Information & Literature

Malnutrition affects approximately one-third of patients living in nursing homes or care homes. Multi-morbidity is thought to be the most important cause of malnutrition in these persons. With increasing age the burden of chronic and acute disease increases, which directly influences the balance of nutritional needs and intake.  Malnutrition is associated with functional decline or failing functional recovery after hospitalization, an increased risk for life-threatening complications like sepsis and delirium, increased risk of non-elective hospital readmission, poor quality of life and increased mortality.

Therefore, nursing homes and care homes are now paying more attention to the prevention and treatment of malnutrition. Improving meal ambiance has been proven to be a succesfull method to improve a patient’s nutritional intake. Early detection of malnutrition is another method.



Volkert 2006. ESPEN Guidelines on Enteral Nutrition: Geriatrics

Westendorp 2006. Biology of Ageing

Berkhout 1998. The relationship between difficulties in feeding oneself and loss of weight in nursing-home patients with dementia


Hertroijs 2012. Rehabilitation patients: undernourished and obese?

Kruizenga 2009. The SNAQ RC, an easy traffic light system as a first step in the recognition of undernutrition in residential care


Meijers 2011. Estimating the costs associated with malnutrition in Dutch nursing homes

Quality of care

Meijers 2013. A feedback system to improve the quality of nutritional care

PhD thesis

Meijers. Awareness of malnutrition in healthcare: The Dutch Perspective. Maastricht 2009

Manders. Nutritional care in old age: the effect of supplementation on nutritional status and performance. Wageningen 2006

Nijs. Optimizing the ambiance during mealtimes in Dutch nursing homes. Wageningen 2006