Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, UZ Blok A, De Pintelaan 185, 9000 Ghent, Belgium.
Clin Nutr. 2013 Jun;32(3):438-43. doi: 10.1016/j.clnu.2012.09.008. Epub 2012 Oct 3.
BACKGROUND & AIMS: Malnutrition is a common problem in the elderly living in nursing homes. A clear understanding of associated factors is missing. The aim of this study was to evaluate prevalence of malnutrition and to determine factors independently associated with malnutrition in this setting.
A cross-sectional, multi-centre study was conducted in 23 nursing homes in Flanders, Belgium. The nutritional status was assessed using the Mini Nutritional Assessment (MNA). Data on possible associated factors were collected using validated scales.
The study included 1188 elderly residents; 38.7% were at risk for malnutrition and 19.4% were malnourished. The presence of a wound/pressure ulcer, a recent hospitalization (<3 months ago), being involved in a tailored nutritional intervention, and suffering from a lower cognitive state were significantly associated with malnutrition. Receiving additional meals provided by family members was negatively associated with malnutrition.
Malnutrition is a prevalent problem in nursing homes in Flanders. Systematic screening and well-defined tailored interventions should be further developed and evaluated in this population at risk.
营养不良是居住在养老院的老年人中常见的问题。目前缺乏对相关因素的清晰了解。本研究的目的是评估该环境下营养不良的流行程度，并确定与营养不良独立相关的因素。
在比利时佛兰德斯的 23 家养老院进行了一项横断面、多中心研究。使用 Mini Nutritional Assessment（MNA）评估营养状况。使用经过验证的量表收集可能相关因素的数据。
该研究纳入了 1188 名老年居民；38.7%有营养不良风险，19.4%存在营养不良。存在伤口/压疮、最近住院（<3 个月前）、参与定制营养干预以及认知状态较低与营养不良显著相关。接受家庭成员提供的额外膳食与营养不良呈负相关。
营养不良是佛兰德斯养老院中普遍存在的问题。应在这一高危人群中进一步开发和评估系统的筛查和明确的定制干预措施。
