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Comprehensive Geriatric Assessment and Nutrition-Related Assessment: A Cross-Sectional Survey for Health Professionals

1
Department of Clinical Nutrition and Food Service, NTT Medical Center Tokyo, Tokyo 141-0022, Japan
2
Palliative Care Center, Aichi Medical University, Aichi 480-1195, Japan
3
Department of Rehabilitation Medicine, Yokohama City University Medical Center, Yokohama 232-0024, Japan
4
Department of Clinical Nutrition and Food Services, Nagasaki Rehabilitation Hospital, Nagasaki 850-0854, Japan
5
Department of Nutrition, Suzuka General Hospital, Suzuka 513-8630, Japan
6
Department of Clinical Nutrition, Keiju Medical Center, Nanao 926-8605, Japan
*
Author to whom correspondence should be addressed.
Geriatrics 2019, 4(1), 23; https://doi.org/10.3390/geriatrics4010023
Received: 26 December 2018 / Revised: 9 February 2019 / Accepted: 12 February 2019 / Published: 15 February 2019
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Abstract

(1) Background: It is important to assess physical and nutritional status using the Comprehensive Geriatric Assessment (CGA). However, the correlation between the CGA usage and nutritional-related assessments remain unclear. This study aims to clarify the correlation between the CGA usage and other nutritional-related assessments. (2) Methods: We conducted a questionnaire survey on clinical use of CGA, assessment of sarcopenia/sarcopenic dysphagia/cachexia, and defining nutritional goals/the Nutrition Care Process/the International Classification of Functioning, Disability, and Health (ICF)/the Kuchi–Kara Taberu Index. (3) Results: The number of respondents was 652 (response rate, 12.0%), including 77 who used the CGA in the general practice. The univariate analyses revealed that participants using the CGA tended to assess sarcopenia (P = 0.029), sarcopenic dysphagia (P = 0.001), and define nutritional goals (P < 0.001). Multivariate logistic regression analyses for the CGA usage revealed that using ICF (P < 0.001), assessing sarcopenia (P = 0.001), sarcopenic dysphagia (P = 0.022), and cachexia (P = 0.039), and defining nutritional goals (P = 0.001) were statistically significant after adjusting for confounders. (4) Conclusions: There are correlations between the use of CGA and evaluation of sarcopenia, sarcopenic dysphagia, and cachexia and nutritional goals. View Full-Text
Keywords: comprehensive geriatric assessment; multicomponent assessment; rehabilitation nutrition; sarcopenia; sarcopenic dysphagia comprehensive geriatric assessment; multicomponent assessment; rehabilitation nutrition; sarcopenia; sarcopenic dysphagia
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Ueshima, J.; Maeda, K.; Wakabayashi, H.; Nishioka, S.; Nakahara, S.; Kokura, Y. Comprehensive Geriatric Assessment and Nutrition-Related Assessment: A Cross-Sectional Survey for Health Professionals. Geriatrics 2019, 4, 23.

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