Clinical nutrition ESPEN · 2026
Addressing appetite loss in older patients: Validation of the appetite loss in older adults with and without cognitive impairment (ALOC) scale.
СтатьяВалидационное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Rudzińska Anna, Pac Agnieszka, Golonka Aleksandra, Gąsowski Jerzy, Piotrowicz Karolina
Аннотация
BACKGROUND: A reduced appetite in patients with cognitive impairment may be overlooked due to communication difficulties and lack of appropriate screening tools. For this reason, we developed the Appetite Loss in Older adults with and without Cognitive impairment (ALOC) screening scale.
AIM: The aim of the current study was to validate ALOC tool for use in older patients, aged 65 years and over, with and without cognitive impairment.
METHODS: We included hospitalized adults aged 65 and over in a cross-sectional study. Appetite was assessed using ALOC and Council on Nutrition Appetite Questionnaire (CNAQ) scales and cognitive status was screened using Mini Mental State Examination (MMSE).
RESULTS: We included 103 hospitalized older patients (63.1 % of women, mean age 77.8 ± 6.7 years). The moderate to high correlations were found between ALOC scale and the Council of Nutrition Appetite Questionnaire (CNAQ) (rho = -0.814, -0.722 and -0.549, for patients with normal cognitive status, suspected mild cognitive impairment, suspected mild to moderate dementia, respectively). We found that routine nutritional screening or check-up of weight loss provide discordant results to appetite screening using a dedicated ALOC tool.
CONCLUSION: The ALOC scale is currently the only scale validated for use in patients with diminished cognitive reserves. Using it may facilitate a dialogue on the impact and consequences of appetite loss in older adults and appropriate management.
AIM: The aim of the current study was to validate ALOC tool for use in older patients, aged 65 years and over, with and without cognitive impairment.
METHODS: We included hospitalized adults aged 65 and over in a cross-sectional study. Appetite was assessed using ALOC and Council on Nutrition Appetite Questionnaire (CNAQ) scales and cognitive status was screened using Mini Mental State Examination (MMSE).
RESULTS: We included 103 hospitalized older patients (63.1 % of women, mean age 77.8 ± 6.7 years). The moderate to high correlations were found between ALOC scale and the Council of Nutrition Appetite Questionnaire (CNAQ) (rho = -0.814, -0.722 and -0.549, for patients with normal cognitive status, suspected mild cognitive impairment, suspected mild to moderate dementia, respectively). We found that routine nutritional screening or check-up of weight loss provide discordant results to appetite screening using a dedicated ALOC tool.
CONCLUSION: The ALOC scale is currently the only scale validated for use in patients with diminished cognitive reserves. Using it may facilitate a dialogue on the impact and consequences of appetite loss in older adults and appropriate management.