Malnutrition in Older Adults—Effect on Falls and Fractures: A Narrative Review
Abstract
:1. Introduction
1.1. Aim
1.2. Malnutrition in Older Adults
1.3. Diagnosis, Epidemiology, Estimation
2. Falls and Fractures—Consequences of Malnutrition
2.1. Falls
2.2. Fracture Risk
2.3. Negative Outcomes after Hip Fracture
3. Directions for Clinical Practice
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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GLIM Scheme | GLIM Recommendation | Geriatric Consideration |
---|---|---|
Risk screening | At risk of malnutrition Use validated screening tool | Chose the screening tool that includes other geriatric syndromes. Early detection of malnutrition predictors in males and females. |
↓ | ||
Diagnostic assessment | Assessment criteria
| Necessity of continuing education in the field of anthropometric cutoff points for older adults (for professional and nonprofessional caregivers), verification of weight loss in patients with dementia or depression (collecting data from home caregiversas well), muscle strength, and function assessment. Necessity of pharmacological treatment assessment for reduced food intake. |
↓ | ||
Diagnosis | Meets criteria for malnutrition
| Need of continuing education for professional caregivers, as well as home caregivers, to diagnose malnutrition, one of the geriatric syndromes. |
↓ | ||
Severity grading | Determine severity of malnutrition
| Contribution of other geriatric syndromes, assessment of its clinical outcomes, high risk of negative outcomes when coexisting. |
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Kupisz-Urbanska, M.; Marcinowska-Suchowierska, E. Malnutrition in Older Adults—Effect on Falls and Fractures: A Narrative Review. Nutrients 2022, 14, 3123. https://doi.org/10.3390/nu14153123
Kupisz-Urbanska M, Marcinowska-Suchowierska E. Malnutrition in Older Adults—Effect on Falls and Fractures: A Narrative Review. Nutrients. 2022; 14(15):3123. https://doi.org/10.3390/nu14153123
Chicago/Turabian StyleKupisz-Urbanska, Malgorzata, and Ewa Marcinowska-Suchowierska. 2022. "Malnutrition in Older Adults—Effect on Falls and Fractures: A Narrative Review" Nutrients 14, no. 15: 3123. https://doi.org/10.3390/nu14153123
APA StyleKupisz-Urbanska, M., & Marcinowska-Suchowierska, E. (2022). Malnutrition in Older Adults—Effect on Falls and Fractures: A Narrative Review. Nutrients, 14(15), 3123. https://doi.org/10.3390/nu14153123