step guidance are available as download in 30 languages. RESULTS ND has described the nutritional status and behavior of over 150,000 hospitalized patients and nursing homes patients in over 56 participating countries. These data allowed a local, regional, national and international benchmarking at different levels (i.e. type of medical pathologies, care facilities, etc.) and over time. Sixteen peer-reviewed publications have already been released and picture the international scene of DRM. CONCLUSION This review presents the 10-year of the ND project development and shows how ND serves all health care professionals to optimize nutrition care and nutrition related structures. ND keeps progressing and is likely to become a standard tool for determining the nutritional status and behavior of hospitalized patients and nursing homes population.