Schreiber, F. S., Becker, I., Deckert, P., Elsbernd, H. and Isensee, C. (2016). MALNUTRITION AND LABORATORY MARKERS IN GERIATRIC PATIENTS. A COMPARISON OF NEUROLOGIC-PSYCHIATRIC, INTERNAL AND TRAUMA SURGICAL DISEASES. J. Nutr. Health Aging, 20 (4). S. 458 - 462. PARIS: SPRINGER FRANCE. ISSN 1760-4788

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Abstract

Objectives: There is minimal information on malnutrition in neurologic-psychiatric patients compared to internal and trauma-surgical patients. The aim of the present study was to explore if there is a correlation of these different disease groups with the nutritional assessment and biochemical markers. Design: Cross - sectional study. Setting and Participants: The study was done in a department of geriatric medicine with subspecialisation in neurologic diseases and stroke unit. 338 patients (m / f = 136 / 202, mean age 81.4 +/- 7.3 years) were evaluated. Measurements: The nutritional status was evaluated by using the short form of the Mini Nutritional Assessment (MNA-SF) and seven biochemical markers (hemoglobin, iron, ferritin, vitamin B 12, folic acid, albumin and cholinesterase) were measured. Results: There were 74 (22%) patients with MNA <= 7 points (malnutrition), 148 (44%) patients with an MNA 8 - 11 points (risk of malnutrition) and 116 (34%) patients with an MNA = 12 points (good nutritional status). The mean MNA score of the three major disease groups trauma-surgery, internal medicine and neurology-psychiatry was 9.1 +/- 3.2 vs. 9.9 +/- 3.1 vs. 10.0 +/- 2.8 (p=0.236). There were significant differences of laboratory markers between the disease groups. A deficit of albumin, cholinesterase and hemoglobin was found more often in trauma-surgical and internal patients than in neurological-psychiatric patients (albumin: 21.4%, 15.7%, 5.3%; p=0.001; cholinesterase 16.7%, 16.9%, 6.3%; p=0.007; hemoglobin 78.6%, 61.4%, 50.0%; p=0.002). Conclusions: Following Mini Nutritional Assessment, the additional measurement of albumin, cholinesterase and hemoglobin allowed a more precise grading of malnutrition. There were significant differences between the disease groups. A deficit of albumin, cholinesterase and hemoglobin was found more often in multimorbid trauma-surgical and internal patients than in neurologic-psychiatric patients.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schreiber, F. S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Becker, I.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Deckert, P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Elsbernd, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Isensee, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-279328
DOI: 10.1007/s12603-015-0575-z
Journal or Publication Title: J. Nutr. Health Aging
Volume: 20
Number: 4
Page Range: S. 458 - 462
Date: 2016
Publisher: SPRINGER FRANCE
Place of Publication: PARIS
ISSN: 1760-4788
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
MINI-NUTRITIONAL ASSESSMENT; ALZHEIMERS-DISEASE; POPULATION; DEMENTIA; FRAILTY; ANEMIAMultiple languages
Geriatrics & Gerontology; Nutrition & DieteticsMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/27932

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