Prevalence and Factors Associated with Geriatric Malnutrition in Healthcare Institutions: A Systematic Review

Main Article Content

Shazli Illyani Shafiee
Noraida Omar
Zuriati Ibrahim

Abstract

Aim and Design: The world’s population is ageing. Not only it changes the body composition, but ageing also causes psychological, pathological and economic alterations. These may impact an individual’s quality of life and nutri- tional status. Thus, this systematic review article aims to review the prevalence of geriatric malnutrition in healthcare institutions and its associated factors. Data Sources: The articles are screened and reviewed based on their titles, abstracts and keywords. English written articles, open-accessed and published between January 2009 and Decem- ber 2019 are then selected. Review Methods: The PRISMA method is used for this study. Potential studies related to geriatric malnutrition in healthcare institutions were identified using two different combinations and two major elec- tronic search engines, namely Pubmed and Science Direct. Results: From a search of 1011 articles, 22 articles were identified related to geriatric malnutrition in healthcare institutions. Globally, it is found that the prevalence of mal- nourished elderly patients ranged between 6% – 74.5%. The factors associated with malnutrition among the elderly in the healthcare institutions were recognised, namely socio-demography, medical background, anthropometry data, biochemical data, nutrition-focus physical findings, and dietary inadequacy. Conclusion and Impact: Despite the studies done, geriatric malnutrition is still a matter of concern. Hence, future strategies for interventions need to be taken to aid in overcoming this issue otherwise affecting the health status and life expectancy of the elderly.

Downloads

Download data is not yet available.

Article Details

How to Cite
Shafiee, S. I., Omar, N., & Ibrahim, Z. (2022). Prevalence and Factors Associated with Geriatric Malnutrition in Healthcare Institutions: A Systematic Review. Malaysian Journal of Medicine and Health Sciences, 18(3), 140–149. Retrieved from http://mjmhsojs.upm.edu.my/index.php/mjmhs/article/view/184
Section
Systematic Reviews

References

Kowal P, Dowd J. Definition of an older or elderly person Proposed Working Definition of an Older Person in Africa for the MDS Project. World Heal Organ. 2001;(January 2001):1–4.

United Nations, Department of Economic and Social Affairs PD. World Population Ageing 2019. 2019.

NHMS. National Health and Morbidity Survey 2018 (NHMS 2018): Elderly Health. Vol. 1, Methodology and General Findings. 2018. 132 p.

United Nations. World Population Prospects 2019: Highlights. United Nations Publ [Internet]. 2019;(141):1. Available from: http://creativecommons.org/licenses/by/3.0/igo/

WHO. Geneva: World Health Organization. Integr care older people Guidel community-level Interv to Manag declines intrinsic Capacit. 2017;1.

Sakinah Harith, Suzana Shahar, Noor Aini Mohd Yusoff, Shahrul Bahyah Kamaruzzaman and PPJH. The Magnitude of Malnutrition among Hospitalized Elderly Patients in University Malaya Medical Centre. Heal Environ J. 2010;1(2):64–72.

Alzahrani SH, Alamri SH. Prevalence of malnutrition and associated factors among hospitalized elderly patients in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. BMC Geriatr [Internet]. 2017 Jul 3 [cited 2020 Feb 12];17(1):136. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28673255

Hailemariam H, Singh P, Fekadu T. Evaluation of mini nutrition assessment (MNA) tool among community dwelling elderly in urban community of Hawassa city, Southern Ethiopia. BMC Nutr [Internet]. 2016;2(1):1–6. Available from: http://doi.org/10.1186/s40795-016-0050-1

Fávaro-Moreira NC, Krausch-Hofmann S, Matthys C, Vereecken C, Vanhauwaert E, Declercq A, et al. Risk Factors for Malnutrition in Older Adults: A Systematic Review of the Literature Based on Longitudinal Data. Adv Nutr. 2016 May 1;7(3):507–22.

Moher D, Liberati A, Tetzlaff J, Altman DG, Altman D, Antes G, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7).

Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. Clin Geriatr Med. 2002;18(4):737–57.

Poulia KA, Yannakoulia M, Karageorgou D, Gamaletsou M, Panagiotakos DB, Sipsas N V., et al. Evaluation of the efficacy of six nutritional screening tools to predict malnutrition in the elderly. Clin Nutr [Internet]. 2012;31(3):378–85. Available from: http://doi.org/10.1016/j.clnu.2011.11.017

Marshall S, Young A, Bauer J, Isenring E. Malnutrition in Geriatric Rehabilitation: Prevalence, Patient Outcomes, and Criterion Validity of the Scored Patient-Generated Subjective Global Assessment and the Mini Nutritional Assessment. J Acad Nutr Diet [Internet]. 2016;116(5):785–94. Available from: http://doi.org/10.1016/j.jand.2015.06.013

Shuhada NA, Aziz A, Mohd NI, Teng F, Abdul MR, Hamid, et al. Assessing the nutritional status of hospitalized elderly. Clin Interv Aging. 2017;12:1615–25.

Barbosa AA de O, Vicentini AP, Langa FR. Comparison of NRS-2002 criteria with nutritional risk in hospitalized patients. Cienc e Saude Coletiva. 2019;24(9):3325–34.

Power L, Mullally D, Gibney ER, Clarke M, Visser M, Volkert D, et al. A review of the validity of malnutrition screening tools used in older adults in community and healthcare settings – A MaNuEL study. Clin Nutr ESPEN [Internet]. 2018;24:1–

Available from: https://doi.org/10.1016/j.clnesp.2018.02.005

Vieira LS, Assunção MCF, Schäfer AA, Santos I da S dos. Validity assessment of the nutrition screening initiative checklist in older adults. Clin Nutr ESPEN. 2016;15:16–20.

Sahyoun NR, Jacques PF, Dallal GE, Russell RM. Nutrition Screening Initiative checklist may be a better awareness/educational tool than a screening one. Vol. 97, Journal of the American Dietetic Association. 1997. p. 760–4.

Saeidlou SN, Merdol TK. Assessment of the Nutritional Status and Affecting Factors of Elderly People Living At Six Nursing Home in Urmia , Iran. Public Health. 2011;3(1):173–81.

Amarya S, Singh K, Sabharwal M. Changes during aging and their association with malnutrition. J Clin Gerontol Geriatr. 2015;6(3):78–84.

Gündüz E, Eskin F, Gündüz M, Bentli R, Zengin Y, Dursun R, et al. Malnutrition in community- dwelling elderly in Turkey: A multicenter, cross-sectional study. Med Sci Monit. 2015 Sep 15;21:2750–6.

Tan T, Ong WS, Rajasekaran T, Koo KN, Chan LL, Poon D, et al. Identification of comprehensive geriatric assessment based risk factors for malnutrition in elderly Asian cancer patients. PLoS One. 2016 May 1;11(5).

Toffanello ED, Inelmen EM, Imoscopi A, Perissinotto E, Coin A, Miotto F, et al. Taste loss in hospitalized multimorbid elderly subjects. Clin Interv Aging. 2013 Feb 12;8:167–74.

Donini LM, Neri B, De Chiara S, Poggiogalle E, Muscaritoli M. Nutritional Care in a Nursing Home in Italy. PLoS One. 2013 Feb 6;8(2).

Sahran NF, Harith S, Mohamed F. Prevalence of geriatric malnutrition and its associated factors at the hospital universiti Sains Malaysia, Kelantan. Vol. 22, Malaysian Journal of Nutrition. 2016. p. 41–53.

Demir M V., Tamer A, Cinemre H, Uslan I, Yaylaci S, Erkorkmaz U. Nutritional status and laboratory parameters among internal medicine inpatients. Niger J Clin Pract. 2015 Nov 1;18(6):757–61.

Lee HK, Choi HS, Son EJ, Lyu ES. Analysis of the prevalence and risk factors of malnutrition among hospitalized patients in busan. Prev Nutr Food Sci. 2013;18(2):117–23.

Jaroch A, Główczewska-Siedlecka E, Jaroch K, Kędziora-Kornatowska K. Application of Nutritional Risk Score-2002 Questionnaire and Other Nutritional Status Parameters Among Hospitalized Elderly. Int J Gerontol. 2017;11(3):134–7.

Chatindiara I, Allen J, Popman A, Patel D, Richter M, Kruger M, et al. Dysphagia risk, low muscle strength and poor cognition predict malnutrition risk in older adults athospital admission. BMC Geriatr. 2018;18(1):78.

Sánchez-Rodríguez D, Marco E, Ronquillo- Moreno N, Miralles R, Vázquez-Ibar O, Escalada F, et al. Prevalence of malnutrition and sarcopenia in a post-acute care geriatric unit: Applying the new ESPEN definition and EWGSOP criteria. Clin Nutr [Internet]. 2017;36(5):1339–44. Available from: http://www.sciencedirect.com/science/article/pii/S0261561416302333

Nor Farahain Y, Noraida O, Muhammad Zaki N, Ummi Nadira D, Siti Nur Asyura A. Factors Associated With Malnutrition Risk Among Elderly With Chronic Obstructive Pulmonary Disease From Hospital Serdang and Institut Perubatan Respiratori. Int J Public Heal Clin Sci. 2019;6(1):186–98.

Pierik VD, Meskers CGM, Van Ancum JM, Numans ST, Verlaan S, Scheerman K, et al. High risk of malnutrition is associated with low muscle mass in older hospitalized patients - a prospective cohort study. BMC Geriatr. 2017;17(1):1–8.

Robb L, Walsh CM, Nel M, Nel A, Odendaal H, van Aardt R. Malnutrition in the elderly residing in long-term care facilities: A cross sectional survey using the Mini Nutritional Assessment (MNA®) screening tool. South African J Clin Nutr. 2017;30(2):34–40.

Reijnierse EM, Trappenburg MC, Leter MJ, Blauw GJ, De Van Der Schueren MAE, Meskers CGM, et al. The association between parameters of malnutrition and diagnostic measures of sarcopenia in geriatric outpatients. PLoS One. 2015 Aug 18;10(8).

Jacobsen EL, Brovold T, Bergland A, Bye A. Prevalence of factors associated with malnutrition among acute geriatric patients in Norway: a cross-sectional study. BMJ Open. 2016 Sep 6;6(9):e011512.

Matsumura T, Mitani Y, Oki Y, Fujimoto Y, Ohira M, Kaneko H, et al. Comparison of Geriatric Nutritional Risk Index scores on physical performance among elderly patients with chronic obstructive pulmonary disease. Hear Lung J Acute Crit Care [Internet]. 2015;44(6):534–8. Available from: http://doi.org/10.1016/j.hrtlng.2015.08.004

Akbar F, Setiati S. Correlation between hand grip strength and nutritional status in elderly patients. J Phys. 2018;8.

El Osta N, Hennequin M, Tubert-Jeannin S, Abboud Naaman NB, El Osta L, Geahchan N. The pertinence of oral health indicators in nutritional studies in the elderly. Clin Nutr [Internet]. 2014;33(2):316–21. Available from: http://doi.org/10.1016/j.clnu.2013.05.012

De Oliveira MRM, Leandro-Merhi VA. Food intake and nutritional status of hospitalised older people. Int J Older People Nurs. 2011;6(3):196–200.

Damião R, Santos ÁDS, Matijasevich A, Menezes PR. Factors associated with risk of malnutrition in the elderly in south-eastern Brazil. Rev Bras Epidemiol. 2017;20(4):598–610.

Agarwalla R, Saikia A, Baruah R. Assessment of the nutritional status of the elderly and its correlates. J Fam Community Med. 2015;22(1):39–43.

Baker DP, Leon J, Smith Greenaway EG, Collins J, Movit M. The Education Effect on Population Health: A Reassessment. Popul Dev Rev. 2011;32(2):1–25.

Moreira PA, Padra PD. Educational and economic determinants of food intake in Portuguese adults: A cross-sectional survey. BMC Public Health. 2004;4:1–11.

Volkert D, Marie A, Cederholm T, Cruz-jentoft A, Goisser S, Hooper L, et al. ESPEN Guideline guideline on clinical nutrition and hydration in geriatrics. Clin Nutr [Internet]. 2018; Available from: https://doi.org/10.1016/j.clnu.2018.05.024

Krishnamoorthy, Y., Vijayageetha, M., Kumar, S. G., Rajaa, S. & Rehman T. Universal health coverage - There is more to it than meets the eye. J Fam Med Prim Care [Internet]. 2018;7(6):1429–

Available from: http://www.jfmpc.com/article. asp?issn=2249-4863;year=2017;volume=6;issue= 1;spage=169;epage=170;aulast=Faizi

Patel MD, Martin FC. Why don’t elderly hospital inpatients eat adequately? J Nutr Heal Aging. 2008;12(4):227–31.

Roberts HC, Lim SER, Cox NJ, Ibrahim K. The challenge of managing undernutrition in older people with frailty. Nutrients. 2019;11(4):1–17.

Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging. 2010;5:207–16.

Messina G, Fenucci R, Vencia F, Niccolini F, Quercioli C, Nante N. Patients’ evaluation of hospital foodservice quality in Italy: What do patients really value? Public Health Nutr. 2013;16(4):730–7.

Johns N, Hartwell H, Morgan M. Improving the provision of meals in hospital. The patients’ viewpoint. Appetite. 2010;54(1):181–5.

Hartwell HJ, Shepherd PA, Edwards JSA, Johns N. What do patients value in the hospital meal experience? Appetite [Internet]. 2016;96:293–8. Available from: http://doi.org/10.1016/j.appet.2015.09.023