Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence
Objective: To investigate the prevalence of malnutrition and sarcopenia in different disciplines of inpatient rehabilitation and the course of nutritional status parameters. Design: Multi-centre cross-sectional prevalence study and longitudinal observational study. Subjects/Patients: Inpatients (&...
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Medical Journals Sweden
2025-02-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/42215 |
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| author | Undine Lehmann Katja Uhlmann André Meichtry Marc Spielmanns Sabine Spielmanns Ramin Khatami Laura Marty Susanne Rüegsegger Reto W. Kressig Caroline M. Kiss Clare Maguire Andrea Zurfluh Thimo Marcin |
| author_facet | Undine Lehmann Katja Uhlmann André Meichtry Marc Spielmanns Sabine Spielmanns Ramin Khatami Laura Marty Susanne Rüegsegger Reto W. Kressig Caroline M. Kiss Clare Maguire Andrea Zurfluh Thimo Marcin |
| author_sort | Undine Lehmann |
| collection | DOAJ |
| description | Objective: To investigate the prevalence of malnutrition and sarcopenia in different disciplines of inpatient rehabilitation and the course of nutritional status parameters.
Design: Multi-centre cross-sectional prevalence study and longitudinal observational study.
Subjects/Patients: Inpatients (> 18 years) in geriatric, pulmonary, cardiovascular, internal medicine/oncological, musculoskeletal, or neurological rehabilitation in 5 rehabilitation centres were included.
Methods: Malnutrition was assessed according to the Global Leadership Initiative on Malnutrition criteria. Sarcopenia was assessed according to the European Working Group on Sarcopenia in Older People criteria. Bodyweight, hand grip strength (HGS), and functional independence measure (FIM) were assessed within 3 days of admission and after 21 days of rehabilitation and analysed using linear mixed models with time*diagnosis interaction.
Results: The study included 558 patients (51.8% male, median age 73.0 years). The overall prevalence of malnutrition and sarcopenia was 35.5% (95% CI 31.5, 39.6%) and 32.7% (95% CI 28.8, 36.8%), respectively. Patients with risk of malnutrition lost on average 1.14 kg (95% CI –1.64, –0.63) during rehabilitation. Patients slightly increased their HGS and FIM, irrespective of risk or diagnosis of malnutrition or sarcopenia. However, at the end of the rehabilitation, malnourished or sarcopenic patients had still a significantly lower bodyweight, HGS, and FIM than patients without (p < 0.01). Some 37.3% of patients at risk of and 35.4% with diagnosed -malnutrition did not receive group or individual nutritional -counselling.
Conclusion: Malnutrition and sarcopenia are highly prevalent during inpatient rehabilitation. Nevertheless, dietitians are often not involved in the therapy. While nutritional parameters and functional independence improve, patients with malnutrition and sarcopenia remain on a lower level after 3 weeks of rehabilitation. Long-term follow-up after rehabilitation is recommended to prevent nutritional and muscular decline and related negative health outcomes.
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| format | Article |
| id | doaj-art-8f41b3b3fb6f4a228d0ee701fef90ab0 |
| institution | DOAJ |
| issn | 1651-2081 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-8f41b3b3fb6f4a228d0ee701fef90ab02025-08-20T03:12:16ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-02-015710.2340/jrm.v57.42215Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independenceUndine Lehmann0Katja Uhlmann1André Meichtry2Marc Spielmanns3Sabine Spielmanns4Ramin Khatami5Laura Marty6Susanne Rüegsegger7Reto W. Kressig8Caroline M. Kiss9Clare Maguire10Andrea Zurfluh11Thimo Marcin12Division Nutrition and Dietetics, Department of Health Professions, Bern University of Applied Sciences, Bern, SwitzerlandDivision Nutrition and Dietetics, Department of Health Professions, Bern University of Applied Sciences, Bern, SwitzerlandDivision Nutrition and Dietetics, Department of Health Professions, Bern University of Applied Sciences, Bern, SwitzerlandZürcher RehaZentren | Klinik Wald, Wald, Switzerland; Faculty of Health, Department Pneumology, University of Witten-Herdecke, GermanyZürcher RehaZentren | Klinik Wald, Wald, SwitzerlandKlinik Barmelweid AG, Barmelweid, Switzerland; Department of Neurology, University Hospital Bern, SwitzerlandDivision Nutrition and Dietetics, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland; Klinik Barmelweid AG, Barmelweid, SwitzerlandKlinik Barmelweid AG, Barmelweid, SwitzerlandUniversity Department of Geriatric Medicine FELIX PLATTER, Basel, Switzerland; University of Basel, Basel, SwitzerlandUniversity Department of Geriatric Medicine FELIX PLATTER, Basel, SwitzerlandREHAB Basel Clinic for Neurorehabilitation and Paraplegiology, Basel, SwitzerlandBerner Reha Zentrum, Rehabilitation & Sports Medicine, Insel Group, University Hospital Bern, Bern, SwitzerlandBerner Reha Zentrum, Rehabilitation & Sports Medicine, Insel Group, University Hospital Bern, Bern, SwitzerlandObjective: To investigate the prevalence of malnutrition and sarcopenia in different disciplines of inpatient rehabilitation and the course of nutritional status parameters. Design: Multi-centre cross-sectional prevalence study and longitudinal observational study. Subjects/Patients: Inpatients (> 18 years) in geriatric, pulmonary, cardiovascular, internal medicine/oncological, musculoskeletal, or neurological rehabilitation in 5 rehabilitation centres were included. Methods: Malnutrition was assessed according to the Global Leadership Initiative on Malnutrition criteria. Sarcopenia was assessed according to the European Working Group on Sarcopenia in Older People criteria. Bodyweight, hand grip strength (HGS), and functional independence measure (FIM) were assessed within 3 days of admission and after 21 days of rehabilitation and analysed using linear mixed models with time*diagnosis interaction. Results: The study included 558 patients (51.8% male, median age 73.0 years). The overall prevalence of malnutrition and sarcopenia was 35.5% (95% CI 31.5, 39.6%) and 32.7% (95% CI 28.8, 36.8%), respectively. Patients with risk of malnutrition lost on average 1.14 kg (95% CI –1.64, –0.63) during rehabilitation. Patients slightly increased their HGS and FIM, irrespective of risk or diagnosis of malnutrition or sarcopenia. However, at the end of the rehabilitation, malnourished or sarcopenic patients had still a significantly lower bodyweight, HGS, and FIM than patients without (p < 0.01). Some 37.3% of patients at risk of and 35.4% with diagnosed -malnutrition did not receive group or individual nutritional -counselling. Conclusion: Malnutrition and sarcopenia are highly prevalent during inpatient rehabilitation. Nevertheless, dietitians are often not involved in the therapy. While nutritional parameters and functional independence improve, patients with malnutrition and sarcopenia remain on a lower level after 3 weeks of rehabilitation. Long-term follow-up after rehabilitation is recommended to prevent nutritional and muscular decline and related negative health outcomes. https://medicaljournalssweden.se/jrm/article/view/42215malnutritionmuscle strengthnutrition therapyprevalencerehabilitationsarcopenia |
| spellingShingle | Undine Lehmann Katja Uhlmann André Meichtry Marc Spielmanns Sabine Spielmanns Ramin Khatami Laura Marty Susanne Rüegsegger Reto W. Kressig Caroline M. Kiss Clare Maguire Andrea Zurfluh Thimo Marcin Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence Journal of Rehabilitation Medicine malnutrition muscle strength nutrition therapy prevalence rehabilitation sarcopenia |
| title | Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence |
| title_full | Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence |
| title_fullStr | Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence |
| title_full_unstemmed | Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence |
| title_short | Malnutrition and sarcopenia in inpatient rehabilitation: prevalence and associations with changes in bodyweight, muscle strength, and functional independence |
| title_sort | malnutrition and sarcopenia in inpatient rehabilitation prevalence and associations with changes in bodyweight muscle strength and functional independence |
| topic | malnutrition muscle strength nutrition therapy prevalence rehabilitation sarcopenia |
| url | https://medicaljournalssweden.se/jrm/article/view/42215 |
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