The nutritional status of 250 older Australian recipients of domiciliary care services and its association with outcomes at 12 months

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dc.contributor.authorVisvanathan, R.
dc.contributor.authorMacIntosh, C.
dc.contributor.authorCallary, M.
dc.contributor.authorPenhall, R.
dc.contributor.authorHorowitz, M.
dc.contributor.authorChapman, I.
dc.date.issued2003
dc.descriptionThe definitive version is available at www.blackwell-synergy.com
dc.description.abstract<h4>Objectives</h4>To identify predictors and consequences of nutritional risk, as determined by the Mini Nutritional Assessment (MNA), in older recipients of domiciliary care services living at home.<h4>Design</h4>Baseline analysis of subject characteristics with low MNA scores (<24) and follow-up of the consequences of these low scores.<h4>Setting</h4>South Australia.<h4>Participants</h4>Two hundred fifty domiciliary care clients (aged 67-99, 173 women).<h4>Measurements</h4>Baseline history and nutritional status were determined. Information about hospitalization was obtained at follow-up 12 months later.<h4>Intervention</h4>Letters suggesting nutritional intervention were sent to general practitioners of subjects not well nourished.<h4>Results</h4>At baseline, 56.8% were well nourished, 38.4% were at risk of malnutrition, and 4.8% were malnourished (43.2% not well nourished). Independent predictors of low MNA scores (<24) were living alone, and the physical and mental component scales of the 36-item Short Form Health Survey. Follow-up information was obtained for 240 subjects (96%). In the ensuing year not well-nourished subjects were more likely than well-nourished subjects to have been admitted to the hospital (risk ratio (RR) = 1.51, 95% confidence interval (CI) = 1.07-2.14), have two or more emergency hospital admissions (RR = 2.96, 95% CI = 1.15-7.59), spend more than 4 weeks in the hospital (RR = 3.22, 95% CI = 1.29-8.07), fall (RR = 1.65, 95% CI = 1.13-2.41), and report weight loss (RR = 2.63, 95% CI = 1.67-4.15).<h4>Conclusion</h4>The MNA identified a large number of subjects with impaired nutrition who did significantly worse than well-nourished subjects during the following year. Studies are needed to determine whether nutritional or other interventions in people with low MNA scores can improve clinical outcomes.
dc.description.statementofresponsibilityRenuka Visvanathan, Caroline Macintosh, Mandy Callary, Robert Penhall, Michael Horowitz, and Ian Chapman,
dc.identifier.citationJournal of The American Geriatrics Society, 2003; 51(7):1007-1011
dc.identifier.doi10.1046/j.1365-2389.2003.51317.x
dc.identifier.issn0002-8614
dc.identifier.issn1532-5415
dc.identifier.orcidVisvanathan, R. [0000-0002-1303-9479]
dc.identifier.orcidHorowitz, M. [0000-0002-0942-0306]
dc.identifier.urihttp://hdl.handle.net/2440/9653
dc.language.isoen
dc.publisherBlackwell Science Inc.
dc.source.urihttps://doi.org/10.1046/j.1365-2389.2003.51317.x
dc.subjectHumans
dc.subjectNutrition Disorders
dc.subjectHospitalization
dc.subjectGeriatric Assessment
dc.subjectNutrition Assessment
dc.subjectRisk Factors
dc.subjectFollow-Up Studies
dc.subjectPredictive Value of Tests
dc.subjectNutritional Status
dc.subjectTime Factors
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectHome Care Services
dc.subjectAustralia
dc.subjectFemale
dc.subjectMale
dc.subjectOutcome Assessment, Health Care
dc.titleThe nutritional status of 250 older Australian recipients of domiciliary care services and its association with outcomes at 12 months
dc.typeJournal article
pubs.publication-statusPublished

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