Nutrition
Volume 25, Issue 2 , Pages 155-164 , February 2009

Undernutrition in geriatric institutions in South-West France: Policies and risk factors

  • Isabelle Bourdel-Marchasson, M.D., Ph.D.

      Affiliations

    • CHU of Bordeaux, Department of Gerontology; UMR 5536 CNRS/University V Segalen Bordeaux 2, Bordeaux, France
    • Corresponding Author InformationCorresponding author. Tel.: +33-5-5765-6571; fax: +33-5-5765-6560
  • ,
  • Charlotte Rolland

      Affiliations

    • Direction Régionale des Affaires Sanitaire et Sociales, Bordeaux, France
  • ,
  • Marthe-Aline Jutand, M.S.

      Affiliations

    • ISPED, Bordeaux School of Public Health, Department of Epidemiology, University V Segalen Bordeaux 2, Bordeaux, France
  • ,
  • Christian Egea

      Affiliations

    • Direction Régionale des Affaires Sanitaire et Sociales, Bordeaux, France
  • ,
  • Béatrice Baratchart, M.D.

      Affiliations

    • Direction Régionale des Affaires Sanitaire et Sociales, Bordeaux, France
  • ,
  • Pascale Barberger-Gateau, M.D., Ph.D.

      Affiliations

    • ISPED, Bordeaux School of Public Health, Department of Epidemiology, University V Segalen Bordeaux 2, Bordeaux, France

Received 11 February 2008 ,Accepted 15 July 2008.

References 

  1. Chin APMJ, Dekker JM, Feskens EJ, Schouten EG, Kromhout D. How to select a frail elderly population? (A comparison of three working definitions). J Clin Epidemiol. 1999;52:1015–1021
  2. Morley JE, Silver AJ. Nutritional issues in nursing home care. Ann Intern Med. 1995;123:850–859
  3. Potter J, Klipstein K, Reilly JJ, Roberts M. The nutritional status and clinical course of acute admissions to a geriatric unit. Age Ageing. 1995;24:131–136
  4. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition (The Mini Nutritional Assessment). Clin Geriatr Med. 2002;18:737–757
  5. Beck AM, Ovesen L. Body mass index, weight loss and energy intake of old Danish nursing home residents and home-care clients. Scand J Caring Sci. 2002;16:86–90
  6. Beck AM, Ovesen L, Schroll M. Home-made oral supplement as nutritional support of old nursing home residents, who are undernourished or at risk of undernutrition based on the MNA (A pilot trial. Mini Nutritional Assessment). Aging Clin Exp Res. 2002;14:212–215
  7. Blaum CS, Fries BE, Fiatarone MA. Factors associated with low body mass index and weight loss in nursing home residents. J Gerontol A Biol Sci Med Sci. 1995;50:M162–M168
  8. Compan B, di Castri A, Plaze JM, Arnaud-Battandier F. Epidemiological study of malnutrition in elderly patients in acute, sub-acute and long-term care using the MNA. J Nutr Health Aging. 1999;3:146–151
  9. Crogan NL, Pasvogel A. The influence of protein–calorie malnutrition on quality of life in nursing homes. J Gerontol A Biol Sci Med Sci. 2003;58:159–164
  10. Margetts BM, Thompson RL, Elia M, Jackson AA. Prevalence of risk of undernutrition is associated with poor health status in older people in the UK. Eur J Clin Nutr. 2003;57:69–74
  11. Ruiz-Lopez MD, Artacho R, Oliva P, Moreno-Torres R, Bolonus J, de Teresa C, et al. Nutritional risk in institutionalized older women determined by the Mini Nutritional Assessment test: what are the main factors?. Nutrition. 2003;19:767–771
  12. Suominen M, Muurinen S, Routasalo P, Soini H, Suuz-Uski I, Peipunen A, et al. Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr. 2005;59:578–583
  13. Griep MI, Mets TF, Collys K, Ponjaert-Kristoffersen I, Massart DL. Risk of malnutrition in retirement homes elderly persons measured by the “mini-nutritional assessment.”. J Gerontol A Biol Sci Med Sci. 2000;55:M57–M63
  14. Lamy M, Mojon P, Kalykakis G, Legrand R, Butz-Jorgensen E. Oral status and nutrition in the institutionalized elderly. J Dent. 1999;27:443–448
  15. Bourdel-Marchasson I, Vincent S, Germain C, Salles N, Jenn J, Rasoamanavivo E, et al. Delirium symptoms and low dietary intake in older inpatients are independent predictors of institutionalization: a 1-year prospective population-based study. J Gerontol A Biol Sci Med Sci. 2004;59:350–354
  16. Zizza C, Herring A, Domino M, Haines P, Stevens J, Popkin BM. The effect of weight change on nursing care facility admission in the NHANES I Epidemiologic Follow-up Survey. J Clin Epidemiol. 2003;56:906–913
  17. Crogan NL, Shultz JA, Adams CE, Massey LK. Barriers to nutrition care for nursing home residents. J Gerontol Nurs. 2001;27:25–31
  18. Crogan NL, Shultz JA, Massey LK. Nutrition knowledge of nurses in long-term care facilities. J Contin Educ Nurs. 2001;32:171–176
  19. Thomas DR, Ashmen W, Morley JE, Evans WJ. Nutritional management in long-term care: development of a clinical guideline (Council for Nutritional Strategies in Long-Term Care). J Gerontol A Biol Sci Med Sci. 2000;55:M725–M734
  20. Cowan DT, Roberts JD, Fitzpatrick JM, While AE, Baldwin J. Nutritional status of older people in long term care settings: current status and future directions. Int J Nurs Stud. 2004;41:225–237
  21. Kayser-Jones J. Malnutrition, dehydration, and starvation in the midst of plenty: the political impact of qualitative inquiry. Qual Health Res. 2002;12:1391–1405
  22. Suominem M, Laine T, Routasalo P, Pitkala KH, Rasanen L. Nutrient content of served food, nutrient intake and nutritional status of residents with dementia in a Finnish nursing home. J Nutr Health Aging. 2004;8:234–238
  23. Taylor KA, Barr SI. Provision of small, frequent meals does not improve energy intake of elderly residents with dysphagia who live in an extended-care facility. J Am Diet Assoc. 2006;106:1115–1118
  24. Poulsen I, Rahm Hallberg I, Schroll M. Nutritional status and associated factors on geriatric admission. J Nutr Health Aging. 2006;10:84–90
  25. Beck AM, Ovesen L, Schroll M. Validation of the Resident Assessment Instrument triggers in the detection of under-nutrition. Age Ageing. 2001;30:161–165
  26. Burden ST, Bodey S, Bradburn YJ, Murdoch S, Thompson AL, Sim JM, et al. Validation of a nutrition screening tool: testing the reliability and validity. J Hum Nutr Diet. 2001;14:269–275
  27. Crogan NL, Corbett CF, Short RA. The minimum data set: predicting malnutrition in newly admitted nursing home residents. Clin Nurs Res. 2002;11:341–353
  28. Gil Gregorio P, Ramirez Diaz SP, Ribera Casado JM. Dementia and Nutrition (Intervention study in institutionalized patients with Alzheimer disease). J Nutr Health Aging. 2003;7:304–308
  29. Ardilly P. Plans de sondage complexes: éléments pour estimer les précisions. In: Les techniques de sondage. Paris: Editions TECHNIP; 1994;p. 346
  30. Barberger-Gateau P, Rainville C, Letenneur L, Dartigues JF. A hierarchical model of domains of disablement in the elderly: a longitudinal approach. Disabil Rehabil. 2000;22:308–317
  31. Odlund Olin A, Koochek A, Ljungqvist O, Cederholm T. Nutritional status, well-being and functional ability in frail elderly service flat residents. Eur J Clin Nutr. 2005;59:263–270
  32. Young KW, Binns MA, Greenwood CE. Meal delivery practices do not meet needs of Alzheimer patients with increased cognitive and behavioral difficulties in a long-term care facility. J Gerontol A Biol Sci Med Sci. 2001;56:M656–M661
  33. Young KW, Greenwood CE. Shift in diurnal feeding patterns in nursing home residents with Alzheimer's disease. J Gerontol A Biol Sci Med Sci. 2001;56:M700–M706
  34. Beck AM, Ovesen L. Skipping of meals has a significant impact on dietary intake and nutritional status of old (65+ y) nursing home residents. J Nutr Health Aging. 2004;8:390–394
  35. Keller HH, Gibbs-Ward A, Randall-Simpson J, Bocock MA, Dimou E. Meal rounds: an essential aspect of quality nutrition services in long-term care. J Am Med Dir Assoc. 2006;7:40–45
  36. Crogan NL, Evans BC. The shortened food expectations—long-term care questionnaire: assessing nursing home residents' satisfaction with food and food service. J Gerontol Nurs. 2006;32:50–59
  37. Evans BC, Crogan NL. Using the FoodEx-LTC to assess institutional food service practices through nursing home residents' perspectives on nutrition care. J Gerontol A Biol Sci Med Sci. 2005;60:125–128
  38. Kofod J, Birkemose A. Meals in nursing homes. Scand J Caring Sci. 2004;18:128–134
  39. Kayser-Jones J, Schell ES, Porter C, et al. A prospective study of the use of liquid oral dietary supplements in nursing homes. J Am Geriatr Soc. 1998;46:1378–1386

PII: S0899-9007(08)00324-9

doi: 10.1016/j.nut.2008.07.016

Nutrition
Volume 25, Issue 2 , Pages 155-164 , February 2009