RT info:eu-repo/semantics/article
T1 Prevalence of malnutrition in a group of institutionalized psychogeriatric patients using different diagnostic criteria
A1 Redondo del Río, María Paz
A1 Mateo Silleras, Beatriz de
A1 Barrera Ortega, Sara
A1 Carreño Enciso, Laura
A1 Cruz Marcos, Sandra de la
K1 Malnutrition
K1 GLIM criteria
K1 ESPEN criteria
K1 Elderly
K1 Phase angle
K1 Bioelectrical impedance
K1 Psychogeriatric patients
K1 3206 Ciencias de la Nutrición
K1 3201.07 Geriatría
K1 3211 Psiquiatría
AB Malnutrition (MN) is a highly prevalent condition in the elderly. It is associated with functional impairment, disability, frailty, and sarcopenia. The aim was to analyze the capacity of GLIM and ESPEN criteria to diagnose MN in a sample of institutionalized psychogeriatric patients. Clinical and anthropometric data were collected in a cross-sectional study. Patients’ frailty, dependence, functional capacity, MNA, hand-grip strength (HS), and sarcopenia were evaluated. Body composition (BC) was estimated by conventional bioimpedance analysis. MN diagnosis was established using the ESPEN and the GLIM criteria based on fat-free mass index (GLIM-FFMI), appendicular skeletal muscle mass index (GLIM-ASMMI), skeletal muscle mass index (GLIM-SMMI), and HS (mGLIM). Ninety-two patients (57.6% men; mean age: 79.4 years) were studied. Depending on the diagnosis criteria, MN prevalence was between 25% (ESPEN) and 41.3% (GLIM-SMMI). Agreement between ESPEN and all GLIM criteria was poor, but it was excellent between all GLIM criteria (kappa > 0.8). Phenotypic criteria carried more weight in the diagnosis of MN than etiological ones. Depending on the parameter used, the prevalence of reduced muscle mass was notably different. Differences in BMI, BC, inflammation, and albumin are detected by the GLIM-FFMI criteria in the MN and non-MN subjects. Also, this criterion is the only one that identified differences in phase angle (PhA) between these groups. In the elderly, PhA can be very useful to monitor nutritional status.
PB MDPI
SN 2072-6643
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/67424
UL https://uvadoc.uva.es/handle/10324/67424
LA eng
NO Nutrients, 2024, Vol. 16, Nº. 8, 1116;
NO Producción Científica
DS UVaDOC
RD 15-ene-2025