Low Self-Perception of Malnutrition in Older Hospitalized Patients

Gero Lueg,1 Rainer Wirth,1 Julia Kwiatkowski,1 Alexander Rösler,2 Martin Jäger,3 Ilse Gehrke,4 Dorothee Volkert,5 Maryam Pourhassan1 On behalf of the “Nutrition and Metabolism” of the German Geriatric Society (DGG) working group1Department of Geriatric Medicine,...

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Autores principales:	Lueg G, Wirth R, Kwiatkowski J, Rösler A, Jäger M, Gehrke I, Volkert D, Pourhassan M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	body weight geriatrics malnutrition older patients self-perception Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9acae66b4a28428892d154cc39bd21b4
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spelling	oai:doaj.org-article:9acae66b4a28428892d154cc39bd21b42021-12-02T11:07:14ZLow Self-Perception of Malnutrition in Older Hospitalized Patients1178-1998https://doaj.org/article/9acae66b4a28428892d154cc39bd21b42020-11-01T00:00:00Zhttps://www.dovepress.com/low-self-perception-of-malnutrition-in-older-hospitalized-patients-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Gero Lueg,1 Rainer Wirth,1 Julia Kwiatkowski,1 Alexander Rösler,2 Martin Jäger,3 Ilse Gehrke,4 Dorothee Volkert,5 Maryam Pourhassan1 On behalf of the “Nutrition and Metabolism” of the German Geriatric Society (DGG) working group1Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany; 2Department of Geriatrics, Bethesda Krankenhaus Bergedorf, Hamburg, Germany; 3Clinic for Geriatrics, Hüttenhospital, Dortmund, Germany; 4Clinic for Internal Medicine and Geriatrics, Schwarzwald-Baar Klinikum, Donaueschingen, Germany; 5Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, GermanyCorrespondence: Maryam Pourhassan Department of Geriatric MedicineMarien Hospital Herne, Ruhr-Universität Bochum, Hölkeskampring 40, Herne D- 44625, GermanyTel +49-2323-499-2416Fax +49-2323-499-2417Email maryam.pourhassan@ruhr-uni-bochum.deBackground: Studies focusing on self-perception of nutritional status in older hospitalized patients are lacking. We aimed to examine the self-perception of body weight and nutritional status among older hospitalized patients compared to their actual body weight and nutritional status based on medical assessment.Materials and Methods: This observational cross-sectional study investigated 197 older participants (mean age 82.2± 6.8 years, 61% women) who were consecutively admitted to the geriatric acute care ward. Body weight status and nutritional status were assessed using WHO-BMI classification and Mini Nutritional Assessment-Short Form (MNA-SF), respectively. Self-perceived body weight status and nutritional status were assessed with a standardized questionnaire. A follow-up was performed with a short telephone interview after three months.Results: According to MNA-SF, 49% and 35% were at risk of malnutrition and malnourished, respectively. There was no agreement between self-perceived nutritional status and objective nutritional status according to MNA-SF (Kappa: 0.06). A slight agreement was found between subjective body weight status and objective body weight status according to WHO-BMI classification (Kappa: 0.19). A total of 184 patients completed the 3 months follow-up and additional 9 patients died during this time, of which 7 and 2 were malnourished and at risk of malnutrition according to MNA-SF, respectively. Of those who were malnourished and at risk of malnutrition based on MNA-SF and died during follow-up, 67.7% did not realize their malnutrition. Compared to the patients with normal nutritional status during hospitalization, malnourished patients based on MNA-SF had higher rates of unplanned hospital readmission and further weight loss and more often reported health deterioration and experienced death within three months after discharge.Conclusion: No agreement between self-perceived nutritional status and objective nutritional status among older hospitalized patients was found. Our study highlights the need to raise knowledge about the issue of malnutrition and increase awareness of health risks associated with malnutrition among older hospitalized patients.Keywords: body weight, geriatrics, malnutrition, older patients, self-perceptionLueg GWirth RKwiatkowski JRösler AJäger MGehrke IVolkert DPourhassan MDove Medical Pressarticlebody weightgeriatricsmalnutritionolder patientsself-perceptionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 2219-2226 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	body weight geriatrics malnutrition older patients self-perception Geriatrics RC952-954.6
spellingShingle	body weight geriatrics malnutrition older patients self-perception Geriatrics RC952-954.6 Lueg G Wirth R Kwiatkowski J Rösler A Jäger M Gehrke I Volkert D Pourhassan M Low Self-Perception of Malnutrition in Older Hospitalized Patients
description	Gero Lueg,1 Rainer Wirth,1 Julia Kwiatkowski,1 Alexander Rösler,2 Martin Jäger,3 Ilse Gehrke,4 Dorothee Volkert,5 Maryam Pourhassan1 On behalf of the “Nutrition and Metabolism” of the German Geriatric Society (DGG) working group1Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany; 2Department of Geriatrics, Bethesda Krankenhaus Bergedorf, Hamburg, Germany; 3Clinic for Geriatrics, Hüttenhospital, Dortmund, Germany; 4Clinic for Internal Medicine and Geriatrics, Schwarzwald-Baar Klinikum, Donaueschingen, Germany; 5Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, GermanyCorrespondence: Maryam Pourhassan Department of Geriatric MedicineMarien Hospital Herne, Ruhr-Universität Bochum, Hölkeskampring 40, Herne D- 44625, GermanyTel +49-2323-499-2416Fax +49-2323-499-2417Email maryam.pourhassan@ruhr-uni-bochum.deBackground: Studies focusing on self-perception of nutritional status in older hospitalized patients are lacking. We aimed to examine the self-perception of body weight and nutritional status among older hospitalized patients compared to their actual body weight and nutritional status based on medical assessment.Materials and Methods: This observational cross-sectional study investigated 197 older participants (mean age 82.2± 6.8 years, 61% women) who were consecutively admitted to the geriatric acute care ward. Body weight status and nutritional status were assessed using WHO-BMI classification and Mini Nutritional Assessment-Short Form (MNA-SF), respectively. Self-perceived body weight status and nutritional status were assessed with a standardized questionnaire. A follow-up was performed with a short telephone interview after three months.Results: According to MNA-SF, 49% and 35% were at risk of malnutrition and malnourished, respectively. There was no agreement between self-perceived nutritional status and objective nutritional status according to MNA-SF (Kappa: 0.06). A slight agreement was found between subjective body weight status and objective body weight status according to WHO-BMI classification (Kappa: 0.19). A total of 184 patients completed the 3 months follow-up and additional 9 patients died during this time, of which 7 and 2 were malnourished and at risk of malnutrition according to MNA-SF, respectively. Of those who were malnourished and at risk of malnutrition based on MNA-SF and died during follow-up, 67.7% did not realize their malnutrition. Compared to the patients with normal nutritional status during hospitalization, malnourished patients based on MNA-SF had higher rates of unplanned hospital readmission and further weight loss and more often reported health deterioration and experienced death within three months after discharge.Conclusion: No agreement between self-perceived nutritional status and objective nutritional status among older hospitalized patients was found. Our study highlights the need to raise knowledge about the issue of malnutrition and increase awareness of health risks associated with malnutrition among older hospitalized patients.Keywords: body weight, geriatrics, malnutrition, older patients, self-perception
format	article
author	Lueg G Wirth R Kwiatkowski J Rösler A Jäger M Gehrke I Volkert D Pourhassan M
author_facet	Lueg G Wirth R Kwiatkowski J Rösler A Jäger M Gehrke I Volkert D Pourhassan M
author_sort	Lueg G
title	Low Self-Perception of Malnutrition in Older Hospitalized Patients
title_short	Low Self-Perception of Malnutrition in Older Hospitalized Patients
title_full	Low Self-Perception of Malnutrition in Older Hospitalized Patients
title_fullStr	Low Self-Perception of Malnutrition in Older Hospitalized Patients
title_full_unstemmed	Low Self-Perception of Malnutrition in Older Hospitalized Patients
title_sort	low self-perception of malnutrition in older hospitalized patients
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/9acae66b4a28428892d154cc39bd21b4
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Low Self-Perception of Malnutrition in Older Hospitalized Patients

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