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Prevalence of eating difficulties and malnutrition among persons within hospital care and special accommodations

Westergren, Albert LU ; Lindholm, C; Axelsson, C and Ulander, Kerstin LU (2008) In Journal of Nutrition, Health & Aging 12(1). p.39-43
Abstract
Objectives: The aim of this study was to explore the prevalence of eating difficulties and malnutrition among persons in hospital care and in special accommodations. Design: The cross-sectional observational study was performed in Nov. 2005. Setting: Hospitals and special accommodations. Participants: Out of 2945 persons, 2600 (88%) agreed to participate (1726 from special accommodations and 874 from hospitals). In total all special accommodations in six municipalities and six hospitals were involved. Measurements: Risk of undernutrition was estimated as at least two of: body mass index below recommendation, weight loss and/or eating difficulties. Overweight was graded based on body mass index (if 69 years or younger: 25 or above: if 70... (More)
Objectives: The aim of this study was to explore the prevalence of eating difficulties and malnutrition among persons in hospital care and in special accommodations. Design: The cross-sectional observational study was performed in Nov. 2005. Setting: Hospitals and special accommodations. Participants: Out of 2945 persons, 2600 (88%) agreed to participate (1726 from special accommodations and 874 from hospitals). In total all special accommodations in six municipalities and six hospitals were involved. Measurements: Risk of undernutrition was estimated as at least two of: body mass index below recommendation, weight loss and/or eating difficulties. Overweight was graded based on body mass index (if 69 years or younger: 25 or above: if 70 years or older: 27 or above). Results: The mean age of those living in hospitals was 69 years and 53% were women, while the corresponding figures for those in special accommodations were 85 years and 69% women. In hospitals and special accommodations, eating difficulties were common (49% and 56% respectively) and about one quarter had a body mass index (BMI) below the limits (20% and 30% respectively) and one-third above the limit (39% and 30% respectively) thus only about 40% had a BMI within the limits. Both in hospitals and in special accommodations 27% were considered to have a moderate or high risk of undernutrition. Conclusion: Only about 40% in special accommodations and hospital care have a BMI within the recommended limits. As both low and high BMI are frequent in both settings, the focus of care should not only be on undernutrition but also on overweight. Using the Swedish criteria for defining risk of undernutrition seems to give a slightly lower prevalence than has been shown in previous Swedish studies, but this can be due to an underestimation of the occurrence of eating difficulties. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
undenutrition, malnutrition, eating difficulties, hospital, special accommodation, overweight
in
Journal of Nutrition, Health & Aging
volume
12
issue
1
pages
39 - 43
publisher
Springer-Verlag France
external identifiers
  • wos:000252678900006
  • scopus:38549118882
ISSN
1279-7707
language
English
LU publication?
yes
id
923a5585-7b3b-43d1-a998-a9fe88505c44 (old id 1199069)
date added to LUP
2008-09-11 09:43:50
date last changed
2018-01-07 07:41:10
@article{923a5585-7b3b-43d1-a998-a9fe88505c44,
  abstract     = {Objectives: The aim of this study was to explore the prevalence of eating difficulties and malnutrition among persons in hospital care and in special accommodations. Design: The cross-sectional observational study was performed in Nov. 2005. Setting: Hospitals and special accommodations. Participants: Out of 2945 persons, 2600 (88%) agreed to participate (1726 from special accommodations and 874 from hospitals). In total all special accommodations in six municipalities and six hospitals were involved. Measurements: Risk of undernutrition was estimated as at least two of: body mass index below recommendation, weight loss and/or eating difficulties. Overweight was graded based on body mass index (if 69 years or younger: 25 or above: if 70 years or older: 27 or above). Results: The mean age of those living in hospitals was 69 years and 53% were women, while the corresponding figures for those in special accommodations were 85 years and 69% women. In hospitals and special accommodations, eating difficulties were common (49% and 56% respectively) and about one quarter had a body mass index (BMI) below the limits (20% and 30% respectively) and one-third above the limit (39% and 30% respectively) thus only about 40% had a BMI within the limits. Both in hospitals and in special accommodations 27% were considered to have a moderate or high risk of undernutrition. Conclusion: Only about 40% in special accommodations and hospital care have a BMI within the recommended limits. As both low and high BMI are frequent in both settings, the focus of care should not only be on undernutrition but also on overweight. Using the Swedish criteria for defining risk of undernutrition seems to give a slightly lower prevalence than has been shown in previous Swedish studies, but this can be due to an underestimation of the occurrence of eating difficulties.},
  author       = {Westergren, Albert and Lindholm, C and Axelsson, C and Ulander, Kerstin},
  issn         = {1279-7707},
  keyword      = {undenutrition,malnutrition,eating difficulties,hospital,special accommodation,overweight},
  language     = {eng},
  number       = {1},
  pages        = {39--43},
  publisher    = {Springer-Verlag France},
  series       = {Journal of Nutrition, Health & Aging},
  title        = {Prevalence of eating difficulties and malnutrition among persons within hospital care and special accommodations},
  volume       = {12},
  year         = {2008},
}