Publication details

Title
Inventory of frailty and malnutrition within general practice.
Authors
Brandts,M.;Arnold,R.;Vanneste,V.
Publication Year
2013
Abstract
Introduction.- Little is known about frailty and the nutritional status of frail elderly within the general population. The aim of this inventory was therefore to evaluate frailty and nutritional status among community dwelling elderly within a general practice. Material and methods.- Two general practitioners (GP) selected among all their patients aged over 75 years those who they considered as (possibly) frail. Frailty status in this GP selected group was evaluated by the Tilburg Frailty Index (TFI). (Risk of) malnutrition according to the Mini Nutritional Assessment (MNA) and the correlation between frailty and (risk of) malnutrition was assessed. Results.- Sixty-six (possibly) frail elderly (mean(plus or minus)SD) (age: 83(plus or minus)5 years) were included. Among those, 25 elderly were considered by the GPs as nullfrailnull. Frailty was confirmed by the TFI in 76% (n = 19) of these elderly. Out of the remaining 41 elderly considered as 'possibly frail' by the GP, 44% (n = 18) were frail according to TFI. (Risk of) malnutrition was present in 33% (n = 21) among the (possibly) frail elderly. However, this was recognized in only 56% of the cases by the GPs. There was a significant correlation between frailty (TFI) and (risk of) malnutrition (MNA) (P = 0.007), although the linear relation was limited (R2 = 0.35). Conclusion.- This inventory has shown that frailty is common among community dwelling elderly in general practice. Although nullfrailtynull per se was reasonably well recognized by the GP, they tended to overestimate it. In contrast, the (risk of) malnutrition remained unrecognized in almost half of by the GP selected (possibly) frail elderly.
Journals
Eur Geriatr Med.
Volume
4
Issue
1
Startpage
S84
Endpage
[Poster P212, 9th Congress of the European Union Geriatric Medicine Society (EUGMS), Venice, Italy, October 2-4, 2013]
Booktitle
Editors
City
Publisher
Issnisbn
1878-7649
Reflist
0
Doi
doi:10.1016/j.eurger.2013.07.276
Pmid
Keywords
malnutrition;general practice;European Union;geriatrics;society;human;risk;aged;frail elderly;nutritional status;community;general practitioner;nutritional assessment;patient;population
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