SEARCHCROSS-SECTIONALgeriatrics, nutrition

cross-sectional·geriatrics, nutrition, epidemiology, public health, family medicine·PMC10081797

Malnutrition as a major related factor of frailty among older adults residing in long-term care facilities in Korea

PLOS ONE · 8 authors, 4 centres

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TL;DR

This cross-sectional study of 558 older adults in Korean long-term care facilities found high rates of frailty (44.3%) and malnutrition (75.8%), with malnutrition being a major factor associated with frailty.

Full summary

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It assessed frailty using the FRAIL-NH scale and nutrition using the Mini-Nutritional Assessment short form. The study found high prevalence rates: 44.3% were frail, 49.1% prefrail, and 6.6% robust. Malnutrition was prevalent in 75.8% of participants, and 40.9% had both frailty and malnutrition. The findings suggest active interventions to improve nutritional status are needed for this population.

STUDY TYPE

cross-sectional

SPECIALTY

geriatrics

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AI pipeline

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ORIGINAL PAPER

PMC10081797

Malnutrition as a major related factor of frailty among older adults residing in long-term care facilities in Korea

PLOS ONE

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ABSTRACT

Abstract Objectives The objectives of this study were 1) to investigate the prevalence and co-existence of frailty and malnutrition and 2) to identify factors related to frailty (including malnutrition) according to the level of frailty. Methods Data collection was conducted from July 11, 2021, to January 23, 2022, in 558 older adults residing in 16 long-term care facilities (LTCFs) in Korea. The FRAIL-NH and Mini-Nutritional Assessment short form were used to measure frailty and nutrition, respectively. The data analysis included descriptive statistics and a multivariate logistic regression. Results The mean age of the participants was 83.68 (± 7.39) years. Among 558 participants, 37 (6.6%), 274 (49.1%), and 247 (44.3%) were robust, prefrail, and frail, respectively. At the same time, 75.8% were categorized as having malnutrition status (malnourished: 18.1%; risk of malnutrition: 57.7%), and 40.9% had co-existing malnutrition and frailty. In the multivariate analysis, malnutrition was identified as the major frailty-related factor. Compared with a normal nutritional status, the incidence of frailty in the malnutrition group was 10.35 times (95% CI: 3.78–28.36) higher than the incidence of robustness and 4.80 times (95% CI: 2.69–8.59) higher than the incidence of prefrail. Conclusion The prevalence of frailty and malnutrition, and their co-existence, among older adults residing in LTCFs was high. Malnutrition is a major factor that increases the incidence of frailty. Therefore, active interventions are needed to improve the nutritional status of this population.

CITATION EXPORT

SeolHwa Moon, Eunmi Oh, Daum Chung et al.. Malnutrition as a major related factor of frailty among older adults residing in long-term care facilities in Korea. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0283596

AUTHORS

8 · 4 CENTRES

SeolHwa Moon, Eunmi Oh, Daum Chung, Rina Choi, Gwi-Ryung Son Hong, Mohammad Meshbahur Rahman, Mohammad Meshbahur Rahman, Mohammad Meshbahur Rahman

1Department of Nursing, Hoseo University, Cheonan-si, South Korea
2Research Institute of Nursing Science, Hanyang University, Seoul, South Korea
3School of Nursing, Hanyang University, Seoul, South Korea
4NIPSOM: National Institute of Preventive and Social Medicine, BANGLADESH