ArticleThe journal of nutrition, health & aging2020
Poor Appetite Is Associated with Six Month Mortality in Hospitalised Older Men and Women.
Article in The journal of nutrition, health & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review.Journal of cachexia, sarcopenia and muscle · 2023Pooled it
- Article
- Risk of malnutrition, food insecurity, dietary quality, and associated factors among Malawian older adults at hospital admission: a cross-sectional study.BMC geriatrics · 2025Article
- Indicators of mortality risk in ageing horses.GeroScience · 2025Article
- Appetite loss in older adults without undernutrition: associated factors and clinical implications.BMC geriatrics · 2025Article
- Article
- Association of both depressive symptoms scores and specific depressive symptoms with all-cause and cardiovascular disease mortality.Annals of general psychiatry · 2024Article
- The anorexia of ageing and risk of mortality: More than a story of malnutrition?The journal of nutrition, health & aging · 2024Article
- The associations between sleep quality, mood, pain and appetite in community dwelling older adults: a daily experience study.The journal of nutrition, health & aging · 2024Article
- Consequences of Anorexia of Aging in Hospital Settings: An Updated Review.Clinical interventions in aging · 2024Review
- Appetite and its association with mortality in patients with advanced cancer - a Post-hoc Analysis from the Palliative D-study.BMC palliative care · 2023Article
- Untangling the Complex Interplay between Social Isolation, Anorexia, Sarcopenia, and Mortality: Insights from a Longitudinal Study.The journal of nutrition, health & aging · 2023Article
- Editorial: Anorexia of Ageing and Routinely Collected 'Big Data'- Helpful Insights and New Challenges.The journal of nutrition, health & aging · 2023Article
- Anorexia in Medicare Fee-for-Service Beneficiaries: A Claims-Based Analysis of Epidemiology and Mortality.The journal of nutrition, health & aging · 2023Article
- The composition of the gut microbiome differs among community dwelling older people with good and poor appetite.Journal of cachexia, sarcopenia and muscle · 2021Article
- Observational
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAppetite loss is common in hospitalised older individuals but not routinely assessed. Poor appetite in hospital has previously been identified as predictive of greater mortality in the six months following discharge in a single study of female patients. The present study aimed to assess this association in a larger sample including both hospitalised men and women.
designLongitudinal observational study with six month follow up.
settingAcute hospital wards in a single large hospital in England.
participantsOlder inpatients aged over 70 years. MEASUREMENTS: Appetite was assessed using the Simplified Nutritional Appetite Questionnaire (SNAQ) during hospital stay. Deaths during six month follow-up period were recorded. Association between SNAQ score during hospital admission and death 6 months post-discharge was assessed using binary logistic regression in unadjusted and adjusted analysis.
results296 participants (43% female, mean age 83 years (SD 6.9)) were included in this study. Prevalence of poor appetite (SNAQ score <14) was 41%. In unadjusted analysis a SNAQ score of <14 was associated with a 2.47 increase in odds of mortality at six months (OR 2.47 (95% CI 1.27,4.82)). This association remained after adjusting for number of comorbidities (Charlson index), length of stay and gender (OR 2.62 (95% CI 1.30, 5.27)). In unadjusted continuous analysis, every one point decrease in SNAQ score led to a 1.20 fold increase in odds of mortality at six months (OR 1.20 (95% CI 1.06-1.36)). This association remained in adjusted analysis (OR 1.22 (95% CI 1.07-1.39)).
conclusionPoor appetite is common in hospitalised older people. We have confirmed the association, previously reported in older women, between poor appetite during hospital stay and greater mortality at six months post-discharge but in a larger study including older men and women. Further research is needed to understand the mechanisms of poor appetite, which lead to increased mortality.
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