Evidence map›Paper›PMID 33239871›Full record

Observational studyClinical interventions in aging2020

Low Self-Perception of Malnutrition in Older Hospitalized Patients.

Gero Lueg, Rainer Wirth, Julia Kwiatkowski, Alexander Rösler, Martin Jäger, Ilse Gehrke, Dorothee Volkert, Maryam Pourhassan, “Nutrition and Metabolism” of the German Geriatric Society (DGG) working group

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. 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

9 authors at 5 institutions in 1 country.

Gero LuegDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany.
Rainer WirthDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany.ORCID 0000-0002-7265-0163
Julia KwiatkowskiDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany.
Alexander RöslerDepartment of Geriatrics, Bethesda Krankenhaus Bergedorf, Hamburg, Germany.ORCID 0000-0001-7082-7861
Martin JägerClinic for Geriatrics, Hüttenhospital, Dortmund, Germany.
Ilse GehrkeClinic for Internal Medicine and Geriatrics, Schwarzwald-Baar Klinikum, Donaueschingen, Germany.
Dorothee VolkertInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.ORCID 0000-0002-1003-6395
Maryam PourhassanDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Herne, Germany.ORCID 0000-0002-5486-0765
“Nutrition and Metabolism” of the German Geriatric Society (DGG) working group
Universitätsklinik Marien Hospital Herne · DEAgaplesion Bethesda Krankenhaus · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKlinikum Dortmund · DESchwarzwald-Baar Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies focusing on self-perception of nutritional status in older hospitalized patients are lacking. We aimed to examine the self-perception of body weight and nutritional status among older hospitalized patients compared to their actual body weight and nutritional status based on medical assessment. MATERIALS AND

methodsThis observational cross-sectional study investigated 197 older participants (mean age 82.2±6.8 years, 61% women) who were consecutively admitted to the geriatric acute care ward. Body weight status and nutritional status were assessed using WHO-BMI classification and Mini Nutritional Assessment-Short Form (MNA-SF), respectively. Self-perceived body weight status and nutritional status were assessed with a standardized questionnaire. A follow-up was performed with a short telephone interview after three months.

resultsAccording to MNA-SF, 49% and 35% were at risk of malnutrition and malnourished, respectively. There was no agreement between self-perceived nutritional status and objective nutritional status according to MNA-SF (Kappa: 0.06). A slight agreement was found between subjective body weight status and objective body weight status according to WHO-BMI classification (Kappa: 0.19). A total of 184 patients completed the 3 months follow-up and additional 9 patients died during this time, of which 7 and 2 were malnourished and at risk of malnutrition according to MNA-SF, respectively. Of those who were malnourished and at risk of malnutrition based on MNA-SF and died during follow-up, 67.7% did not realize their malnutrition. Compared to the patients with normal nutritional status during hospitalization, malnourished patients based on MNA-SF had higher rates of unplanned hospital readmission and further weight loss and more often reported health deterioration and experienced death within three months after discharge.

conclusionNo agreement between self-perceived nutritional status and objective nutritional status among older hospitalized patients was found. Our study highlights the need to raise knowledge about the issue of malnutrition and increase awareness of health risks associated with malnutrition among older hospitalized patients.

Indexed as

Nutritional StatusNutrition AssessmentSelf ConceptAgedAged, 80 and overBody Mass IndexCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleMalnutritionRisk FactorsSurveys and QuestionnairesWeight Lossbody weightgeriatricsmalnutritionolder patientsself-perception

Identifiers

PMID33239871
PMCPMC7682442
OpenAlexW3103809099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.