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Bispebjerg Hospital - en del af Københavns Universitetshospital
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Mild Cognitive Impairment Is Associated with Poorer Nutritional Status on Hospital Admission and after Discharge in Acutely Hospitalized Older Patients

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  • Olivia Bornæs
  • Aino L Andersen
  • Morten B Houlind
  • Thomas Kallemose
  • Juliette Tavenier
  • Anissa Aharaz
  • Rikke L Nielsen
  • Lillian M Jørgensen
  • Anne M Beck
  • Ove Andersen
  • Janne Petersen
  • Mette M Pedersen
Vis graf over relationer

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.

OriginalsprogEngelsk
Artikelnummer95
TidsskriftGeriatrics (Basel, Switzerland)
Vol/bind7
Udgave nummer5
ISSN2308-3417
DOI
StatusUdgivet - 10 sep. 2022

ID: 84662782