Dataset Information

Applications of the new ESPEN definition of malnutrition and SARC-F in Chinese nursing home residents.

ABSTRACT: We aimed to compare the predictive capacity of malnutrition, sarcopenia, and malnutrition combined with sarcopenia for mortality in nursing home residents. We conducted a prospective study in four nursing homes in China. Nutrition status and sarcopenia were measured according to the new European Society of Clinical Nutrition and Metabolism (ESPEN) definition and SARC-F, respectively. The study population was divided into four groups: malnutrition with sarcopenia (MN+/SA+), malnutrition without sarcopenia (MN+/SA-), sarcopenia without malnutrition (MN-/SA+), and normal nutrition without sarcopenia (MN-/SA-). The participants were followed up for 12 months. We included 329 participants. Thirty-eight participants (11.6%) had MN+/SA+, 38 participants (11.6%) had MN+/SA-, and 93 participants (28.3%) had MN-/SA+. The 1-year mortality was 18.3%, 21.5%, 18.4%, and 47.4% in the MN-/SA-, MN-/SA+, MN+/SA-, and MN+/SA+ groups, respectively. Compared to participants with MN-/SA-, participants with MN+/SA+ were at a significantly higher risk of mortality (adjusted hazard ratio [HR]: 3.19, 95% confidence interval [CI] 1.71-5.95); however, MN-/SA+ (adjusted HR: 1.24, 95% CI 0.69-2.22) and MN+/SA- (adjusted HR: 0.95, 95% CI 0.41-2.19) were not predictors of mortality. In conclusion, the coexistence of malnutrition and sarcopenia is a significant predictor of mortality in a study population of Chinese nursing home residents.

SUBMITTER: Yang M

PROVIDER: S-EPMC6175895 | biostudies-other | 2018 Oct

REPOSITORIES: biostudies-other

ACCESS DATA

Publications

Applications of the new ESPEN definition of malnutrition and SARC-F in Chinese nursing home residents.

Yang Ming M Huang Zhaojing Z Chen Jing J Jiang Jiaojiao J Zuo Yun Y Hao Qiukui Q

Scientific reports 20181008 1

We aimed to compare the predictive capacity of malnutrition, sarcopenia, and malnutrition combined with sarcopenia for mortality in nursing home residents. We conducted a prospective study in four nursing homes in China. Nutrition status and sarcopenia were measured according to the new European Society of Clinical Nutrition and Metabolism (ESPEN) definition and SARC-F, respectively. The study population was divided into four groups: malnutrition with sarcopenia (MN+/SA+), malnutrition without s ...[more]

PMID: 30297795

Similar Datasets

Project description:AIMS AND OBJECTIVES:To explore nursing home residents' perspectives on their relationships with other residents, family members and staff. BACKGROUND:The cultivation of social relationships is central to promoting well-being in nursing homes, as these relationships allow residents, family members and staff to be valued as unique persons and empowered as partners in care. Few studies have examined how nursing home residents perceive the relationships in their social networks, both within and beyond the facility. DESIGN:Qualitative secondary analysis. METHODS:We analysed individual and group interviews obtained during "stakeholder engagement sessions" with cognitively intact residents (N = 11 sessions; N = 13 participants) from two nursing homes in North Carolina. The interviews were conducted as part of a larger study on person-directed care planning. We integrated thematic and narrative analytic approaches to guide the analysis of interview data, using a three-cycle coding approach. The COREQ checklist was followed. RESULTS:Four broad themes emerged from this analysis: (a) peer relationships foster a sense of belonging, purpose, achievement and significance; (b) residents' relationships with family members support a sense of belonging, continuity and significance; (c) mutual respect and reciprocity between residents and nursing home staff promote a sense of belonging and significance; and (d) organisational factors pose barriers to forging meaningful relationships. Each type of relationship-peer, family and staff-made distinctive contributions residents' psychosocial well-being. CONCLUSION:Recognising the diverse roles of different actors from residents' social networks raises questions for future research to optimise the distinctive contributions of network members that promote residents' psychosocial well-being. RELEVANCE TO CLINICAL PRACTICE:This study highlights the need for nursing home staff to understand how residents' social relationships influence residents' psychosocial outcomes. Staff training programmes are needed to support residents' rights and to dispel inaccurate interpretations of regulations that threaten sustained meaningful relationships.

Dataset Information

Applications of the new ESPEN definition of malnutrition and SARC-F in Chinese nursing home residents.

Publications

Applications of the new ESPEN definition of malnutrition and SARC-F in Chinese nursing home residents.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets