A systematic review and meta-analysis of prevalence of protein-energy malnutrition in the international community: A look at the influence of region, rurality, setting and gender (the macro study)

Megan Crichton, Dana L. Craven, Hannah Mackay, Wolfgang Marx, Skye Marshall

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Abstract

Protein‐energy malnutrition is a major health concern in home‐dwelling older adults, particularly in the context of population ageing. Therefore, a systematic review and meta‐analysis was undertaken to examine the international prevalence of malnutrition in older adults living independently in the community; including examination of geographical region, rurality and gender. Six electronic databases were searched until September 2016. Original research studies which used the Mini Nutritional Assessment (MNA), patient generated – subjective global assessment (PG‐SGA) or SGA to determine nutrition status in community samples with a mean age of ≥ 65 years were included and critically appraised and pooled using meta‐analysis. 112 studies from 38 countries (n = 69,498 total participants) were included. The global prevalence of malnutrition in the older community setting was 6.9% (95% CI: 5.6–8.3%), ranging from 0.8% (95% CI: 0.2–1.7%) in Northern Europe to 29.9% (95% CI: 0.0–80.3%) in South‐East Asia. Of all settings, participants receiving homecare services had the highest prevalence at 13.2% (95% CI: 9.0–18.2). Malnutrition prevalence in rural communities (9.9%; 95% CI: 4.5–16.8%) was double that in urban communities (5.1%; 95% CI: 3.7–6.7%) and significantly higher among females than males (OR 1.50 [95% CI: 1.27–1.75]; P < 0.00001). The results of this review provide the best available strategic insight for global and national public health priorities for preventing malnutrition and associated poor health outcomes.
Original languageEnglish
Pages (from-to)35-36
JournalNutrition and Dietetics
Volume75
Issue numberS1
DOIs
Publication statusPublished - May 2018
EventDietitians Association of Australia 35th National Conference: Think Big - ICC , Sydney, Australia
Duration: 17 May 201819 May 2018
Conference number: 35
http://daa2018.com.au/

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Protein-Energy Malnutrition
Malnutrition
Meta-Analysis
Health Priorities
Southeastern Asia
Nutrition Assessment
Health
Rural Population
Nutritional Status
Public Health
Databases
Research
Population

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title = "A systematic review and meta-analysis of prevalence of protein-energy malnutrition in the international community: A look at the influence of region, rurality, setting and gender (the macro study)",
abstract = "Protein‐energy malnutrition is a major health concern in home‐dwelling older adults, particularly in the context of population ageing. Therefore, a systematic review and meta‐analysis was undertaken to examine the international prevalence of malnutrition in older adults living independently in the community; including examination of geographical region, rurality and gender. Six electronic databases were searched until September 2016. Original research studies which used the Mini Nutritional Assessment (MNA), patient generated – subjective global assessment (PG‐SGA) or SGA to determine nutrition status in community samples with a mean age of ≥ 65 years were included and critically appraised and pooled using meta‐analysis. 112 studies from 38 countries (n = 69,498 total participants) were included. The global prevalence of malnutrition in the older community setting was 6.9{\%} (95{\%} CI: 5.6–8.3{\%}), ranging from 0.8{\%} (95{\%} CI: 0.2–1.7{\%}) in Northern Europe to 29.9{\%} (95{\%} CI: 0.0–80.3{\%}) in South‐East Asia. Of all settings, participants receiving homecare services had the highest prevalence at 13.2{\%} (95{\%} CI: 9.0–18.2). Malnutrition prevalence in rural communities (9.9{\%}; 95{\%} CI: 4.5–16.8{\%}) was double that in urban communities (5.1{\%}; 95{\%} CI: 3.7–6.7{\%}) and significantly higher among females than males (OR 1.50 [95{\%} CI: 1.27–1.75]; P < 0.00001). The results of this review provide the best available strategic insight for global and national public health priorities for preventing malnutrition and associated poor health outcomes.",
author = "Megan Crichton and Craven, {Dana L.} and Hannah Mackay and Wolfgang Marx and Skye Marshall",
year = "2018",
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doi = "10.1111/1747-0080.12426",
language = "English",
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journal = "Nutrition and Dietetics",
issn = "1032-1322",
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}

A systematic review and meta-analysis of prevalence of protein-energy malnutrition in the international community: A look at the influence of region, rurality, setting and gender (the macro study). / Crichton, Megan; Craven, Dana L.; Mackay, Hannah; Marx, Wolfgang; Marshall, Skye.

In: Nutrition and Dietetics, Vol. 75, No. S1, 05.2018, p. 35-36.

Research output: Contribution to journalMeeting AbstractResearchpeer-review

TY - JOUR

T1 - A systematic review and meta-analysis of prevalence of protein-energy malnutrition in the international community: A look at the influence of region, rurality, setting and gender (the macro study)

AU - Crichton, Megan

AU - Craven, Dana L.

AU - Mackay, Hannah

AU - Marx, Wolfgang

AU - Marshall, Skye

PY - 2018/5

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N2 - Protein‐energy malnutrition is a major health concern in home‐dwelling older adults, particularly in the context of population ageing. Therefore, a systematic review and meta‐analysis was undertaken to examine the international prevalence of malnutrition in older adults living independently in the community; including examination of geographical region, rurality and gender. Six electronic databases were searched until September 2016. Original research studies which used the Mini Nutritional Assessment (MNA), patient generated – subjective global assessment (PG‐SGA) or SGA to determine nutrition status in community samples with a mean age of ≥ 65 years were included and critically appraised and pooled using meta‐analysis. 112 studies from 38 countries (n = 69,498 total participants) were included. The global prevalence of malnutrition in the older community setting was 6.9% (95% CI: 5.6–8.3%), ranging from 0.8% (95% CI: 0.2–1.7%) in Northern Europe to 29.9% (95% CI: 0.0–80.3%) in South‐East Asia. Of all settings, participants receiving homecare services had the highest prevalence at 13.2% (95% CI: 9.0–18.2). Malnutrition prevalence in rural communities (9.9%; 95% CI: 4.5–16.8%) was double that in urban communities (5.1%; 95% CI: 3.7–6.7%) and significantly higher among females than males (OR 1.50 [95% CI: 1.27–1.75]; P < 0.00001). The results of this review provide the best available strategic insight for global and national public health priorities for preventing malnutrition and associated poor health outcomes.

AB - Protein‐energy malnutrition is a major health concern in home‐dwelling older adults, particularly in the context of population ageing. Therefore, a systematic review and meta‐analysis was undertaken to examine the international prevalence of malnutrition in older adults living independently in the community; including examination of geographical region, rurality and gender. Six electronic databases were searched until September 2016. Original research studies which used the Mini Nutritional Assessment (MNA), patient generated – subjective global assessment (PG‐SGA) or SGA to determine nutrition status in community samples with a mean age of ≥ 65 years were included and critically appraised and pooled using meta‐analysis. 112 studies from 38 countries (n = 69,498 total participants) were included. The global prevalence of malnutrition in the older community setting was 6.9% (95% CI: 5.6–8.3%), ranging from 0.8% (95% CI: 0.2–1.7%) in Northern Europe to 29.9% (95% CI: 0.0–80.3%) in South‐East Asia. Of all settings, participants receiving homecare services had the highest prevalence at 13.2% (95% CI: 9.0–18.2). Malnutrition prevalence in rural communities (9.9%; 95% CI: 4.5–16.8%) was double that in urban communities (5.1%; 95% CI: 3.7–6.7%) and significantly higher among females than males (OR 1.50 [95% CI: 1.27–1.75]; P < 0.00001). The results of this review provide the best available strategic insight for global and national public health priorities for preventing malnutrition and associated poor health outcomes.

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DO - 10.1111/1747-0080.12426

M3 - Meeting Abstract

VL - 75

SP - 35

EP - 36

JO - Nutrition and Dietetics

JF - Nutrition and Dietetics

SN - 1032-1322

IS - S1

ER -