Evidence map›Paper›PMID 31571022›Full record

ReviewJournal of community health2020

Screening Community-Living Older Adults for Protein Energy Malnutrition and Frailty: Update and Next Steps.

Johanna T Dwyer, Jaime J Gahche, Mary Weiler, Mary Beth Arensberg

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of community health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  8. Article
  9. Review
  10. Observational
  11. Article
  12. Article
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  15. Article
  16. Healthy Aging-Nutrition Matters: Start Early and Screen Often.Advances in nutrition (Bethesda, Md.) · 2021
    Review
  17. Review
  18. Article
  19. Article
  20. A Brief Intervention for Malnutrition among Older Adults:International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Johanna T DwyerOffice of Dietary Supplements, National Institutes of Health, Bethesda, MD, USA.
Jaime J GahcheOffice of Dietary Supplements, National Institutes of Health, Bethesda, MD, USA.
Mary WeilerAbbott Nutrition Division of Abbott, Columbus, OH, 43219, USA.
Mary Beth ArensbergAbbott Nutrition Division of Abbott, Columbus, OH, 43219, USA. mary.arensberg@abbott.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Protein-energy malnutrition (PEM)/undernutrition and frailty are prevalent, overlapping conditions impacting on functional and health outcomes of older adults, but are frequently unidentified and untreated in community settings in the United States. Using the World Health Organization criteria for effective screening programs, we reviewed validity, reliability, and feasibility of data-driven screening tools for identifying PEM and frailty risk among community-dwelling older adults. The SCREEN II is recommended for PEM screening and the FRAIL scale is recommended as the most promising frailty screening tool, based on test characteristics, cost, and ease of use, but more research on both tools is needed, particularly on predictive validity of favorable outcomes after nutritional/physical activity interventions. The Malnutrition Screening Tool (MST) has been recommended by one expert group as a screening tool for all adults, regardless of age/care setting. However, it has not been tested in US community settings, likely yields large numbers of false positives (particularly in community settings), and its predictive validity of favorable outcomes after nutritional interventions is unknown. Community subgroups at highest priority for screening are those at increased risk due to prior illness, certain demographics and/or domiciliary characteristics, and those with BMI < 20 kg/m

Indexed as

Independent LivingAgedAged, 80 and overExerciseFemaleFrailtyHumansMaleMalnutritionProtein-Energy MalnutritionReproducibility of ResultsResearchRisk FactorsCommunity-livingFrailty screeningMalnutritionOlder adultsPEMProtein-energy malnutritionScreeningUndernutrition

Identifiers

PMID31571022
PMCPMC7188699

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.