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Malnutrition in older adults.

Elsa Dent1, Olivia R L Wright2, Jean Woo3

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Malnutrition is common in older adults, impacting health and care systems. Improving nutritional care requires addressing gaps between evidence and current clinical practice.

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Area of Science:

  • Gerontology
  • Nutritional Science
  • Public Health

Background:

  • Malnutrition is highly prevalent in older adults, presenting a significant challenge to healthcare and aged-care systems.
  • Age-related physiological changes, reduced food access, and comorbidities increase malnutrition risk in this population.
  • Current clinical guidelines advocate for routine malnutrition screening and tailored nutritional support for older adults.

Purpose of the Study:

  • To review current evidence on identifying and treating malnutrition in older adults.
  • To identify discrepancies between evidence-based guidelines and clinical practice.
  • To propose practical strategies for enhancing nutritional care in older adults.

Main Methods:

  • Literature review of current evidence on malnutrition in older adults.
  • Analysis of prevalence, causes, and risk factors across healthcare settings.
  • Discussion of practical strategies for evidence translation.

Main Results:

  • Clinical guidelines for malnutrition screening and support are underutilized in practice.
  • Low-value care is frequently observed, indicating a gap between recommended and actual nutritional interventions.
  • Evidence-based nutritional strategies are not consistently implemented.

Conclusions:

  • There is a critical need to bridge the gap between evidence-based guidelines and clinical practice for malnutrition in older adults.
  • Implementing practical strategies can improve the translation of nutritional knowledge into effective patient care.
  • Addressing malnutrition requires a multi-faceted approach considering prevalence, causes, and risk factors in diverse healthcare settings.