PMID- 38158191
OWN - NLM
STAT- MEDLINE
DCOM- 20240304
LR  - 20240304
IS  - 1538-9375 (Electronic)
IS  - 1525-8610 (Linking)
VI  - 25
IP  - 3
DP  - 2024 Mar
TI  - Malnutrition and Polypharmacy in Older Adult Patients Receiving Home Care Nursing 
      Services: A Cross-sectional Study.
PG  - 526-531
LID - S1525-8610(23)00978-7 [pii]
LID - 10.1016/j.jamda.2023.11.016 [doi]
AB  - OBJECTIVE: We studied the nutritional status of older adult adults receiving home 
      nursing care using demographic data, household category, polypharmacy, and 
      potentially inappropriate medications (PIMs). DESIGN: Cross-sectional study. 
      SETTING AND PARTICIPANTS: Two Norwegian municipalities during 2017-2019; home 
      nursing service clients aged >/=70 years. METHODS: Inclusion of patients and data 
      collection were done by nurses working in the home services. Recorded data were 
      participants' age, sex, living alone or with others, nutritional status (Mini 
      Nutritional Assessment-Short Form and body mass index), regular prescription 
      drugs, and potentially inappropriate medications (PIMs) according to the 
      Norwegian General Practice Nursing home (NORGEP-NH) criteria. Descriptive 
      statistics and logistic regression were used. RESULTS: Of the 270 patients (mean 
      age 84.2 years; 64.8% females; 188 living alone), 25 (9.3%) were malnourished and 
      154 (57%) at risk of malnutrition; in addition, 14.8% had a BMI <21 and 27.8% had 
      lost weight in the previous 3 months. The odds for being at malnutrition risk was 
      higher if living with others vs living alone: adjusted odds ratio (OR) 2.23 
      (1.20-4.13). Female sex, older age, and better mobility was associated with 
      living alone. The mean number of regular drugs was 7.3. Overall, 43.3% of the 
      participants used at least 1 PIM. Using 0 to 5 drugs vs >/=6 drugs (polypharmacy) 
      was associated with higher odds for malnutrition risk: adjusted OR 1.97 
      (1.04-3.75). Compared with well-nourished patients, those at risk for or who were 
      malnourished used fewer cardiovascular and musculoskeletal drugs. Exposure to 
      PIMs was not associated with nutritional status. CONCLUSIONS AND IMPLICATIONS: 
      Two-thirds of home nurse clients were either malnourished or at risk for 
      malnutrition. Living with others or using fewer daily drugs implied increased 
      risk for malnourishment, probably reflecting differences in morbidity and 
      possible inappropriateness of medication use. Future research on nutritional 
      status and medication use should aim for including more clinical data than simple 
      drug counts.
CI  - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved.
FAU - Fiske, Mari
AU  - Fiske M
AD  - Department of General Practice, Institute of Health and Society, University of 
      Oslo, Oslo, Norway.
FAU - Moen, Anne
AU  - Moen A
AD  - Department of Public Health Science, Institute of Health and Society, University 
      of Oslo, Oslo, Norway.
FAU - Mdala, Ibrahimu
AU  - Mdala I
AD  - General Practice Research Unit, Department of General Practice, University of 
      Oslo, Oslo, Norway.
FAU - Straand, Jorund
AU  - Straand J
AD  - Department of General Practice, Institute of Health and Society, University of 
      Oslo, Oslo, Norway; General Practice Research Unit, Department of General 
      Practice, University of Oslo, Oslo, Norway. Electronic address: 
      jorund.straand@medisin.uio.no.
LA  - eng
PT  - Journal Article
DEP - 20231226
PL  - United States
TA  - J Am Med Dir Assoc
JT  - Journal of the American Medical Directors Association
JID - 100893243
SB  - IM
MH  - Humans
MH  - Female
MH  - Aged
MH  - Aged, 80 and over
MH  - Male
MH  - Polypharmacy
MH  - Cross-Sectional Studies
MH  - *Malnutrition/epidemiology
MH  - *Home Care Services
MH  - Nutritional Status
OTO - NOTNLM
OT  - Malnutrition
OT  - Mini Nutritional Assessment-Short Form (MNA-SF)
OT  - family characteristics
OT  - health services for the aged
OT  - polypharmacy
OT  - potentially inappropriate medication list (NORGEP-NH)
COIS- Disclosure The authors declare no conflicts of interest.
EDAT- 2024/01/02 11:42
MHDA- 2024/03/04 06:47
CRDT- 2023/12/29 19:21
PHST- 2023/06/16 00:00 [received]
PHST- 2023/11/12 00:00 [revised]
PHST- 2023/11/15 00:00 [accepted]
PHST- 2024/03/04 06:47 [medline]
PHST- 2024/01/02 11:42 [pubmed]
PHST- 2023/12/29 19:21 [entrez]
AID - S1525-8610(23)00978-7 [pii]
AID - 10.1016/j.jamda.2023.11.016 [doi]
PST - ppublish
SO  - J Am Med Dir Assoc. 2024 Mar;25(3):526-531. doi: 10.1016/j.jamda.2023.11.016. 
      Epub 2023 Dec 26.