The journal of nutrition, health & aging

, Volume 17, Issue 4, pp 305–309 | Cite as

Malnutrition in Turkish nursing homes: A correlate of short term mortality

  • Z. Ulger
  • M. Halil
  • M. Cankurtaran
  • B. B. Yavuz
  • Y. Yesil
  • Mehmet Emin KuyumcuEmail author
  • E. Gungor
  • H. İzgi
  • A. T. İskit
  • O. Abbasoglu
  • S. Ariogul



Elderly nursing home residents are under high risk of malnutrition. Early interventions to prevent malnutrition may play a critical role in malnutrition-mortality correlation. This study aimed to obtain insight into the prevalence of malnutrition in nursing homes in the capital city of Turkey and the role of malnutrition in predicting the risk for short-term mortality.


This study was conducted in seven different residential care facilities in Ankara.


Nutritional status was evaluated by Mini Nutritional Assessment-Short Form.


The mean age of the 534 participants was 79.46±7.22 years. Nutritional assessment revealed that 15.9% of all older adults suffered from malnutrition and another 53.6% were at risk of malnutrition. The mortality rate for all subjects was 118 (22.1%) over 18 months, which was significantly higher in participants with malnutrition.


We noted a high prevalence of malnutrition and a strong correlation of increased mortality with malnutrition in nursing home residents. Given the negative impact of malnutrition on mortality and morbidity, an emphasis should be placed on an effective nutritional policy in nursing homes.

Key words

Malnutrition mortality nursing home elderly 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ulger Z, Halil M, Kalan I, Yavuz BB, Cankurtaran M, Güngör E, Arioğul S. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010 Aug;29:507–11.PubMedCrossRefGoogle Scholar
  2. 2.
    Pauly L, Stehle P, Volkert D. Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr. 2007 Feb; 40:3–12.PubMedCrossRefGoogle Scholar
  3. 3.
    Johansson L, Sidenvall B, Malmberg B, Christensson L. Who will become malnourished? A prospective study of factors associated with malnutrition in older persons living at home. J Nutr Health Aging. 2009 Dec;13:S55–S61.CrossRefGoogle Scholar
  4. 4.
    Chan M, Lim YP, Ernest A, Tan TL. Nutritional assessment in an Asian nursing home and its association with mortality. J Nutr Health Aging. 2010 Jan; 14:23–28.PubMedCrossRefGoogle Scholar
  5. 5.
    Amer MS, Mousa SM, Abdel Rahman TT, Saber HG. Malnutrition and its risk factors in nursing home residents in Cairo. J Am Geriatr Soc. 2009 Sep;57:1716–1718.PubMedCrossRefGoogle Scholar
  6. 6.
    Chang CC. Prevalence and factors associated with feeding difficulty in institutionalized elderly with dementia in Taiwan. J Nutr Health Aging. 2012 Mar;l6:258–261.CrossRefGoogle Scholar
  7. 7.
    Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, Thomas DR, Anthony P, Charlton KE, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging. 2009 Nov;13:782–788.PubMedCrossRefGoogle Scholar
  8. 8.
    Mahoney FI, Barthel DW. Functional Evaluation: The Barthel Index. Md State Med J. 1965 Feb;14:61–65.PubMedGoogle Scholar
  9. 9.
    Bassey EJ. Demi-span as a measure of skeletal size. Ann Hum Biol. 1986 Sep–Oct;13:499–502.PubMedCrossRefGoogle Scholar
  10. 10.
    Carlsson M, Gustafson Y, Eriksson S, Håglin L. Body composition in Swedish old people aged 65–99 years, living in residential care facilities. Arch Gerontol Geriatr. 2009 2009 Jul–Aug;49:98–107.PubMedCrossRefGoogle Scholar
  11. 11.
    Salva A, Coll-Planas L, Bruce S, De Groot L, Andrieu S, Abellan G, Vellas B, Bartorelli L, Bemer YN, et al. Nutritional assessment of residents in long-term care facilities (LTCFs): recommendations of the task force on nutrition and ageing of the LAGG European region and the IANA. J Nutr Health Aging. 2009 Jun;13:475–483.PubMedCrossRefGoogle Scholar
  12. 12.
    Beck AM, Ovesen L. Body mass index, weight loss and energy intake of old Danish nursing home residents and home-care clients. Scand J Caring Sci. 2002 Mar; 16:86–90.PubMedCrossRefGoogle Scholar
  13. 13.
    Fries BE, Hawes C, Morris JN, Phillips CD, Mor V, Park PS. Effect of the National Resident Assessment Instrument on selected health conditions and problems. J Am Geriatr Soc. 1997 Aug;45:994–1001.PubMedGoogle Scholar
  14. 14.
    Bates CJ, Benton D, Biesalski HK, Staehelin HB, van Staveren W, Stehle P, Suter PM, Wolfram G. Nutrition and aging: a consensus statement. J Nutr Health Aging. 2002;6:103–116.PubMedGoogle Scholar
  15. 15.
    McCormack P. Undernutrition in the elderly population living at home in the community: a review of the literature. J Adv Nurs. 1997 Nov;26:856–863.PubMedCrossRefGoogle Scholar
  16. 16.
    Alibhai SM, Greenwood C, Payette H. An approach to the management of unintentional weight loss in elderly people. CMAJ. 2005 Mar;172:773–780.PubMedGoogle Scholar
  17. 17.
    Pirlich M, Lochs H. Nutrition in the elderly. Best Praet Res Clin Gastroenterol. 2001 Dec; 15:869–884.CrossRefGoogle Scholar
  18. 18.
    Nakamura H, Fukushima H, Miwa Y, Shiraki M, Gomi I, Saito M., Mawatari K, Kobayashi H, Kato M, Moriwaki H. A longitudinal study on the nutritional state of elderly women at a nursing home in Japan. Intern Med. 2006;45:1113–1120.PubMedCrossRefGoogle Scholar
  19. 19.
    Alberda C, Graf A, McCargar L. Malnutrition: etiology, consequences, and assessment of a patient at risk. Best. Pract Res Clin Gastroenterol. 2006;20:419–439.PubMedCrossRefGoogle Scholar
  20. 20.
    Lok K, Woo J, Hui E, Kwok T. Usefulness of the Chinese Nutrition Screening (CNS) tool in predicting 12 month mortality in elderly Hong Kong Chinese living in institutions. J Nutr Health Aging. 2009 Feb;13:96–101.PubMedCrossRefGoogle Scholar
  21. 21.
    Rubenstein LZ, Harker JO, Salvà A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J Gerontol A Biol Sci Med Sci. 2001 Jun;56:M366–M372.PubMedCrossRefGoogle Scholar
  22. 22.
    Frankenfield DC, Rowe WA, Cooney RN, Smith JS, Becker D. Limits of body mass index to detect obesity and predict body composition. Nutrition 2001; 17:26–30.PubMedCrossRefGoogle Scholar
  23. 23.
    Gallagher D, Ruts E, Visser M, Heshka S, Baumgartner RN, Wang J, Pierson RN, Pi-Sunyer FX, Heymsfield SB. Weight stability masks sarcopenia in elderly men and women. Am J Physiol Endocrinol Metab. 2000;279:366–375.Google Scholar

Copyright information

© Serdi and Springer-Verlag France 2013

Authors and Affiliations

  • Z. Ulger
    • 1
  • M. Halil
    • 2
  • M. Cankurtaran
    • 2
  • B. B. Yavuz
    • 2
  • Y. Yesil
    • 2
  • Mehmet Emin Kuyumcu
    • 2
    • 6
    Email author
  • E. Gungor
    • 3
  • H. İzgi
    • 3
  • A. T. İskit
    • 4
  • O. Abbasoglu
    • 5
  • S. Ariogul
    • 2
  1. 1.Division of Geriatric MedicineGazi University Faculty of Medicine Department of Internal MedicineBesevler, AnkaraTurkey
  2. 2.Division of Geriatric MedicineHacettepe University Faculty of Medicine Department of Internal MedicineSihhiye/Altindag, AnkaraTurkey
  3. 3.Diethetic UnitHacettepe University HospitalSihhiye/Altindag, AnkaraTurkey
  4. 4.Medical Intensive Care UnitHacettepe University Faculty of Medicine Department of Internal MedicineSihhiye/Altindag, AnkaraTurkey
  5. 5.Hacettepe University Faculty of Medicine Department of General SurgerySihhiye/Altindag, AnkaraTurkey
  6. 6.Department of Internal Medicine, Division of Geriatric MedicineHacettepe University Faculty of MedicineSihhiye/Altindag AnkaraTurkey

Personalised recommendations