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- Title
Impact of malnutrition on physical, cognitive function and mortality among older men living in veteran homes by minimum data set: A prospective cohort study in Taiwan.
- Authors
Chen, L.-Y.; Liu, L.-K.; Hwang, A.-C.; Lin, M.-H.; Peng, L.-N.; Chen, Liang-Kung; Lan, C.-F.; Chang, P.-L.
- Abstract
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.
- Subjects
TAIWAN; MALNUTRITION; COGNITION in old age; CONFIDENCE intervals; DATABASE management; FOOD habits; LONG-term health care; LONGITUDINAL method; VETERANS; MORTALITY; WEIGHT loss; BODY mass index; DISEASE prevalence; PHYSICAL activity; ODDS ratio; DISEASE complications; OLD age
- Publication
Journal of Nutrition, Health & Aging, 2016, Vol 20, Issue 1, p41
- ISSN
1279-7707
- Publication type
Article
- DOI
10.1007/s12603-016-0674-5