Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.mad.2021.111500
Title: Malnutrition is associated with poor trajectories of activities of daily living in geriatric rehabilitation inpatients: RESORT
Authors: Hettiarachchi, Jeewanadee
Reijnierse, Esmee M.
Soh, Cheng Hwee
Agius, Bridget
Fetterplace, Kate
Lim, Wen Kwang
Maier, Andrea Britta 
Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore.
Keywords: Activities of daily living
Aged
Hospitalization
Malnutrition
Rehabilitation
Issue Date: 1-Jul-2021
Publisher: Elsevier Ireland Ltd
Citation: Hettiarachchi, Jeewanadee, Reijnierse, Esmee M., Soh, Cheng Hwee, Agius, Bridget, Fetterplace, Kate, Lim, Wen Kwang, Maier, Andrea Britta, Centre for Healthy Longevity, @AgeSingapore, National University Health System, Singapore. (2021-07-01). Malnutrition is associated with poor trajectories of activities of daily living in geriatric rehabilitation inpatients: RESORT. Mechanisms of Ageing and Development 197 : 111500. ScholarBank@NUS Repository. https://doi.org/10.1016/j.mad.2021.111500
Rights: Attribution 4.0 International
Abstract: Malnutrition is associated with poor functional performance in geriatric rehabilitation inpatients. However, it is unclear if malnourished patients have poor functional trajectories over time. This study aimed to determine the association between (the risk of) malnutrition at admission and trajectories of Activities of Daily Living (ADL) and Instrumental ADL (IADL) from pre-admission to post-discharge in geriatric rehabilitation inpatients. An observational, longitudinal study was conducted in the REStORing health of acutely unwell adulTs (RESORT) cohort of geriatric rehabilitation inpatients. A total of 618 patients (mean age 82.1 ± 7.8 years, 57.4 % females) were included. The prevalence of the risk of malnutrition, by Malnutrition Screening Tool (MST) was 41.3 % (n = 255) and malnutrition by the Global Leadership Initiative on Malnutrition (GLIM) and European Society for Clinical Nutrition and Metabolism (ESPEN) criteria were 53.5 % (n = 331) and 13.1 % (n = 81) respectively. Malnutrition by the GLIM criteria but not the ESPEN criteria nor the risk of malnutrition, was associated with ADL trajectories of ‘remained poor’ (OR: 3.33, 95 %CI: 1.21?9.19) and ‘deteriorated’ (OR: 1.68, 95 %CI: 1.13?2.52) compared to the ‘recovered’ trajectory. The risk of malnutrition and malnutrition were not associated with IADL trajectories. Malnutrition at admission was associated with poor ADL trajectories but not IADL trajectories in geriatric rehabilitation inpatients. © 2021 The Author(s)
Source Title: Mechanisms of Ageing and Development
URI: https://scholarbank.nus.edu.sg/handle/10635/232606
ISSN: 0047-6374
DOI: 10.1016/j.mad.2021.111500
Rights: Attribution 4.0 International
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