Measuring appetite with the simplified nutritional appetite questionnaire identifies hospitalised older people at risk of worse health outcomes

OBJECTIVES: Poor appetite is commonly reported by older people but is rarely measured. The Simplified Nutritional Appetite Questionnaire (SNAQ) was validated to predict weight loss in community dwelling older adults but has been little used in hospitals. We evaluated it in older women on admission t...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2016-01, Vol.20 (1), p.3-7
Main Authors: Pilgrim, Anna L, Baylis, D, Jameson, K.A, Cooper, C, Sayer, A.A, Robinson, S.M, Roberts, H.C
Format: Article
Language:English
Subjects:
Aged, 80 and over
Anorexia
Appetite
Body Mass Index
Cause of Death
Cross Infection - etiology
death
elderly
Energy Intake
England
Female
females
Geriatric Assessment - methods
health services
Health Status
Hospitalization
Hospitals
Humans
Length of Stay
Male
malnutrition
Malnutrition - complications
medicine
Nutrition Assessment
Odds Ratio
Patient Readmission
patients
physical activity
questionnaires
Risk
screening
Surveys and Questionnaires
Weight Loss
women
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Summary:OBJECTIVES: Poor appetite is commonly reported by older people but is rarely measured. The Simplified Nutritional Appetite Questionnaire (SNAQ) was validated to predict weight loss in community dwelling older adults but has been little used in hospitals. We evaluated it in older women on admission to hospital and examined associations with healthcare outcomes. DESIGN: Longitudinal observational with followup at six months. SETTING: Female acute Medicine for Older People wards at a University hospital in England. PARTICIPANTS: 179 female inpatients. MEASUREMENTS: Age, weight, Body Mass Index (BMI), grip strength, SNAQ, Barthel Index Score, Mini Mental State Examination (MMSE), Geriatric Depression Scale: Short Form (GDSSF), Malnutrition Universal Screening Tool (MUST), category of domicile and receipt of care were measured soon after admission and repeated at six month follow-up. The length of hospital stay (LOS), hospital acquired infection, readmissions and deaths by follow-up were recorded. RESULTS: 179 female participants mean age 87 (SD 4.7) years were recruited. 42% of participants had a low SNAQ score (
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-015-0533-9