Page 131 - Petelin, Ana, and Šarabon, Nejc. 2018. Eds. Zdravje starostnikov / Health of the Elderly. Znanstvena monografija / Proceedings. Koper: University of Primorska Press
P. 131
Conclusions nutritional status of older adults admitted to the surgical ward 131
The majority of patients had increased nutritional risk. Age influences poor nu-
tritional status, but in patients with INR it is not directly associated with lower
levels of FFMI, PA and HGS. It is also not associated with lower BMI.
The use of BMI for nutritional screening of older adults at the admission
is not sensitive enough. Therefore, the use of BMI resulted to be more appro-
priate for monitoring the changes of nutritional status during the hospitaliza-
tion. Different parameters determined different numbers of malnourished. We
conclude that set cut-off points of measured parameters have a significant in-
fluence on the assessment of the nutritional status. For a more precise defini-
tion of nutritional status and severity of the disease we suggest laboratory tests.
References
BECK, A.M., OVESEN, L. 1998. At which body mass index and degree of weight
loss should hospitalised elderly patients be considered at nutritional risk?
Clinical Nutrition, vol. 17, no. 5, pp. 195198.
CRUZ-JENTOFT, A.J., BAEYENS, J.P., BAUER, J.M., BOIRIE, Y., CE-
DERHOLM, T., LANDI, F., MARTIN, F.C., MICHEL, J.P., ROLLAND,
Y., SCHNEIDER, S.M., TOPINKOVÁ, E., VANDEWOUDE, M., ZAM-
BONI, M.; EUROPEAN WORKING GROUP ON SARCOPENIA IN
OLDER PEOPLE, 2010. Sarcopenia: European consensus on definition
and diagnosis: Report of the European Working Group on Sarcopenia in
Older People. Age and Ageing, vol. 39, no. 4, pp. 412-423.
CEDERHOLM, T., BOSAEUS, I., BARAZZONI, R., BAUER, J., VAN GOS-
SUM, A., KLEK, S., MUSCARITOLI, M., NYULASI, I., OCKENGA, J.,
SCHNEIDER, S,M., DE VAN DERSCHUEREN, M.A., SINGER, P. 2015
Diagnostic criteria for malnutrition–An ESPEN Consensus Statement.
Clinical nutrition, vol. 34, no. 3, pp. 335-340.
CEREDA, E., KLERSY, C., HIESMAYR, M., SCHINDLER, K., SINGER, P.,
LAVIANO, A., CACCIALANZA, R.; NUTRITIONDAY SURVEY COL-
LABORATORS. 2017. Body mass index, age and in-hospital mortality:
The Nutrition Day multinational survey. Clinical nutrition, vol.36, no. 3,
pp. 839-847.
ELIA, M., STRATTON, R.J., 2012. An analytic appraisal of nutrition screening
tools supported by original data with particular reference to age. Nutri-
ton, vol. 28, no. 5, pp. 477494.
GÄRTNER, S., KRAFT, M., KRÜGER, J., VOGT, L.J, FIENE, M., MAYER-
LE, J, AGHDASSI, A., STEVELING, A., VÖLZKE, H., BAUMEISTER,
S.E., LERCH, M.M., SIMON, P. 2017.Geriatric nutritional risk index cor-
relates with length of hospital stay and inflammatory markers in older in-
patients. Clinical Nutrition, vol. 36, no.4, pp. 1048-1053.
The majority of patients had increased nutritional risk. Age influences poor nu-
tritional status, but in patients with INR it is not directly associated with lower
levels of FFMI, PA and HGS. It is also not associated with lower BMI.
The use of BMI for nutritional screening of older adults at the admission
is not sensitive enough. Therefore, the use of BMI resulted to be more appro-
priate for monitoring the changes of nutritional status during the hospitaliza-
tion. Different parameters determined different numbers of malnourished. We
conclude that set cut-off points of measured parameters have a significant in-
fluence on the assessment of the nutritional status. For a more precise defini-
tion of nutritional status and severity of the disease we suggest laboratory tests.
References
BECK, A.M., OVESEN, L. 1998. At which body mass index and degree of weight
loss should hospitalised elderly patients be considered at nutritional risk?
Clinical Nutrition, vol. 17, no. 5, pp. 195198.
CRUZ-JENTOFT, A.J., BAEYENS, J.P., BAUER, J.M., BOIRIE, Y., CE-
DERHOLM, T., LANDI, F., MARTIN, F.C., MICHEL, J.P., ROLLAND,
Y., SCHNEIDER, S.M., TOPINKOVÁ, E., VANDEWOUDE, M., ZAM-
BONI, M.; EUROPEAN WORKING GROUP ON SARCOPENIA IN
OLDER PEOPLE, 2010. Sarcopenia: European consensus on definition
and diagnosis: Report of the European Working Group on Sarcopenia in
Older People. Age and Ageing, vol. 39, no. 4, pp. 412-423.
CEDERHOLM, T., BOSAEUS, I., BARAZZONI, R., BAUER, J., VAN GOS-
SUM, A., KLEK, S., MUSCARITOLI, M., NYULASI, I., OCKENGA, J.,
SCHNEIDER, S,M., DE VAN DERSCHUEREN, M.A., SINGER, P. 2015
Diagnostic criteria for malnutrition–An ESPEN Consensus Statement.
Clinical nutrition, vol. 34, no. 3, pp. 335-340.
CEREDA, E., KLERSY, C., HIESMAYR, M., SCHINDLER, K., SINGER, P.,
LAVIANO, A., CACCIALANZA, R.; NUTRITIONDAY SURVEY COL-
LABORATORS. 2017. Body mass index, age and in-hospital mortality:
The Nutrition Day multinational survey. Clinical nutrition, vol.36, no. 3,
pp. 839-847.
ELIA, M., STRATTON, R.J., 2012. An analytic appraisal of nutrition screening
tools supported by original data with particular reference to age. Nutri-
ton, vol. 28, no. 5, pp. 477494.
GÄRTNER, S., KRAFT, M., KRÜGER, J., VOGT, L.J, FIENE, M., MAYER-
LE, J, AGHDASSI, A., STEVELING, A., VÖLZKE, H., BAUMEISTER,
S.E., LERCH, M.M., SIMON, P. 2017.Geriatric nutritional risk index cor-
relates with length of hospital stay and inflammatory markers in older in-
patients. Clinical Nutrition, vol. 36, no.4, pp. 1048-1053.