Nutritional status and associations with falls, balance, mobility and functionality during hospital admission

Vivanti, A., Ward, N. and Haines, T. (2011) Nutritional status and associations with falls, balance, mobility and functionality during hospital admission. Journal of Nutrition, Health and Aging, 15 5: 388-391. doi:10.1007/s12603-010-0302-8


Author Vivanti, A.
Ward, N.
Haines, T.
Title Nutritional status and associations with falls, balance, mobility and functionality during hospital admission
Journal name Journal of Nutrition, Health and Aging   Check publisher's open access policy
ISSN 1279-7707
1760-4788
Publication date 2011
Sub-type Article (original research)
DOI 10.1007/s12603-010-0302-8
Open Access Status
Volume 15
Issue 5
Start page 388
End page 391
Total pages 4
Place of publication Paris, France
Publisher Editions S E R D I
Formatted abstract
Objectives: To explore associations between nutritional status, falls and selected falls risk factors amongst older hospitalized people. Lengths of stay amongst fallers and the malnourished were assessed.

Design: An observational longitudinal cohort study.

Setting: Geriatric Assessment and Rehabilitation Unit (GARU) of a tertiary teaching hospital.

Participants: Admissions to the GARU during a six-month period were included.

Measurements: Associations between nutritional status and falls during hospitalization, reported preadmission history of falls, functional status, balance and mobility during GARU admission were analysed. Associations between nutritional status or experiencing a hospital fall and length of stay were also examined.

Results: Malnutrition prevalence was 39% (75/194, 95% CI 32-46%) with odds of falling during admission being 1.49 (95%CI: 0.81, 2.75), p< 0.20). Patients assessed as malnourished were older (p<0.001) and more likely to have a poorer score on both the admission (p<0.05) and discharge (p<0.009) timed "Up and Go" test. Malnutrition was associated with reduced mobility (p<0.05). Those who fell during admission had statistically greater lengths of stay compared with non-fallers [median (range): 57.0 (7-127) vs 35.0 (5-227) days; p<0.002].

Conclusion: Evidence of reduced mobility was evident during GARU admission amongst older people assessed as malnourished. Considering the results, a larger study concerning nutritional status, functionality and falls in the hospitalized population is warranted The influence of nutritional status upon a person's physical functioning should be considered more broadly in falls research. 
Keyword Accidental falls
Aged
Functionality
Malnutrition
Mobility
Nutritional status
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 20 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 27 Nov 2013, 21:24:31 EST by System User on behalf of School of Health & Rehabilitation Sciences