Potentially modifiable determinants of malnutrition in older adults: A systematic review
O'Keeffe, M; Kelly, M; O'Herlihy, E; O'Toole, P.W.; Kearney, P.M.; Timmons, Suzanne; O'Shea, E; Stanton, C; Hickson, M; Rolland, Y; Rosse, Sulmont; Issanchou, S; Maitre, I; Stelmach-Mardas, M; Nagel, G; Flechtner-Mors, M; Wolters, M; Hebestreit, A; De Groot, L.C.P.G.M; van de Rest, O; Teh, R; Peyron, M.A; Dardevet, D; Papet, I; Schindler, K; Streicher, M; Torbahn, G; Kiesswetter, E; Visser, M; Volkert, Dorothee; O'Connor, E.M; *on behalf of the MaNuEL consortium
Date:
2019
Publication:
Clinical Nutrition;38, pp. 2477-2498
Publication type:
Article
Abstract:
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
Description:
peer-reviewed
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