%0 Journal Article
%T Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables
%A Emam M. M. Esmayel
%A Mohsen M. Eldarawy
%A Mohamed M. M. Hassan
%A Hassan Mahmoud Hassanin
%A Walid M. Reda Ashour
%A Wael Mahmoud
%J Journal of Aging Research
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/101725
%X Background. This work was constructed in order to assess the nutritional and functional status in hospitalized elderly and to study the associations between them and sociodemographic variables. Methods. 200 elderly patients (>65 years old) admitted to Internal Medicine and Neurology Departments in nonemergency conditions were included. Comprehensive geriatric assessments, including nutritional and functional assessments, were done according to nutritional checklist and Barthel index, respectively. Information was gathered from the patients, from the ward nurse responsible for the patient, and from family members who were reviewed. Results. According to the nutritional checklist, 56% of participants were at high risk, 18% were at moderate risk of malnutrition, and 26% had good nutrition. There was a high nutritional risk in patients with low income and good nutrition in patients with moderate income. Also, there was a high nutritional risk in rural residents (61.9%) in comparison with urban residents (25%). Barthel index score was significantly lower in those at high risk of malnutrition compared to those at moderate risk and those with good nutrition. Conclusions. Hospitalized elderly are exposed to malnutrition, and malnourished hospitalized patients are candidates for functional impairment. Significant associations are noticed between both nutritional and functional status and specific sociodemographic variables. 1. Introduction In recent years, there has been a sharp increase in the number of older persons worldwide [1]. It is estimated that almost half of the adults who are hospitalized are 65 years of age or older, although those older than 65 years represent only 12.5 percent of the population [2]. Aging is associated with various physiological changes and needs, which make elderly people vulnerable to malnutrition [3]. Malnutrition is a major geriatric problem associated with poor health status and high mortality, and the impact of a patient¡¯s nutritional condition on the clinical outcome has been widely recognized [4]. Application of nutritional support based on nutritional screening results significantly reduced the incidence of complications and the length of hospital stay [5]. The prevalence of malnutrition varies considerably depending on the population studied and the criteria used for the diagnosis [3]. The nutritional screening checklist (NCL) is the most frequently used nutritional screening tool for community-dwelling older adults. It is intended to prevent impairment by identifying and treating nutritional problems before they become a
%U http://www.hindawi.com/journals/jar/2013/101725/