Undernutrition: A Major Problem in Nursing Homes

Journal of the American Medical Directors Association

Volumn 12, Issue 4, 2011, Pages 243-246

  Morley, John E ^a  

^a SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANOREXIA; CACHEXIA; COGNITION; CYANOCOBALAMIN DEFICIENCY; DEHYDRATION; EDITORIAL; HUMAN; MALNUTRITION; MUSCLE ATROPHY; NURSING HOME; NUTRITIONAL STATUS; VITAMIN D DEFICIENCY; VITAMIN DEFICIENCY; ZINC DEFICIENCY;

EID: 79955165692     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2011.02.013     Document Type: Editorial

References (91)

1. Morley J.E. Anorexia, weight loss, and frailty. J Am Med Dir Assoc 2010, 11:225-228.
2. Landi F., Russo A., Liperoti R., et al. Anorexia, physical function, and incident disability among the frail elderly population: Results from the ilSIRENTE study. J Am Med Dir Assoc 2010, 11:268-274.
3. Landi F., Laviano A., Cruz-Jentoft A.J. The anorexia of aging: Is it a geriatric syndrome?. J Am Med Dir Assoc 2010, 11:153-156.
4. Sloane P.D., Ivey J., Helton M., et al. Nutritional issues in long-term care. J Am Med Dir Assoc 2008, 9:476-485.
5. Morley J.E. Weight loss in the nursing home. J Am Med Dir Assoc 2007, 8:201-204.
6. Clarkston W.K., Pantano M.M., Morley J.E., et al. Evidence for the anorexia of aging: Gastrointestinal transit and hunger in healthy elderly vs. young adults. Am J Physiol 1997, 272:R243-R248.
7. Jones K.L., Doran S.M., Hveem K., et al. Relation between postprandial satiation and antral area in normal subjects. Am J Clin Nutr 1997, 66:127-132.
8. McIntosh C.G., Morley J.E., Wishart J., et al. Effect of exogenous cholecystokinin (CCK)-8 on food intake and plasma CCK, leptin, and insulin concentrations in older and young adults: evidence for increased CCK activity as a cause of the anorexia of aging. J Clin Endocrinol Metab 2001, 86:5830-5837.
9. Cook C.G., Andrews J.M., Jones K.L., et al. Effects of small intestinal nutrient infusion on appetite and pyloric motility are modified by age. Am J Physiol 1997, 273:R755-R761.
10. Gosnell B.A., Levine A.S., Morley J.E. The effects of aging on opioid modulation of feeding in rats. Life Sci 1983, 32:2793-2799.
11. Morley J.E., Kraenzle D. Causes of weight loss in a community nursing home. J Am Geriatr Soc 1994, 42:583-585.
12. Thakur M., Blazer D.G. Depression in long-term care. J Am Med Dir Assoc 2008, 9:82-87.
13. German L., Kahana C., Rosenfeld V., et al. Depressive symptoms are associated with food insufficiency and nutritional deficiencies in poor community-dwelling elderly people. J Nutr Health Aging 2011, 15:3-8.
14. Alves de Rezende C.H., Coelho L.M., Oliveira L.M., Penha Silva N. Dependence of the geriatric depression scores on age, nutritional status, and haematologic variables in elderly institutionalized patients. J Nutr Health Aging 2009, 13:617-621.
15. Gokce Kutsal Y., Barak A., Atalay A., et al. Polypharmacy in the elderly: A multicenter study. J Am Med Dir Assoc 2009, 10:486-490.
16. Morley J.E. Polypharmacy in the nursing home. J Am Med Dir Assoc 2009, 10:289-291.
17. Fitzgerald S.P., Bean N.G. An analysis of the interactions between individual comorbidities and their treatments-implications for guidelines and polypharmacy. J Am Med Dir Assoc 2010, 11:475-484.
18. Gammack J.K., Pulisetty S. Nursing education and improvement in oral care delivery in long-term care. J Am Med Dir Assoc 2009, 10:658-661.
19. Soini H., Suominen M.H., Muurinen S., Pitkala K.H. Long-term care and oral health. J Am Med Dir Assoc 2009, 10:512-514.
20. Gottfred C. Oropharyngeal dysphagia in long-term care: Response from ASHA. J Am Med Dir Assoc 2009, 10:78.
21. Coyle J.L., David L.A., Easterling C., et al. Oropharyngeal dysphagia assessment and treatment efficacy: Setting the record straight (response to Campbell-Taylor). J Am Med Dir Assoc 2009, 10:62-66.
22. Boczko F., McKeon S., Sturkie D. Long-term care and oral health knowledge. J Am Med Dir Assoc 2009, 10:204-206.
23. Wilson M.M., Purushothaman R., Morley J.E. Effect of liquid dietary supplements on energy intake in the elderly. Am J Clin Nutr 2002, 75:944-947.
24. Tariq S.H., Karcic E., Thoms D.R., et al. The use of a no-concentrated-sweets diet in the management of type 2 diabetes in nursing homes. J Am Diet Assoc 2001, 101:1463-1466.
25. Coulston A.M., Mandelbaum D., Reaven G.M. Dietary management of nursing home residents with non-insulin-dependent diabetes mellitus. Am J Clin Nutr 1990, 51:67-71.
26. Nijs K., de Graaf C., van Staveren W.A., de Groot L.C. Malnutrition and mealtime ambiance in nursing homes. J Am Med Dir Assoc 2009, 10:226-229.
27. Simmons S.F., Zhuo X., Keller E. Cost-effectiveness of nutrition interventions in nursing home residents: A pilot intervention. J Nutr Health Aging 2010, 14:367-372.
28. Aparicio A., Andres P., Perea J.M., et al. Influence of the consumption of fruits and vegetables on the nutritional status of a group of institutionalized elderly persons in the Madrid region. J Nutr Health Aging 2010, 14:615-620.
29. Winkels R., Stoppelenburg A., de Graaf K., et al. Energy intake compensation after 3 weeks of restricted energy intake in young and elderly men. J Am Med Dir Assoc 2011, 12:277-286.
30. Karcic E., Philpot C., Morley J.E. Treating malnutrition with megestrol acetate: Literature review and review of our experience. J Nutr Health Aging 2002, 6:191-200.
31. Yeh S.S., Blackwood K., Schuster M.W. The cytokine basis of cachexia and its treatment: Are they ready for prime time?. J Am Med Dir Assoc 2008, 9:219-236.
32. Chasen M., Hirschman S.Z., Bhargava R. Phase II study of the novel peptide-nucleic acid OHR118 in the management of cancer-related anorexia-cachexia. J Am Med Dir Assoc 2011, 12:62-67.
33. Wilson M.M., Thomas D.R., Rubenstein L.Z., et al. Appetite assessment: Simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr 2005, 82:1074-1081.
34. Vellas B., Villars H., Abelland G., et al. Overview of the MNA-Its history and challenges. J Nutr Health Aging 2006, 10:456-463.
35. Thomas D.R., Ashmen W., Morley J.E., Evans W.J. Nutritional management in long-term care: Development of a clinical guideline. Council for Nutritional Strategies in Long-term Care. J Gerontol A Biol Sci Med Sci 2000, 55:M725-M734.
36. Beck A.M., Damkjaer K., Sorbye L.W. Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (>65 years) Danish nursing home residents. Arch Gerontol Geriatr 2010, 50:351-355.
37. Gobbens R.J., van Assen M.A., Luijkx K.G., et al. Determinants of frailty. J Am Med Dir Assoc 2010, 11:356-364.
38. Morley J.E. Developing novel therapeutic approaches to frailty. Curr Pharm Des 2009, 15:3384-3395.
39. Abellan van Kan G., Rolland Y.M., Morley J.E., Vallas B. Frailty: Toward a clinical definition. J Am Med Dir Assoc 2008, 9:71-72.
40. Abellan van Kan G., Rolland Y., Bergman H., et al. The I.A.N.A. Task Force on frailty assessment of older people in clinical practice. J Nutr Health Aging 2008, 12:29-37.
41. Argiles J.M., Anker S.D., Evans W.J., et al. Consensus on cachexia definitions. J Am Med Dir Assoc 2010, 11:229-230.
42. Evans W.J., Morley J.E., Argiles J., et al. Cachexia: A new definition. Clin Nutr 2008, 27:793-799.
43. Morley J.E., Thomas D.R., Wilson M.M. Cachexia: Pathophysiology and clinical relevance. Am J Clin Nutr 2005, 83:735-743.
44. Omran M.L., Morley J.E. Assessment of protein energy malnutrition in older persons, Part II: Laboratory evaluation. Nutrition 2000, 16:131-140.
45. van Wetering C.R., Hoogendoorn M., Broekhuizen R., et al. Efficacy and costs of nutritional rehabilitation in muscle-wasted patients with chronic obstructive pulmonary disease in a community-based setting: A prespecified subgroup analysis of the INTERCOM trial. J Am Med Dir Assoc 2010, 11:179-187.
46. Fielding R.A., Vellas B., Evans W.J., et al. Sarcopenia: An undiagnosed condition in older adults. Current consensus definition: Prevalence, etiology and consequences. J Am Med Dir Assoc 2011, 12:249-256. International Working Group on Sarcopenia.
47. Morley J.E. Anorexia, sarcopenia, and aging. Nutrition 2001, 17:660-663.
48. Bauer J.M., Kaiser M.J., Sieber C.C. Sarcopenia in nursing home residents. J Am Med Dir Assoc 2008, 9:545-551.
49. Morley J.E., Argiles J.M., Evans W.J., et al. Nutritional recommendations for the management of sarcopenia. J Am Med Dir Assoc 2010, 11:391-396.
50. Chapman I.M., Visvanathan R., Hammond A.J., et al. Effect of testosterone and a nutritional supplement, alone and in combination, on hospital admissions in undernourished older men and women. Am J Clin Nutr 2009, 89:880-889.
51. Rosenthal M.J., Goodwin J.S. Cognitive effects of nutritional deficiency. Adv Nutr Res 1985, 7:71-100.
52. Goodwin J.S., Goodwin J.M., Garry P.J. Association between nutritional status and cognitive functioning in a healthy elderly population. JAMA 1983, 249:2917-2921.
53. Ford A.H., Flicker L., Alfonso H., et al. Vitamins B(12), B(6), and folic acid for cognition in older men. Neurology 2010, 75:1540-1547.
54. McNeill G., Winter J., Jia X. Diet and cognitive function in later life: a challenge for nutrition epidemiology. Eur J Clin Nutr 2009, 63:S33-S37.
55. Ng T.P., Gao Q., Niti M., et al. Omega-3 polyunsaturated fatty acid supplements and cognitive decline: Singapore longitudinal aging studies. J Nutr Health Aging 2011, 15:32-35.
56. Mooradian A.D., Perryman K., Fitten J., et al. Cortical function in elderly non-insulin dependent diabetic patients. Behavioral and electrophysiologic studies. Arch Intern Med 1988, 148:2369-2372.
57. Farr S.A., Yamada K.A., Butterfield D.A., et al. Obesity and hypertriglyceridemia produce cognitive impairment. Endocrinology 2008, 149:2628-2636.
58. Quinn J.F., Raman R., Thomas R.G., et al. Docosahexaenoic acid supplementation and cognitive decline in Alzheimer disease: a randomized trial. JAMA 2010, 304:1903-1911.
59. Morley J.E., Banks W.A. Lipids and cognition. J Alzheimer Dis 2010, 20:737-747.
60. Grant W.B., Peiris A.N. Possible role of serum 25-hydroxyvitamin D in black-white health disparities in the United States. J Am Med Dir Assoc 2010, 11:617-628.
61. Gau J.T. Prevalence of vitamin D deficiency/insufficiency practice patterns in nursing homes. J Am Med Dir Assoc 2010, 1:296.
62. Braddy K.K., Imam S.N., Palla K.R., Lee T.A. Vitamin D deficiency/insufficiency practice patterns in a veterans health administration long-term care population: A retrospective analysis. J Am Med Dir Assoc 2009, 10:653-657.
63. Demontiero O., Herrmann M., Duque G. Supplementation with vitamin D and calcium in long-term care residents. J Am Med Dir Assoc 2011, 12:190-194.
64. Morley J.E. Vitamin D redux. J Am Med Dir Assoc 2009, 10:591-592.
65. Gaddipati V.C., Kuriacose R., Copeland R., et al. Vitamin D deficiency: An increasing concern in peripheral arterial disease. J Am Med Dir Assoc 2010, 11:308-311.
66. Islam T., Peiris P., Copeland R.J., et al. Vitamin D: Lessons from the Veterans Population. J Am Med Dir Assoc 2011, 12:257-262.
67. Annweiler C., Schott A.M., Berrut G., et al. Vitamin D-related changes in physical performance: A systematic review. J Nutr Health Aging 2009, 13:893-898.
68. Chel V.G., Ooms M.E., Pavel S., et al. Prevention and treatment of vitamin D deficiency in Dutch psychogeriatric nursing home residents by weekly half-body UVB exposure after showering: A pilot study. Age Ageing 2011, 40:211-214.
69. Reid I.R., Gallagher D.J., Bosworth J. Prophylaxis against vitamin D deficiency in the elderly by regular sunlight exposure. Age Ageing 1986, 15:35-40.
70. Toss G., Andersson R., Diffey B.L., et al. Oral vitamin D and ultraviolet radiation for the prevention of vitamin D deficiency in the elderly. Acta Med Scand 1982, 212:157-161.
71. Mocanu V., Stitt P.A., Costan A.R., et al. Long-term effects of giving nursing home residents bread fortified with 125 microg (5000 IU) vitamin D (3) per daily serving. Am J Clin Nutr 2009, 89:1132-1137.
72. Thomas D.R., Cote T.R., Lawhorne L., et al. Understanding clinical dehydration and its treatment. J Am Med Dir Assoc 2008, 9:292-301.
73. Silver A.J., Morley J.E. Role of the opioid system in the hypodipsia associated with aging. J Am Geriatr Soc 1992, 40:556-560.
74. Wilson M.M., Morley J.E. Impaired cognitive function and mental performance in mild dehydration. Eur J Clin Nutr 2003, 57:S24-S29.
75. Dolamore M.J. The use of hypodermoclysis without hyaluronidase. J Am Med Dir Assoc 2009, 10:75.
76. Crecelius C. Dehydration: Myth and reality. J Am Med Dir Assoc 2008, 9:287-288.
77. Allen L.H. How common is vitamin B-12 deficiency?. Am J Clin Nutr 2009, 89:693S-696S.
78. Trence D.L., Morley J.E., Handwerger B.S. Polyglandular autoimmune syndromes. Am J Med 1984, 77:107-116.
79. Mooradian A.D., Morley J.E. Micronutrient status in diabetes mellitus. Am J Clin Nutr 1987, 45:877-895.
80. Niewoehner C.B., Allen J.I., Boosalis M., et al. Role of zinc supplementation in type II diabetes mellitus. Am J Med 1986, 81:63-68.
81. Kinlaw W.B., Levine A.S., Morley J.E., et al. Abnormal zinc metabolism in type II diabetes mellitus. Am J Med 1983, 75:273-277.
82. Meydani S.N., Barnett J.B., Dallal G.E., et al. Serum zinc and pneumonia in nursing home elderly. Am J Clin Nutr 2007, 86:1167-1173.
83. Mocchegiani E., Malavolta M., Costarelli L., et al. Zinc, metallothioneins and immunosenescence. Proc Nutr Soc 2010, 69:290-299.
84. Vasto S., Mocchegiani E., Malavolta M., et al. Zinc and inflammatory/immune response in aging. Ann N Y Acad Sci 2007, 1100:111-122.
85. Prasad A.S., Beck F.W., Bao B., et al. Zinc supplementation decreases incidence of infections in the elderly: Effect of zinc on generation of cytokines and oxidative stress. Am J Clin Nutr 2007, 85:837-844.
86. Singh M., Das R.R. Zinc for the common cold. Cochrane Database Syst Rev 2011, 2. CD001364.
87. Kalantar-Zadeh K., Horwich T.B., Oreopoulos A., et al. Risk factor paradox in wasting diseases. Curr Opin Clin Nutr Metab Care 2007, 10:433-442.
88. Yang Y., Brown C.J., Burgio K.L., et al. Under-nutrition at baseline and health services utilization and mortality over a one-year period in older adults receiving Medicare home health services. J Am Med Dir Assoc 2011, 12:287-294.
89. Neelemaat F., Bosmans J., Thijs A., et al. Postdischarge nutritional support in malnourished elderly improves functional limitations. J Am Med Dir Assoc 2011, 12:295-301.
90. Vikstedt T., Suominen M., Joki A., et al. Nutritional status, energy, protein and micronutrient intake of older service house residents. J Am Med Dir Assoc 2011, 12:302-307.
91. Tolson D., Rolland Y., Andrieu S., et al. International Association of Gerontology and Geriatrics: A global agenda for clinical research and quality of care in nursing homes. J Am Med Dir Assoc 2011, 12:184-189. The International Association of Gerontology and Geriatrics/World Health Organization/Society Francaise de Gerontologie et de Geriatrie Task Force.