Prevalence and causes of undernutrition in medical outpatients

The American Journal of Medicine
M M WilsonD K Miller

Abstract

To assess the prevalence, common causes, and frequency of recognition and treatment of undernutrition in older and younger medical outpatients using a cross-sectional survey design with 2-year follow-up of undernourished subjects. Charts of 1017 adult patients attending a hospital outpatient department were reviewed for the presence of undernutrition, and 85 patients meeting inclusion criteria for undernutrition were evaluated and followed for 2 years. An initial evaluation focused on nutritional, cognitive, and affective status and on nutritional attitudes using two subscales of the EAT-26 eating disorder inventory. After 2 years, initial data plus outpatient records were evaluated by 2 independent reviewers to determine a primary cause of undernutrition and to assess the recognition and treatment of undernutrition by the primary physician. Undernutrition was identified in 46 (11%) and 44 (7%) of older and younger subjects respectively; odds ratio (OR) (95% [confidence interval (CI)]) for older versus younger=1.65 (1.06 to 2.51). The primary cause of undernutrition differed between age groups but was deemed treatable in nearly 90% of all subjects. Undernutrition was recognized in 19 (43%) older subjects and 5 (12%) younger sub...Continue Reading

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Nov 1, 1991·Journal of the American Geriatrics Society·M Mowé, T Bøhmer
Sep 1, 1991·American Journal of Public Health·A Manson, S Shea
May 1, 1991·Journal of the American Geriatrics Society·D K MillerF M Pietruszka
May 1, 1991·Journal of the American Geriatrics Society·M P Thompson, L K Morris
May 1, 1990·Archives of Internal Medicine·M TaybackE Chee
Jun 1, 1990·Journal of the American Geriatrics Society·D K MillerL S Strome
Nov 1, 1986·The Journal of Clinical Investigation·D H PerlmutterH R Colten
Sep 1, 1989·The Proceedings of the Nutrition Society·A Fleck
Jan 1, 1989·Psychopharmacology·J Gross, M L Stitzer
Aug 1, 1989·Critical Care Medicine·M G BoosalisC J McClain
Jan 1, 1989·Annals of the New York Academy of Sciences·J E MorleyL Z Rubenstein
Dec 1, 1988·Annals of Internal Medicine·J E MorleyR B Alfin-Slater
Mar 1, 1988·JPEN. Journal of Parenteral and Enteral Nutrition·J J PomposelliB R Bistrian
Jul 1, 1987·JPEN. Journal of Parenteral and Enteral Nutrition·D RudmanD E Mattson
Oct 1, 1987·Journal of the American Geriatrics Society·D BlazerD C Hughes
Jan 1, 1982·Journal of Psychiatric Research·J A YesavageV O Leirer
Nov 1, 1981·Annals of Internal Medicine·K I MartonJ R Krupp
Feb 1, 1980·Journal of the American Geriatrics Society·D Blazer
Apr 1, 1980·The American Journal of Psychiatry·D Blazer, C D Williams
Apr 1, 1995·Journal of the American Geriatrics Society·J I WallaceR A Pearlman
Jun 1, 1994·Journal of the American Geriatrics Society·J E Morley, D Kraenzle
Feb 13, 1960·Journal of the American Medical Association·A M MASTERG BECKMAN

❮ Previous
Next ❯

Citations

Feb 4, 2009·Current Psychiatry Reports·John O BrooksOlya Krasnykh
Nov 15, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J E Morley
Jul 18, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J Morley
Aug 12, 2004·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·John E Morley
Feb 15, 2003·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·John E Morley
Jul 30, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·David Hamerman
Dec 4, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J E Morley
Apr 3, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·M M Wilson
Mar 17, 2001·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·W S Aronow
Sep 9, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Carolyn Thompson MartinErika Sivarajan Froelicher
Apr 10, 2008·Zeitschrift für Gerontologie und Geriatrie·D Volkert
Apr 22, 2005·Reviews in Endocrine & Metabolic Disorders·David R Thomas
Jul 15, 2005·European Journal of Clinical Nutrition·M A E van Bokhorst-de van der SchuerenA Thijs
May 2, 2013·European Journal of Clinical Nutrition·E LeistraH M Kruizenga
Mar 1, 2008·The Journal of Nutrition, Health & Aging·L S FerreiraM F N Marucci
Jan 1, 2008·The Journal of Nutrition, Health & Aging·C Thompson MartinE Sivarajan Froelicher
Feb 14, 2009·The Journal of Nutrition, Health & Aging·L Christensson, M Bachrach-Lindström
Oct 13, 2007·Der Internist·A H Leischker, G F Kolb
Mar 14, 2012·Family Practice·John E Morley
Jan 5, 2002·Journal of the American Dietetic Association·S H TariqJ E Morley
Nov 3, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·K P High
Oct 20, 2006·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·J E Morley
Nov 30, 2013·Journal of the American Medical Directors Association·Barbara J Messinger-RapportJohn E Morley
Mar 1, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Elizabeth B HaverkortMarian A E van Bokhorst-de van der Schueren
Mar 1, 2012·American Journal of Surgery·Elizabeth B HaverkortMarian A E van Bokhorst-de van der Schueren
Oct 15, 2011·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Ulrich M VischerDina Zekry
Oct 30, 2010·Journal of the American Medical Directors Association·John E Morley
Jul 16, 2010·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Bulent SakaM Akif Karan
Jun 1, 2010·Journal of the American Medical Directors Association·John E Morley
May 5, 2010·Journal of the American Medical Directors Association·John E Morley
Dec 1, 2009·Clinics in Geriatric Medicine·Farhan AslamJoAnne Foody
May 7, 2008·Journal of the American Medical Directors Association·John E Morley, David R Thomas
Oct 13, 2007·Journal of the American Medical Directors Association·Steven A Levenson, John E Morley
Nov 14, 2007·Journal of the American Medical Directors Association·Marcos Aparecido Sarria CabreraSelma Maffei de Andrade
Sep 12, 2006·The Medical Clinics of North America·John E MorleyMoon Jong Kim
Feb 6, 2008·Journal of Public Health Dentistry·J A Gil-MontoyaM A González-Moles
Apr 11, 2007·Journal of Clinical Nursing·Cheryl Chia-Hui ChenSiew Tzuh Tang
Sep 5, 2006·Archives of Gerontology and Geriatrics·Liang-Kung ChenLeh-Chii Chwang
Sep 5, 2015·Archives of Gerontology and Geriatrics·Nathalie BaillyVirginie Van Wymelbeke
Dec 6, 2006·The American Journal of Medicine·Yves RollandJohn E Morley
Apr 17, 2004·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Helena SoiniAnja Ainamo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anorexia Nervosa

Anorexia nervosa (AN) is a psychiatric condition characterized by severe weight loss and secondary problems associated with malnutrition. Here is the latest research on AN.