Date of this Version

4-1-2014

Document Type

Journal Article

Publication Details

Accepted version

This is the peer reviewed version of the following article:

Marshall, S., Bauer, J., & Isenring, E. (2014). The consequences of malnutrition following discharge from rehabilitation to the community: A systematic review of current evidence in older adults. Journal of Human Nutrition and Dietetics, 27(2), 133-141.

It has been published in final form at [Link to final article using the DOI: 10.1111/jhn.12167.

This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

Access the journal

© 2013 The British Dietetic Association Ltd.

ISSN

1365-277X

Abstract

Background

The prevalence of malnutrition in the rehabilitation setting is estimated to be 30–50%, with older adults at higher nutritional risk. Malnutrition also exists in the community setting, where 10–30% of adults are malnourished; however, the relationship between the two settings has been little explored. The present study aimed to determine the association between malnutrition in older adults admitted for rehabilitation and nutrition status, functional status, quality of life, institutionalisation, acute care admissions and mortality once discharged to the community.

Methods

Six electronic databases were searched for relevant publications (1990–2013) using controlled vocabulary. Longitudinal papers were included in which older adults (≥65 years) were admitted for rehabilitation if nutrition assessment was performed during admission with relevant outcomes measured following discharge to the community.

Results

Five observational studies were eligible for review which had similar populations. The five reviews comprised 1020 participants in total and, once discharged, follow-up ranged from immediate to 26 months. Malnutrition during rehabilitation was negatively associated with physical function and quality of life, and positively associated with risk of institutionalisation, hospitalisation and mortality. Although these studies were of high quality and strength, the overall contribution to the evidence is limited as a result of the small number of heterogenic studies. No intervention studies were identified.

Conclusions

Malnutrition in older adults admitted for rehabilitation has a negative effect on functional recovery and quality of life following discharge to the community. This review highlights an evidence gap along the continuum of care for malnourished older adults, where further observational and intervention research is needed following discharge from rehabilitation to the community.

Share

COinS
 

This document has been peer reviewed.

 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.