Publication details

Title
Association between nutritional status (MNA(registered trademark)-SF) and frailty (SHARE-FI) in acute hospitalised elderly patients.
Authors
Dorner,T. E.;Luger,E.;Tschinderle,J.;Stein,K. V.;Haider,S.;Kapan,A.;Lackinger,C.;Schindler,K. E.
Publication Year
2013
Abstract
Objective: This study aimed to explore the association between the impaired nutritional status and frailty in acute hospitalised elderly patients by using two tools, the MNA(registered trademark)-SF (Mini Nutritional Assessment(registered trademark) short-form) and the SHARE-FI (Frailty Instrument for Primary Care of the Survey of Health, Ageing and Retirement in Europe). Design: Cross-sectional study. Setting: Acute hospitalised, community-dwelling elderly patients were recruited at internal medicine wards in Vienna, Austria. Participants: 133 men (39%) and women (61%) aged 74 (65-97) years. Measurements: MNA(registered trademark)-SF was used to investigate malnutrition (<7 points) and patients at risk of malnutrition (8 to 11 points). By using the SHARE-FI, subjects were classified as frail, pre-frail or robust. A factor analysis was applied to identify overlaps between the MNA(registered trademark)-SF and SHARE-FI items. Internal consistency of different dimensions was assessed by using Cronbach's Alpha. Results: Malnutrition or risk of malnutrition was found in 76.7% of the total sample and in 46.8% of robust, in 69.0% of pre-frail, and in 93.0% of frail participants. Frailty or prefrailty was found in 75.9% of the total sample and in 45.1% of the subjects with no risk of malnutrition, in 80.9% of subjects at risk of malnutrition, and in 94.1% of malnourished patients. The two used tools show overlaps in three dimensions: (1) nutrition problems, (2) mobility problems and (3) anthropometric items with a moderate to strong internal consistency (Cronbach's Alpha of 0.670, 0.834 and 0.946, respectively). 64.7% of the total sample (79.5% of frail and 87.9% of malnourished subjects) would participate in a home-based muscle training and nutritional intervention program. Conclusions: This study underlines the association and the overlap between frailty and impaired nutritional status. There is a high readiness to participate in a program to tackle the problems associated with malnutrition and frailty, especially in those, who would benefit most from it. (copyright) 2013 Serdi and Springer-Verlag France.
Journals
J Nutr Health Aging.
Volume
Issue
21
Startpage
1-
Endpage
6
Booktitle
Editors
City
Publisher
Issnisbn
Reflist
0
Doi
doi:10.1007/s12603-013-0406-z
Pmid
Keywords
human;aged;malnutrition;nutritional status;screening;hospital;risk;internal consistency;patient;Cronbach alpha coefficient;health;factorial analysis;primary medical care;Austria;nutritional assessment;ward;female;male;internal medicine;community;muscle tr????
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