40% of aged cared residents malnourished, study finds

A nutritional study conducted by Monash and Griffith Universities has revealed the extent of malnourishment in residential aged care.

Published in the journal Healthcare, the study included facilities within New South Wales, South Australia and Queensland. It found that 40% of residents were categorised as malnourished, while 6% were characterised as severely malnourished.

The researchers have warned that insufficient processes to systematically detect nutritional status means many residents are not recognised as being malnourished and remain untreated.

According to lead author of the study Dr Jonathan Foo, from Monash University’s Department of Physiotherapy, good nutrition plays a crucial role in healthy ageing.

“Malnutrition is associated with poorer overall health, increased hospitalisation rates, higher rates of falls and fractures, slower wound healing, higher infection risk, and accelerated mortality,” he said.

“Despite such risks, aged care providers are not suitably resourced to perform routine screening using validated tools, meaning many malnourished residents are likely to be undetected and therefore untreated.”

For more than 20 years, Australia’s aged care sector, responsible for over 190,000 individuals, has encountered substantial scrutiny regarding its handling of the malnutrition crisis.

The study recommends that regular screening “is crucial to identify those who need a full malnutrition assessment and intervention”.

“Our research group are currently working on implementing automated malnutrition screening and food-first malnutrition support pathways with our forward-thinking aged care partners,” Foo said.

“The sector is already overwhelmed by all the requirements of providing care to ageing Australians; we need to focus on approaches that overcome challenges rather than burdening providers.”

By the year 2050, it is estimated that the number of people 60 years and older will double, and that those 80 years or older will triple.

The federal government currently estimates the cost of malnutrition in residential aged care facilities at approximately $9 billion a year. The report by the 2021 Royal Commission into Aged Care Quality and Safety stated that the residential aged care sector had “failed to meet the nutritional needs of people for whom they care”. The Commission specifically identified improving nutrition as a priority area for immediate attention.

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