Publication details

Title
The prevalence of malnutrition in frail older veterans.
Authors
Win,A. Z.;Ceresa,C.;Allison,T. A.
Publication Year
2013
Abstract
Background: Malnutrition presents serious risks to elders, and is a good predictor of morbidity and mortality, but validated screening tools remain underutilized. A nation-wide group of Department of Veterans Affairs' Home Based Primary Care (HBPC) programs participated in a multi-sited quality improvement (QI) process to evaluate the baseline nutritional status for patients enrolled in HBPC. The Mini Nutritional Assessment short form (MNA-SF), a screening tool that has been validated in multiple populations, was chosen as the standard. We present the initial findings of the group: the prevalence of malnutrition and risk of malnutrition among veterans in HBPC program. This is the first study to look at the prevalence of malnutrition among these frail, largely homebound elders. Methods: Local QI projects were initiated, using the MNA-SF, to determine presence of malnutrition and risk of malnutrition among patients from 18 HBPC programs across the country. Data was collected between April and September, 2012. Each site provided data in de-identified, aggregate form to a coordinating dietitian (CC). Due to the limited nature of the QI data, unadjusted prevalence was calculated for the entire sample size and for each site. Results: Over a six month period, 2,252 veterans over the age of 65 were assessed using the MNA-SF. Of these, 909 (40.3%) of veterans were found to be at risk for malnutrition, and 344 (15%) were discovered to be malnourished. The overall prevalence rate was 55.6% for both malnutrition and nullat risknull for malnutrition. Conclusions: In this group of frail elders, the majority were either at risk of malnutrition or already malnourished. This finding underscores the need to identify patients at nutritional risk using validated tools in order to target timely interventions. Improved nutritional status can lead to improved quality of life and better clinical outcomes for patients. The data from this study provides baseline characterization of this population and serves as a rationale for the development of interventions, including the adoption of the MNA-SF as a standard screening tool for HBPC programs nationwide.
Journals
J Am Geriatr Soc.
Volume
61
Issue
1
Startpage
S159
Endpage
[Abstract, American Geriatrics Society 2013 Annual Scientific Meeting, Grapevine, TX, May 2-5, 2013]
Booktitle
Editors
City
Publisher
Issnisbn
Reflist
0
Doi
doi:10.1111/jgs.12263
Pmid
Keywords
prevalence;malnutrition;veteran;human;geriatrics;society;risk;patient;screening;population;nutritional status;dietitian;mortality;nutritional assessment;morbidity;total quality management;quality of life;sample size;primary medical care
New search