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Malnutrition and risk of falling among elderly without home-help service: a cross sectional study
Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE.ORCID-id: 0000-0003-4820-6203
Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.ORCID-id: 0000-0003-2174-372X
Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsmiljön PRO-CARE. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
2014 (Engelska)Ingår i: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 18, nr 10, s. 905-911Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives

The aim of this study was to explore the frequency of malnutrition risk and associated risk of falling, social and mental factors among elderly without home-help service. The aim was also to explore factors associated with risk of falling.

Design

A cross-sectional design was used.

Setting

Elderly persons own homes.

Participants

Data were collected during preventive home visits to 565 elderly (age range 73–90 years) without home-help service. Those with complete SCREEN II forms were included in the study (n=465).

Measurements

Measurements included rating scales regarding malnutrition risk (SCREEN II) and risk of falling (Downton). In addition, single-items: general health, satisfaction with life, tiredness, low-spiritedness, worries/anxiety and sleeping were used.

Results

According to the SCREEN II, 35% of the sample had no malnutrition risk, 35% had moderate risk and 30% had high malnutrition risk. In an ordinal regression analysis, increased malnutrition risk was associated with being a woman living alone (OR 4.63), male living alone (OR 6.23), lower age (OR 0.86), poorer general health (OR 2.03–5.01), often/always feeling tired (OR 2.38), and an increased risk of falling (OR 1.21). In a linear regression analysis, risk of falling was associated with higher age (B 0.020), not shopping independently (B 0.162), and low meat consumption (B 0.138).

Conclusion

There are complex associations between malnutrition risk and the gender-cohabitation interaction, age, general health, tiredness, and risk of falling. In clinical practice comprehensive assessments to identify those at risk of malnutrition including associated factors are needed. These have to be followed by individual nutritional interventions using a holistic perspective which may also contribute to reducing the risk of falling.

Ort, förlag, år, upplaga, sidor
2014. Vol. 18, nr 10, s. 905-911
Nyckelord [en]
Malnutrition, home-dwelling, fall risk, SCREEN II, preventive home visits
Nationell ämneskategori
Geriatrik
Identifikatorer
URN: urn:nbn:se:hkr:diva-12900DOI: 10.1007/s12603-014-0469-5ISI: 000347449400009PubMedID: 25470807OAI: oai:DiVA.org:hkr-12900DiVA, id: diva2:747112
Forskningsfinansiär
VetenskapsrådetTillgänglig från: 2014-09-15 Skapad: 2014-09-15 Senast uppdaterad: 2017-12-05Bibliografiskt granskad

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Westergren, AlbertHagell, PeterSjödahl Hammarlund, Catharina

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Westergren, AlbertHagell, PeterSjödahl Hammarlund, Catharina
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Avdelningen för Hälsovetenskap IForskningsmiljön PRO-CAREForskningsplattformen Hälsa i samverkanSektionen för hälsa och samhälle
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The Journal of Nutrition, Health & Aging
Geriatrik

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