Evidence map›Paper›PMID 32524942›Full record

Observational studyPrimary health care research & development2020

Tracking and treating malnutrition: a retrospective observational study of the nutritional status of vulnerable people accessing a meals-on-wheels (MOW) service.

Michelle Dewar, Angela Dickinson, Nigel Smeeton

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Primary health care research & development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 33% of its field
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Meals on wheels services and the food security of older people.Health & social care in the community · 2022
    Article
  5. Article
  6. 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

3 authors at 1 institution in 1 country.

Michelle DewarDietitian, Hertfordshire Independent Living Service, Unit 16, Green Lane One, Blackhorse Road, Letchworth, Herts, SG6 1HB, UK.
Angela DickinsonSenior Research Fellow, Centre for Research in Public Health And Community Care (CRIPACC), Health Research Building, University of Hertfordshire, College Lane Campus, Hatfield, AL10 9AB, UK.ORCID 0000-0001-7681-2732
Nigel SmeetonSocial Statistician, Centre for Research in Public Health And Community Care (CRIPACC), Health Research Building, University of Hertfordshire, College Lane Campus, Hatfield, AL10 9AB, UK.ORCID 0000-0001-9460-5411
University of Hertfordshire · GB

Funding

Department of Health
6 · The paper itself

Abstract

aimThe aims of the study were to describe the characteristics of meals-on-wheels (MOW) recipients, including prevalence of malnutrition amongst those who have received input from the Nutrition and Wellbeing Service (NWS) and to explore whether the NWS had an impact on the nutritional status (malnutrition risk) of recipients over time.

backgroundSupport services, for example, MOW, play an important role in the prevention and treatment of malnutrition in the community. In the UK, MOW services are under threat. However, little is known about how they support the health and well-being of older people. This study reports on the characteristics of MOW recipients and investigates change in nutritional status over time.

methodsA retrospective study of MOW recipients of nutritional concern who were offered a check through the NWS was conducted. Demographic, social and health information were gathered at the initial visit. Nutritional status (risk of malnutrition) was obtained using the validated Malnutrition Universal Screening Tool (MUST), at the initial and subsequent visits. Changes over time were investigated for recipients receiving at least two follow-up visits.

findingsAn initial visit was made to 399 MOW recipients, and 148 recipients had two or more follow-up visits. At initial screening, 177 (44%) of recipients were at medium or high risk of malnutrition. Frailty was significantly related to malnutrition risk (P = 0.049). At follow-up, there was a reduction in malnutrition risk.

conclusionsThe MOW service was associated with a reduction in malnutrition risk. By offering well-being visits within a MOW service, malnutrition can be identified early. Future studies into how MOW services might delay or prevent the need for support from acute health services and social care are warranted.

Indexed as

MalnutritionAged, 80 and overFemaleFood ServicesHumansMaleMealsNutritional StatusRetrospective Studiesfrailtyindependent livingmalnutritionmeals-on-wheelsnutrition assessmentolder peoplesupport servicesundernutrition

Identifiers

PMID32524942
PMCPMC7303797
OpenAlexW3033308806

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.