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Association of resident, facility, and geographic characteristics with chronic undernutrition in a nationally represented sample of older residents in U.S. nursing homes.
J Nutr Health Aging. 2007 Mar-Apr; 11(2):179-84.JN

Abstract

BACKGROUND

Undernutrition (also known as protein-calorie malnutrition or energy-deficiency) is associated with exacerbation of health conditions, increased frailty, and decline in physical, cognitive, and affective function. This is a critical problem for older adults who reside in nursing homes and have many limitations that contribute to reduced food intake.

OBJECTIVE

To determine the relationship of chronic undernutrition [body mass index (BMI) < 18.5 kg/m2] to resident, facility, and geographical characteristics in a national sample of nursing home residents aged 60 y or older in the U.S.

DESIGN

A cross-sectional, secondary analysis of a 10% nationally representative random sample of annual assessments of nursing home residents in the U.S. (n = 128,514), using the Minimum Data Set (MDS). Data included measured weight and height, resident characteristics, facility characteristics, and geographic location.

RESULTS

More than 12% (n = 15,566) were chronically undernourished (energy-deficient), with more than 27% of those being severely undernourished (BMI < 16). Independent correlates of chronic undernutrition (multivariate analysis) included resident characteristics (ADL, having chewing or swallowing problems, or leaving at least 25% of the meal uneaten), facility characteristics (% Medicare and for-profit status), and geographic characteristics (living in nursing home in urban or large towns).

CONCLUSION

This study found a high percentage of chronic undernutrition in this nationally representative sample of U.S. nursing home residents. Furthermore, resident, facility, and geographic characteristics were associated with chronic undernutrition. Strategies need to be developed and documented that ensure nutritional health to residents with a variety of health problems.

Authors+Show Affiliations

Dept. of Community Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900, USA. challas@uthscsa.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17435960

Citation

Challa, S, et al. "Association of Resident, Facility, and Geographic Characteristics With Chronic Undernutrition in a Nationally Represented Sample of Older Residents in U.S. Nursing Homes." The Journal of Nutrition, Health & Aging, vol. 11, no. 2, 2007, pp. 179-84.
Challa S, Sharkey JR, Chen M, et al. Association of resident, facility, and geographic characteristics with chronic undernutrition in a nationally represented sample of older residents in U.S. nursing homes. J Nutr Health Aging. 2007;11(2):179-84.
Challa, S., Sharkey, J. R., Chen, M., & Phillips, C. D. (2007). Association of resident, facility, and geographic characteristics with chronic undernutrition in a nationally represented sample of older residents in U.S. nursing homes. The Journal of Nutrition, Health & Aging, 11(2), 179-84.
Challa S, et al. Association of Resident, Facility, and Geographic Characteristics With Chronic Undernutrition in a Nationally Represented Sample of Older Residents in U.S. Nursing Homes. J Nutr Health Aging. 2007 Mar-Apr;11(2):179-84. PubMed PMID: 17435960.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of resident, facility, and geographic characteristics with chronic undernutrition in a nationally represented sample of older residents in U.S. nursing homes. AU - Challa,S, AU - Sharkey,J R, AU - Chen,M, AU - Phillips,C D, PY - 2007/4/17/pubmed PY - 2007/7/4/medline PY - 2007/4/17/entrez SP - 179 EP - 84 JF - The journal of nutrition, health & aging JO - J Nutr Health Aging VL - 11 IS - 2 N2 - BACKGROUND: Undernutrition (also known as protein-calorie malnutrition or energy-deficiency) is associated with exacerbation of health conditions, increased frailty, and decline in physical, cognitive, and affective function. This is a critical problem for older adults who reside in nursing homes and have many limitations that contribute to reduced food intake. OBJECTIVE: To determine the relationship of chronic undernutrition [body mass index (BMI) < 18.5 kg/m2] to resident, facility, and geographical characteristics in a national sample of nursing home residents aged 60 y or older in the U.S. DESIGN: A cross-sectional, secondary analysis of a 10% nationally representative random sample of annual assessments of nursing home residents in the U.S. (n = 128,514), using the Minimum Data Set (MDS). Data included measured weight and height, resident characteristics, facility characteristics, and geographic location. RESULTS: More than 12% (n = 15,566) were chronically undernourished (energy-deficient), with more than 27% of those being severely undernourished (BMI < 16). Independent correlates of chronic undernutrition (multivariate analysis) included resident characteristics (ADL, having chewing or swallowing problems, or leaving at least 25% of the meal uneaten), facility characteristics (% Medicare and for-profit status), and geographic characteristics (living in nursing home in urban or large towns). CONCLUSION: This study found a high percentage of chronic undernutrition in this nationally representative sample of U.S. nursing home residents. Furthermore, resident, facility, and geographic characteristics were associated with chronic undernutrition. Strategies need to be developed and documented that ensure nutritional health to residents with a variety of health problems. SN - 1279-7707 UR - https://www.unboundmedicine.com/medline/citation/17435960/Association_of_resident_facility_and_geographic_characteristics_with_chronic_undernutrition_in_a_nationally_represented_sample_of_older_residents_in_U_S__nursing_homes_ L2 - https://medlineplus.gov/nursinghomes.html DB - PRIME DP - Unbound Medicine ER -