TY - JOUR
T1 - Malnutrition is associated with poor trajectories of activities of daily living in geriatric rehabilitation inpatients: RESORT
T2 - RESORT
AU - Hettiarachchi, Jeewanadee
AU - Reijnierse, Esmee M.
AU - Soh, Cheng Hwee
AU - Agius, Bridget
AU - Fetterplace, Kate
AU - Lim, Wen Kwang
AU - Maier, Andrea Britta
N1 - Funding Information: This study was funded by an unrestricted grant of the University of Melbourne , Australia received by Professor Andrea B. Maier and the Medical Research Future Fund provided by the Melbourne Academic Centre for Health . Publisher Copyright: © 2021 The Author(s) Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - Malnutrition is associated with poor functional performance in geriatric rehabilitation inpatients. However, it is unclear if malnourished patients have poor functional trajectories over time. This study aimed to determine the association between (the risk of) malnutrition at admission and trajectories of Activities of Daily Living (ADL) and Instrumental ADL (IADL) from pre-admission to post-discharge in geriatric rehabilitation inpatients. An observational, longitudinal study was conducted in the REStORing health of acutely unwell adulTs (RESORT) cohort of geriatric rehabilitation inpatients. A total of 618 patients (mean age 82.1 ± 7.8 years, 57.4 % females) were included. The prevalence of the risk of malnutrition, by Malnutrition Screening Tool (MST) was 41.3 % (n = 255) and malnutrition by the Global Leadership Initiative on Malnutrition (GLIM) and European Society for Clinical Nutrition and Metabolism (ESPEN) criteria were 53.5 % (n = 331) and 13.1 % (n = 81) respectively. Malnutrition by the GLIM criteria but not the ESPEN criteria nor the risk of malnutrition, was associated with ADL trajectories of ‘remained poor’ (OR: 3.33, 95 %CI: 1.21−9.19) and ‘deteriorated’ (OR: 1.68, 95 %CI: 1.13−2.52) compared to the ‘recovered’ trajectory. The risk of malnutrition and malnutrition were not associated with IADL trajectories. Malnutrition at admission was associated with poor ADL trajectories but not IADL trajectories in geriatric rehabilitation inpatients.
AB - Malnutrition is associated with poor functional performance in geriatric rehabilitation inpatients. However, it is unclear if malnourished patients have poor functional trajectories over time. This study aimed to determine the association between (the risk of) malnutrition at admission and trajectories of Activities of Daily Living (ADL) and Instrumental ADL (IADL) from pre-admission to post-discharge in geriatric rehabilitation inpatients. An observational, longitudinal study was conducted in the REStORing health of acutely unwell adulTs (RESORT) cohort of geriatric rehabilitation inpatients. A total of 618 patients (mean age 82.1 ± 7.8 years, 57.4 % females) were included. The prevalence of the risk of malnutrition, by Malnutrition Screening Tool (MST) was 41.3 % (n = 255) and malnutrition by the Global Leadership Initiative on Malnutrition (GLIM) and European Society for Clinical Nutrition and Metabolism (ESPEN) criteria were 53.5 % (n = 331) and 13.1 % (n = 81) respectively. Malnutrition by the GLIM criteria but not the ESPEN criteria nor the risk of malnutrition, was associated with ADL trajectories of ‘remained poor’ (OR: 3.33, 95 %CI: 1.21−9.19) and ‘deteriorated’ (OR: 1.68, 95 %CI: 1.13−2.52) compared to the ‘recovered’ trajectory. The risk of malnutrition and malnutrition were not associated with IADL trajectories. Malnutrition at admission was associated with poor ADL trajectories but not IADL trajectories in geriatric rehabilitation inpatients.
KW - Activities of daily living
KW - Aged
KW - Hospitalization
KW - Malnutrition
KW - Rehabilitation
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85106894787&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/34010632
U2 - https://doi.org/10.1016/j.mad.2021.111500
DO - https://doi.org/10.1016/j.mad.2021.111500
M3 - Article
C2 - 34010632
SN - 0047-6374
VL - 197
SP - 111500
JO - Mechanisms of ageing and development
JF - Mechanisms of ageing and development
M1 - 111500
ER -
