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Assessment of the relationship between frailty syndrome and the nutritional status of older patients

Authors Muszalik M, Gurtowski M, Doroszkiewicz H, Gobbens RJJ, Kędziora-Kornatowska K

Received 16 January 2019

Accepted for publication 1 March 2019

Published 3 May 2019 Volume 2019:14 Pages 773—780

DOI https://doi.org/10.2147/CIA.S201835

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Richard Walker


Marta Muszalik,1 Mateusz Gurtowski,1 Halina Doroszkiewicz,2 Robbert JJ Gobbens,3–5 Kornelia Kędziora-Kornatowska1

1Department of Geriatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Toruń, Poland; 2Department of Geriatrics, Medical University of Bialystok, Białystok, Poland; 3Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands; 4Zonnehuisgroep Amstelland, Amstelveen, the Netherlands; 5Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

Objective: The aim of this study was to assess the relationship between frailty syndrome and the nutritional status of older patients.
Material and methods: This cross-sectional study was conducted in a sample of 120 patients hospitalized at the Geriatric Clinic between January 2017 and May 2017. The research tools were the Frailty Instrument of the Survey of Health, Ageing and Retirement in Europe (SHARE-FI), including relevant anthropometric measurements and muscle strength measurement, and the Mini Nutritional Assessment (MNA). All the calculations were performed using the Statistica 10.0 program. The p-values lower than 0.05 were considered as statistically significant.
Results: The mean age of the participants was 71 years (SD=9.03). Most participants were from urban areas. More than half of the participants (53.3%) were women. Based on the SHARE-FI, the frailty syndrome was found in 33.3% of the participants. The mean value in the MNA scale was 24.4 points (SD=3.4). The frailty syndrome was significantly correlated to gender (p<0.025), financial status (p=0.036) and MNA (p<0.01) score. A statistically significant difference was observed between gender (p=0.026), financial status (p=0.016), place of living (p=0.046) and MNA score.
Conclusion: This study confirmed significant correlations between the frailty syndrome and the nutritional status of older adults. In terms of prevention and clinical application, it seems important to control the nutritional status of older people and the frailty syndrome. The above-mentioned scales should be used to evaluate patients, analyze the risk and plan the intervention for that group of patients.

Keywords: frailty syndrome, nutritional status, older adults, MNA, SHARE-FI


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