naa a22 4500 510786499 CHVBK 20180411083304.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-012-0409-1 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0409-1 Malnutrition is related to functional impairment in older adults receiving home care [Elektronische Daten] [Eva Kiesswetter, S. Pohlhausen, K. Uhlig, R. Diekmann, S. Lesser, H. Heseker, P. Stehle, C. Sieber, D. Volkert] Objectives: The aims of this work were (a) to provide a detailed description of the association between nutritional (Mini Nutritional Assessment; MNA®) and functional status in a sample of older adults receiving home care, using both questionnaire- and performance-based functional methods, and (b) to investigate the impact of different MNA subscales on this association. Design: Multi-centre, cross-sectional. Setting: Home care. Participants: 296 persons ≥65 years in need of care (80.7±7.7 y). Measurements: Nutritional status was determined by the MNA and functional status by two questionnaires (Instrumental and Basic Activities of Daily Living; IADL, ADL) and three performance tests (handgrip strength, HGS; Short Physical Performance Battery, SPPB; Timed ‘Up and Go' Test, TUG). A categorical and a covariance analytical approach were used to test for differences in functional status between MNA groups (well nourished, risk of malnutrition, malnourished). In addition, functional parameters were correlated with total MNA, a modified MNA version (modMNA), where functional items were excluded, and MNA subscales (‘functionality', ‘general assessment', ‘anthropometry', ‘dietary assessment', and ‘subjective assessment'). Results: 57% of the participants were at risk of malnutrition and 12% malnourished. 35% reported severe limitations in IADL, 18% in ADL. 40%, 39% and 35% had severe limitations in HGS, SPPB and TUG; 9%, 28% and 34% were not able to perform the tests. Functional status deteriorated significantly from the well nourished to the malnourished group in all functional measures. The modMNA was weak but still significantly related to all functional parameters except TUG. The subscale ‘functionality' revealed strongest correlations with functional measures. All other MNA subscales showed only weak or no associations. Conclusion: More than one half of the seniors receiving home care were at nutritional risk and poor functional level, respectively. Malnutrition according to MNA was significantly associated to both questionnaire- and performance-based functional measures even after exclusion of functional MNA items. Serdi and Springer-Verlag France, 2013 Mini Nutritional Assessment nationallicence functional status nationallicence Activities of Daily Living nationallicence performance tests nationallicence home care nationallicence Kiesswetter Eva Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Pohlhausen S. IEL-Nutritional Physiology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany aut Uhlig K. Department of Nutrition and Consumer Education, University of Paderborn, Paderborn, Germany aut Diekmann R. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Lesser S. IEL-Nutritional Physiology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany aut Heseker H. Department of Nutrition and Consumer Education, University of Paderborn, Paderborn, Germany aut Stehle P. IEL-Nutritional Physiology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany aut Sieber C. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Volkert D. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 345-350 1279-7707 17:4<345 2013 17 12603 https://doi.org/10.1007/s12603-012-0409-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0409-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kiesswetter Eva Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Pohlhausen S. IEL-Nutritional Physiology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany aut NATIONALLICENCE 700 1- Uhlig K. Department of Nutrition and Consumer Education, University of Paderborn, Paderborn, Germany aut NATIONALLICENCE 700 1- Diekmann R. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Lesser S. IEL-Nutritional Physiology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany aut NATIONALLICENCE 700 1- Heseker H. Department of Nutrition and Consumer Education, University of Paderborn, Paderborn, Germany aut NATIONALLICENCE 700 1- Stehle P. IEL-Nutritional Physiology, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany aut NATIONALLICENCE 700 1- Sieber C. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Volkert D. Institute for Biomedicine of Aging, Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 345-350 1279-7707 17:4<345 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer