naa a22 4500 510786863 CHVBK 20180411083305.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12603-012-0087-z doi (NATIONALLICENCE)springer-10.1007/s12603-012-0087-z Poor nutritional status is associated with urinary tract infection among older people living in residential care facilities [Elektronische Daten] [Maine Carlsson, L. Haglin, E. Rosendahl, Y. Gustafson] Aim: To investigate factors associated with poor nutritional status in older people living in residential care facilities. Methods: 188 residents (136 women, 52 men) with physical and cognitive impairments participated. Mean age was 84.7 y (range 65-100). The Mini Nutritional Assessment (MNA), Barthel ADL Index, Mini Menial State Examination (MMSE), and Geriatric Depression Scale were used to evaluate nutritional status, activities of daily living, cognitive status and depressive symptoms. Medical conditions, clinical characteristics and prescribed drugs were recorded. Univariate and multivariate regressions were used to investigate associations with MNA scores. Results: The mean MNA score was 20.5 ±3.7 (range 5.5-27) and the median was 21 (interquartile range (IQR) 18.8-23.0). Fifteen per cent of participants were classified as malnourished and 66% at risk of malnutrition. Lower MNA scores were independently associated with urinary-tract infection (UTI) during the preceding year (β = − 0.21, P = 0.006), lower MMSE scores (β = 0.16, P = 0.030), and dependent in feeding (β = − 0.14, P = 0.040). Conclusion: The majority of participants were at risk of or suffering from malnutrition. Urinary tract infection during the preceding year was independently associated with poor nutritional status. Dependence in feeding was also associated with poor nutritional status as were low MMSE scores for women. Prospective observations and randomized controlled trials are necessary to gain an understanding of a causal association between malnutrition and UTI. Serdi and Springer Verlag France, 2013 Malnutrition nationallicence Mini Nutritional Assessment nationallicence residential care facilities nationallicence urinary tract infection nationallicence cognitive impairment nationallicence old people nationallicence Carlsson Maine Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden aut Haglin L. Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden aut Rosendahl E. Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden aut Gustafson Y. Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden aut The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 186-191 1279-7707 17:2<186 2013 17 12603 https://doi.org/10.1007/s12603-012-0087-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0087-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Carlsson Maine Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden aut NATIONALLICENCE 700 1- Haglin L. Department of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden aut NATIONALLICENCE 700 1- Rosendahl E. Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden aut NATIONALLICENCE 700 1- Gustafson Y. Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, SE-901 87, Umeå, Sweden aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/2(2013-02-01), 186-191 1279-7707 17:2<186 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer