TY - JOUR PY - 2011// TI - Nutritional Status and Associations with Falls, Balance, Mobility and Functionality during Hospital Admission JO - Journal of nutrition, health, and aging A1 - Vivanti, A. A1 - Ward, N. A1 - Haines, T. SP - 388 EP - 391 VL - 15 IS - 5 N2 - Objectives: To explore associations between nutritional status, falls and selected falls risk factors amongst older hospitalized people. Lengths of stay amongst fallers and the malnourished were assessed. Design: An observational longitudinal cohort study. Setting: Geriatric Assessment and Rehabilitation Unit (GARU) of a tertiary teaching hospital. Participants: Admissions to the GARU during a six-month period were included. Measurements: Associations between nutritional status and falls during hospitalization, reported preadmission history of falls, functional status, balance and mobility during GARU admission were analysed. Associations between nutritional status or experiencing a hospital fall and length of stay were also examined. Results: Malnutrition prevalence was 39% (75/194, 95% CI 32-46%) with odds of falling during admission being 1.49 (95%CI: 0.81, 2.75), p< 0.20). Patients assessed as malnourished were older (p<0.001) and more likely to have a poorer score on both the admission (p<0.05) and discharge (p<0.009) timed "Up and Go" test. Malnutrition was associated with reduced mobility (p<0.05). Those who fell during admission had statistically greater lengths of stay compared with non-fallers [median (range): 57.0 (7-127) vs 35.0 (5-227) days; p<0.002]. Conclusion: Evidence of reduced mobility was evident during GARU admission amongst older people assessed as malnourished. Considering the results, a larger study concerning nutritional status, functionality and falls in the hospitalized population is warranted. The influence of nutritional status upon a person's physical functioning should be considered more broadly in falls research.

Language: en

LA - en SN - 1279-7707 UR - http://dx.doi.org/ ID - ref1 ER -