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Table of Contents
Vol. 52, Suppl. 1, 2008
Issue release date: March 2008
Section title: Food, Nutrition and Health Promotion
Ann Nutr Metab 2008;52:51–53
(DOI:10.1159/000115350)

Assessment of the Nutritional Situation of Elderly Nursing Home Residents in Vienna

Kulnik D. · Elmadfa I.
Department of Nutritional Sciences, University of Vienna, Vienna, Austria
email Corresponding Author

Abstract

Background: In Austria, reliable information about the nutritional situation of institutionalized, frail elderly is lacking. Methods: MNA (Mini Nutritional Assessment) and NuRAS (Nutritional Risk Assessment Scale), tools specifically developed to evaluate the nutritional status of the elderly, were used for the assessment of the general nutritional and health status of the residents. Individual intake of energy and nutrients was measured by using the weighed food intake method during 7 consecutive weekdays. Results: According to MNA results (n = 245), 13.9% had a satisfactory nutritional status, 48.3% were assessed as ‘at risk of malnutrition’, and 37.8% as being ‘malnourished’. There is evidence that the number of assessed nutritional risk factors has an impact on the nutritional status. Further, there is a link between the assessed nutritional status and the individual nutrient intake of the residents. Conclusion: There is evidence for nutritional problems in frail, institutionalized elderly nursing home residents. The MNA seems to be a reliable tool to identify individuals at risk for malnutrition. Strategies for effective nutritional intervention should be implemented in long-term care facilities for the elderly in order to prevent and treat malnutrition and to ensure high-quality care.

© 2008 S. Karger AG, Basel


  

Key Words

  • Elderly nutrition
  • Nutritional status, elderly
  • Mini Nutritional Assessment
  • Dietary intake, elderly
  • Weighed food intake method

References

  1. Nikolaus T, Bach M, Siezen S, Volkert D, Oster P, Schlierf G: Assessment of nutritional risk in the elderly. Ann Nutr Metab 1995;39:340–345.
  2. Guigoz Y: The mini nutritional assessment (MNA) review of the literature: What does it tell us? J Nutr Health Aging 2006;10:466–485.
  3. Sieber CC: Nutritional Screening tools: How does the MNA® compare? Proceedings of the Session Held in Chicago May 2–3, 2006 (15 Years of Mini Nutritional Assessment). J Nutr Health Aging 2006;10:488–492.
  4. Vellas B, Villars H, Abellan G, et al: Overview of the MNA: its history and challenges. J Nutr Health Aging 2006;10:456–463.
  5. Lauque S, Nourhashemi F, Vellas B: Nutritional evaluation tools in the elderly; in Seiler WO, Stähelin HB (eds): Malnutrition in the Elderly. Darmstadt, Steinkopf, 1999.
  6. German Nutrition Society, Austrian Nutrition Society, Swiss Society for Nutrition Research, Swiss Nutrition Association: Reference Values for Nutrient Intake (D-A-CH). Frankfurt am Main, Umschau/Braus, 2000.
  7. Schofield DA: Predicting basal metabolic rate: new standards and review of previous work. Hum Nutr Clin Nutr 1985;39:5–41.

    External Resources

  8. WHO: Energy and protein requirements: report of a joint FAO/WHO/UNU Expert Consultation. World Health Organ Tech Rep Ser 1985;724:1–206.

    External Resources

  

Author Contacts

Daniela Kulnik
Universität Wien, Abteilung für Ernährungswissenschaften
Althanstrasse 14
AT–1090 Wien (Austria)
Tel. +43 1 4277 549, Fax +43 1 4277 95 49, E-Mail daniela.kulnik@danone.com

  

Article Information

Published online: March 7, 2008
Number of Print Pages : 3
Number of Figures : 0, Number of Tables : 0, Number of References : 8

  

Publication Details

Annals of Nutrition and Metabolism (Journal of Nutrition, Metabolic Diseases and Dietetics)

Vol. 52, No. Suppl. 1, Year 2008 (Cover Date: March 2008)

Journal Editor: Elmadfa I. (Vienna)
ISSN: 0250–6807 (Print), eISSN: 1421–9697 (Online)

For additional information: http://www.karger.com/ANM


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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References

  1. Nikolaus T, Bach M, Siezen S, Volkert D, Oster P, Schlierf G: Assessment of nutritional risk in the elderly. Ann Nutr Metab 1995;39:340–345.
  2. Guigoz Y: The mini nutritional assessment (MNA) review of the literature: What does it tell us? J Nutr Health Aging 2006;10:466–485.
  3. Sieber CC: Nutritional Screening tools: How does the MNA® compare? Proceedings of the Session Held in Chicago May 2–3, 2006 (15 Years of Mini Nutritional Assessment). J Nutr Health Aging 2006;10:488–492.
  4. Vellas B, Villars H, Abellan G, et al: Overview of the MNA: its history and challenges. J Nutr Health Aging 2006;10:456–463.
  5. Lauque S, Nourhashemi F, Vellas B: Nutritional evaluation tools in the elderly; in Seiler WO, Stähelin HB (eds): Malnutrition in the Elderly. Darmstadt, Steinkopf, 1999.
  6. German Nutrition Society, Austrian Nutrition Society, Swiss Society for Nutrition Research, Swiss Nutrition Association: Reference Values for Nutrient Intake (D-A-CH). Frankfurt am Main, Umschau/Braus, 2000.
  7. Schofield DA: Predicting basal metabolic rate: new standards and review of previous work. Hum Nutr Clin Nutr 1985;39:5–41.

    External Resources

  8. WHO: Energy and protein requirements: report of a joint FAO/WHO/UNU Expert Consultation. World Health Organ Tech Rep Ser 1985;724:1–206.

    External Resources