Nutritional Care Practices in Geriatric Rehabilitation Facilities across Europe: A Cross-Sectional Study

被引:3
作者
Everink, Irma H. J. [1 ]
Grund, Stefan [2 ]
Benzinger, Petra [2 ,3 ]
de Vries, Anne [4 ]
Gordon, Adam L. [5 ,6 ]
van Wijngaarden, Janneke P. [7 ]
Bauer, Juergen M. [2 ]
Schols, Jos M. G. A. [1 ,8 ,9 ]
机构
[1] Maastricht Univ, Care & Publ Hlth Res Inst CAPHRI, Dept Hlth Serv Res, NL-6200 MD Maastricht, Netherlands
[2] Heidelberg Univ, Agaples Bethanien Hosp Heidelberg, Ctr Geriatr Med, Geriatr Ctr, D-69126 Heidelberg, Germany
[3] Univ Appl Sci Kempten, Inst Hlth & Generat, D-87435 Kempten, Germany
[4] Danone Trading Med BV, NL-2132 LS Hoofddorp, Netherlands
[5] Univ Nottingham, Sch Med, Acad Unit Injury Recovery & Inflammat Sci IRIS, Nottingham NG7 2UH, England
[6] NIHR Appl Res Collaborat East Midlands ARC EM, Nottingham DE22 3NE, England
[7] Danone Nutr Res, NL-3584 CT Utrecht, Netherlands
[8] Maastricht Univ, Dept Family Med, NL-6200 MD Maastricht, Netherlands
[9] Maastricht Univ, Care & Publ Hlth Res Inst CAPHRI, NL-6200 MD Maastricht, Netherlands
关键词
malnutrition; sarcopenia; frailty; geriatric rehabilitation; post-acute care; screening; treatment; EUGMS; OLDER-ADULTS; SARCOPENIA; MALNUTRITION; FRAILTY; PREVALENCE; INTERVENTIONS; METAANALYSIS; MORTALITY; EXERCISE;
D O I
10.3390/jcm12082918
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Many patients in geriatric rehabilitation (GR) are physically frail at the time of admission and suffer from malnutrition and sarcopenia, which may worsen rehabilitation outcomes. This study aims to obtain insight into the current nutritional care practices in GR facilities across Europe. Methods: In this cross-sectional study, a questionnaire focused on nutritional care practices in GR was distributed across experts in EUGMS member countries. Data were analyzed by using descriptive statistics. Results: In total, 109 respondents working in 25 European countries participated, and the results showed that not all GR patients were screened and treated for malnutrition, and not all participants used (inter)national guidelines when performing nutritional care. The results also showed variations across European geographical areas related to screening and treatment of malnutrition, sarcopenia, and frailty. Even though the participants underlined the importance of dedicating time to nutritional care, they experienced barriers in its implementation, which were mostly due to a lack of resources. Conclusion: As malnutrition, sarcopenia, and frailty are often present in patients admitted to GR, in addition to being interrelated, it is recommended to develop an integrated approach to screening and treatment of all three clinical problems.
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页数:12
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共 48 条
[1]   Grip Strength Cutpoints for the Identification of Clinically Relevant Weakness [J].
Alley, Dawn E. ;
Shardell, Michelle D. ;
Peters, Katherine W. ;
McLean, Robert R. ;
Dam, Thuy-Tien L. ;
Kenny, Anne M. ;
Fragala, Maren S. ;
Harris, Tamara B. ;
Kiel, Douglas P. ;
Guralnik, Jack M. ;
Ferrucci, Luigi ;
Kritchevsky, Stephen B. ;
Studenski, Stephanie A. ;
Vassileva, Maria T. ;
Cawthon, Peggy M. .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2014, 69 (05) :559-566
[2]   Prevalence of Undernutrition, Frailty and Sarcopenia in Community-Dwelling People Aged 50 Years and Above: Systematic Review and Meta-Analysis [J].
Almohaisen, Nada ;
Gittins, Matthew ;
Todd, Chris ;
Sremanakova, Jana ;
Sowerbutts, Anne Marie ;
Aldossari, Amal ;
Almutairi, Asrar ;
Jones, Debra ;
Burden, Sorrel .
NUTRIENTS, 2022, 14 (08)
[3]   Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study [J].
Andersen, Aino Leegaard ;
Nielsen, Rikke Lundsgaard ;
Houlind, Morten Baltzer ;
Tavenier, Juliette ;
Rasmussen, Line J. H. ;
Jorgensen, Lillian Morch ;
Treldal, Charlotte ;
Beck, Anne Marie ;
Pedersen, Mette Merete ;
Andersen, Ove ;
Petersen, Janne .
NUTRIENTS, 2021, 13 (08)
[4]   Effects of branched-chain amino acid-rich supplementation on EWGSOP2 criteria for sarcopenia in older adults: a systematic review and meta-analysis [J].
Bai, Geng-Hao ;
Tsai, Meng-Chen ;
Tsai, Han-Wei ;
Chang, Chun-Chao ;
Hou, Wen-Hsuan .
EUROPEAN JOURNAL OF NUTRITION, 2022, 61 (02) :637-651
[5]   Malnutrition as a Strong Predictor of the Onset of Sarcopenia [J].
Beaudart, Charlotte ;
Sanchez-Rodriguez, Dolores ;
Locquet, Medea ;
Reginster, Jean-Yves ;
Lengele, Laetitia ;
Bruyere, Olivier .
NUTRIENTS, 2019, 11 (12)
[6]   Prevalence and Clinical Correlates of Sarcopenia, Identified According to the EWGSOP Definition and Diagnostic Algorithm, in Hospitalized Older People: The GLISTEN Study [J].
Bianchi, Lara ;
Abete, Pasquale ;
Bellelli, Giuseppe ;
Bo, Mario ;
Cherubini, Antonio ;
Corica, Francesco ;
Di Bari, Mauro ;
Maggio, Marcello ;
Manca, Giovanna Maria ;
Rizzo, Maria Rosaria ;
Rossi, Andrea P. ;
Landi, Francesco ;
Volpato, Stefano .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2017, 72 (11) :1575-1581
[7]   How clinical practitioners assess frailty in their daily practice: an international survey [J].
Bruyere, Olivier ;
Buckinx, Fanny ;
Beaudart, Charlotte ;
Reginster, Jean-Yves ;
Bauer, Juergen ;
Cederholm, Tommy ;
Cherubini, Antonio ;
Cooper, Cyrus ;
Cruz-Jentoft, Alfonso Jose ;
Landi, Francesco ;
Maggi, Stefania ;
Rizzoli, Rene ;
Sayer, Avan Aihie ;
Sieber, Cornel ;
Vellas, Bruno ;
Cesari, Matteo .
AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2017, 29 (05) :905-912
[8]   ESPEN guidelines on definitions and terminology of clinical nutrition [J].
Cederholm, T. ;
Barazzoni, R. ;
Austin, P. ;
Ballmer, P. ;
Biolo, G. ;
Bischoff, S. C. ;
Compher, C. ;
Correia, I. ;
Higashiguchi, T. ;
Hoist, M. ;
Jensen, G. L. ;
Malone, A. ;
Muscaritoli, M. ;
Nyulasi, I. ;
Pirlich, M. ;
Rothenberg, E. ;
Schindler, K. ;
Schneider, S. M. ;
de van der Schueren, M. A. E. ;
Sieber, C. ;
Valentini, L. i ;
Yu, J. C. ;
Van Gossum, A. ;
Singer, P. .
CLINICAL NUTRITION, 2017, 36 (01) :49-64
[9]   Nutritional status in older persons according to healthcare setting: A systematic review and meta-analysis of prevalence data using MNA® [J].
Cereda, Emanuele ;
Pedrolli, Carlo ;
Klersy, Catherine ;
Bonardi, Chiara ;
Quarleri, Lara ;
Cappello, Silvia ;
Turri, Annalisa ;
Rondanelli, Mariangela ;
Caccialanza, Riccardo .
CLINICAL NUTRITION, 2016, 35 (06) :1282-1290
[10]   Sarcopenia and physical frailty: two sides of the same coin [J].
Cesari, Matteo ;
Landi, Francesco ;
Vellas, Bruno ;
Bernabei, Roberto ;
Marzetti, Emanuele .
FRONTIERS IN AGING NEUROSCIENCE, 2014, 6