Malnutrition and physical performance in nursing home residents: results from the INCUR study

Aging Clin Exp Res. 2021 Aug;33(8):2299-2303. doi: 10.1007/s40520-021-01798-y. Epub 2021 Mar 26.

Abstract

We investigated the association between the risk of malnutrition, assessed through the Mini Nutritional Assessment-Short Form (MNA-SF), and physical performance, measured with the Short Physical Performance Battery (SPPB), in nursing home residents. Moreover, we evaluated which MNA-SF items were most related to the SPPB and the association of the MNA-SF with each SPPB subtest. A total of 499 older people enrolled in the Incidence of pNeumonia and related ConseqUences in nursing home Residents cohort study were examined. Higher scores of MNA-SF were associated with better physical performance (in particular with gait speed). Food intake deficiency, mobility impairment, and recent psychological stress or acute disease were the items of the MNA-SF most associated with the SPPB. In nursing home residents, the MNA-SF and three of its sub-items were significantly correlated with physical performance, independently of potential confounders. In particular, the association was evident for the gait speed subtask of the SPPB.

Keywords: Malnutrition; Nursing homes; Older people; Physical performance.

MeSH terms

  • Aged
  • Cohort Studies
  • Geriatric Assessment
  • Humans
  • Malnutrition* / epidemiology
  • Nursing Homes
  • Nutrition Assessment
  • Nutritional Status
  • Physical Functional Performance
  • Risk Factors