ArticleThe journal of nutrition, health & aging2015
Nutritional Care Needs in Elderly Residents of Long-Term Care Institutions: Potential Implications for Policies.
Article in The journal of nutrition, health & aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Ageing rate of older adults affects the factors associated with, and the determinants of malnutrition in the community: a systematic review and narrative synthesis.BMC geriatrics · 2021Pooled it
- Factors associated with malnutrition in nursing home residents: A systematic review and meta-analysis of observational studies.Journal of Korean gerontological nursing · 2025Review
- Association Between Undernutrition and the Number of Molar Occlusions in Older Persons Requiring Care in Long-Term Care Insurance Facilities.Nutrients · 2025Article
- Survival and factors affecting the survival of older adult patients in palliative care.Irish journal of medical science · 2023Article
- Preoperative nutritional evaluation of prostate cancer patients undergoing laparoscopic radical prostatectomy.PloS one · 2022Article
- Age-Related Changes to Eating and Swallowing Impact Frailty: Aspiration, Choking Risk, Modified Food Texture and Autonomy of Choice.Geriatrics (Basel, Switzerland) · 2018Article
- Does Modification of the Large Intestinal Microbiome Contribute to the Anti-Inflammatory Activity of Fermentable Fiber?Current developments in nutrition · 2018Review
- Quality Indicators of Nutritional Care Practice in Elderly Care.The journal of nutrition, health & aging · 2017Article
- The Association between Malnutrition and Pressure Ulcers in Elderly in Long-Term Care Facility.Open access Macedonian journal of medical sciences · 2016Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo collect information on actual nutritional intervention requirements in long-term care institutions and on the role of institutional factors in nutritional care.
designA cross-sectional analysis of baseline data (collected between September 2011 and September 2013) within the context of a multicenter prospective cohort study.
settingNineteen long-term care institutions.
participantsThirteen hundred and ninety-four resident elderly (age ≥60 years). MEASUREMENTS: The prevalence of nutritional derangements (MNA-Short Form) and the need to introduce nutritional interventions on the residents.
resultsPrevalence of malnutrition and risk of malnutrition were 35.2% [95%CI, 32.8-37.8] and 52.6% [95%CI, 50.0-55.2], respectively. Malnutrition was more frequent upon admission and in larger institutions (≥50 beds). Overall, 50% of the residents requiring an individualized nutritional care plan (any type) were not receiving it. Oral diet, the use of fluid thickeners and oral nutritional supplements had to be introduced in 306 (22.5%), 201 (15%) and 175 (13%) residents, respectively. The need to implement the oral diet was mainly due to inadequacy of texture according to chewing and swallowing capabilities. In gender and age-adjusted multivariable logistic regression models, nutritional interventions were associated with worse nutritional status (P<0.001 for all). Moreover, while the duration of stay was unrelated to the need for nutritional interventions, we observed that residents living in larger long-term care institutions (≥50 beds) were more likely to require improvement in nutrition care.
conclusionsIn long-term care elderly residents nutritional derangements are very common, underdiagnosed and undertreated. Nutritional screening should be part of routine care. However, also the systematic involvement of a nutritional care specialist appears to be an urgent need, particularly in larger institutions where the standards of care are likely to be lower.
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