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

J. Hettiarachchi; E.M. Reijnierse; C.H. Soh; B. Agius; K. Fetterplace; W.K. Lim; A.B. Maier

doi:10.1016/j.mad.2021.111500

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

J. Hettiarachchi, E.M. Reijnierse, C.H. Soh, B. Agius, K. Fetterplace, W.K. Lim, A.B. Maier

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

© 2021 The Author(s)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.

Original language	English
Article number	111500
Journal	Mechanisms of Ageing and Development
Volume	197
DOIs	https://doi.org/10.1016/j.mad.2021.111500
Publication status	Published - 1 Jul 2021

Funding

This study was funded by an unrestricted grant of the University of Melbourne , Australia received by Professor Andrea B. Maier and the Medical Research Future Fund provided by the Melbourne Academic Centre for Health .

Funders	Funder number
Medical Research Future Fund
Melbourne Academic Centre for Health
University of Melbourne

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.mad.2021.111500

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

abstract = "{\textcopyright} 2021 The Author(s)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 {\textquoteleft}remained poor{\textquoteright} (OR: 3.33, 95 %CI: 1.21−9.19) and {\textquoteleft}deteriorated{\textquoteright} (OR: 1.68, 95 %CI: 1.13−2.52) compared to the {\textquoteleft}recovered{\textquoteright} 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.",

author = "J. Hettiarachchi and E.M. Reijnierse and C.H. Soh and B. Agius and K. Fetterplace and W.K. Lim and A.B. Maier",

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T2 - RESORT

AU - Hettiarachchi, J.

AU - Reijnierse, E.M.

AU - Soh, C.H.

AU - Agius, B.

AU - Fetterplace, K.

AU - Lim, W.K.

AU - Maier, A.B.

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N2 - © 2021 The Author(s)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.

AB - © 2021 The Author(s)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.

U2 - 10.1016/j.mad.2021.111500

DO - 10.1016/j.mad.2021.111500

M3 - Article

SN - 0047-6374

VL - 197

JO - Mechanisms of Ageing and Development

JF - Mechanisms of Ageing and Development

M1 - 111500

ER -

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

Abstract

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UN SDGs

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