Nutritional assessment of residents in long-term care facilities (LTCFS): recommendations of the task force on nutrition and ageing of the IAGG Europe region and the IANA

A. Salva, L. Coll-Planas, S. Bruce, C.P.G.M. de Groot, S. Andrieu, G. Abellan, B. Vellas

Research output: Contribution to journalEditorialAcademicpeer-review

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Abstract

Unintentional weight loss and Undernutrition are major problems among older people living in Long-Term Care Facilities (LTCF). Undernutrition manifests in LTCF particularly as weight loss and low Body Mass Index (BMI) and is associated with increased morbidity and mortality as well as with functional decline. There are many factors associated with poor nutritional status and affecting protein-energy intake and/or energy expenditure. These include age of 85 years or older, low nutrient intake, loss of ability to eat independently, swallowing and chewing difficulties, becoming bed-ridden, pressure ulcers, history of hip fracture, dementia, depressive symptoms and suffering from two or more chronic illnesses. Nutritional evaluation is an essential part of the Comprehensive Geriatric Assessment (CGA). This evaluation ranges from methods such as BMI to several validated tools such as Mini-Nutritional Assessment (MNA). After diagnosis, the management of undernutrition in LTCF requires a multidisciplinary approach which may involve dietary and environmental improvements and managing multiple co-morbidities, while avoiding polypharmacy as far as possible. Finally, the need for supplementation or artificial (tube) feeding may be considered taking into account the CGA and individual needs. This document presents a succinct review and recommendations of evaluation and treatment of undernutrition.
Original languageEnglish
Pages (from-to)475-483
JournalJournal of Nutrition, Health and Aging
Volume13
Issue number6
DOIs
Publication statusPublished - 2009

Fingerprint

Nutrition Assessment
Long-Term Care
Advisory Committees
Malnutrition
Geriatric Assessment
Weight Loss
Body Mass Index
Morbidity
Polypharmacy
Aptitude
Nutritional Support
Pressure Ulcer
Mastication
Hip Fractures
Enteral Nutrition
Deglutition
Energy Intake
Nutritional Status
Energy Metabolism
Dementia

Keywords

  • nursing-home residents
  • randomized controlled-trial
  • body-mass index
  • vitamin-d supplementation
  • minimum data set
  • quality-of-life
  • continuous process improvement
  • protein-calorie malnutrition
  • elderly-patients
  • older-people

Cite this

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title = "Nutritional assessment of residents in long-term care facilities (LTCFS): recommendations of the task force on nutrition and ageing of the IAGG Europe region and the IANA",
abstract = "Unintentional weight loss and Undernutrition are major problems among older people living in Long-Term Care Facilities (LTCF). Undernutrition manifests in LTCF particularly as weight loss and low Body Mass Index (BMI) and is associated with increased morbidity and mortality as well as with functional decline. There are many factors associated with poor nutritional status and affecting protein-energy intake and/or energy expenditure. These include age of 85 years or older, low nutrient intake, loss of ability to eat independently, swallowing and chewing difficulties, becoming bed-ridden, pressure ulcers, history of hip fracture, dementia, depressive symptoms and suffering from two or more chronic illnesses. Nutritional evaluation is an essential part of the Comprehensive Geriatric Assessment (CGA). This evaluation ranges from methods such as BMI to several validated tools such as Mini-Nutritional Assessment (MNA). After diagnosis, the management of undernutrition in LTCF requires a multidisciplinary approach which may involve dietary and environmental improvements and managing multiple co-morbidities, while avoiding polypharmacy as far as possible. Finally, the need for supplementation or artificial (tube) feeding may be considered taking into account the CGA and individual needs. This document presents a succinct review and recommendations of evaluation and treatment of undernutrition.",
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author = "A. Salva and L. Coll-Planas and S. Bruce and {de Groot}, C.P.G.M. and S. Andrieu and G. Abellan and B. Vellas",
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Nutritional assessment of residents in long-term care facilities (LTCFS): recommendations of the task force on nutrition and ageing of the IAGG Europe region and the IANA. / Salva, A.; Coll-Planas, L.; Bruce, S.; de Groot, C.P.G.M.; Andrieu, S.; Abellan, G.; Vellas, B.

In: Journal of Nutrition, Health and Aging, Vol. 13, No. 6, 2009, p. 475-483.

Research output: Contribution to journalEditorialAcademicpeer-review

TY - JOUR

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AU - Salva, A.

AU - Coll-Planas, L.

AU - Bruce, S.

AU - de Groot, C.P.G.M.

AU - Andrieu, S.

AU - Abellan, G.

AU - Vellas, B.

PY - 2009

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N2 - Unintentional weight loss and Undernutrition are major problems among older people living in Long-Term Care Facilities (LTCF). Undernutrition manifests in LTCF particularly as weight loss and low Body Mass Index (BMI) and is associated with increased morbidity and mortality as well as with functional decline. There are many factors associated with poor nutritional status and affecting protein-energy intake and/or energy expenditure. These include age of 85 years or older, low nutrient intake, loss of ability to eat independently, swallowing and chewing difficulties, becoming bed-ridden, pressure ulcers, history of hip fracture, dementia, depressive symptoms and suffering from two or more chronic illnesses. Nutritional evaluation is an essential part of the Comprehensive Geriatric Assessment (CGA). This evaluation ranges from methods such as BMI to several validated tools such as Mini-Nutritional Assessment (MNA). After diagnosis, the management of undernutrition in LTCF requires a multidisciplinary approach which may involve dietary and environmental improvements and managing multiple co-morbidities, while avoiding polypharmacy as far as possible. Finally, the need for supplementation or artificial (tube) feeding may be considered taking into account the CGA and individual needs. This document presents a succinct review and recommendations of evaluation and treatment of undernutrition.

AB - Unintentional weight loss and Undernutrition are major problems among older people living in Long-Term Care Facilities (LTCF). Undernutrition manifests in LTCF particularly as weight loss and low Body Mass Index (BMI) and is associated with increased morbidity and mortality as well as with functional decline. There are many factors associated with poor nutritional status and affecting protein-energy intake and/or energy expenditure. These include age of 85 years or older, low nutrient intake, loss of ability to eat independently, swallowing and chewing difficulties, becoming bed-ridden, pressure ulcers, history of hip fracture, dementia, depressive symptoms and suffering from two or more chronic illnesses. Nutritional evaluation is an essential part of the Comprehensive Geriatric Assessment (CGA). This evaluation ranges from methods such as BMI to several validated tools such as Mini-Nutritional Assessment (MNA). After diagnosis, the management of undernutrition in LTCF requires a multidisciplinary approach which may involve dietary and environmental improvements and managing multiple co-morbidities, while avoiding polypharmacy as far as possible. Finally, the need for supplementation or artificial (tube) feeding may be considered taking into account the CGA and individual needs. This document presents a succinct review and recommendations of evaluation and treatment of undernutrition.

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KW - randomized controlled-trial

KW - body-mass index

KW - vitamin-d supplementation

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KW - continuous process improvement

KW - protein-calorie malnutrition

KW - elderly-patients

KW - older-people

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DO - 10.1007/s12603-009-0097-7

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JO - Journal of Nutrition, Health and Aging

JF - Journal of Nutrition, Health and Aging

SN - 1279-7707

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