660
ORIGINAL488722701005095115161181234281316
ARTICLES521822701004692132152192227269309
Assessment392233701004273103138168197257293331357
of429633701003757
nutritional436933701003775102127143170186225263297313
status46983370100285692118157186
in490033701001452
geriatric49683370100377297113147174199215245
inpatients52293370100155290126152168203241268298
|5584227010018
E5564222701004177
/36728043010732
Vnitř3749804301074592111139166
Lék.3934804301074184122140
2024;70(4):E3-E74094804301074487128168182224265290331353367409454482525568
/47078043010732
VNITŘNÍ48058043010745106127171220280301
LÉKAŘSTVÍ5127804301074084130188235280325377399
www.casopisvnitrnilekarstvi.cz42580430107651332012142542953293774274464795215705896176436927117307748128548809159449871007102310631101
of42562301074771
comparing51262301073985158206247273292339387
the91562301072775118
observed104962301074796129172198241284333
frequencies13986230107235092141188231278318336379412
with182662301076482110157
the199962301072875118
predicted213362301074975118167185224254295345
frequencies24936230107245193142188232279319337380413
between42576301075095122190233278326
different7727630107496791119162189232280307
groups,109976301074976123171220254270
we1389763010765109
used151876301074881125175
Pearson’s171476301074587128154188237285300331
χ22066763010738210376806326
test.214976301072870104133149
The231976301074292136
results247576301072770103151169197232
were2728763010765108135178
evaluated42590301074484126145192233260303353
as79790301074174
statistically89190301073463104131150183212231271312331350390
significant130090301073452101149168192212252293342368
at168890301074168
p1776903010749
<1845903010754
0.05.191890301074460104147162
Results4251154013868127179242275320373
In565132301071968
the653132301072877122
sample795132301073376151201222266
of1081132301074873
n11741323010748
=12421323010754
1371316132301074482124
(1001460132301072364105151
%)1631132301076689
patients,1740132301074992120140184233261297314
482074132301074490
%21841323010766
were22701323010765110137181
men24711323010774119168
and2659132301074190140
522819132301074487
%4251463010766
were5081463010764108134177
women,7031463010764112186230278294
the1014146301072876120
average1152146301074080123150191241285
of1454146301074872
the1543146301072876120
entire1681146301074391118137164207
sample1905146301073375148198218262
was21841463010765106139
76.22341146301074384100146
years,2504146301073983123149184200
most27221463010772121155184
of425160301074873
the520160301072877122
patients664160301075092120140185234262297
(51983160301072467107
%)1112160301076789
were12231603010765109137181
65-741426160301074487116156195
years1643160301074084125152187
old.1852160301074869119136
According2010160301075393133180208257277326376
to2408160301072875
MNA®-FF,25061603010770128181213241285326333
928621603010743
%4251743010766
of512174301074873
patients606174301075092120140185234262297
had924174301074990141
a10861743010740
normal1147174301074998126201243263
nutritional1431174301074896125153173202222271320362382
status,1834174301073363105134182216233
up2088174301074898
to2207174301072876
742304174301074483
%24081743010766
were24951743010765109137181
at2697174301074169
risk278717430107264680118
of425188301074874
malnutrition5271883010774117137186235264292313342362412462
and1017188301074291142
171188188301074482
%12991883010766
were13941883010765110138182
malnourished16051883010774116137186236285313334368417463514
(tab.214818830107245194145161
1).233818830107446377
The2444188301074293139
average2611188301074283127155198249295
hospitalization425202301074898132182202231273293313350393421441490539
duration992202301074997125167195215264313
was13332023010765107142
415022023010744
days,1574202301074990130165182
the1783202301072877122
average1933202301074182126153196246291
number2252202301074896171221267294
of2574202301074873
hospitalizations267420230107499813218320342521630107287090109147190218238287336370
was8162163010765107141
1.5/year,978216301074456101132173217258285298
the1297216301072777122
average1439216301074182126153196246291
BMI17512163010745116136
in1908216301071968
the1996216301072877122
sample2139216301073476151201222267
was24262163010765108142
27.6,258821630107448794140156
and2765216301074190140
the425230301072877122
average570230301074182126153196246291
weight8842303010765109129179228256
report1163230301072670121171199230
for141723030107237299
the1540230301072777122
last168523030107196094124
618332303010743
months19002303010773123172200249283
was22062303010765107142
223712303010744
kg;2438230301073887102
992563230301074490
%26762303010766
had2766230301074889140
polymorbidity4252443010750100120161236285313364384434453482526
and969244301074190140
961127244301074489
%12352443010766
had1319244301074990140
polypharmacotherapy,1478244301074999120160212261303330405446488535563612657684727777817830
with2326244301076585114163
an2507244301074190
average2615244301074181125153195245290
number425258301074897171222267295
of742258301074873
drugs837258301074976126176210
of1069258301074873
121164258301074482
in1269258301071867
241359258301074384
hours1466258301074897146174209
(tab.169725830107245193144160
2).187925830107446782
Regarding1983258301074590141183210259279328378
laboratory2383258301071961111161189232260307335379
parameters,2784258301075093425272301072769144189217261288323340
the791272301072877122
patients939272301075092120140185234261297
had1262272301074890140
lower1428272301071968134178206
mean16592723010774119160209
limit1894272301071938113132161
values2081272301074183103151196231
of2338272301074772
albumin2436272301074161111160235254303
and2765272301074190140
haemoglobin425286301074890135209259310329379430450498
and945286301074190140
an1107286301074089
increased1218286301071968109136180221255301351
CRP1591286301075197144
value1756286301074183103151196
(tab.197428630107245193144160
3).215528630107446680
We5653003010774116
found705300301072471120168217
statistical947300301073362103131149182211230270312331
significance1302300301073452101149168192211252293341382424
between1751300301074994122190233278326
the2102300301072776120
resulting2246300301072770104151170197216264313
MNA®-FF25843003010770128180211238281321
score425314301073374120147189
and631314301074088137
the784314301072876120
BMI9203143010745115133
value1070314301074081100147191
(p1277314301072474
<13673143010753
0.001)1437314301074358102148187205
and1658314301074188137
between1812314301074994121188231276324
the2152314301072876119
weight22883143010764107126175222249
loss2553314301071967100133
in2702314301071967
the2785314301072876119
last42532830107196093122
65693283010743
months6343283010774122171198246279
(p935328301072374
<10303283010754
0.001)1105328301074460104150190207
(tab.133432830107245091141156
2)1512328301074466
and1599328301074189139
between1759328301075095123190234279327
the2107328301072876121
resulting2249328301072770103150169197216264313
MNA®-FF25843283010770127180211238281321
score425342301073474121148191
and635342301074189139
the793342301072876121
haemoglobin933342301074989133207256306324373423442490
value1443342301074082101148192
(p1655342301072474
=17493423010753
0.033)1822342301074459103145187208
(tab.205034230107235091141156
3).222634230107446578
Discussion3047594013872105157207271323375408470534
In318776301071969
our328576301074899126
sample344076301073478154206228274
of374376301074974
geriatric384576301075096124145187215243264306
patients,417976301075194123143189239267303320
after45287630107416699144172
administration472876301074293169189239258293323351395423443493544
of530076301074974
the540376301072878124
MNA®-FF3047903010770128181212240283324
tool,338990301072775124144160
we3566903010765109
identified369390301071969113162189208233253297348
up405890301074898
to417490301072875
91426790301074484
%4369903010766
of445390301074873
patients454390301075092120139183232259294
who4855903010765114163
were5036903010765109136179
at523390301074168
risk53199030107274780118
of545590301074772
developing3047104301074993135178198247297317365415
malnutrition34801043010774115135183231260287307335354403452
or3950104301074876
already404410430107416187130171221262
had4324104301074890139
malnutrition.44821043010774115134183230259286306335354402451468
With4969104301077394122171
the5158104301072877122
global5298104301074968117168210229
demographic3047118301074993167215266292334384433452492
transition355711830107275496144178196224244292341
towards3915118301072874139181208256289
to4222118301072774
an4314118301074089
aging4420118301074190109157207
population,4644118301075099149198217258285304353401417
malnutrition50791183010773114133181229257284304332351400448
in3047132301071967
older3133132301074868117162189
age3341132301074190135
has3495132301074889123
become3636132301075095137184259304
a39581323010741
global4018132301074968117167209229
challenge4265132301074189130150169213262311356
as4640132301074174
a47331323010741
major47931323010773114134182210
contributor5022132301074087136163190210260309337384412
to5453132301072774
the3047146301072876121
morbidity31901463010773122150200220269289317360
and3572146301074089139
mortality37321463010774123150182223243262290333
of4087146301074872
the4180146301072877122
geriatric4323146301074994120140181208236255296
patient4641146301074991119138182231258
(13).4921146301072464102123137
Malnutrition50791463010770112131179227256283303331351399448
is3047160301071952
caused3126160301074082130163208258
by3411160301074989
a35271603010741
variety3594160301074183110130174202245
of3866160301074872
factors,3965160301072366107138185212247263
including4255160301071967108128175225244293342
developmental4624160301074994135178198247297372417465492534554
changes,5204160301074089130179228273307323
inadequate3047174301071967109159203254302343371414
or3489174301074875
unbalanced3591174301074897147189209250299340383434
food4052174301072372121172
intake,425117430107196895137176219234
the4513174301072876121
presence4662174301074977120155200248289332
of5022174301074872
both5122174301074999127176
acute5325174301074183131160203
and3047188301074190140
chronic3214188301074190116164214233274
diseases,3515188301074969102147188222267301318
and3860188301074190140
the4028188301072877121
extent4177188301074484115159208235
and4440188301074189140
quality4607188301074997139158177206249
of4884188301074873
health4984188301074893134154182231
care5243188301074082109153
(8).542318830107246891104
Many30472023010771113162201
factors3276202301072467109140188215251
and3554202301074191141
methods37232023010774120148198247298332
are4083202301074168112
involved4223202301071968108157177219264315
in4566202301071968
the4661202301072878123
evaluation4812202301074485128148196238266285335384
of5224202301074873
nutritional5325202301074997126154174304721630107284897146188207
status3282216301073464106134183216
and3526216301074190140
an3694216301074190
inaccurate3812216301071967109150190239266308336380
or4219216301074876
absent4323216301074191126171220248
assessment4598216301074175109155189223298343392420
of5045216301074873
nutritional5146216301074897126153173202221270320362381
status3047230301073463105133182216
by3290230301075090
health3407230301074994134154183232
care3666230301074082110153
professionals3847230301074977125150194228262281330379420440473
can4348230301074082131
also450623030107416194143
have4677230301074890130174
an4878230301074190
impact4995230301071994144186227258
on5281230301074897
the5406230301072877121
emergence30472443010744118162189238283331372415
and3487244301074189139
development3651244301074993134178198246297371416465492
of4168244301074872
malnutrition42652443010774115134182230259286306334354402451
(14).4741244301072464104125139
BMI49052443010745116135
is5065244301071952
important,5142244301071992142192219251293341368385
but3047258301074998126
definitely3190258301074993117137185204232275294334
not3542258301074896123
a36832583010740
decisive3741258301074892134153185204245288
parameter4046258301075092118160233278306348375
for443825830107247198
assessing4554258301074074107152185219237285335
the4906258301072876120
obesity5043258301074898143177195224266
index5327258301071866116160200
in3047272301071967
individual3139272301071867117136177197247295336355
patients.3518272301075092120139183232259294312
BMI38542723010745116135
analyzes4014272301074189130150190230273307
weight43452723010765109128178226254
categories4623272301074082110153203252279299343377
that5025272301072876117145
may51942723010774115155
lead5373272301071963104154
to3047286301072875
health3140286301074893133152181230
problems,3387286301075077125175196240314348364
but3769286301074998127
does3914286301074997143177
not4108286301074998125
diagnose4251286301074968109159207256290335
an4603286301074190
individual’s4711286301071867117136177197247295336355372404
body51322863010750100150191
fat534128630107236694
or5452286301074876
health3047300301074892133152180229
(15).3293300301072464102125138
Additionally,34493003010752101150169197217265314355374393433445
standardized3911300301073463104153202243270318337374417467
“normal”4396300301072672121148222263283310
BMI47243003010745115134
values4876300301074082101149193227
may51203003010774115154
not5291300301074897124
be5433300301074995
objective,3047314301074898118162204235254295339354
as3423314301074174
this351931430107287695129
index3669314301071967117162202
does3893314301074997143177
not4092314301074897124
take4238314301072870108152
into441131430107196795142
account4574314301074182122169217266293
body4889314301074999150190
structure510131430107336390139180211259286329
or5452314301074875
subcutaneous3047328301073481131173221249291340384434483516
fat358232830107236694
thickness,369432830107287796137175225270304338354
nor4067328301074897125
sex4210328301073479119
and4348328301074189139
age4506328301074191135
(16).4660328301072464104127140
The4819328301074292137
optimal4975328301074898126145219260280
BMI52743283010745116135
for542832830107247299
the3047342301072876121
senior3185342301073478126145194221
population3423342301075099149198217258285305353402
does3842342301074997143177
not4036342301074897124
correspond4178342301074087114141185219268317366416
to4611342301072875
the4703342301072877121
optimal4841342301074899126146219260279
BMI51383423010745115135
for529034230107247199
the5406342301072876121
Tab.425375301135093144171
2.623375301135481
Health731376201075493138156182228
characteristics975376201073884129154197235262299324343372398416453485
of1476376201074568
the1560376201072773111
sample1687376201073176147193211249
according1953376201074582118161187231249295340
to2309376201072770
MNA®-FF23953762010768123171202228269306
(n2718376201072367
=28013762010754
137)2871376201074276113136
Variable45638990984887117138179227248290
MNA®-FF1466394909866122173205225268308
Median/IQR1410404909866109157178219266293316373420
Normal2045389909854100130198240261
nutritional232338990984591120149170199220266216139990984687108
status228639990983362104133179213
Median/IQR2120409909866109157178219266293316373420
At280038990985178
risk28953899098285084125
of303738990984571
malnutrition3125389909868109130288539990984692121150171200220266313
Median/IQR2831409909866109157178219266293316373420
Malnourished3507394909866108129176222268297319353399441489
Median/IQR3542404909866109157178219266293316373420
KW-χ243593999098471191441824541400505725
p5046399909847
value510939990984182104150192
Length45642190983982128175204251
of72342190984572
hospital81142190984692126173195224265287
stay45643190983363105144
4/2-7153742720953967107130165
2/1-6224642720953969107128170
5/2-7295942720953966105128164
5/3-10365242720953966105130165200
1.72143824272095394988127162
0.42250894272095395392129168
Number456443909854101169217259289
of76144390984672
hospitalizations/last8504439098459112517319422326528630745645390983679107128174220254282304345379408
year88145390984081123152
1.5/1-215154492095394989116154175209
2/1-2224944920953969107128162
2/1-2296044920953969107128162
2/1-2367144920953969107128162
1.21343834492095394990126159
0.54550884492095395393133170
BMI456465909846113136
27.6/23.9-30.814004662095397683123151191230244282308345384398439
27.9/26.6-33.821134662095397683121147187225239279306342380394434
27.5/24.3-29.728274662095397683123150189225239279304339378390428
20.6/18.5-22.835314662095397892132160197232247287312347386400441
35.89843584662095397690130169209
<0.001***501846620954886100140181217244277310
Weight456477909870110131178224253
loss/past72547790982167101135162208250284313
61055477909843
months456487909868114161189235269
2/0-5153348320953969107134173
2/0-3224548320953969107134171
4/1-7296148320953967105126161
10/5-15363548320953975102140165200234
29.10743644832095397890124160197
<0.001***501848320954886100140181217244277310
Number456499909854101169217259289
of76149990984672
drugs/2485049990984675122168203230274316
hours45650990984692138167202
12/8-18150150520953973103141167202237
12/9-14221150520953973103141168203238
12/9-18292250520953973103141168203238
13/8-17363650520953973100139164199232
0.32643795052095395393130168
0.84950875052095395394135172
n/%154952190984674142
n/%226052190984674142
n/%297052190984674142
n/%368152190984674142
χ244315219098394469522505725
p5150521909847
Polymorbidity45653390984590111152221267297344366413434463506
≥978533909848
51043533909842
chronic45654390983682111157204225262
diseases73454390984768102145186220262297
136/99151053920953973112140179219
13/10224453920953973100138173
100/74293253920953975116143184218
23/17366453920953978106143176
0.35943795392095395393131167
0.83550895392095395394132169
Polypharmacy45655590984590111152200247288318386428464507
≥980555909847
51044555909843
prescribed45656590984776118153190219240287330378
drugs85056590984776122169203
131/96151456120953973108132171211
13/10224456120953973100138173
95/73294956120953978104145184
23/18366356120953978106143178
2.23643765612095395394133172
0.32650895612095395393130168
***p4565782095316396135
value6065782095337389130164
<785578209547
0.0018475782095375289127161
Tab.425605801135093144171
3.623605801135479
Laboratory729606701073782127173199241267311337377
parameters1122606701074591116159230269295332357389
in1527606701071864
the1608606701072672110
sample1734606701073176147193212250
(n2000606701072468
=20846067010753
137)2154606701074175112136
Variable45662540984887117138179227248290
/763625409827
reference807625409828709713916921125745663540983677
value55063540984182103149192
MNA®-FF1429625409866122173205225268308
Median/IQR1373635409866109157178219266293316373420
Normal1974620409854100130198240261
nutritional225262040984591120149170199220266313354375
status219463040983363105133179213
Median/IQR2091640409866109157178219266293316373420
At269162040985178
risk27866204098285084125
of292862040984571
malnutrition301662040986810913017722325228130229476304098284995142
Median/IQR2808640409866109157178219266293316373420
Malnourished3491625409866108129176222268297319353399441489
Median/IQR3525635409866109157178219266293316373420
KW-χ243496304098471191441824531631005725
p5043630409847
value510663040984182104150192
Albumin45665240985172120166235256302
(35-5277565240982466108135178220
g/l)10116524098467496120
35/30-38144165270953976103143182209245284
38/36-40215465270953978107146185212253294
35/29-38287665270953976103143181208245284
31/26-3435966527095397498138176202239279
5.82443696527095395293131167
0.05450846527095395393131171
Transferrin45666440984267108155188215257287316337384
(2.0-3.68566644098256788131160202221265
g/l)4566744098467496120
2.1/2.0-2.914246697095395388112152166205232267281319
—2261669709580
2.1/1.1-1.828676697095395388112150160195216250261301
1.4/1.7-2.835796697095394988116154164203224259272313
2.26143706697095395394132166
0.13250916697095395388122158
Haemoglobin45668640985496138206253300321367415436483
(Male45669640982490132153195
135-17566869640984281123150189227268
g/l,9526964098467496116
Female45670640984182151192214256
120-16072870640984382125154192232276
g/l)10217064098467395120
126/108-139139169670953973111139176212252278312346384
135/130-145211069670953973110137174208247274309344381
124/103-136282869670953973109137174210247272307340379
126/98-136356069670953973111139178217243278311350
6.77743676967095395492132171
0.033*50716967095395393130168198
CRP45671840984793139
(<61171840982468
5.069671840984362105
mg/l)818718409868115142164189
7.9/2.5-33.914067187095394683110149163203228265302316354
19.3/7.4-34.821037187095397385125153193200239265301341355396
10.7/2.7-32.628237187095397589127150189203242262299336350390
9.7/3.5-5735827187095395190112152166206230269307
0.47143707187095395392128165
0.78950867187095395392129168
Cholesterol45673040984793139161203237266308338384405
(<87873040982468
5.0096273040984362106151
mmol/l)456740409868136183204232254278
4.5/3.7-5.814217357095395393120159173212233271284325
5/3.5-6.0216073570953966105119159184226241281
5/3.6-5.8287973570953966105119159186224238278
4.1/3.9-5.935757357095395388112152166203230268282320
0.15143747357095395388122157
0.92750877357095395391128166
Lymphocytes45675240983977146193240286323366397439473
(0.84.0946752409824668513045676240984363106
×579762409848
109/l)64376240984383127153175200
1.4/1.0-2.014237577095394988116154164204231266280319
1.4/1.1-1.821487577095394988116154164199220255265306
1.5/1.1-2.228637577095394989116154164199220254268309
1.2/0.8-1.835737577095394990120158172213239274284325
2.67443717577095395393130164
0.26250857577095395394132170
*p45677470953171
value5417747095347390130165
<720774709548
0.057827747095375289125