{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T18:30:56Z","timestamp":1770489056509,"version":"3.49.0"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Our study aimed to determine whether malnutrition and nutrition\u2010related conditions using the European Society for Clinical Nutrition and Metabolism (ESPEN) consensus were associated with functional status, institutionalization, readmissions, and mortality in older patients at 3\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of 102 consecutive deconditioned patients was assessed at 3 months postdischarge from postacute geriatric care. Inclusion criteria were age \u226570 years, scores of Mini\u2010Mental Status Examination \u226521\/30, and being admitted for rehabilitation after an acute non\u2010disabling disease. Malnutrition as defined by ESPEN consensus and nutrition\u2010related conditions (such as frailty, sarcopenia, overweight\/obesity, nutrient deficiency, and cachexia) was assessed, and related to postdischarge clinical outcomes at 3\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 95 included patients (84.5 \u00b1 6.5 years; 63.2% women), 31 had unintentional weight loss and 19 fulfilled malnutrition criteria defined by the ESPEN consensus. Nutrition\u2010related conditions were frequent: 94 patients had frailty, 44 sarcopenia, 58 overweight\/obesity, and 59 nutrient deficiency. Sarcopenia reduced functional status at 3\u2010month follow\u2010up (median difference: \u221225.5; 95% confidence interval (CI) \u221246.4 \u2013 \u22124.3, <jats:italic>P<\/jats:italic> = 0.008). Institutionalization was related to unintentional weight loss in univariate analysis (odds ratio (OR) = 3.9; 95%CI 1.3 \u2013 12.4, <jats:italic>P<\/jats:italic> = 0.018). Meeting the basic ESPEN definition of malnutrition was related to institutionalization in univariate (OR = 3.4; 95%CI 1.0 to 11.3, <jats:italic>P<\/jats:italic> = 0.042) but not multivariate analysis, and was not significantly associated with readmissions or mortality at 3\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Further research is needed on the potential value of the ESPEN consensus and guidelines for malnutrition to identify older patients at risk of worse functional status, institutionalization, readmissions, and mortality at 3\u2010month follow\u2010up postdischarge.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10088","type":"journal-article","created":{"date-parts":[[2018,8,6]],"date-time":"2018-08-06T23:36:12Z","timestamp":1533598572000},"page":"304-312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Prognostic Value of the ESPEN Consensus and Guidelines for Malnutrition: Prediction of Post\u2010Discharge Clinical Outcomes in Older Inpatients"],"prefix":"10.1002","volume":"34","author":[{"given":"Dolores","family":"S\u00e1nchez\u2010Rodr\u00edguez","sequence":"first","affiliation":[{"name":"Geriatrics Department Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"},{"name":"Rehabilitation Research Group Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"},{"name":"School of Medicine Aut\u00f2noma University of Barcelona  Barcelona Spain"},{"name":"School of Medicine Pompeu Fabra University  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9dric","family":"Annweiler","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Aging Division of Geriatric Medicine Angers University Hospital Angers University Memory Clinic Research Center on Autonomy and Longevity UPRES EA 4638 University of Angers  UNAM Angers France"},{"name":"Robarts Research Institute Schulich School of Medicine and Dentistry University of Western Ontario  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Ronquillo\u2010Moreno","sequence":"additional","affiliation":[{"name":"Geriatrics Department Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga","family":"V\u00e1zquez\u2010Ibar","sequence":"additional","affiliation":[{"name":"Geriatrics Department Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"},{"name":"School of Medicine Pompeu Fabra University  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferran","family":"Escalada","sequence":"additional","affiliation":[{"name":"Rehabilitation Research Group Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"},{"name":"School of Medicine Aut\u00f2noma University of Barcelona  Barcelona Spain"},{"name":"Physical Medicine and Rehabilitation Department Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Duran","sequence":"additional","affiliation":[{"name":"Methodology and Biostatistics Support Unit Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josep M.","family":"Muniesa","sequence":"additional","affiliation":[{"name":"Rehabilitation Research Group Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"},{"name":"School of Medicine Aut\u00f2noma University of Barcelona  Barcelona Spain"},{"name":"Physical Medicine and Rehabilitation Department Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ester","family":"Marco","sequence":"additional","affiliation":[{"name":"Rehabilitation Research Group Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"},{"name":"School of Medicine Aut\u00f2noma University of Barcelona  Barcelona Spain"},{"name":"Physical Medicine and Rehabilitation Department Hospital del Mar Medical Research Institute (IMIM)  Barcelona Spain"},{"name":"International University of Catalunya  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2015.03.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.09.004"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2015.05.001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-012-0087-z"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616686719"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-1258"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2012.11.003"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2012.11.021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.08.015"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu8020069"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-04483-1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2015.06.005"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.02.018"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.08.024"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2017.07.010"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-016-0709-0"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13539-014-0162-x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0214-7"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2015.04.018"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1985.tb02276.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2014.02.009"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802037"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq034"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-130-6-199903160-00002"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2008.06.013"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1975.tb00927.x"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2017.20"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614536231"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.06.001"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50162.x"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2011.12.006"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-017-0971-7"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607117707761"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2015.06.003"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/21551197.2015.1090362"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614537076"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533615570094"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glu005"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.12.001"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.04.007"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2015.12.013"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu115"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2014.183"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2016.01.018"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607116686293"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607112440285"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fncp.10088","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ncp.10088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:48:57Z","timestamp":1760964537000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ncp.10088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,2]]},"references-count":48,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1002\/ncp.10088"],"URL":"https:\/\/doi.org\/10.1002\/ncp.10088","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,2]]},"assertion":[{"value":"2017-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}