The Relationship between Nutritional Risk and the Most Common Chronic Diseases in Hospitalized Geriatric Population from Central Poland

Nutrients. 2023 Mar 27;15(7):1612. doi: 10.3390/nu15071612.

Abstract

The aim of this study was to assess the relationship between Nutrition Risk Screening 2002 (NRS-2002) and the prevalence of concomitant chronic diseases among hospitalized older adults. This study included 2122 consecutively hospitalized older participants with an average age of 82 years. The criteria to participate were the ability to communicate and give consent. In multivariate design, the prevalence of nutritional risk with at least 3 points in the NRS-2002 score was associated with the presence of stroke, atrial fibrillation, dementia and pressure ulcers. Patients with arterial hypertension, lipid disorders, osteoarthritis and urine incontinence had a significantly lower (better) NRS-2002 score. The explanation of the inverse relationship between some disorders and nutritional risk may be their occurrence in relatively earlier age and the relationship with body mass index. In conclusion, the study revealed which medical conditions coexist with the increased nutritional risk in a "real-world" hospitalized geriatric population. The hospital admission of an older subject with stroke, atrial fibrillation, dementia or pressure ulcers should primarily draw attention to the nutritional risk of the patient.

Keywords: NRS-2002; concomitant diseases; malnutrition; older people; undernutrition.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Atrial Fibrillation* / complications
  • Chronic Disease
  • Dementia* / complications
  • Dementia* / epidemiology
  • Geriatric Assessment
  • Humans
  • Malnutrition* / complications
  • Malnutrition* / epidemiology
  • Nutrition Assessment
  • Nutritional Status
  • Poland / epidemiology
  • Pressure Ulcer* / complications
  • Pressure Ulcer* / epidemiology