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Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities

Certain diseases and malnutrition are known to co-occur in residents of long-term care facilities (LTCF). We assessed which diseases and health-related problems are associated with malnutrition at admission or with incident malnutrition during stays and how different definitions of malnutrition affe...

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Autores principales: Borkent, Jos W., Van Hout, Hein P. J., Feskens, Edith J. M., Naumann, Elke, de van der Schueren, Marian A. E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959926/
https://www.ncbi.nlm.nih.gov/pubmed/36833865
http://dx.doi.org/10.3390/ijerph20043170
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author Borkent, Jos W.
Van Hout, Hein P. J.
Feskens, Edith J. M.
Naumann, Elke
de van der Schueren, Marian A. E.
author_facet Borkent, Jos W.
Van Hout, Hein P. J.
Feskens, Edith J. M.
Naumann, Elke
de van der Schueren, Marian A. E.
author_sort Borkent, Jos W.
collection PubMed
description Certain diseases and malnutrition are known to co-occur in residents of long-term care facilities (LTCF). We assessed which diseases and health-related problems are associated with malnutrition at admission or with incident malnutrition during stays and how different definitions of malnutrition affect these associations. Data of Dutch LTCF residents were obtained from the InterRAI-LTCF instrument (2005–2020). We analyzed the association of diseases (diabetes, cancer, pressure ulcers, neurological, musculoskeletal, psychiatric, cardiac, infectious and pulmonary diseases) and health-related problems (aspiration, fever, peripheral edema, aphasia, pain, supervised/assisted eating, balance, psychiatric, GI tract, sleep, dental and locomotion problems) with malnutrition (recent weight loss (WL), low age-specific BMI (BMI), and ESPEN 2015 definition (ESPEN)) at admission (n = 3713), as well as with incident malnutrition during stay (n = 3836, median follow-up ~1 year). Malnutrition prevalence at admission ranged from 8.8% (WL) to 27.4% (BMI); incident malnutrition during stay ranged from 8.9% (ESPEN) to 13.8% (WL). At admission, most diseases (except cardiometabolic diseases) and health-related problems were associated with higher prevalence of malnutrition based on either criterion, but strongest with WL. This was also seen in the prospective analysis, but relationships were less strong compared to the cross-sectional analysis. A considerable number of diseases and health-related problems are associated with an increased prevalence of malnutrition at admission and incident malnutrition during stays in LTCFs. At admission, low BMI is a good indicator of malnutrition; during stays, we advise use of WL.
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spelling pubmed-99599262023-02-26 Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities Borkent, Jos W. Van Hout, Hein P. J. Feskens, Edith J. M. Naumann, Elke de van der Schueren, Marian A. E. Int J Environ Res Public Health Article Certain diseases and malnutrition are known to co-occur in residents of long-term care facilities (LTCF). We assessed which diseases and health-related problems are associated with malnutrition at admission or with incident malnutrition during stays and how different definitions of malnutrition affect these associations. Data of Dutch LTCF residents were obtained from the InterRAI-LTCF instrument (2005–2020). We analyzed the association of diseases (diabetes, cancer, pressure ulcers, neurological, musculoskeletal, psychiatric, cardiac, infectious and pulmonary diseases) and health-related problems (aspiration, fever, peripheral edema, aphasia, pain, supervised/assisted eating, balance, psychiatric, GI tract, sleep, dental and locomotion problems) with malnutrition (recent weight loss (WL), low age-specific BMI (BMI), and ESPEN 2015 definition (ESPEN)) at admission (n = 3713), as well as with incident malnutrition during stay (n = 3836, median follow-up ~1 year). Malnutrition prevalence at admission ranged from 8.8% (WL) to 27.4% (BMI); incident malnutrition during stay ranged from 8.9% (ESPEN) to 13.8% (WL). At admission, most diseases (except cardiometabolic diseases) and health-related problems were associated with higher prevalence of malnutrition based on either criterion, but strongest with WL. This was also seen in the prospective analysis, but relationships were less strong compared to the cross-sectional analysis. A considerable number of diseases and health-related problems are associated with an increased prevalence of malnutrition at admission and incident malnutrition during stays in LTCFs. At admission, low BMI is a good indicator of malnutrition; during stays, we advise use of WL. MDPI 2023-02-10 /pmc/articles/PMC9959926/ /pubmed/36833865 http://dx.doi.org/10.3390/ijerph20043170 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Borkent, Jos W.
Van Hout, Hein P. J.
Feskens, Edith J. M.
Naumann, Elke
de van der Schueren, Marian A. E.
Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities
title Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities
title_full Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities
title_fullStr Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities
title_full_unstemmed Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities
title_short Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities
title_sort diseases, health-related problems, and the incidence of malnutrition in long-term care facilities
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959926/
https://www.ncbi.nlm.nih.gov/pubmed/36833865
http://dx.doi.org/10.3390/ijerph20043170
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