Nutritional care needs in elderly residents of long-term care institutions: Potential implications for policies

A. Pezzana, Emanuele Cereda, P. Avagnina, G. Malfi, E. Paiola, Z. Frighi, I. Capizzi, E. Sgnaolin, M. L. Amerio

Research output: Contribution to journalArticle

Abstract

Objectives: To collect information on actual nutritional intervention requirements in long-term care institutions and on the role of institutional factors in nutritional care. Design: A cross-sectional analysis of baseline data (collected between September 2011 and September 2013) within the context of a multicenter prospective cohort study. Setting: Nineteen long-term care institutions. Participants: Thirteen hundred and ninety-four resident elderly (age ≥60 years). Measurements: The prevalence of nutritional derangements (MNA-Short Form) and the need to introduce nutritional interventions on the residents. Results: Prevalence of malnutrition and risk of malnutrition were 35.2% [95%CI, 32.8–37.8] and 52.6% [95%CI, 50.0–55.2], respectively. Malnutrition was more frequent upon admission and in larger institutions (≥50 beds). Overall, 50% of the residents requiring an individualized nutritional care plan (any type) were not receiving it. Oral diet, the use of fluid thickeners and oral nutritional supplements had to be introduced in 306 (22.5%), 201 (15%) and 175 (13%) residents, respectively. The need to implement the oral diet was mainly due to inadequacy of texture according to chewing and swallowing capabilities. In gender and age-adjusted multivariable logistic regression models, nutritional interventions were associated with worse nutritional status (P

Original languageEnglish
Pages (from-to)947-954
Number of pages8
JournalJournal of Nutrition, Health and Aging
Volume19
Issue number9
DOIs
Publication statusPublished - May 20 2015

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Keywords

  • elderly
  • Long-term care
  • malnutrition
  • risk of malnutrition
  • treatment

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Geriatrics and Gerontology

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