Prevalence of malnutrition and sarcopenia in a post-acute care geriatric unit: Applying the new ESPEN definition and EWGSOP criteria

Summary Backgrounds & aims The European Society of Clinical Nutrition and Metabolism (ESPEN) consensus definition of malnutrition has been applied in hospitalized older diabetics and middle-aged patients, geriatric outpatients, and healthy elderly and young individuals. In a post-acute care sett...

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Published in:Clinical nutrition (Edinburgh, Scotland) Scotland), 2017-10, Vol.36 (5), p.1339-1344
Main Authors: Sánchez-Rodríguez, Dolores, Marco, Ester, Ronquillo-Moreno, Natalia, Miralles, Ramón, Vázquez-Ibar, Olga, Escalada, Ferran, Muniesa, Josep M
Format: Article
Language:English
Subjects:
ESPEN criteria
EWGSOP
Gastroenterology and Hepatology
Malnutrition
Older people
Post-acute
Sarcopenia
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creator Sánchez-Rodríguez, Dolores
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description Summary Backgrounds & aims The European Society of Clinical Nutrition and Metabolism (ESPEN) consensus definition of malnutrition has been applied in hospitalized older diabetics and middle-aged patients, geriatric outpatients, and healthy elderly and young individuals. In a post-acute care setting, our aim was to assess malnutrition (ESPEN definition) and determine its relationship with sarcopenia in older in-patients deconditioned due to an acute process. Methods Eighty-eight in-patients aged ≥70 years with body mass index (BMI)
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In a post-acute care setting, our aim was to assess malnutrition (ESPEN definition) and determine its relationship with sarcopenia in older in-patients deconditioned due to an acute process. Methods Eighty-eight in-patients aged ≥70 years with body mass index (BMI) &lt;30 kg/m2 were included (84.1 years old; 62% women) and screened for malnutrition risk using biochemical markers and Mini-Nutritional Assessment-Short Form (MNA-SF). The ESPEN definition was applied: 1) BMI &lt;18.5 kg/m2 or 2) unintentional weight loss plus a) low BMI or b) low fat-free mass index (FFMI). European Working Group on Sarcopenia in Older People (EWGSOP) criteria were also applied. Results Unintentional weight loss occurred in 27 (30.7%) of 88 in-patients considered “at risk” by MNA-SF. Malnutrition prevalence was 4.5%, 7.9%, and 17% using ESPEN definitions 1, 2a, and 2b, respectively; 19.3% were malnourished. Prevalence of sarcopenia was 37.5%, of which 90.9% fulfilled ESPEN malnutrition criteria, a significant association (p = 0.02). No differences in biochemical markers were observed between patients with or without malnutrition or sarcopenia. Conclusions ESPEN criteria constitute an appropriate tool to establish a malnutrition diagnosis in post-acute care. Sarcopenia, as defined by EWGSOP, was present in 37.5% of patients, of which 90.9% fulfilled ESPEN criteria; therefore, malnutrition was significantly related to sarcopenia. Additional work is needed to determine further implications of the ESPEN consensus definition.</description><identifier>ISSN: 0261-5614</identifier><identifier>EISSN: 1532-1983</identifier><identifier>DOI: 10.1016/j.clnu.2016.08.024</identifier><identifier>PMID: 27650778</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>ESPEN criteria ; EWGSOP ; Gastroenterology and Hepatology ; Malnutrition ; Older people ; Post-acute ; Sarcopenia</subject><ispartof>Clinical nutrition (Edinburgh, Scotland), 2017-10, Vol.36 (5), p.1339-1344</ispartof><rights>Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>Copyright © 2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. 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In a post-acute care setting, our aim was to assess malnutrition (ESPEN definition) and determine its relationship with sarcopenia in older in-patients deconditioned due to an acute process. Methods Eighty-eight in-patients aged ≥70 years with body mass index (BMI) &lt;30 kg/m2 were included (84.1 years old; 62% women) and screened for malnutrition risk using biochemical markers and Mini-Nutritional Assessment-Short Form (MNA-SF). The ESPEN definition was applied: 1) BMI &lt;18.5 kg/m2 or 2) unintentional weight loss plus a) low BMI or b) low fat-free mass index (FFMI). European Working Group on Sarcopenia in Older People (EWGSOP) criteria were also applied. Results Unintentional weight loss occurred in 27 (30.7%) of 88 in-patients considered “at risk” by MNA-SF. Malnutrition prevalence was 4.5%, 7.9%, and 17% using ESPEN definitions 1, 2a, and 2b, respectively; 19.3% were malnourished. Prevalence of sarcopenia was 37.5%, of which 90.9% fulfilled ESPEN malnutrition criteria, a significant association (p = 0.02). No differences in biochemical markers were observed between patients with or without malnutrition or sarcopenia. Conclusions ESPEN criteria constitute an appropriate tool to establish a malnutrition diagnosis in post-acute care. Sarcopenia, as defined by EWGSOP, was present in 37.5% of patients, of which 90.9% fulfilled ESPEN criteria; therefore, malnutrition was significantly related to sarcopenia. Additional work is needed to determine further implications of the ESPEN consensus definition.</description><subject>ESPEN criteria</subject><subject>EWGSOP</subject><subject>Gastroenterology and Hepatology</subject><subject>Malnutrition</subject><subject>Older people</subject><subject>Post-acute</subject><subject>Sarcopenia</subject><issn>0261-5614</issn><issn>1532-1983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kU9rFDEYxoModq1-AQ-So5cZ82fyZ0SEUtZWKHZhFY8hzbypWWczYzJT2bsfvBm2Kngwl4TwPL-Q34vQS0pqSqh8s6tdH-ealXNNdE1Y8witqOCsoq3mj9GKMEkrIWlzgp7lvCOECK70U3TClBREKb1CvzYJ7mwP0QEePN7bQpxSmMIQsY0dzja5YYQYLA7lBo9Dnirr5gmwswnwLaRgS8HhOYbpLT4bx_4Q4i2evgGO8BOvt5v1J9yBD_Evdf31Ynu9wa48tPSfoyfe9hlePOyn6MuH9efzy-rq-uLj-dlV5RqlpsoLKxx0LahWa8m4Bi9Z13ElpFCiYWCBuZa23HZOUaUJ88QLL629IZ4wxU_R6yN3TMOPGfJk9iE76HsbYZizoVq0iisumxJlx6hLQ84JvBlT2Nt0MJSYxb7ZmcW-Wewbok2xX0qvHvjzzR66P5Xfukvg3TEA5Zd3AZLJLizuu5DATaYbwv_57_-pu75odbb_DgfIu2FOsfgz1GRmiNku81_GTyUnjJd1Dxy7q9Q</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Sánchez-Rodríguez, Dolores</creator><creator>Marco, Ester</creator><creator>Ronquillo-Moreno, Natalia</creator><creator>Miralles, Ramón</creator><creator>Vázquez-Ibar, Olga</creator><creator>Escalada, Ferran</creator><creator>Muniesa, Josep M</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20171001</creationdate><title>Prevalence of malnutrition and sarcopenia in a post-acute care geriatric unit: Applying the new ESPEN definition and EWGSOP criteria</title><author>Sánchez-Rodríguez, Dolores ; Marco, Ester ; Ronquillo-Moreno, Natalia ; Miralles, Ramón ; Vázquez-Ibar, Olga ; Escalada, Ferran ; Muniesa, Josep M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-f5a5ced9e79886238ef62dd375657542eae2c9193adc717802f0f5f6aab0f0273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>ESPEN criteria</topic><topic>EWGSOP</topic><topic>Gastroenterology and Hepatology</topic><topic>Malnutrition</topic><topic>Older people</topic><topic>Post-acute</topic><topic>Sarcopenia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sánchez-Rodríguez, Dolores</creatorcontrib><creatorcontrib>Marco, Ester</creatorcontrib><creatorcontrib>Ronquillo-Moreno, Natalia</creatorcontrib><creatorcontrib>Miralles, Ramón</creatorcontrib><creatorcontrib>Vázquez-Ibar, Olga</creatorcontrib><creatorcontrib>Escalada, Ferran</creatorcontrib><creatorcontrib>Muniesa, Josep M</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sánchez-Rodríguez, Dolores</au><au>Marco, Ester</au><au>Ronquillo-Moreno, Natalia</au><au>Miralles, Ramón</au><au>Vázquez-Ibar, Olga</au><au>Escalada, Ferran</au><au>Muniesa, Josep M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of malnutrition and sarcopenia in a post-acute care geriatric unit: Applying the new ESPEN definition and EWGSOP criteria</atitle><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle><addtitle>Clin Nutr</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>36</volume><issue>5</issue><spage>1339</spage><epage>1344</epage><pages>1339-1344</pages><issn>0261-5614</issn><eissn>1532-1983</eissn><abstract>Summary Backgrounds &amp; aims The European Society of Clinical Nutrition and Metabolism (ESPEN) consensus definition of malnutrition has been applied in hospitalized older diabetics and middle-aged patients, geriatric outpatients, and healthy elderly and young individuals. In a post-acute care setting, our aim was to assess malnutrition (ESPEN definition) and determine its relationship with sarcopenia in older in-patients deconditioned due to an acute process. Methods Eighty-eight in-patients aged ≥70 years with body mass index (BMI) &lt;30 kg/m2 were included (84.1 years old; 62% women) and screened for malnutrition risk using biochemical markers and Mini-Nutritional Assessment-Short Form (MNA-SF). The ESPEN definition was applied: 1) BMI &lt;18.5 kg/m2 or 2) unintentional weight loss plus a) low BMI or b) low fat-free mass index (FFMI). European Working Group on Sarcopenia in Older People (EWGSOP) criteria were also applied. Results Unintentional weight loss occurred in 27 (30.7%) of 88 in-patients considered “at risk” by MNA-SF. Malnutrition prevalence was 4.5%, 7.9%, and 17% using ESPEN definitions 1, 2a, and 2b, respectively; 19.3% were malnourished. Prevalence of sarcopenia was 37.5%, of which 90.9% fulfilled ESPEN malnutrition criteria, a significant association (p = 0.02). No differences in biochemical markers were observed between patients with or without malnutrition or sarcopenia. Conclusions ESPEN criteria constitute an appropriate tool to establish a malnutrition diagnosis in post-acute care. Sarcopenia, as defined by EWGSOP, was present in 37.5% of patients, of which 90.9% fulfilled ESPEN criteria; therefore, malnutrition was significantly related to sarcopenia. Additional work is needed to determine further implications of the ESPEN consensus definition.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>27650778</pmid><doi>10.1016/j.clnu.2016.08.024</doi><tpages>6</tpages></addata></record>
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subjects ESPEN criteria
EWGSOP
Gastroenterology and Hepatology
Malnutrition
Older people
Post-acute
Sarcopenia
title Prevalence of malnutrition and sarcopenia in a post-acute care geriatric unit: Applying the new ESPEN definition and EWGSOP criteria
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