Malnutrition in Older Adults

Malnutrition in Older Adults

Welcome to the Malnutrition in Older Adults Project

Malnutrition is multifactorial, thus many tools and resources are needed to support care in different populations and settings.  Malnutrition is characterized by inadequate protein and energy intake that can result in loss of fat and muscle stores.  Malnutrition can result in decreased quality of life, and increased morbidity and mortality.  

Scoping Review
The work started in 2018 by conducting a thorough scoping review designed to examine the extent, range, and nature of the available nutrition research on malnutrition in older adults. The results of this review determined the need to synthesize data for the validity and reliability of tools to evaluate nutrition status among older adults and for the effect of nutrition interventions. 

Systematic Review
The systematic review focused on two subtopics – Assessment and Intervention. The Assessment expert panel reviewed the validity, reliability, and predictive ability for mortality, hospitalization, and decline of physical function of identified nutrition assessment tools used in the community and long-term care.

Key Findings MiOA Assessment:

  • Three tools have available data meeting study criteria:  Mini-Nutrition Assessment (MNA); Subjective Global Assessment (SGA); and Patient Generated Subjective Global Assessment (PG-SGA)
  • MNA has moderate validity and reliability for use in the community, and low validity for use in long-term care.
  • MNA has predictive ability for mortality, hospitalization, and declining physical function in the community, and predictive ability for mortality and hospitalization in long term care.
  • SGA has moderate validity for use in the community, and low validity for use in long-term care.

The results of the Intervention subtopic will be published in June 2022. The evidence-based nutrition practice guideline is expected to be completed by December 2022. 

Use the links on the left navigation bar to access the content. Expand the section below titled Project Team and Disclosures for a listing of individuals who contributed to the development of the review, disclosures, and project funding information. Expand the section titled Articles for manuscripts published from this project.
 

5/2/2022

  • Scoping Review Project Team and Disclosures (2020)

    The following individuals contributed their valuable time and expertise to the scoping review:

    Project Team

    • Lisa Moloney, MS, RD, Project Manager
      Nutrition Researcher, Academy of Nutrition and Dietetics, Chicago, IL, USA
    • Brittany Y. Jarret, PhD, RD, Lead Analyst
      Associate Medical Writer, Complete HealthVizion, Chicago, IL, USA
    • Deepa Handu, PhD, RD, Methodologist
      Senior Scientist, Academy of Nutrition and Dietetics, Chicago, IL, USA


    Content Advisors

    • Judi Porter, PhD
      Associate Professor, Monash University, Melbourne, Victoria, Australia
    • Jingyi Wang, MPH, RD, LD
      Clinical Dietitian, Providence Seward Medical and Care Center, Seward, AK, USA


    Financial Contributors

    • Commission on Dietetic Registration
    • Dietetics in Health Care Communities Dietetic Practice Group
    • Academy of Nutrition and Dietetics

    The views or interests of the funding bodies did not influence the development of this scoping review.
     

    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members and content advisors have with companies that sell products or services that are relevant to this topic. Workgroup members and content advisors are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have adverse impact on the content, but they are noted here to fully inform readers:

    • None of the content advisors listed above disclosed potential conflicts of interest.
  • Articles
    • Nutrition Assessment and Interventions for the Prevention and Treatment of Malnutrition in Older Adults: An Evidence Analysis Center Scoping Review. Moloney L, Jarrett B. J Acad Nutr Diet 2020  
  • Malnutrition in Older Adults Systematic Review Project Team and Disclosures (2022)

    The following individuals contributed their valuable time and expertise to this project:

    Expert Panel Workgroup Members

    • Nancy Munoz, DCN, MHA, RDN, FAND, Chair
      Cheif, Nutrition and Food Services, VA Southern Nevada Healthcare System, Las Vegas, NV, USA
    • Anne E. Coltman, MSHA, MS, RD, FAND, Co-Chair
      Senior General Manager, Trinity Health, Maywood, IL, USA
    • Krista M. Clark, MBA, RD, LD, FAND, NASM-CPT, SFS
      Dietitian, Majestic Care of Fairfield, Cincinnati, OH, USA
    • Nancy Collins, PhD, RDN, LDN, FAND
      President, Light Bulb Health Inc., Las Vegas, NV, USA
    • Shina Nishioka, PhD, RD
      Deputy Director, Department of Training and Education / Chief, Department of Clinical Nutrition Food Service, Nagasaki Rehabilitation Hospital, Ngasaki City, Nagasaki, Japan
    • Emily RIddle, PhD, RD
      Assistant Professor, SUNY Oneonta, Oneonta, NY, USA
    • Terese Scollard, MBA, RDN, LD, FAND
      Owner, MySurgeryPlate LLC, Beaverton, OR, USA
    • Judy R. Simon, MS, RD, LD
      National Nutritionist, Administration for Community Living, U.S. Department of Health and Human Services, Washington, DC, USA

    Patient Advocates

    • Lamia Nasrallah, MPH, RDN, LDN
      Clinical Dietitian, UNC Hospitals Outpatient Nutrition Clinics, Chapel Hill, NC, USA
    • Beth A. Smith, MS, RDN, LDN, CNSC
      Clinical Dietitian, Memorial Hermann Hospital, Houston, TX, USA

    Project Leaders

    • Lisa Moloney, MS, RD, Project Manager
      Nutrition Researcher, Academy of Nutrition and Dietetics, Chicago, IL, USA
    • Mary Katherine Hoy, MEd, RDN, Lead Analyst
      Nutritionist, ARS-USDA, Beltsville, MD, USA
    • Deepa Handu, PhD, RDN, Methodologist
      Senior Scientist, Academy of Nutrition and Dietetics, Chicago, IL, USA
    • Amanda Wanner, MLIS, AHIP, Medical Librarian
      Information Specialist Consultant, British Columbia,  Canada

    Evidence Analysts

    • Lisa A. Davis, MS, RD
      Madison, WI, USA
    • Sharon Foley, PhD, RDN
      Chicago, IL, USA
    • Kay Howarter, MS, RD
      West Lafayette, IN, USA
    • Telma Moreira, MS, RDN, LD, CNSC
      Houston, TX, USA
    • Key Murofushi, MS, RDN
      Los Angeles, CA, USA
    • Megan Piotrowski, MS, BSN, RN, CHES
      Grosse Point Farms, MI, USA
    • Jessica Schueler, MS, RDN
      Bend, OR, USA
       

    Financial Contributors

    • Dietetics in Health Care Communities Dietetic Practice Group
    • Academy of Nutrition and Dietetics Foundation
    • Academy of Nutrition and Dietetics

    The views or interests of the funding bodies did not influence the development of the systematic review.


    Disclosures of Potential Conflicts of Interest: In the interest of full disclosure, the Academy has adopted the policy of revealing relationships workgroup members have with companies that sell products or services that are relevant to this topic. Workgroup members are required to disclose potential conflicts of interest by completing the Academy Conflict of Interest Form. It should not be assumed that these financial interests will have an adverse impact on the content, but they are noted here to fully inform readers.

    • Collins N: received compensation for consultant services, lectures, and development of education materials from Abbott Nutrition, Medtrition

    5/17/2022