Journal article
A systematic review, meta-analysis and meta-regression of the prevalence of protein-energy malnutrition: associations with geographical region and sex
Age and Ageing, Vol.48(1), pp.38-48
2019
Abstract
Background: protein-energy malnutrition is a major health concern in home-dwelling older adults, particularly in the context of an ageing population. Therefore, a systematic review and meta-analysis was undertaken to determine the prevalence of malnutrition among older adults living independently in the community according to geographical region, sampling frame, rurality and sex. Methods: six electronic databases were searched until September 2016. Original research studies which used the Mini Nutritional Assessment, Patient-Generated Subjective Global Assessment or Subjective Global Assessment to determine nutrition status in community samples with a mean age of ≥65 years were critically appraised and pooled using meta-analysis. Meta-regression was used to explore predictors of malnutrition prevalence in pooled statistics with high heterogeneity. Results: 111 studies from 38 countries (n = 69,702 participants) were included. The pooled prevalence of malnutrition in the older community setting ranged from 0.8% (95% CI: 0.2-1.7%) in Northern Europe to 24.6% (95% CI: 0.0-67.9%) in South-East Asia. Of all sampling frames, participants receiving homecare services had the highest prevalence at 14.6% (95% CI: 9.9-20.0%). Malnutrition prevalence in rural communities (9.9%; 95% CI: 4.5-16.8%) was double that in urban communities (5.7%; 95% CI: 4.2-7.3%) and higher among females than males (odds ratio = 1.45 [95% CI: 1.27-1.66]; P < 0.00001). Conclusions: the results of this review provide strategic insight to develop public and community health priorities for preventing malnutrition and associated poor health outcomes.
Details
- Title
- A systematic review, meta-analysis and meta-regression of the prevalence of protein-energy malnutrition: associations with geographical region and sex
- Authors
- Megan Crichton (Author) - Bond UniversityDana Craven (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and EngineeringHannah Mackay (Author) - Mater Health ServicesWolfgang Marx (Author) - Bond UniversityMarian de van der Schueren (Author) - HAN University of Applied Sciences, NetherlandsSkye Marshall (Corresponding Author) - Bond University
- Publication details
- Age and Ageing, Vol.48(1), pp.38-48
- Publisher
- Oxford University Press
- DOI
- 10.1093/ageing/afy144
- ISSN
- 0002-0729
- Organisation Unit
- School of Health and Behavioural Sciences - Legacy; School of Health and Sport Sciences - Legacy; University of the Sunshine Coast, Queensland; Australian Centre for Pacific Islands Research
- Language
- English
- Record Identifier
- 99450631902621
- Output Type
- Journal article
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- Geriatrics & Gerontology
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