Clinical Nutrition 42 (2023) 53

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Clinical Nutrition
journal homepage: http://www.elsevier.com/locate/clnu

Letter to the Editor

Socio-economic status, loneliness or hospitalization: Which is worse

for malnutrition?
excluded. If patients in the control group were more sarcopenic
than intervention group mortality among these patients expected
to be higher independent from the nutritional intake.
Keywords: Lastly, living alone is one the major problems for older adults
Older adults
Socio-economic status
with malnutrition. Although a philanthropic organization encour-
Loneliness aged patients with volunteers, the data is missing about loneliness,
Hospitalization amount of the meals, meeting requirements of protein and calories
Malnutrition between groups that could effect the study results.

Dear Editor,
We read the article conducted by Theilla et al. [1] with great in-
terest that malnutrition is a growing concern among older adults at
discharge after long hospitalization. However there are some points
that should be clarified.
First of all, as you mentioned in Table 1, the selected population
at discharge seemed to be older. The most common screening tool
performed for older adults is the short-form of the Mini Nutritional
Assessment (MNA-SF) [2]. Instead of MUST score this tool should be
used. Additionally, there was not any information if the patients at
malnutrition risk or malnutrition recieved any nutritional supple-
ments. We think this could effect the clinical outcomes you
measured in discharge period. Similary the data about the meal
intake during hospitalization and length of hospitalization is
missing.
Secondly, although FFMI values seemed to be similar, sarcopenia
status of the patients is not known that these patients should be
References
[1] Theilla Miriam, Singer Pierre, Tadmor Boaz, Bendavid Itai, Moran Hellerman,
Kagan Ilya. Community optimized management for better eating after hospital
sTay among geriatric patients of poor socio-economic status - the COMEAT
study. Clin Nutr 2022;41:1746e51.
[2] Volkert Dorothee, Anne Marie Beck, Cederholm Tommy, Cruz-Jentoft Alfonso,
Goisser Sabine, Lee Hooper, Kiesswetter Eva, et al. ESPEN guideline on clinical
nutrition and hydration in geriatrics. Clin Nutr 2019;38(1):10e47.
Go€ zde Şengül Ayçiçek*, Zekeriya Ülger
Kırıkkale University Faculty of Medicine, Department of Internal
Medicine, Division of Geriatrics, Kırıkkale, Turkey
*
Corresponding author. Kırıkkale University Faculty of Medicine,
Department of Internal Medicine, Division of Geriatrics, 71450,
Yahşihan/Kırıkkale.
E-mail address: gzdsengul@gmail.com (G. Şengül Ayçiçek).
9 August 2022

https://doi.org/10.1016/j.clnu.2022.11.005
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