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Malnutrition and risk of falling among elderly without home-help service: a cross sectional study
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE.ORCID iD: 0000-0003-4820-6203
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.ORCID iD: 0000-0003-2174-372X
Kristianstad University, School of Health and Society. Kristianstad University, Research Environment PRO-CARE. Kristianstad University, Research Platform for Collaboration for Health.
2014 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 18, no 10, 905-911 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
2014. Vol. 18, no 10, 905-911 p.
Keyword [en]
Malnutrition, home-dwelling, fall risk, SCREEN II, preventive home visits
National Category
Geriatrics
Identifiers
URN: urn:nbn:se:hkr:diva-12900DOI: 10.1007/s12603-014-0469-5ISI: 000347449400009PubMedID: 25470807OAI: oai:DiVA.org:hkr-12900DiVA: diva2:747112
Funder
Swedish Research Council
Available from: 2014-09-15 Created: 2014-09-15 Last updated: 2017-12-05Bibliographically approved

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Westergren, AlbertHagell, PeterSjödahl Hammarlund, Catharina

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Avdelningen för Hälsovetenskap IResearch Environment PRO-CAREResearch Platform for Collaboration for HealthSchool of Health and Society
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The Journal of Nutrition, Health & Aging
Geriatrics

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CiteExportLink to record
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