Nutrition

Malnutrition can be defined as a state of undernourishment resulting from insufficient food intake or overnutrition resulting from excessive food intake. In clinical practice, undernutrition, and inadequate intake of energy, protein and nutrients, is the focus. (McKinley, 2008) 1. Malnutrition is a significant issue in the care of the older adult. Prevalence estimates indicate 51% of rehabilitation patients, 39% of acute care older adults,  14% of longterm care residents and 6% of older adults living in the community are malnourished. Optimizing nutrition is critical as malnourished patients have 5 day longer hospital admissions and 2X likelihood of re-admission (Agarwal, 2012) 2, low intake of micronutrients, protein and energy are associated with frailty (Insitari, 2011) 3 and increased falls risk (Meijers, 2012) 4

Assessment: 
Mini Nutritional Assessment

Additional Resources:


Videos:


  1. McKinlay, A. Malnutrition: the spectre at the feast. J R Coll Physicians Edinb 2008:38317–21.
  2. Agarwal, E., Ferguson, M., Banks, M., Batterham, M., Bauer, J., Capra, S., Isenring, E. (2013) Malnutrition and poor food intake and associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: Results from the Nutrition Care Day Survey 2010. Clinical Nutrition. 32(5):737-45.
  3. Inzitari, M., Doets. E., Bartali, B., Benetou, V., Di Bari, M., Visser, M.,…Salva, A. Nutrition in the age-realted disablement process. The Journal of nutrition, health &aging. 15(8):599-604.
  4. Meijers, j., Halfens, r., Neyens, j. Luiking, Y., Verlaan, G, Schols, J. (2012) Predicting falls in elderly receiving home care: The role of malnutrition and impaired mobility. The Journal of Health, Nutrition and Aging. 16(7):654-58.