PMID- 26460221
OWN - NLM
STAT- MEDLINE
DCOM- 20180131
LR  - 20180307
IS  - 1532-1983 (Electronic)
IS  - 0261-5614 (Linking)
VI  - 35
IP  - 5
DP  - 2016 Oct
TI  - Underweight and malnutrition in home care: A multicenter study.
PG  - 1140-6
LID - S0261-5614(15)00242-3 [pii]
LID - 10.1016/j.clnu.2015.09.008 [doi]
AB  - BACKGROUND & OBJECTIVES: This study aimed to provide representative figures about 
      the prevalence of underweight and malnutrition among home care clients, and to 
      determine the associated risk factors and the provided nutritional nursing 
      interventions. METHODS: In 2012, a multicenter point prevalence study was 
      conducted among 878 randomly selected clients from 100 randomly selected home 
      care services across Germany. Following a standardized study protocol, 
      demographics, nutritional assessments (Body Mass Index, Malnutrition Universal 
      Screening Tool (MUST), Mini nutritional Assessment - short form (MNA-sf), nurses' 
      clinical judgment on nutritional status) and interventions were assessed. Common 
      nutritional risk factors for underweight and malnutrition were analyzed in a 
      logistic regression model. RESULTS: Malnutrition figures varied between 4.8% 
      (MNA-sf) and 6.8% (MUST), underweight between 8.7% (BMI < 20 kg/m(2)) and 10.2% 
      (clinical judgment). Missing values were high in both malnutrition assessments 
      (MNA-sf 48.8%, MUST 39.1%) due to a lack of information on many clients' loss of 
      weight within the past 3-6 months. Regular weighing was performed in 33.6-57.3% 
      of all clients, depending on weight and nutritional status. Mental overload (OR 
      8.1/4.4), needs help with feeding (OR 5.0/2.8) and loss of appetite (OR 3.6/3.9) 
      were highly associated with malnutrition/underweight. CONCLUSION: Malnutrition 
      and underweight are important issues in home care clients. Regular weighing 
      should be performed in all home care clients so that a potential weight loss can 
      be detected in time.
CI  - Copyright (c) 2015 Elsevier Ltd and European Society for Clinical Nutrition and 
      Metabolism. All rights reserved.
FAU - Lahmann, Nils A
AU  - Lahmann NA
AD  - Department of Health and Nursing Science, Charite - Universitatsmedizin Berlin, 
      Augustenburger Platz 1, D-13359 Berlin, Germany. Electronic address: 
      nils.lahmann@charite.de.
FAU - Tannen, Antje
AU  - Tannen A
AD  - Department of Health and Nursing Science, Charite - Universitatsmedizin Berlin, 
      Augustenburger Platz 1, D-13359 Berlin, Germany.
FAU - Suhr, Ralf
AU  - Suhr R
AD  - Centre for Quality in Care Foundation, Reinhardtstr. 45, D-10117 Berlin, Germany.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20151001
PL  - England
TA  - Clin Nutr
JT  - Clinical nutrition (Edinburgh, Scotland)
JID - 8309603
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Body Mass Index
MH  - Cross-Sectional Studies
MH  - Female
MH  - Geriatric Assessment
MH  - Germany/epidemiology
MH  - *Home Care Services
MH  - Humans
MH  - Male
MH  - Malnutrition/*epidemiology
MH  - Nutrition Assessment
MH  - Nutritional Status
MH  - Prevalence
MH  - Risk Factors
MH  - Sample Size
MH  - Socioeconomic Factors
MH  - Thinness/*epidemiology
OTO - NOTNLM
OT  - Home care
OT  - Intervention
OT  - MNA
OT  - MUST
OT  - Malnutrition
OT  - Underweight
EDAT- 2015/10/16 06:00
MHDA- 2018/02/01 06:00
CRDT- 2015/10/14 06:00
PHST- 2014/10/13 00:00 [received]
PHST- 2015/07/15 00:00 [revised]
PHST- 2015/09/14 00:00 [accepted]
PHST- 2015/10/14 06:00 [entrez]
PHST- 2015/10/16 06:00 [pubmed]
PHST- 2018/02/01 06:00 [medline]
AID - S0261-5614(15)00242-3 [pii]
AID - 10.1016/j.clnu.2015.09.008 [doi]
PST - ppublish
SO  - Clin Nutr. 2016 Oct;35(5):1140-6. doi: 10.1016/j.clnu.2015.09.008. Epub 2015 Oct 
      1.