Mild Cognitive Impairment Is Associated with Poorer Nutritional Status on Hospital Admission and after Discharge in Acutely Hospitalized Older Patients
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Mild Cognitive Impairment Is Associated with Poorer Nutritional Status on Hospital Admission and after Discharge in Acutely Hospitalized Older Patients. / Bornæs, Olivia; Andersen, Aino L.; Houlind, Morten B.; Kallemose, Thomas; Tavenier, Juliette; Aharaz, Anissa; Nielsen, Rikke L.; Jørgensen, Lillian M.; Beck, Anne M.; Andersen, Ove; Petersen, Janne; Pedersen, Mette M.
In: Geriatrics (Switzerland), Vol. 7, No. 5, 95, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Mild Cognitive Impairment Is Associated with Poorer Nutritional Status on Hospital Admission and after Discharge in Acutely Hospitalized Older Patients
AU - Bornæs, Olivia
AU - Andersen, Aino L.
AU - Houlind, Morten B.
AU - Kallemose, Thomas
AU - Tavenier, Juliette
AU - Aharaz, Anissa
AU - Nielsen, Rikke L.
AU - Jørgensen, Lillian M.
AU - Beck, Anne M.
AU - Andersen, Ove
AU - Petersen, Janne
AU - Pedersen, Mette M.
N1 - Publisher Copyright: © 2022 by the authors.
PY - 2022
Y1 - 2022
N2 - In acutely hospitalized older patients (≥65 years), the association between mild cognitive impairment (MCI) and malnutrition is poorly described. We hypothesized that (1) MCI is associated with nutritional status on admission and after discharge; (2) MCI is associated with a change in nutritional status; and (3) a potential association is partly explained by frailty, comorbidity, medication use, and age. We combined data from a randomized controlled trial (control group data) and a prospective cohort study (ClinicalTrials.gov: NCT01964482 and NCT03052192). Nutritional status was assessed on admission and follow-up using the Mini Nutritional Assessment—Short Form. MCI or intact cognition (noMCI) was classified by three cognitive performance tests at follow-up. Data on frailty, comorbidity, medication use, and age were drawn from patient journals. MCI (n = 42) compared to noMCI (n = 47) was associated with poorer nutritional status with an average difference of −1.29 points (CI: −2.30; −0.28) on admission and −1.64 points (CI: −2.57; −0.70) at 4-week follow-up. Only age influenced the estimates of −0.85 (CI: −1.86; 0.17) and −1.29 (CI: −2.25; −0.34), respectively. In acutely hospitalized older patients, there is an association between MCI and poorer nutritional status upon admission and four weeks after discharge. The association is partly explained by higher age.
AB - In acutely hospitalized older patients (≥65 years), the association between mild cognitive impairment (MCI) and malnutrition is poorly described. We hypothesized that (1) MCI is associated with nutritional status on admission and after discharge; (2) MCI is associated with a change in nutritional status; and (3) a potential association is partly explained by frailty, comorbidity, medication use, and age. We combined data from a randomized controlled trial (control group data) and a prospective cohort study (ClinicalTrials.gov: NCT01964482 and NCT03052192). Nutritional status was assessed on admission and follow-up using the Mini Nutritional Assessment—Short Form. MCI or intact cognition (noMCI) was classified by three cognitive performance tests at follow-up. Data on frailty, comorbidity, medication use, and age were drawn from patient journals. MCI (n = 42) compared to noMCI (n = 47) was associated with poorer nutritional status with an average difference of −1.29 points (CI: −2.30; −0.28) on admission and −1.64 points (CI: −2.57; −0.70) at 4-week follow-up. Only age influenced the estimates of −0.85 (CI: −1.86; 0.17) and −1.29 (CI: −2.25; −0.34), respectively. In acutely hospitalized older patients, there is an association between MCI and poorer nutritional status upon admission and four weeks after discharge. The association is partly explained by higher age.
KW - acute admission
KW - cognitive dysfunction
KW - comorbidity
KW - frailty
KW - hospital
KW - malnutrition
KW - medication
KW - nutritional status
KW - older adults
U2 - 10.3390/geriatrics7050095
DO - 10.3390/geriatrics7050095
M3 - Journal article
C2 - 36136804
AN - SCOPUS:85140580804
VL - 7
JO - Geriatrics (Switzerland)
JF - Geriatrics (Switzerland)
SN - 2308-3417
IS - 5
M1 - 95
ER -
ID: 324545553