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. 2011 May;15(5):388-91.
doi: 10.1007/s12603-010-0302-8.

Nutritional status and associations with falls, balance, mobility and functionality during hospital admission

A Vivanti  1 , N Ward, T Haines
Affiliations

Nutritional status and associations with falls, balance, mobility and functionality during hospital admission

A Vivanti et al. J Nutr Health Aging. 2011 May.

Abstract

Objectives: To explore associations between nutritional status, falls and selected falls risk factors amongst older hospitalized people. Lengths of stay amongst fallers and the malnourished were assessed.

Design: An observational longitudinal cohort study.

Setting: Geriatric Assessment and Rehabilitation Unit (GARU) of a tertiary teaching hospital.

Participants: Admissions to the GARU during a six-month period were included.

Measurements: Associations between nutritional status and falls during hospitalization, reported preadmission history of falls, functional status, balance and mobility during GARU admission were analysed. Associations between nutritional status or experiencing a hospital fall and length of stay were also examined.

Results: Malnutrition prevalence was 39% (75/194, 95% CI 32-46%) with odds of falling during admission being 1.49 (95%CI: 0.81, 2.75), p< 0.20). Patients assessed as malnourished were older (p<0.001) and more likely to have a poorer score on both the admission (p<0.05) and discharge (p<0.009) timed "Up and Go" test. Malnutrition was associated with reduced mobility (p<0.05). Those who fell during admission had statistically greater lengths of stay compared with non-fallers [median (range): 57.0 (7-127) vs 35.0 (5-227) days; p<0.002].

Conclusion: Evidence of reduced mobility was evident during GARU admission amongst older people assessed as malnourished. Considering the results, a larger study concerning nutritional status, functionality and falls in the hospitalized population is warranted. The influence of nutritional status upon a person's physical functioning should be considered more broadly in falls research.

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References

    1. Veilas B., Baumgartner R., Wayne A., et al. Relationship between malnutrition and falls in the elderly. Nutrition. 1992;8:105–108. - PubMed
    1. Hebuterne X., Bermon S., Schneider S.M. Ageing and muscle: the effects of malnutrition, re-nutrition, and physical exercise. Current Opinion in Clinical Nutrition & Metabolic Care. 2001;4:295–300. 10.1097/00075197-200107000-00009 - DOI - PubMed
    1. Gillespie L.D., Gillespie W.J., Robertson M.C., et al. Interventions for preventing falls in elderly people. John Wiley & Sons, Ltd; Chichester, UK.: 2003.
    1. Haines T., Kuys S.S., Morrison G., et al. Balance impairment not predictive of falls in geriatric rehabilitation wards. Journals of Gerontology Series A-Biological Sciences & Medical Sciences. 2008;63:523–528. - PubMed
    1. Bauer J.D., Isenririg E., Torma J., et al. Nutritional status of patients who have fallen in an acute care setting. Journal of Human Nutrition & Dietetics. 2007;20:558–564. 10.1111/j.1365-277X.2007.00832.x - DOI - PubMed

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