Year-end Sale % OFF 
Abstract
ObjectivesTo assess changes in prevalence of malnutrition and its associated factors among people living in Dutch nursing homes in 2009, 2013 and 2018.DesignSecondary data analysis of the International Prevalence Measurement of Care Quality (LPZ) study.SettingDutch nursing homes.ParticipantsResidents living at a psychogeriatric or somatic ward in Dutch nursing homes in 2009, 2013 or 2018.Measurementsweight and height, unintentional weight loss over the last month and last six months, age, sex, length of stay up to the measurement day, care dependency, and the presence of various diseases (dementia, diabetes mellitus, stroke, diseases of the respiratory system, respiratory diseases and pressure ulcers).ResultsIn total, 14,317 residents were included in this study with a mean age of 82.2, 70.9 female and 66.8% was living on a psychogeriatric ward. Results of this study show relative stability in background characteristics of the nursing home population over the last decade. In the total sample, 16.7% was malnourished and these percentages were 16.6% in 2009, 17.5% in 2013 and 16.3% in 2018. Multiple binary logistic regression analyses revealed having a pressure ulcer, female sex and living on a psychogeriatric department to be positively associated and having diabetes mellitus to be negatively associated with malnutrition throughout the years. These associations were strong and similar across years.ConclusionEven though much attention has been paid to prevent malnutrition in Dutch nursing homes over the last decades, results show a relatively stable malnutrition prevalence rate of around 16%. This leads to the question if nursing staff is able to sufficiently recognize residents with (a risk of) malnutrition, and if they are aware of interventions they could perform to decrease this rate.
Highlights
Background variablesTo assess which variables were associated with malnutrition, various background variables were included in the analyses
Even though much attention has been paid to prevent malnutrition in Dutch nursing homes over the last decades, results show a relatively stable malnutrition prevalence rate of around 16%. This leads to the question if nursing staff is able to sufficiently recognize residents with malnutrition, and if they are aware of interventions they could perform to decrease this rate
The multiple regression analysis shows the strongest associations with malnutrition for female sex, having a pressure ulcer and being admitted to a psychogeriatric department
Summary
To assess which variables were associated with malnutrition, various background variables were included in the analyses. Care dependency was measured using the Care Dependency Scale, a 15-item instrument for need assessment and care planning of institutionalized patients [17]. This scale assesses a residents’ care dependency on several domains, such as eating and drinking, continence, body posture, mobility, communication, etc. To the CDS sum score, the single CDS items ‘eating and drinking’, ‘communication’ and ‘mobility’ were included in this analysis as it is expected that these single items could have a larger influence on malnutrition rate compared to the other items of the scale. Suffering from a pressure ulcer (yes/no) and the type of ward where the resident was living at (psychogeriatric nursing home ward or somatic nursing home ward) were included as variables in this analysis
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
