6533b85cfe1ef96bd12bc95b

RESEARCH PRODUCT

Nutritional form for the elderly is a reliable and valid instrument for the determination of undernutrition risk, and it is associated with health-related quality of life.

Krisztina KertészZoltán ProhászkaZoltán ProhászkaUlrika SöderhamnOlle SöderhamnOlle SöderhamnTímea GombosÁGnes Csíkos

subject

GerontologyMaleEndocrinology Diabetes and MetabolismRisk AssessmentSensitivity and SpecificityEndocrinologyQuality of life (healthcare)EQ-5DSurveys and QuestionnairesMedicineHumansRisk factorGeriatric AssessmentAgedHealth related quality of lifeNutrition and DieteticsAnthropometrybusiness.industryMalnutritionReproducibility of Resultssocial sciencesAnthropometrymedicine.diseasehumanitiesMalnutritionNutrition AssessmentQuality of LifeFemaleRisk assessmentbusinessBody mass index

description

Undernutrition is a common problem associated with clinical complications such as impaired immune response, reduced muscle strength, impaired wound healing, and susceptibility to infections; therefore, it is an important treatment target to reduce morbidity and mortality associated with chronic diseases and aging. The aim of the present study was to apply a reliable and valid instrument for the determination of undernutrition risk in an in-hospital patient population and to describe possible associations between risk of undernutrition and some aspects of health-related quality of life in patients with chronic diseases. Fifty-six adult patients with different chronic diseases were interviewed with NUFFE questionnaire and the EQ-5D. Anthropometric measurements were performed. Reliability and validity of the NUFFE instrument was tested, and its correlation with EQ-5D was calculated. Euro-Qol scores correlated significantly with the total NUFFE scores and with the items constructing the most important factor of the instrument, explaining 53.74% of its variance. Nutritional form for the elderly was shown to be a reliable instrument in the study group because its internal consistency measured by Cronbach alpha was 0.62, and the item-total score correlations were significant for the half of the items. Criterion-related validity, concurrent validity, and construct validity of NUFFE were established. We have shown that impaired level of health-related quality of life is an important determinant of risk for undernutrition. Nutritional form for the elderly is an appropriate instrument to estimate undernutrition risk in a general, in-hospital patient population with various chronic diseases and to identify "at risk" patients who may benefit from professional dietary interventions to reduce undernutrition-related complications.

10.1016/j.nutres.2007.12.003https://pubmed.ncbi.nlm.nih.gov/19083389