Perceived health and risk of undernutrition: A comparison of different nutritional screening results in older patients

Journal of Clinical Nursing

Volumn 20, Issue 15-16, 2011, Pages 2162-2171

  Söderhamn, Ulrika ^a   Flateland, Sylvi ^a   Jessen, Liss ^b   Söderhamn, Olle ^a  

^a UNIVERSITY OF AGDER   (Norway)

^b Sørlandet Hospital   (Norway)

Author keywords

Nurses; Nursing; Nutritional risk; Nutritional risk factors; Older people; Screening instrument

Indexed keywords

AGED; ARTICLE; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; FEMALE; HEALTH STATUS; HUMAN; MALE; MALNUTRITION; NORWAY; NUTRITIONAL ASSESSMENT;

AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH STATUS; HUMANS; MALE; MALNUTRITION; NORWAY; NUTRITION ASSESSMENT;

EID: 79960360981     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/j.1365-2702.2010.03677.x     Document Type: Article

References (45)

1. Altman D (1999) Practical Statistics for Medical Research. Chapman & Hall/CRC, London.
2. Anthony PS (2008) Nutrition screening tools for hospitalized patients. Nutrition in Clinical Practice 23, 373-382.
3. Bauer JM, Vogl T, Wicklein S, Trögner J, Mühlberg W & Sieber CC (2005) Comparison of the Mini Nutritional Assessment, Subjective Global Assessment and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patients. Zeitschrift fur Gerontologie und Geriatrie 38, 322-327.
4. Beauchamp TL & Childress JF (2009) Principles of Biomedical Ethics, 6th edn. Oxford University Press, Inc., Oxford.
5. Breeze E, Clarke R, Shipley MJ, Marmot MG & Fletcher AE (2006) Cause-specific mortality in old age in relation to body mass index in middle age and in old age: follow-up of the Whitehall cohort of male civil servants. International Journal of Epidemiology 35, 169-178.
6. Cereda E, Valzolgher L & Pedrolli C (2008) Mini nutritional assessment is a good predictor of functional status in institutionalized elderly at risk of malnutrition. Clinical Nutrition 27, 700-705.
7. Chen CC-H, Schilling LS & Lyder CH (2001) A concept analysis of malnutrition in the elderly. Journal of Advanced Nursing 36, 131-142.
8. Chen CC-H, Bai Y-Y, Huang G-H & Tang ST (2007) Revisiting the concept of malnutrition in older people. Journal of Clinical Nursing 16, 2015-2026.
9. ® valid in different populations and across practice settings? The Journal of Nutrition, Health & Aging 10, 524-533.
10. Damián J, Pastor-Barriuso R & Valderrama-Gama E (2008) Factors associated with self-rated health in older people living in institutions. BMC Geriatrics 8. Available at: (accessed 15 December 2009).
11. Dey DK, Rothenberg E, Sundh V, Bosaeus I & Steen B (2001) Body mass index, weight change and mortality in the elderly. A 15y longitudinal study of 70y olds. European Journal of Clinical Nutrition 55, 482-492.
12. ®) among older nursing home patients. Vård i Norden/Nordic Journal of Nursing Research 29, 50-52.
13. Green SM & Watson R (2006) Nutritional screening and assessment tools for older adults: literature review. Journal of Advanced Nursing 54, 477-490.
14. Grieger JA, Nowson CA & Ackland LM (2009) Nutritional and functional status indicators in residents of a long-term care facility. Journal of Nutrition for the Elderly 28, 47-60.
15. ®) review of the literature - what does it tell us? The Journal of Nutrition, Health & Aging 10, 466-486.
16. Guigoz Y, Vellas B & Garry PJ (1996) Assessing the nutritional status of the elderly: the Mini Nutritional Assessment as a part of the geriatric evaluation. Nutrition Reviews 54, S59-S65.
17. Guigoz Y, Lauque S & Vellas BJ (2002) Identifying the elderly at risk for malnutrition - the mini nutritional assessment. Clinics in Geriatric Medicine 18, 737-757.
18. Janssen I, Katzmarzyk PT & Ross R (2005) Body mass index is inversely related to mortality in older people after adjustment for waist circumference. Journal of the American Geriatrics Society 53, 2112-2118.
19. Johansson Y, Ek A-C & Bachrach-Lindström M (2007) Self-perceived health among older women living in their own residence. International Journal of Older People Nursing 2, 111-118.
20. Johansson Y, Bachrach-Lindström M, Carstensen J & Ek A-C (2009) Malnutrition in a home-living older population: prevalence, incidence and risk factors. A prospective study. Journal of Clinical Nursing 18, 1354-1364.
21. Johnson CS (2005) Psychosocial correlates of nutritional risk in older adults. Canadian Journal of Dietetic Practice and Research 66, 95-97.
22. Kaleta D, Polánska K, Dzianska-Zaborszczyk E, Hanke W & Drygas W (2009) Factors influencing self-perception of health. Central European Journal of Public Health 17, 122-127.
23. Kondrup J, Allison SP, Elia M, Vellas B & Plauth M (2003a) ESPEN guidelines for nutrition screening 2002. Clinical Nutrition 22, 415-421.
24. Kondrup J, Højgaard Rasmussen H, Hamberg O & Stanga Z; Ad hoc ESPEN working group (2003b) Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clinical Nutrition 22, 321-336.
25. Margetts BM, Thompson RL, Elia M & Jackson AA (2003) Prevalence of risk of undernutrition is associated with poor health status in older people in the UK. European Journal of Clinical Nutrition 57, 69-74.
26. Martins CPAL, Correia JR & do Amaral TF (2005) Undernutrition risk screening and length of stay of hospitalized elderly. Journal of Nutrition for the Elderly 25, 5-21.
27. NNF (Northern Nurses' Federation) (2003) Ethical guidelines for nursing research in the Nordic countries. Vård i Norden/Nordic Journal of Nursing Research 23, 2-19, appendix.
28. Norwegian Directorate of Health (2009) National guidelines on preventing and treatment of malnutrition - the recommendations (in Norwegian). Oslo. Available at: (accessed 15 December 2009).
29. Odencrants S, Ehnfors M & Ehrenberg A (2008) Nutritional status and patient characteristics for hospitalized older patients with chronic obstructive pulmonary disease. Journal of Clinical Nursing 17, 1771-1778.
30. Ortega T, Deulofen R, Salamo P, Lauzurica R, Casanovas T, Cofán F, Nobel L, Jane L, Twose J & Ortega F; Research Network on Transplantation (2009) Perceived state of health is worse in kidney recipients younger than 60years vs older than 60years. Transplantation Proceedings 41, 2118-2121.
31. Ranhoff AH, Gjøen AU & Mowé M (2005) Screening for malnutrition in elderly acute medical patients: the usefulness of MNA-SF. The Journal of Nutrition, Health & Aging 9, 221-225.
32. Raslan M, Gonzalez MC, Goncalves Dias MC, Nascimento M, Castro M, Marques P, Segatto S, Cecconello I & Waitzberg DL (2010) Comparison of nutritional risk screening tools for predicting clinical outcomes in hospitalized patients. Nutrition 26, 721-726.
33. Rütten A, Abel T, Kannas L, von Lengerke T, Lüschen G, Diaz JA, Vinck J & van der Zee J (2001) Self reported physical activity, public health and perceived environment: results from a comparative European study. Journal of Epidemiology and Community Health 55, 139-146.
34. Salvi F, Giorgi R, Grilli A, Morichi V, Espinosa E, Spazzafumo L, Marinozzi ML & Dessì-Fulgheri P (2008) Mini Nutritional Assessment (short form) and functional decline in older patients admitted to an acute medical ward. Aging Clinical and Experimental Research 20, 322-328.
35. ® compare? Proceedings of the session held in Chicago May 2-3, 2006 (15years of Mini Nutritional Assessment). The Journal of Nutrition, Health and Aging 10, 488-494.
36. Söderhamn U (2006) Nutritional Screening of Older Patients. Developing, Testing and Using the Nutritional Form for the Elderly (NUFFE). Medical dissertation, Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University, Sweden.
37. Söderhamn U & Söderhamn O (2001) Developing and testing the Nutritional Form For the Elderly. International Journal of Nursing Practice 7, 336-341.
38. Söderhamn U & Söderhamn O (2002) Reliability and validity of the nutritional form for the elderly. Journal of Advanced Nursing 37, 28-34.
39. Söderhamn U, Bachrach-Lindström M & Ek A-C (2007) Nutritional screening and perceived health in a group of geriatric rehabilitation patients. Journal of Clinical Nursing 16, 1997-2006.
40. Söderhamn U, Bachrach-Lindström M & Ek A-C (2008) Self-care ability and sense of coherence in older nutritional at-risk patients. European Journal of Clinical Nutrition 62, 96-103.
41. Söderhamn U, Flateland S, Jessen L & Söderhamn O (2009) Norwegian version of the Nutritional Form for the Elderly: sufficient psychometric properties for performing institutional screening of elderly patients. Nutrition Research 29, 761-767.
42. Streiner DL & Norman GR (2003) Health Measurement Scales. A Practical Guide to Their Development and Use, 3rd edn. Oxford University Press, Oxford.
43. Visvanathan R, Penhall R & Chapman I (2004) Nutritional screening of older people in a sub-acute care facility in Australia and its relation to discharge outcomes. Age and Ageing 33, 260-265.
44. Wikby K, Ek A-C & Christensson L (2008) The two-step Mini Nutritional Assessment procedure in community resident homes. Journal of Clinical Nursing 17, 1211-1218.
45. WMA (World Medical Association Declaration of Helsinki) (2008) Ethical Principles for Medical Research Involving Human Subjects. Seoul. Available at: (accessed 1 December 2009).