Malnutrition Screening and Assessment in Hospitalised Older People: a Review

Elsa Dent, E. O. Hoogendijk, R. Visvanathan, O. R. L. Wright

Research output: Contribution to journalReview articleAcademicpeer-review

105 Citations (Scopus)

Abstract

Malnutrition (undernutrition) remains one of the most serious health problems for older people worldwide. Many factors contribute to malnutrition in older people, including: loss of appetite, polypharmacy, dementia, frailty, poor dentition, swallowing difficulties, social isolation, and poverty. Malnutrition is common in the hospital setting, yet often remains undetected by medical staff. The objective of this review is to compare the validity and reliability of Nutritional Screening Tools (NSTs) for older adults in the hospital setting. We also provide an overview of the various nutritional screening and assessment tools used to identify malnutrition in hospitalised older adults. These include: Subjective Global Assessment (SGA), the Mini Nutritional Assessment (MNA), MNA-short form (MNA-SF), Malnutrition Universal Screening Tool (MUST), Simplified Nutritional Appetite Questionnaire (SNAQ), Geriatric Nutrition Risk Index (GNRI) and anthropometric measurements. The prevalence and outcomes of malnutrition in hospitalised older adults are also addressed.
Original languageEnglish
Pages (from-to)431-441
Number of pages11
JournalJournal of Nutrition, Health and Aging
Volume23
Issue number5
DOIs
Publication statusPublished - 1 Jan 2019

Keywords

  • Nutrition assessment
  • aged 80 and over
  • nutritional status
  • patient care planning

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