TY - JOUR
T1 - Impact of malnutrition on physical, cognitive function and mortality among older men living in veteran homes by minimum data set
T2 - A prospective cohort study in Taiwan
AU - Chen, L. Y.
AU - Liu, L. K.
AU - Hwang, A. C.
AU - Lin, M. H.
AU - Peng, L. N.
AU - Chen, Liang Kung
AU - Lan, C. F.
AU - Chang, P. L.
N1 - Publisher Copyright:
© 2016, Serdi and Springer-Verlag France.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Objectives: To evaluate the prevalence of malnutrition and its impact on mortality, functional decline and cognitive impairment among elder residents in long-term care settings. Designs: A prospective cohort study. Settings: Two veteran homes in Taiwan. Participants: A total of 1,248 male residents aged equal or more than 65 years. Measurements: Charlson’s comorbidity index (CCI), Minimum data set (MDS), resident assessment protocols (RAP), Activity of daily living-Hierarchy scale, Cognitive Performance Scale, MDS Social engagement scale. Results: The mean age of participants is 83.1 ± 5.1 years, and the prevalence of malnutrition was 6.1%. Inadequate dietary content (57.9%) and unintentional weight loss (31.6%) account for the majority of malnutrition identified by MDS tool. Higher 18-month mortality rate (25% vs. 14.2%), higher baseline CCI (median 1 vs. 0), and higher baseline sum of RAP triggers (median 8.5 vs. 5) were noted among residents with malnutrition. Furthermore, malnutrition was shown predictive for functional decline (OR: 3.096, 95% CI: 1.715-5.587) and potential cognitive improvement (OR: 2.469, 95% CI: 1.188-5.128) among survivors after adjustment for age, body mass index and CCI. Conclusion: Malnutrition among elder men residing in veteran homes was associated with multimoridities and higher care complexity, and was predictive for mortality and functional decline.
AB - Objectives: To evaluate the prevalence of malnutrition and its impact on mortality, functional decline and cognitive impairment among elder residents in long-term care settings. Designs: A prospective cohort study. Settings: Two veteran homes in Taiwan. Participants: A total of 1,248 male residents aged equal or more than 65 years. Measurements: Charlson’s comorbidity index (CCI), Minimum data set (MDS), resident assessment protocols (RAP), Activity of daily living-Hierarchy scale, Cognitive Performance Scale, MDS Social engagement scale. Results: The mean age of participants is 83.1 ± 5.1 years, and the prevalence of malnutrition was 6.1%. Inadequate dietary content (57.9%) and unintentional weight loss (31.6%) account for the majority of malnutrition identified by MDS tool. Higher 18-month mortality rate (25% vs. 14.2%), higher baseline CCI (median 1 vs. 0), and higher baseline sum of RAP triggers (median 8.5 vs. 5) were noted among residents with malnutrition. Furthermore, malnutrition was shown predictive for functional decline (OR: 3.096, 95% CI: 1.715-5.587) and potential cognitive improvement (OR: 2.469, 95% CI: 1.188-5.128) among survivors after adjustment for age, body mass index and CCI. Conclusion: Malnutrition among elder men residing in veteran homes was associated with multimoridities and higher care complexity, and was predictive for mortality and functional decline.
KW - Malnutrition
KW - cognition
KW - geriatric syndrome
KW - long-term care settings
KW - minimum data set
UR - http://www.scopus.com/inward/record.url?scp=84953380673&partnerID=8YFLogxK
U2 - 10.1007/s12603-016-0674-5
DO - 10.1007/s12603-016-0674-5
M3 - Article
C2 - 26728932
AN - SCOPUS:84953380673
SN - 1279-7707
VL - 20
SP - 41
EP - 47
JO - Journal of Nutrition, Health and Aging
JF - Journal of Nutrition, Health and Aging
IS - 1
ER -
