Risk Factors for Malnutrition in Older Adults: A Systematic Review of the Literature Based on Longitudinal Data
| Autor: | Christophe Matthys, Carine Vereecken, Joke Duyck, Anja Declercq, Stefanie Krausch-Hofmann, Erika Vanhauwaert, Geertruida E Bekkering, Nádia Cristina Fávaro-Moreira |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Polypharmacy Gerontology 030109 nutrition & dietetics Nutrition and Dietetics Activities of daily living business.industry MEDLINE Medicine (miscellaneous) Disease medicine.disease 03 medical and health sciences Malnutrition 0302 clinical medicine medicine Dementia 030212 general & internal medicine Cognitive decline business Body mass index Food Science |
| Zdroj: | Advances in Nutrition. 7:507-522 |
| ISSN: | 2161-8313 |
| Popis: | The present systematic review critically examines the available scientific literature on risk factors for malnutrition in the older population (aged ≥65 y). A systematic search was conducted in MEDLINE, reviewing reference lists from 2000 until March 2015. The 2499 papers identified were subjected to inclusion criteria that evaluated the study quality according to items from validated guidelines. Only papers that provided information on a variable's effect on the development of malnutrition, which requires longitudinal data, were included. A total of 6 longitudinal studies met the inclusion criteria and were included in the systematic review. These studies reported the following significant risk factors for malnutrition: age (OR: 1.038; P = 0.045), frailty in institutionalized persons (β: 0.22; P = 0.036), excessive polypharmacy (β: -0.62; P = 0.001), general health decline including physical function (OR: 1.793; P = 0.008), Parkinson disease (OR: 2.450; P = 0.047), constipation (OR: 2.490; P = 0.015), poor (OR: 3.30; P value not given) or moderate (β: -0.27; P = 0.016) self-reported health status, cognitive decline (OR: 1.844; P = 0.001), dementia (OR: 2.139; P = 0.001), eating dependencies (OR: 2.257; P = 0.001), loss of interest in life (β: -0.58; P = 0.017), poor appetite (β: -1.52; P = 0.000), basal oral dysphagia (OR: 2.72; P = 0.010), signs of impaired efficacy of swallowing (OR: 2.73; P = 0.015), and institutionalization (β: -1.89; P < 0.001). These risk factors for malnutrition in older adults may be considered by health care professionals when developing new integrated assessment instruments to identify older adults' risk of malnutrition and to support the development of preventive and treatment strategies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|