The consequences of malnutrition following discharge from rehabilitation to the community: a systematic review of current evidence in older adults

Marshall, S., Bauer, J. and Isenring, E. (2013) The consequences of malnutrition following discharge from rehabilitation to the community: a systematic review of current evidence in older adults. Journal of Human Nutrition and Dietetics, 27 2: 133-141. doi:10.1111/jhn.12167


Author Marshall, S.
Bauer, J.
Isenring, E.
Title The consequences of malnutrition following discharge from rehabilitation to the community: a systematic review of current evidence in older adults
Journal name Journal of Human Nutrition and Dietetics   Check publisher's open access policy
ISSN 0952-3871
1365-277x
Publication date 2013-11-30
Year available 2013
Sub-type Article (original research)
DOI 10.1111/jhn.12167
Open Access Status Not Open Access
Volume 27
Issue 2
Start page 133
End page 141
Total pages 9
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Background: The prevalence of malnutrition in the rehabilitation setting is estimated to be 30-50%, with older adults at higher nutritional risk. Malnutrition also exists in the community setting, where 10-30% of adults are malnourished; however, the relationship between the two settings has been little explored. The present study aimed to determine the association between malnutrition in older adults admitted for rehabilitation and nutrition status, functional status, quality of life, institutionalisation, acute care admissions and mortality once discharged to the community.

Methods: Six electronic databases were searched for relevant publications (1990-2013) using controlled vocabulary. Longitudinal papers were included in which older adults (≥65 years) were admitted for rehabilitation if nutrition assessment was performed during admission with relevant outcomes measured following discharge to the community.

Results: Five observational studies were eligible for review which had similar populations. The five reviews comprised 1020 participants in total and, once discharged, follow-up ranged from immediate to 26 months. Malnutrition during rehabilitation was negatively associated with physical function and quality of life, and positively associated with risk of institutionalisation, hospitalisation and mortality. Although these studies were of high quality and strength, the overall contribution to the evidence is limited as a result of the small number of heterogenic studies. No intervention studies were identified.

Conclusions: Malnutrition in older adults admitted for rehabilitation has a negative effect on functional recovery and quality of life following discharge to the community. This review highlights an evidence gap along the continuum of care for malnourished older adults, where further observational and intervention research is needed following discharge from rehabilitation to the community.
Keyword Aged
Community
Malnutrition
Nutritional status
Rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Mon, 13 Jan 2014, 06:11:35 EST by Deborah Noon on behalf of School of Human Movement and Nutrition Sciences