Malnutrition risk of older people across district health board community, hospital and residential care settings in New Zealand

Australas J Ageing. 2017 Sep;36(3):205-211. doi: 10.1111/ajag.12410. Epub 2017 May 25.

Abstract

Objective: To determine the prevalence of malnutrition risk in older people across three settings.

Methods: Older people living in the community or newly admitted to hospital or residential care were assessed for malnutrition risk using the validated Mini-Nutritional Assessment - Short Form and dysphagia risk using the Eating Assessment Tool-10. Demographic, physical and health data were collected.

Results: Of 167 participants, 23% were malnourished and 35% were at high risk of malnutrition. Those recently admitted to residential care versus a hospital or living in the community had a higher prevalence of malnourishment (47% vs 23% and 2%) (P < 0.001). Risk of dysphagia differed with settings (P < 0.001) with highest risk in residential care. Hospitalised and residential care participants were significantly more likely to have ≥4 comorbidities, take ≥5 medications and have below normal cognition compared to community participants.

Conclusion: Choice of nutrition intervention is setting dependent.

Keywords: New Zealand; aged; dysphagia; nutrition.

Publication types

  • Comparative Study

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Community Health Services*
  • Comorbidity
  • Cross-Sectional Studies
  • Deglutition
  • Deglutition Disorders / diagnosis
  • Deglutition Disorders / epidemiology
  • Deglutition Disorders / physiopathology
  • Female
  • Geriatric Assessment
  • Homes for the Aged*
  • Hospitals*
  • Humans
  • Independent Living
  • Inpatients
  • Male
  • Malnutrition / diagnosis
  • Malnutrition / epidemiology*
  • Malnutrition / physiopathology
  • New Zealand / epidemiology
  • Nursing Homes*
  • Nutrition Assessment
  • Nutritional Status
  • Polypharmacy
  • Prevalence
  • Risk Assessment
  • Risk Factors
  • Surveys and Questionnaires