Malnutrition and Fall Risk in Older Adults: A Comprehensive Assessment Across Different Living Situations.

IF 4.8 2区医学 Q1 NUTRITION & DIETETICS

Nutrients Pub Date : 2024-10-30 DOI:10.3390/nu16213694

Marzanna Mziray, Karolina Nowosad, Aleksandra Śliwińska, Mateusz Chwesiuk, Sylwia Małgorzewicz

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Abstract

Background: Malnutrition among older adults is associated with numerous adverse effects, including increased morbidity, mortality, prolonged hospital stays, and a heightened risk of falls. This study aims to investigate the prevalence of malnutrition in different groups of older adults using the F-MNA, anthropometry, and s-albumin and the association between nutritional status and fall risk.

Methods: A total of 228 participants aged 60 years and older were divided into three groups: (1) patients in an internal medicine ward, (2) individuals living in family homes, and (3) residents of care homes. Disease profiles, nutritional status (assessed using the F-MNA and SNAQ), body composition, fall risk, and biochemical markers were evaluated.

Results: The results indicated the highest prevalence of malnutrition among hospitalized individuals. Fall risk was associated with age, calf circumference, the F-MNA, the SNAQ, serum albumin levels, residence in a care home, comorbidities, and the number of medications taken daily. Regression analysis revealed that age, calf circumference, and residence in a care home were independent predictors of fall risk in older adults.

Conclusion: Older adults are at significant risk of malnutrition, with the risk notably increasing during hospitalization and long-term stays in care homes. Hospitalized individuals had the poorest nutritional status and were at significant risk of further weight loss, underscoring the importance of post-discharge care and rehabilitation.

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老年人营养不良与跌倒风险：不同生活环境下的综合评估。

背景：老年人营养不良与许多不良影响有关，包括发病率、死亡率、住院时间延长和跌倒风险增加。本研究旨在使用 F-MNA、人体测量和 s-白蛋白调查不同老年人群体中营养不良的发生率，以及营养状况与跌倒风险之间的关联：共有 228 名 60 岁及以上的参与者被分为三组：(1) 内科病房的病人；(2) 居住在家庭中的个人；(3) 护理院的居民。对疾病概况、营养状况（使用 F-MNA 和 SNAQ 评估）、身体组成、跌倒风险和生化指标进行了评估：结果表明，住院病人营养不良的发生率最高。跌倒风险与年龄、小腿围、F-MNA、SNAQ、血清白蛋白水平、住在护理院、合并症和每日服药次数有关。回归分析表明，年龄、小腿围度和居住在护理院是老年人跌倒风险的独立预测因素：结论：老年人营养不良的风险很大，住院和长期住在护理院的风险明显增加。住院病人的营养状况最差，体重进一步下降的风险很大，这突出表明了出院后护理和康复的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrients NUTRITION & DIETETICS-

CiteScore

9.20

自引率

15.30%

发文量

4599

审稿时长

16.74 days

期刊介绍： Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.