Cent Eur J Public Health 2018, 26(2):111-117 | DOI: 10.21101/cejph.a4944

Prevalence of malnutrition risk among institutionalized elderly from North Bohemia is higher than among those in the Capital City of Prague, Czech Republic

Miroslava Slavíková1, Bohumír Procházka2, Pavel Dlouhý1, Michal Anděl1, Jolana Rambousková1
1 Centre for Research of Nutrition, Metabolism and Diabetes, Department of Hygiene, Third Faculty of Medicine, Charles University, Prague, Czech Republic
2 Department of Statistics and Informatics, National Institute of Public Health, Prague, Czech Republic

Objective: The aim of the study is to assess the risk of malnutrition among institutionalized elderly individuals in North Bohemia and compare it to the risk of malnutrition in the capital city of Prague, Czech Republic. In the Czech Republic, very few studies have been conducted with the goal of describing and evaluating the nutritional status of the institutionalized elderly.

Methods: In this study, data was collected from 254 elderly individuals (aged ≥ 65) residing in retirement homes in North Bohemia and then compared with similar data for the elderly living in retirement homes in Prague (the data from Prague were previously published in 2013). The data included an Mini-Nutritional Assessment (MNA) test; anthropometric measurements - Body Mass Index (BMI), waist circumference, triceps skinfold thickness; and biochemical parameters - albumin, prealbumin, transferrin, urea, and creatinine.

Results: Mean BMI values were 27.4 kg/m2 for females and 26.3 kg/m2 for males. According to the MNA questionnaire, 10.4% of all tested elderly were malnourished and 50.8% were at risk of malnutrition; lager proportion of females were found to be malnourished than males. Biochemical indicators supported the MNA results. MNA categories correlated positively with independence (r = 0.56; p < 0.001), mental status (r = 0.54; p < 0.001), mobility (r = 0.46; p < 0.001), calf circumference (r = 0.42; p < 0.001), BMI, and the ability to self-feed (both r = 0.37; p < 0.001). The percentage of institutionalized elderly with malnutrition living in North Bohemia and Prague were about the same; however, the percentage of those at risk of malnutrition was higher in North Bohemia (p = 0.006).

Conclusion: Study results confirmed that the institutionalized elderly face issues that lower their nutritional status and put them at increased risk; clearly these issues need urgent attention.

Keywords: institutionalized elderly, malnutrition, mini-nutritional assessment, nutritional status

Received: October 7, 2016; Revised: May 13, 2018; Accepted: May 13, 2018; Published: June 30, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Slavíková M, Procházka B, Dlouhý P, Anděl M, Rambousková J. Prevalence of malnutrition risk among institutionalized elderly from North Bohemia is higher than among those in the Capital City of Prague, Czech Republic. Cent Eur J Public Health. 2018;26(2):111-117. doi: 10.21101/cejph.a4944. PubMed PMID: 30102499.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Stratton RJ, Green CJ, Elia M. Disease-related malnutrition: an evidence based approach to treatment. Wallingford: CABI Publishing; 2003. Go to original source...
    2. Hirose T, Hasegawa J, Izawa S, Enoki H, Suzuki Y, Kuzuya M. Accumulation of geriatric conditions is associated with poor nutritional status in dependent older people living in the community and in nursing homes. Geriatr Gerontol Int. 2014;14(1):198-205. Go to original source... Go to PubMed...
    3. Guigoz Y, Vellas BJ. Malnutrition in the elderly: the mini nutritional assessment. Ther Umsch. 1997;54(6):345-50. (In German.) Go to PubMed...
    4. Wyka J, Biernat J, Mikolajczak J, Piotrowska E. Assessment of Dietary Intake and Nutritional Status (MNA) in Polish Free-living Elderly People from Rural Environments. Arch Gerontol Geriatr. 2012;54(1):44-9. Go to original source... Go to PubMed...
    5. Stange I, Poeschl K, Stehle P, Sieber CC, Volkert D. Screening for malnutrition in nursing home residents: comparison of different risk markers and their association to functional impairment. J Nutr Health Aging. 2013;17(4):357-63. Go to original source... Go to PubMed...
    6. Chavarro-Carvajal D, Reyes-Ortiz C, Samper-Ternent R, Arciniegas AJ, Gutierrez CC. Nutritional assessment and factors associated to malnutrition in older adults: a cross-sectional study in Bogotá, Colombia. J Aging Health. 2015;27(2):304-19. Go to original source... Go to PubMed...
    7. Mowe M, Bohmer T, Kindt E. Reduced nutritional status in an elderly population (> 70 y) is probable before disease and possibly contributes to the development of disease. Am J Clin Nutr. 1994;59(2):317-24. Go to original source... Go to PubMed...
    8. Bauer JM, Sieber CC. Significance and diagnosis of malnutrition in the elderly. Z Arztl Fortbild Qualitätssich. 2007;101(9):605-9. (In German.) Go to original source...
    9. Rambousková J, Slavíková M, Krsková A, Procházka B, Anděl M, Dlouhý P. Nutritional status assessment of institutionalized elderly in Prague, Czech Republic. Ann Nutr Metab. 2013;62(3):201-6. Go to original source... Go to PubMed...
    10. Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999;15(2):116-22. Go to original source... Go to PubMed...
    11. Ritchie RF, Navolotskaia O, editors. Serum proteins in clinical medicine. Vol. 1, Laboratory section. Scarborough: Foundation for blood Research; 1996.
    12. Tietz NW, editor. Clinical guide to laboratory tests. 3rd ed. Philadelphia: W.B. Saunders Company; 1995.
    13. Vellas B, Villars H, Abellan G, Soto ME, Rolland Y, Guigoz Y, et al. Overview of the MNA-Its history and challenges. J Nutr Health Aging. 2006;10(6):456-63.
    14. Antonelli Incalzi R, Landi F, Cipriani L, Bruno E, Pagano F, Gemma A, et al. Nutritional assessment: a primary component of multidimensional geriatric assessment in the acute care setting. J Am Geriatr Soc. 1996;44(2):166-74. Go to original source... Go to PubMed...
    15. Saletti A, Lindgren EY, Johansson L, Cederholm T. Nutritional status according to mini nutritional assessment in an institutionalized elderly population in Sweden. Gerontology. 2000;46(3):139-45. Go to original source... Go to PubMed...
    16. Kuzuya M, Kanda S, Koike T, Suzuki Y, Satake S, Iguchi A. Evaluation of Mini-Nutritional Assessment for Japanese frail elderly. Nutrition. 2005;21(4):498-503. Go to original source... Go to PubMed...
    17. Suominen M, Muurinen S, Routasalo P, Soini H, Suur-Uski I, Peiponen A, et al. Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr. 2005;59(4):578-83. Go to original source... Go to PubMed...
    18. Kulnik D, Elmadfa I. Assessment of the nutritional situation of elderly nursing home residents in Vienna. Ann Nutr Metab. 2008;52 Suppl 1:51-3. Go to original source... Go to PubMed...
    19. Donini LM, Neri B, De Chiara S, Poggiogalle E, Muscaritoli M. Nutritional care in a nursing home in Italy. PLoS One. 2013;8(2):e55804. doi: 10.1371/journal.pone.0055804. Go to original source... Go to PubMed...
    20. Borgström Bolmsjö B, Jakobsson U, Mölstad S, Ostgren CJ, Midlöv P. The nutritional situation in Swedish nursing homes - a longitudinal study. Arch Gerontol Geriatr. 2015;60(1):128-33. Go to original source... Go to PubMed...
    21. Torres MJ, Dorigny B, Kuhn M, Berr C, Barberger-Gateau P, Letenneur L. Nutritional status in community-dwelling elderly in France in urban and rural areas. PloS One. 2014;9(8):e105137. doi: 10.1371/journal.pone.0105137. Go to original source... Go to PubMed...
    22. Siebens H, Trupe E, Siebens A, Cook F, Anshen S, Hanauer R, et al. Correlates and consequences of eating dependency in institutionalized elderly. J Am Geriatr Soc. 1986;34(3):192-8. Go to original source... Go to PubMed...
    23. Arvanitakis M, Vandewoude M, Perkisas S, Van Gossum A. Undernutrition in community dwelling elderly. ESPEN J. 2013;8(5):e213-5. Go to original source...
    24. Brownie S. Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract. 2006;12(2):110-8. Go to original source... Go to PubMed...
    25. Montejano Lozoya AR, Ferrer Diego RM, Clemente Marín G, Martínez-Alzamora N, Sanjuan Quiles A, Ferrer Ferrándiz E. Nutrition-related risk factors in autonomous non-institutionalized adult elderly people. Nutr Hosp. 2014;30(4):858-69. (In Spanish.) Go to PubMed...
    26. Hrnčiariková D, Zadák Z, Klemera P, Špirková J. The values of total protein and albumin in geriatric patients hospitalized at Univesity Hospital in Hradec Králové. Geriatria. 2007;13(1):12-6. (In Czech.)
    27. Rambousková J, Křížová E, Dlouhý P, Potočková J, Anděl M. Nutritional status in elderly people living in retirement homes in the Czech Republic. Hygiea Internationalis. 2010;9(1):375-83. Go to original source...
    28. Omran ML, Morley JE. Assessment of protein energy malnutrition in older persons, Part II: Laboratory Evaluation. Nutrition. 2000;16(2):131-40. Go to original source... Go to PubMed...
    29. National Center for Health Statistics. Health, United States, 2001: urban and rural health chartbook. Hyattsville, MD: National Center for Health Statistics; 2001.
    30. Ramage-Morin PL, Garriguet D. Nutritional risk among older Canadians. Health Rep. 2013;24(3):3-13.

    Return to the content