Potentially modifiable determinants of malnutrition in older adults: A systematic review

  1. O'Keeffe, Mary
  2. Kelly, Mary
  3. O'Herlihy, Eileen
  4. O'Toole, Paul W.
  5. Kearney, Patricia M.
  6. Timmons, Suzanne
  7. O'Shea, Emma
  8. Stanton, Cathrine
  9. Hickson, Mary
  10. Rolland, Yves M.
  11. Sulmont-Rossé, Claire
  12. Issanchou, Sylvie N.
  13. Maitre, Isabelle
  14. Stelmach-Mardas, Marta
  15. Nagel, Gabriële C.
  16. Flechtner-Mors, Marion
  17. Wolters, Maike ORCID logo
  18. Hebestreit, Antje ORCID logo
  19. De Groot, Lisette C.P.G.M.
  20. van de Rest, Ondine V.D.
  21. Teh, Ruth
  22. Peyron, Marie Agnès
  23. Dardevet, Dominique P.
  24. Papet, Isabelle
  25. Schindler, Karin Emmi
  26. Streicher, Melanie
  27. Torbahn, Gabriel
  28. Kiesswetter, Eva
  29. Visser, Marjolein
  30. Volkert, Dorothee
  31. O'Connor, Eibhlis M.
  32. The MaNuEl consortium

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WeightNameValue
1000 Titel
  • Potentially modifiable determinants of malnutrition in older adults: A systematic review
1000 Autor/in
  1. O'Keeffe, Mary |
  2. Kelly, Mary |
  3. O'Herlihy, Eileen |
  4. O'Toole, Paul W. |
  5. Kearney, Patricia M. |
  6. Timmons, Suzanne |
  7. O'Shea, Emma |
  8. Stanton, Cathrine |
  9. Hickson, Mary |
  10. Rolland, Yves M. |
  11. Sulmont-Rossé, Claire |
  12. Issanchou, Sylvie N. |
  13. Maitre, Isabelle |
  14. Stelmach-Mardas, Marta |
  15. Nagel, Gabriële C. |
  16. Flechtner-Mors, Marion |
  17. Wolters, Maike |
  18. Hebestreit, Antje |
  19. De Groot, Lisette C.P.G.M. |
  20. van de Rest, Ondine V.D. |
  21. Teh, Ruth |
  22. Peyron, Marie Agnès |
  23. Dardevet, Dominique P. |
  24. Papet, Isabelle |
  25. Schindler, Karin Emmi |
  26. Streicher, Melanie |
  27. Torbahn, Gabriel |
  28. Kiesswetter, Eva |
  29. Visser, Marjolein |
  30. Volkert, Dorothee |
  31. O'Connor, Eibhlis M. |
1000 Mitwirkende/r
  1. The MaNuEl consortium |
1000 Erscheinungsjahr 2018
1000 LeibnizOpen
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2018-12-11
1000 Erschienen in
1000 Quellenangabe
  • 38(6):2477-2498
1000 FRL-Sammlung
1000 Copyrightjahr
  • 2018
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1016/j.clnu.2018.12.007 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • BACKGROUND & AIMS: Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic review was to investigate the modifiable determinants of malnutrition in older adults. METHODS: A systematic approach was taken to conduct this review. Eight databases were searched. Prospective cohort studies with participants of a mean age of 65 years or over were included. Studies were required to measure at least one determinant at baseline and malnutrition as outcome at follow-up. Study quality was assessed using a modified version of the Quality in Prognosis Studies (QUIPS) tool. Pooling of data in a meta-analysis was not possible therefore the findings of each study were synthesized narratively. A descriptive synthesis of studies was used to present results due the heterogeneity of population source and setting, definitions of determinants and outcomes. Consistency of findings was assessed using the schema: strong evidence, moderate evidence, low evidence, and conflicting evidence. RESULTS: Twenty-three studies were included in the final review. Thirty potentially modifiable determinants across seven domains (oral, psychosocial, medication and care, health, physical function, lifestyle, eating) were included. The majority of studies had a high risk of bias and were of a low quality. There is moderate evidence that hospitalisation, eating dependency, poor self-perceived health, poor physical function and poor appetite are determinants of malnutrition. Moderate evidence suggests that chewing difficulties, mouth pain, gum issues co-morbidity, visual and hearing impairments, smoking status, alcohol consumption and physical activity levels, complaints about taste of food and specific nutrient intake are not determinants of malnutrition. There is low evidence that loss of interest in life, access to meals and wheels, and modified texture diets are determinants of malnutrition. Furthermore, there is low evidence that psychological distress, anxiety, loneliness, access to transport and wellbeing, hunger and thirst are not determinants of malnutrition. There appears to be conflicting evidence that dental status, swallowing, cognitive function, depression, residential status, medication intake and/or polypharmacy, constipation, periodontal disease are determinants of malnutrition. CONCLUSION: There are multiple potentially modifiable determinants of malnutrition however strong robust evidence is lacking for the majority of determinants. Better prospective cohort studies are required. With an increasingly ageing population, targeting modifiable factors will be crucial to the effective treatment and prevention of malnutrition.
1000 Sacherschließung
lokal Older adults
lokal Prospective cohort studies
lokal Systematic review
lokal Malnutrition
lokal Determinants
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
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1000 Label
1000 Förderer
  1. Bundesministerium für Wissenschaft, Forschung und Wirtschaft |
  2. École supérieure d'agricultures (ESA) |
  3. Bundesministerium für Ernährung und Landwirtschaft |
  4. Institut National de la Recherche Agronomique |
  5. Department of Agriculture, Food and the Marine, Ireland |
  6. Health Research Board |
  7. Instituto de Salud Carlos III |
  8. FP7 Health |
  9. ZonMw |
  10. Joint Programming Initiative A healthy diet for a healthy life |
1000 Fördernummer
  1. 10.420/0003-WF/V/3C/2016
  2. -
  3. FAU: 2815ERA10E, BIPS: 815ERA09E
  4. -
  5. -
  6. 15HDHL2
  7. -
  8. -
  9. 529051008
  10. -
1000 Förderprogramm
  1. -
  2. -
  3. -
  4. -
  5. -
  6. -
  7. -
  8. SENATOR trial
  9. -
  10. -
1000 Dateien
  1. O'Keeffe-et-al_2018_Potentially modifiable determinants of malnutrition in older adults_A systematic review
    O'Keeffe-et-al_2018_Potentially modifiable determinants of malnutrition in older adults_A systematic review
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Bundesministerium für Wissenschaft, Forschung und Wirtschaft |
    1000 Förderprogramm -
    1000 Fördernummer 10.420/0003-WF/V/3C/2016
  2. 1000 joinedFunding-child
    1000 Förderer École supérieure d'agricultures (ESA) |
    1000 Förderprogramm -
    1000 Fördernummer -
  3. 1000 joinedFunding-child
    1000 Förderer Bundesministerium für Ernährung und Landwirtschaft |
    1000 Förderprogramm -
    1000 Fördernummer FAU: 2815ERA10E, BIPS: 815ERA09E
  4. 1000 joinedFunding-child
    1000 Förderer Institut National de la Recherche Agronomique |
    1000 Förderprogramm -
    1000 Fördernummer -
  5. 1000 joinedFunding-child
    1000 Förderer Department of Agriculture, Food and the Marine, Ireland |
    1000 Förderprogramm -
    1000 Fördernummer -
  6. 1000 joinedFunding-child
    1000 Förderer Health Research Board |
    1000 Förderprogramm -
    1000 Fördernummer 15HDHL2
  7. 1000 joinedFunding-child
    1000 Förderer Instituto de Salud Carlos III |
    1000 Förderprogramm -
    1000 Fördernummer -
  8. 1000 joinedFunding-child
    1000 Förderer FP7 Health |
    1000 Förderprogramm SENATOR trial
    1000 Fördernummer -
  9. 1000 joinedFunding-child
    1000 Förderer ZonMw |
    1000 Förderprogramm -
    1000 Fördernummer 529051008
  10. 1000 joinedFunding-child
    1000 Förderer Joint Programming Initiative A healthy diet for a healthy life |
    1000 Förderprogramm -
    1000 Fördernummer -
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6417637.rdf
1000 Erstellt am 2019-11-21T14:24:09.447+0100
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1000 Bearbeitet von 218
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1000 Oai Id
  1. oai:frl.publisso.de:frl:6417637 |
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