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Measuring appetite with the simplified nutritional appetite questionnaire identifies hospitalised older people at risk of worse health outcomes

Measuring appetite with the simplified nutritional appetite questionnaire identifies hospitalised older people at risk of worse health outcomes
Measuring appetite with the simplified nutritional appetite questionnaire identifies hospitalised older people at risk of worse health outcomes
Objectives: Poor appetite is commonly reported by older people but is rarely measured. The Simplified Nutritional Appetite Questionnaire (SNAQ) was validated to predict weight loss in community dwelling older adults but has been little used in hospitals. We evaluated it in older women on admission to hospital and examined associations with healthcare outcomes.

Design: Longitudinal observational with follow- up at six months.

Setting: Female acute Medicine for Older People wards at a University hospital in England.

Participants: 179 female inpatients.

Measurements: Age, weight, Body Mass Index (BMI), grip strength, SNAQ, Barthel Index Score, Mini Mental State Examination (MMSE), Geriatric Depression Scale: Short Form (GDS- SF), Malnutrition Universal Screening Tool (MUST), category of domicile and receipt of care were measured soon after admission and repeated at six month follow-up. The length of hospital stay (LOS), hospital acquired infection, readmissions and deaths by follow-up were recorded.
Results: 179 female participants mean age 87 (SD 4.7) years were recruited. 42% of participants had a low SNAQ score (<14, indicating poor appetite). A low SNAQ score was associated with an increased risk of hospital acquired infection (OR 3.53; 95% CI: 1.48, 8.41; p=0.004) and with risk of death (HR 2.29; 95% CI: 1.12, 4.68; p = 0.023) by follow-up.

Conclusion: Poor appetite was common among the older hospitalised women studied, and was associated with higher risk of poor healthcare outcomes.
appetite, older, hospital, inpatient, outcome measures
1279-7707
1-5
Pilgrim, A.L.
a4a37ec8-30da-48a8-b097-eeac719b4c95
Baylis, D.
81f774ef-9139-48bd-8360-d20ebedaa492
Jameson, K.A.
53e6e2b9-7cf8-4bdb-833b-f612351ab3b2
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Sayer, A.A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Robinson, S.M.
ba591c98-4380-456a-be8a-c452f992b69b
Roberts, H.C.
5ea688b1-ef7a-4173-9da0-26290e18f253
Pilgrim, A.L.
a4a37ec8-30da-48a8-b097-eeac719b4c95
Baylis, D.
81f774ef-9139-48bd-8360-d20ebedaa492
Jameson, K.A.
53e6e2b9-7cf8-4bdb-833b-f612351ab3b2
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Sayer, A.A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Robinson, S.M.
ba591c98-4380-456a-be8a-c452f992b69b
Roberts, H.C.
5ea688b1-ef7a-4173-9da0-26290e18f253

Pilgrim, A.L., Baylis, D., Jameson, K.A., Cooper, C., Sayer, A.A., Robinson, S.M. and Roberts, H.C. (2015) Measuring appetite with the simplified nutritional appetite questionnaire identifies hospitalised older people at risk of worse health outcomes The Journal of Nutrition Health & Aging, 19, (5), pp. 1-5. (doi:10.1007/s12603-015-0533-9).

Record type: Article

Abstract

Objectives: Poor appetite is commonly reported by older people but is rarely measured. The Simplified Nutritional Appetite Questionnaire (SNAQ) was validated to predict weight loss in community dwelling older adults but has been little used in hospitals. We evaluated it in older women on admission to hospital and examined associations with healthcare outcomes.

Design: Longitudinal observational with follow- up at six months.

Setting: Female acute Medicine for Older People wards at a University hospital in England.

Participants: 179 female inpatients.

Measurements: Age, weight, Body Mass Index (BMI), grip strength, SNAQ, Barthel Index Score, Mini Mental State Examination (MMSE), Geriatric Depression Scale: Short Form (GDS- SF), Malnutrition Universal Screening Tool (MUST), category of domicile and receipt of care were measured soon after admission and repeated at six month follow-up. The length of hospital stay (LOS), hospital acquired infection, readmissions and deaths by follow-up were recorded.
Results: 179 female participants mean age 87 (SD 4.7) years were recruited. 42% of participants had a low SNAQ score (<14, indicating poor appetite). A low SNAQ score was associated with an increased risk of hospital acquired infection (OR 3.53; 95% CI: 1.48, 8.41; p=0.004) and with risk of death (HR 2.29; 95% CI: 1.12, 4.68; p = 0.023) by follow-up.

Conclusion: Poor appetite was common among the older hospitalised women studied, and was associated with higher risk of poor healthcare outcomes.

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Submitted date: 23 September 2014
Accepted/In Press date: 7 January 2015
Published date: 7 May 2015
Keywords: appetite, older, hospital, inpatient, outcome measures
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 378636
URI: http://eprints.soton.ac.uk/id/eprint/378636
ISSN: 1279-7707
PURE UUID: 000e5880-0010-41d9-818e-3c62384e12de
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for S.M. Robinson: ORCID iD orcid.org/0000-0003-1766-7269

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Date deposited: 10 Jul 2015 13:44
Last modified: 17 Jul 2017 20:51

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Contributors

Author: A.L. Pilgrim
Author: D. Baylis
Author: K.A. Jameson
Author: C. Cooper ORCID iD
Author: A.A. Sayer
Author: S.M. Robinson ORCID iD
Author: H.C. Roberts

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