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Projects
Malnutrition in Older Adults
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Malnutrition in Older Adults (MiOA)
Systematic Review (2020-23)
MIOA: INTERVENTIONS (2023)
MIOA: ASSESSMENT (2022)
Malnutrition in Older Adults (MiOA)
Scoping Review (2019-20)
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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.  
Systematic Review 
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. 
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Use the links on the left navigation bar to access the results of the systematic review. Expand the section below titled Project Team
contributed to the development of the review, disclosures, and project funding information. Expand the section titled Articles for ma

Evidence-Based Nutrition Practice Guideline

The development of a guideline is in progress and is expected to be complete in the fall 2023. 

5/11/2023

Malnutrition in Older Adults Systematic Review Project Team and Disclosures (2022-23)

Scoping Review Project Team and Disclosures (2020)

Articles
 

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