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Potentially modifiable determinants of malnutrition in older adults: A systematic review
O'Keeffe, Mary; Kelly, Mary; O'Herlihy, Eileen A.; O'Toole, Paul W.; Kearney, Patricia M.; Timmons, Suzanne; O'Shea, Emma; Stanton, Catherine; Hickson, M; Rolland, Y.; Rosse, Sulmont; Issanchou, S.; Maitre, Isabelle; Stelmach-Mardas, M.; Nagel, Gabriele; Flechtner-Mors, Marion; Wolters, Maike; Hebestreit, Antje; De Groot, L.C.P.G.M.; van de Rest, O.; Teh, Ruth; Peyron, M.A.; Dardevet, D.; Papet, I.; Schindler, K.; Streicher, Melanie; Torbahn, Gabriel; Kiesswetter, Eva; Visser, Marjolein; Volkert, Dorothee; O'Connor, Eibhlís M.; MaNuEL consortium,
Date
2019
Abstract
Background & aims: Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic review was to investigate the modifiable determinants of malnutrition in older adults. Methods: A systematic approach was taken to conduct this review. Eight databases were searched. Prospective cohort studies with participants of a mean age of 65 years or over were included. Studies were required to measure at least one determinant at baseline and malnutrition as outcome at follow-up. Study quality was assessed using a modified version of the Quality in Prognosis Studies (QUIPS) tool. Pooling of data in a meta-analysis was not possible therefore the findings of each study were synthesized narratively. A descriptive synthesis of studies was used to present results due the heterogeneity of population source and setting, definitions of determinants and outcomes. Consistency of findings was assessed using the schema: strong evidence, moderate evidence, low evidence, and conflicting evidence
Supervisor
Description
peer-reviewed
Publisher
Elsevier
Citation
Clinical Nutrition;38, pp. 2477-2498
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Funding code
Funding Information
Health Research Board (HRB)
