Malnutrition in Older Adults (MiOA) Systematic Review (2020-23)

Malnutrition in Older Adults (MiOA) Systematic Review (2020-23)

The systematic review focused on two subtopics – Assessment and Intervention. In the Assessment subtopic, the 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. The Intervention subtopic addresses oral nutrition supplements, food fortification, and RDN interventions. The target audience is older adults, mean age >/= 65 years. 

Key Findings include: 

  • Oral nutrition supplement interventions likely increase calorie and protein intake in older adults living in long-term care, those discharged from acute care to the community, and those living in community settings. Oral nutrition supplements may also improve the nutrition status of older adults living in long-term care.
  • Registered dietitian nutritionists’ interventions likely increase calorie and protein intake and help maintain or increase body weight in older adults discharged from acute care to the community, and those living in the community. RDN interventions may also improve the nutrition status in older adults discharged from acute care to the community.
  • 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. 

Use the links on the left to view the results of the systematic review.

 

 

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