Malnutrition is associated with poor trajectories of activities of daily living in geriatric rehabilitation inpatients: RESORT

Jeewanadee Hettiarachchi; Esmee M Reijnierse; Cheng Hwee Soh; Bridget Agius; Kate Fetterplace; Wen Kwang Lim; Andrea Britta Maier

doi:10.1016/j.mad.2021.111500

Malnutrition is associated with poor trajectories of activities of daily living in geriatric rehabilitation inpatients: RESORT

Mech Ageing Dev. 2021 Jul:197:111500. doi: 10.1016/j.mad.2021.111500. Epub 2021 May 16.

Authors

Jeewanadee Hettiarachchi¹, Esmee M Reijnierse², Cheng Hwee Soh¹, Bridget Agius³, Kate Fetterplace⁴, Wen Kwang Lim¹, Andrea Britta Maier⁵

Affiliations

¹ Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, VIC, Australia.
² Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, VIC, Australia; Department of Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.
³ Department of Clinical Nutrition, Allied Health, The Royal Melbourne Hospital, Melbourne, VIC, Australia.
⁴ Department of Clinical Nutrition, Allied Health, The Royal Melbourne Hospital, Melbourne, VIC, Australia; The University of Melbourne, Department of Critical Care, Melbourne Medical School, Melbourne, VIC, Australia.
⁵ Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, VIC, Australia; Department of Human Movement Sciences, @AgeAmsterdam, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands; Healthy Longevity Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore. Electronic address: a.b.maier@vu.nl.

PMID: 34010632
DOI: 10.1016/j.mad.2021.111500

Abstract

Malnutrition is associated with poor functional performance in geriatric rehabilitation inpatients. However, it is unclear if malnourished patients have poor functional trajectories over time. This study aimed to determine the association between (the risk of) malnutrition at admission and trajectories of Activities of Daily Living (ADL) and Instrumental ADL (IADL) from pre-admission to post-discharge in geriatric rehabilitation inpatients. An observational, longitudinal study was conducted in the REStORing health of acutely unwell adulTs (RESORT) cohort of geriatric rehabilitation inpatients. A total of 618 patients (mean age 82.1 ± 7.8 years, 57.4 % females) were included. The prevalence of the risk of malnutrition, by Malnutrition Screening Tool (MST) was 41.3 % (n = 255) and malnutrition by the Global Leadership Initiative on Malnutrition (GLIM) and European Society for Clinical Nutrition and Metabolism (ESPEN) criteria were 53.5 % (n = 331) and 13.1 % (n = 81) respectively. Malnutrition by the GLIM criteria but not the ESPEN criteria nor the risk of malnutrition, was associated with ADL trajectories of 'remained poor' (OR: 3.33, 95 %CI: 1.21-9.19) and 'deteriorated' (OR: 1.68, 95 %CI: 1.13-2.52) compared to the 'recovered' trajectory. The risk of malnutrition and malnutrition were not associated with IADL trajectories. Malnutrition at admission was associated with poor ADL trajectories but not IADL trajectories in geriatric rehabilitation inpatients.

Keywords: Activities of daily living; Aged; Hospitalization; Malnutrition; Rehabilitation.

Publication types

Clinical Trial
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't

MeSH terms

Activities of Daily Living*
Aged
Aged, 80 and over
Female
Geriatric Assessment
Hospitalization*
Humans
Longitudinal Studies
Male
Malnutrition* / physiopathology
Malnutrition* / rehabilitation