Hygiena 2023, 68(3):94-98 | DOI: 10.21101/hygiena.a1833
Impact of malnutrition on fall risk in geriatric patients
- Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Ústav ošetrovateľstva, Martin, Slovenská republika
Aim: Malnutrition, as one of the significant risk factors for falling, causes adverse consequences for the patient. The progression of malnutrition and the risk of falling increases significantly with age and contributes to the repeated hospitalisation of the geriatric patient. Identification, analysis and synthesis of studies related to malnutrition as a risk factor for falls in hospitalised geriatric patients.
Method: We carried out the literature review on licensed electronic databases PubMed, Scopus and Web of Science in the period 2005-2022. Of total number of 2,743 studies studied, we included five in the final analysis.
Results: The analysed studies confirmed the association between malnutrition and the risk of falls in the geriatric patient population. Patients aged ≥ 80 years, BMI < 20 and the presence of hypoproteinaemia or hypoalbuminaemia led to reduced mobility and self-sufficiency, increased risk of falls, increased incidence of falls and recurrent falls with consequent injury during hospitalisation.
Conclusion: Malnutrition in hospitalised geriatric patients is associated with impaired mobility, increased risk of falls, reduced quality of life and increased mortality. Nurses are competent in identifying the patient at risk and to carry out objective screening for the risk of malnutrition and falls during hospitalisation.
Keywords: geriatric patient, malnutrition, fall risk
Received: March 2023; Accepted: June 5, 2023; Published: September 30, 2023 Show citation
References
- Fanzo J, Hawkes C, editors. 2018 Global Nutrition Report: shining a light to spur action on nutrition [Internet]. Bristol (UK): Development Initiatives; 2018 [cited 2023 Oct 1]. Available from: https://globalnutritionreport.org/documents/352/2018_Global_Nutrition_Report.pdf.
- Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017 Feb;36(1):49-64.
Go to original source...
Go to PubMed...
- Odborné usmernenie Ministerstva zdravotníctva Slovenskej republiky, ktorým sa mení a dopĺňa odborné usmernenie Ministerstva zdravotníctva Slovenskej republiky č. 13168/2006 - OZS organizácie klinickej výživy. Vestník ministerstva zdravotníctva SR. 2009;57(čiastka 1-3):2-7.
- Canuto CPAS, Oliveira LPBA, Medeiros MRS, Barros WCTDS. Safety of hospitalized older adult patients: an analysis of the risk of falls. Rev Esc Enferm USP. 2020 Sep 18;54:e03613. doi: 10.1590/S1980-220X2018054003613.
Go to original source...
Go to PubMed...
- Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr. 2019 Feb;38(1):10-47.
Go to original source...
Go to PubMed...
- Eglseer D, Hoedl M, Schoberer D. Malnutrition risk and hospital-acquired falls in older adults: A cross-sectional, multicenter study. Geriatr Gerontol Int. 2020 Apr;20(4):348-53.
Go to original source...
Go to PubMed...
- Nagai T, Tanimoto K, Tomizuka Y, Uei H, Nagaoka M. Nutrition status and functional prognosis among elderly patients with distal radius fracture: a retrospective cohort study. J Orthop Surg Res. 2020 Apr 7;15(1):133. doi: 10.1186/s13018-020-01657-y.
Go to original source...
Go to PubMed...
- Magnuszewski L, Swietek M, Kasiukiewicz A, Kuprjanowicz B, Baczek J, Wojszel ZB. Health, functional and nutritional determinants of falls experienced in the previous year-across-sectional study in a geriatric ward. Int J Environ Res Public Health. 2020 Jul 2;17(13):4768. doi: 10.3390/ijerph17134768.
Go to original source...
Go to PubMed...
- Avelino-Silva TJ, Farfel JM, Curiati JA, Amaral JR, Campora F, Jacob-Filho W. Comprehensive geriatric assessment predicts mortality and adverse outcomes in hospitalized older adults. BMC Geriatr. 2014 Dec 3;14:129. doi: 10.1186/1471-2318-14-129.
Go to original source...
Go to PubMed...
- De Buyser SL, Petrovic M, Taes YE, Vetrano DL, Onder G. A multicomponent approach to identify predictors of hospital outcomes in older in-patients: a multicentre, observational study. PLoS One. 2014 Dec 26;9(12):e115413. doi: 10.1371/journal.pone.0115413.
Go to original source...
Go to PubMed...
- Smith S, Chamblee BT, Falder-Saeed K, Haight K, Shuster MH, Waldo MJ, et al. Malnutrition in hospitalized adult patients. Reston (VA): NACNS; 2017.
- Bounoure L, Gomes F, Stanga Z, Keller U, Meier R, Ballmer P, et al; Members of the Working Group. Detection and treatment of medical inpatients with or at-risk of malnutrition: suggested procedures based on validated guidelines. Nutrition. 2016 Jul-Aug;32(7-8):790-8.
Go to original source...
Go to PubMed...
- Neyens J, Halfens R, Spreeuwenberg M, Meijers J, Luiking Y, Verlaan G, et al. Malnutrition is associated with an increased risk of falls and impaired activity in elderly patients in Dutch residential long-term care (LTC): a cross-sectional study. Arch Gerontol Geriatr. 2013 Jan-Feb;56(1):265-9.
Go to original source...
Go to PubMed...
- Reijnierse EM, Verlaan S, Pham VK, Lim WK, Meskers CGM, Maier AB. Lower skeletal muscle mass at admission independently predicts falls and mortality 3 months post-discharge in hospitalized older patients. J Gerontol A Biol Sci Med Sci. 2019 Sep 15;74(10):1650-6.
Go to original source...
Go to PubMed...
- Herdman TH, Kamitsuru S, Lopes CT, editors. Nursing diagnoses definition and classification 2021-2023. 12th ed. New York: Thieme; 2021.
- Chou MY, Liang CK, Hsu YH, Wang YC, Chu CS, Liao MC, et al. Developing a predictive model for hospital-associated disability among older patients hospitalized for an acute illness: the HAD-FREE Score. Eur Geriatr Med. 2021 Oct;12(5):963-71.
Go to original source...
Go to PubMed...
- Safarpour M, Hosseini SR, Mohamadzade M, Bijani A, Fotouhi A. Predictors of incidence of fall in elderly women; a six-month cohort study. Bull Emerg Trauma. 2018 Jul;6(3):226-32.
Go to original source...
Go to PubMed...
- Manrique J, Chen AF, Gomez MM, Maltenfort MG, Hozack WJ. Surgical site infection and transfusion rates are higher in underweight total knee arthroplasty patients. Arthroplast Today. 2016 May 19;3(1):57-60.
Go to original source...
Go to PubMed...
- Golubnitschaja O, Liskova A, Koklesova L, Samec M, Biringer K, Büsselberg D, et al. Caution, "normal" BMI: health risks associated with potentially masked individual underweight-EPMA Position Paper 2021. EPMA J. 2021 Aug 17;12(3):243-64.
Go to original source...
Go to PubMed...
- Cabrerizo S, Cuadras D, Gomez-Busto F, Artaza-Artabe I, Marín-Ciancas F, Malafarina V. Serum albumin and health in older people: review and meta analysis. Maturitas. 2015 May;81(1):17-27.
Go to original source...
Go to PubMed...
- Stránský M. Nutrition in old age. Kontakt. 2015 Sep;17(3):163-70.
Go to original source...
- Ishida Y, Maeda K, Nonogaki T, Shimizu A, Yamanaka Y, Matsuyama R, et al. Malnutrition at admission predicts in-hospital falls in hospitalized older adults. nutrients. 2020 Feb 20;12(2):541. doi: 10.3390/nu12020541.
Go to original source...
Go to PubMed...
- Torres MJ, Féart C, Samieri C, Dorigny B, Luiking Y, Berr C, et al. Poor nutritional status is associated with a higher risk of falling and fracture in elderly people living at home in France: the Three-City cohort study. Osteoporos Int. 2015 Aug;26(8):2157-64.
Go to original source...
Go to PubMed...
- Bóriková I, Tomagová M, Žiaková K. Meracie nástroje v gerontologickom ošetrovateľstve. Multimediálna podpora výučby klinických a zdravotníckych disciplín [online]. Martin: Jesseniova lekárska fakulta Univerzity Komenského; 2014 [cit. 2023-20-01]. Dostupné z: https://portal.jfmed.uniba.sk//clanky.php?aid=251.
- Vyhláška č. 95 Ministerstva zdravotníctva Slovenskej republiky z 12. marca 2018, ktorou sa určuje rozsah ošetrova- teľskej praxe poskytovanej sestrou samostatne, samostatne na základe indikácie lekára a v spolupráci s lekárom a rozsah praxe pôrodnej asistencie poskytovanej pôrodnou asistentkou samostatne, samostatne na základe indikácie lekára a v spolupráci s lekárom. Zbierka zákonov SR. 2018;1-12.