Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Malnutrition, functional ability and mortality among older people aged ⩾60 years: a 7-year longitudinal study
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
2016 (English)In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 70, no 3, 399-404 p.Article in journal (Refereed) Published
Resource type
Text
Abstract [en]

Background/Objectives:This study aimed to assess the association between risk of malnutrition and 7-year mortality, controlling for functional ability, socio-demographics, lifestyle behavior and diseases, and investigate the interaction between risk of malnutrition and functional ability on the risk of mortality.Subjects/Methods:A longitudinal study on home-living and special-housing residents aged â©Ÿ60 years was conducted. Of 2312 randomly invited participants, 1402 responded and 1203 provided information on both nutritional status and functional ability. The risk of malnutrition was estimated by the occurrence of at least one anthropometric measure (BMI, MAC and CC) below cut-off in addition to the presence of at least one subjective measure (decreased food intake, weight loss and eating difficulty).Results:At baseline, 8.6% of subjects were at risk of malnutrition and during the 7-year follow-up 34.6% subjects died. The risk of malnutrition was independently associated with 7-year mortality (hazard ratio (HR) 1.84, 95% confidence interval (CI) 1.28–2.65). Additional independent predictors were dementia (HR 2.76, 95% CI 1.85–4.10), activity of daily living (ADL) dependence (HR 2.08, 95% CI 1.62–2.67), heart disease (HR 1.44, 95% CI 1.16–1.78), diabetes (HR 1.41, 95% CI 1.03–1.93) and older age (HR 1.09, 95% CI 1.07–1.10). Moreover, the risk of malnutrition and ADL dependence in combination predicted the poorest survival rate (18.7%, P<0.001).Conclusions:The risk of malnutrition significantly increases the risk of mortality in older people. Moreover, risk of malnutrition and ADL dependence together explain a significantly poorer survival rate; however, the importance of this interaction decreased in the multivariable model and risk of malnutrition and ADL dependence independently explained a significant risk of mortality.European Journal of Clinical Nutrition advance online publication, 25 November 2015; doi:10.1038/ejcn.2015.196. © 2015 Macmillan Publishers Limited

Place, publisher, year, edition, pages
Elsevier, 2016. Vol. 70, no 3, 399-404 p.
Keyword [en]
MINI-NUTRITIONAL ASSESSMENT; 3-YEAR FOLLOW-UP; ELDERLY-PEOPLE; PROSPECTIVE COHORT; 10-YEAR MORTALITY; SCREENING TOOLS; CARE SNAC; POPULATION; ADULTS; RISK
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:bth-11180DOI: 10.1038/ejcn.2015.196ISI: 000371667700018Scopus ID: 2-s2.0-84948400170OAI: oai:DiVA.org:bth-11180DiVA: diva2:881676
Available from: 2015-12-11 Created: 2015-12-11 Last updated: 2016-05-03Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textScopus

Search in DiVA

By author/editor
Cecilia, Fagerström
By organisation
Department of Health
In the same journal
European Journal of Clinical Nutrition
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 93 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf