Nutrition disorders and related conditions-Prevalence, overlap and relation to one year survival in geriatric patients
Abstract
OBJECTIVES: To investigate the overlap between the nutrition disorders (malnutrition, low-intake dehydration, obesity) and nutrition related conditions (frailty, sarcopenia, sarcopenic obesity), and the significance of each of these and their combinations for survival among older patients admitted to geriatric care.
METHODS: This exploratory study was based on a cross-sectional study with 100 patients (≥65 years) admitted to two geriatric departments. Data was retrieved from the Electronic Patient Record. Malnutrition was defined according to the Global Leadership Initiative on Malnutrition (GLIM) criteria with no prior screening. A low-intake dehydration equation, using proxy urea, was applied. Obesity was diagnosed at BMI > 29.9 kg/m2. Frailty was assessed by Clinical Frailty Scale, whereas sarcopenia was diagnosed according to the European Working Group of Sarcopenia in Older People (EWGSOP2). Sarcopenic obesity was defined as the combination of sarcopenia and obesity. Mortality was recorded up to one year after discharge.
MAIN FINDINGS: The nutrition disorders and nutrition related conditions displayed considerable overlaps, and the prevalences were; frailty 67%, low-intake dehydration 62%, malnutrition 58%, sarcopenia 30%, obesity 13%, and sarcopenic obesity 0%. Higher numbers of nutrition disorders and nutrition related conditions combined, and malnutrition (according to GLIM) alone, were related to decreased one-year survival as show in Kaplan Meier plots.
CONCLUSION:…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 100 participants or records.
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