Factors Associated with Suboptimal Meal Intake in Older Adults Residing in Nursing Homes - A Nutritionday study

Barbara S Van der Meij; Hanneke AH Wijnhoven; Hinke M Kruizenga; Cora F Jonkers; Dorothee Volkert; Karin Schindler; Marjolein Visser

doi:10.1016/S0261-5614(16)30474-5

Abstract

Rationale: Suboptimal food intake is a risk factor of malnutrition in older adults. Malnutrition in hospitals is associated with more complications, prolonged hospital stay and higher health care costs. The aim of this study was to identify factors associated with suboptimal hospital meal intake in older hospital patients across Europe. Methods: The intake of the main hospital meal in 43,603 older adults (≥65 y) in 2311 European hospitals was assessed yearly on one day (nutritionDay) between 2006 and 2013. The association of 53 demographic, disease and nutritional factors and meal intake (<50% or >=50% of main meal) was examined by logistic regression (backward stepwise elimination with P<0.05 as final selection criterion).
Results: In total 57% of the older patients consumed <50% of their hospital meal. Factors independently associated with suboptimal meal intake included a higher number of: comorbidities (OR=1.1), lines/tubes (OR=1.2) and reasons for eating less (OR=1.2); liver diesease (vs. no)(OR=1.1), recent stroke (OR=1.1), post-surgery (OR=1.1), higher age (OR=1.2), special diet (OR=1.2), protein/energy supplements (OR=1.2), unable to walk without assistance (vs. able)(OR=1.5), swallowing/chewing problems (OR=1.5), female (vs. male)(OR=1.6), loss of appetite (OR=1.6), nausea (OR=1.6), parenteral (OR=1.9) or enteral+parenteral nutrition (OR=3.2). Patients eating normal in the past week (OR=0.4), who were admitted longer (OR=0.9), waiting for operation (OR=0.9) or had diabetes (OR=0.9), stroke (OR=0.9), COPD (OR=0.9) or brain/nerve (OR=0.9), nose/throat (OR=0.9) or lung (OR=0.9) diseases were less likely to have a suboptimal meal intake.
Conclusion: More than half of older hospital patients consumes less than half of their meal which could predispose them to malnutrition. Understanding of the factors associated with reduced meal intake provides valuable information for preventive interventions.

Original language	English
Article number	SUN-P131
Pages (from-to)	S92
Number of pages	1
Journal	Clinical Nutrition
Volume	35
Issue number	Suppl. 1
DOIs	https://doi.org/10.1016/S0261-5614(16)30474-5
Publication status	Published - Sept 2016
Externally published	Yes
Event	The 38th European Society of Parenteral and Enteral Nutrition (ESPEN) Congress - Copenhagen, Denmark Duration: 17 Sept 2016 → 20 Sept 2016 https://www.espen.org/files/copenhagen2016/ESPEN_2016_Copenhagen-Final_Announcement.pdf

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Poster - Factors Associated with Suboptimal Meal Intake in Older Adults Residing in Nursing Homes - A Nutritionday studyAccepted author manuscript, 109 KBLicence: CC BY-NC-ND
Factors Associated with Suboptimal Meal Intake in Older Adults Residing in Nursing Homes - A Nutritionday studyAccepted author manuscript, 201 KBLicence: CC BY-NC-ND

Ageing Nutrition: Research Across the Care Continuum
Marshall, S. (Project Lead), Isenring, E. (Professor), Hugo, C. (HDR Student), Agarwal, E. (Assistant Professor), Teleni, L. (HDR Student), Reidlinger, D. (Associate Professor), Campbell, K. (Associate Professor), Van der Meij, B. (Senior Research Fellow) & Tang, X. (Admin)
1/01/14 → …
Project: Research

Cite this

@article{e9617c84087f429bbca688d99f8d28e4,

title = "Factors Associated with Suboptimal Meal Intake in Older Adults Residing in Nursing Homes - A Nutritionday study",

abstract = "Rationale: Suboptimal food intake is a risk factor of malnutrition in older adults. Malnutrition in hospitals is associated with more complications, prolonged hospital stay and higher health care costs. The aim of this study was to identify factors associated with suboptimal hospital meal intake in older hospital patients across Europe. Methods: The intake of the main hospital meal in 43,603 older adults (≥65 y) in 2311 European hospitals was assessed yearly on one day (nutritionDay) between 2006 and 2013. The association of 53 demographic, disease and nutritional factors and meal intake (<50\% or >=50\% of main meal) was examined by logistic regression (backward stepwise elimination with P<0.05 as final selection criterion). Results: In total 57\% of the older patients consumed <50\% of their hospital meal. Factors independently associated with suboptimal meal intake included a higher number of: comorbidities (OR=1.1), lines/tubes (OR=1.2) and reasons for eating less (OR=1.2); liver diesease (vs. no)(OR=1.1), recent stroke (OR=1.1), post-surgery (OR=1.1), higher age (OR=1.2), special diet (OR=1.2), protein/energy supplements (OR=1.2), unable to walk without assistance (vs. able)(OR=1.5), swallowing/chewing problems (OR=1.5), female (vs. male)(OR=1.6), loss of appetite (OR=1.6), nausea (OR=1.6), parenteral (OR=1.9) or enteral+parenteral nutrition (OR=3.2). Patients eating normal in the past week (OR=0.4), who were admitted longer (OR=0.9), waiting for operation (OR=0.9) or had diabetes (OR=0.9), stroke (OR=0.9), COPD (OR=0.9) or brain/nerve (OR=0.9), nose/throat (OR=0.9) or lung (OR=0.9) diseases were less likely to have a suboptimal meal intake. Conclusion: More than half of older hospital patients consumes less than half of their meal which could predispose them to malnutrition. Understanding of the factors associated with reduced meal intake provides valuable information for preventive interventions. ",

author = "\{Van der Meij\}, \{Barbara S\} and Wijnhoven, \{Hanneke AH\} and Kruizenga, \{Hinke M\} and Jonkers, \{Cora F\} and Dorothee Volkert and Karin Schindler and Marjolein Visser",

year = "2016",

month = sep,

doi = "10.1016/S0261-5614(16)30474-5",

language = "English",

volume = "35",

pages = "S92",

journal = "Clinical Nutrition",

issn = "0261-5614",

publisher = "Churchill Livingstone",

number = " Suppl. 1",

note = "The 38th European Society of Parenteral and Enteral Nutrition (ESPEN) Congress, ESPEN ; Conference date: 17-09-2016 Through 20-09-2016",

url = "https://www.espen.org/files/copenhagen2016/ESPEN\_2016\_Copenhagen-Final\_Announcement.pdf",

}

TY - JOUR

T1 - Factors Associated with Suboptimal Meal Intake in Older Adults Residing in Nursing Homes - A Nutritionday study

AU - Van der Meij, Barbara S

AU - Wijnhoven, Hanneke AH

AU - Kruizenga, Hinke M

AU - Jonkers, Cora F

AU - Volkert, Dorothee

AU - Schindler, Karin

AU - Visser, Marjolein

PY - 2016/9

Y1 - 2016/9

N2 - Rationale: Suboptimal food intake is a risk factor of malnutrition in older adults. Malnutrition in hospitals is associated with more complications, prolonged hospital stay and higher health care costs. The aim of this study was to identify factors associated with suboptimal hospital meal intake in older hospital patients across Europe. Methods: The intake of the main hospital meal in 43,603 older adults (≥65 y) in 2311 European hospitals was assessed yearly on one day (nutritionDay) between 2006 and 2013. The association of 53 demographic, disease and nutritional factors and meal intake (<50% or >=50% of main meal) was examined by logistic regression (backward stepwise elimination with P<0.05 as final selection criterion). Results: In total 57% of the older patients consumed <50% of their hospital meal. Factors independently associated with suboptimal meal intake included a higher number of: comorbidities (OR=1.1), lines/tubes (OR=1.2) and reasons for eating less (OR=1.2); liver diesease (vs. no)(OR=1.1), recent stroke (OR=1.1), post-surgery (OR=1.1), higher age (OR=1.2), special diet (OR=1.2), protein/energy supplements (OR=1.2), unable to walk without assistance (vs. able)(OR=1.5), swallowing/chewing problems (OR=1.5), female (vs. male)(OR=1.6), loss of appetite (OR=1.6), nausea (OR=1.6), parenteral (OR=1.9) or enteral+parenteral nutrition (OR=3.2). Patients eating normal in the past week (OR=0.4), who were admitted longer (OR=0.9), waiting for operation (OR=0.9) or had diabetes (OR=0.9), stroke (OR=0.9), COPD (OR=0.9) or brain/nerve (OR=0.9), nose/throat (OR=0.9) or lung (OR=0.9) diseases were less likely to have a suboptimal meal intake. Conclusion: More than half of older hospital patients consumes less than half of their meal which could predispose them to malnutrition. Understanding of the factors associated with reduced meal intake provides valuable information for preventive interventions.

AB - Rationale: Suboptimal food intake is a risk factor of malnutrition in older adults. Malnutrition in hospitals is associated with more complications, prolonged hospital stay and higher health care costs. The aim of this study was to identify factors associated with suboptimal hospital meal intake in older hospital patients across Europe. Methods: The intake of the main hospital meal in 43,603 older adults (≥65 y) in 2311 European hospitals was assessed yearly on one day (nutritionDay) between 2006 and 2013. The association of 53 demographic, disease and nutritional factors and meal intake (<50% or >=50% of main meal) was examined by logistic regression (backward stepwise elimination with P<0.05 as final selection criterion). Results: In total 57% of the older patients consumed <50% of their hospital meal. Factors independently associated with suboptimal meal intake included a higher number of: comorbidities (OR=1.1), lines/tubes (OR=1.2) and reasons for eating less (OR=1.2); liver diesease (vs. no)(OR=1.1), recent stroke (OR=1.1), post-surgery (OR=1.1), higher age (OR=1.2), special diet (OR=1.2), protein/energy supplements (OR=1.2), unable to walk without assistance (vs. able)(OR=1.5), swallowing/chewing problems (OR=1.5), female (vs. male)(OR=1.6), loss of appetite (OR=1.6), nausea (OR=1.6), parenteral (OR=1.9) or enteral+parenteral nutrition (OR=3.2). Patients eating normal in the past week (OR=0.4), who were admitted longer (OR=0.9), waiting for operation (OR=0.9) or had diabetes (OR=0.9), stroke (OR=0.9), COPD (OR=0.9) or brain/nerve (OR=0.9), nose/throat (OR=0.9) or lung (OR=0.9) diseases were less likely to have a suboptimal meal intake. Conclusion: More than half of older hospital patients consumes less than half of their meal which could predispose them to malnutrition. Understanding of the factors associated with reduced meal intake provides valuable information for preventive interventions.

U2 - 10.1016/S0261-5614(16)30474-5

DO - 10.1016/S0261-5614(16)30474-5

M3 - Meeting Abstract

SN - 0261-5614

VL - 35

SP - S92

JO - Clinical Nutrition

JF - Clinical Nutrition

IS - Suppl. 1

M1 - SUN-P131

T2 - The 38th European Society of Parenteral and Enteral Nutrition (ESPEN) Congress

Y2 - 17 September 2016 through 20 September 2016

ER -

Factors Associated with Suboptimal Meal Intake in Older Adults Residing in Nursing Homes - A Nutritionday study

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