naa a22 4500 510786502 CHVBK 20180411083304.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12603-013-0021-z doi (NATIONALLICENCE)springer-10.1007/s12603-013-0021-z Screening for malnutrition in nursing home residents: Comparison of different risk markers and their association to functional impairment [Elektronische Daten] [Inken Stange, K. Poeschl, P. Stehle, C. Sieber, D. Volkert] Objectives: To identify nursing home residents with malnutrition or at risk of malnutrition by using different markers, determine if the Mini Nutritional Assessment (MNA®) is able to identify all residents at risk according to single risk markers and explore the relation between risk markers and functional impairment. Design: Cross-sectional study. Setting: Six German nursing homes. Participants: 286 residents (86±7y, 89% female). Measurements: Screening for malnutrition or its risk included low BMI (≤22 kg/m2), recent weight loss (WL), low food intake (LI) as single risk markers and MNA (<24 points, p.) as composite marker. Prevalence of single nutritional risk markers in different MNA categories was compared by cross-tables. Mental (cognition, mood) and physical function (mobility) were assessed by interviewing nursing staff and association of impaired status to nutritional risk markers determined by Chi2 test. Results: 32.9% of residents had a low BMI, 11.9% WL and 21.3% LI. 60.2% were categorized malnourished (18.2%) or at risk of malnutrition (42.0%) by MNA. 64% presented at least one of these nutritional risk markers. Of those classified malnourished by MNA, 96.2% also showed low BMI, WL or LI. In contrast, eleven residents (9.6%) considered well-nourished by MNA presented single risk markers (9 low BMI, 2 WL). Cognitive impairment, depressive symptoms and immobility was present in 59.0%, 20.8% and 25.5%, respectively. Functional impairment, and in particular severe impairment, was to a higher proportion present in residents at nutritional risk independent of the chosen marker (MNA<24 p., low BMI, WL, LI). Conclusion: The high prevalence of nutritional risk highlights the importance of regular screening of nursing home residents. The MNA identified nearly all residents with low BMI, WL and LI. The close association between nutritional risk and functional impairment requires increased awareness for nutritional problems especially in functionally impaired residents, to early initiate nutritional measures and thus, prevent further nutritional and functional deterioration. Serdi and Springer-Verlag France, 2013 Screening nationallicence malnutrition nationallicence nursing home nationallicence functionality nationallicence nutritional risk nationallicence MNA nationallicence Stange Inken Institute for Biomedicine of Aging (IBA), Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Poeschl K. Department of Nutrition and Food Sciences (IEL)- Nutritional Physiology, University of Bonn, Bonn, Germany aut Stehle P. Department of Nutrition and Food Sciences (IEL)- Nutritional Physiology, University of Bonn, Bonn, Germany aut Sieber C. Institute for Biomedicine of Aging (IBA), Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut Volkert D. Institute for Biomedicine of Aging (IBA), Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 357-363 1279-7707 17:4<357 2013 17 12603 https://doi.org/10.1007/s12603-013-0021-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0021-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Stange Inken Institute for Biomedicine of Aging (IBA), Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Poeschl K. Department of Nutrition and Food Sciences (IEL)- Nutritional Physiology, University of Bonn, Bonn, Germany aut NATIONALLICENCE 700 1- Stehle P. Department of Nutrition and Food Sciences (IEL)- Nutritional Physiology, University of Bonn, Bonn, Germany aut NATIONALLICENCE 700 1- Sieber C. Institute for Biomedicine of Aging (IBA), Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 700 1- Volkert D. Institute for Biomedicine of Aging (IBA), Friedrich-Alexander Universität Erlangen-Nürnberg, Nürnberg, Germany aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/4(2013-04-01), 357-363 1279-7707 17:4<357 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer