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Objective <p>Malnutrition and pressure ulcers are major geriatric syndromes that reduce the quality of life and increase complication risk. The aim of this study was to investigate the association between pressure ulcers and malnutrition in hospitalized geriatric patients and to evaluate the relationship between serum albumin and vitamin&#xa0;D levels and pressure ulcers.</p> Material and methods <p>This cross-sectional analytical study included 60&#xa0;geriatric patients (≥ 65&#xa0;years) hospitalized in an internal medicine clinic in 2015 and 30&#xa0;patients with pressure ulcers were matched with 30&#xa0;controls. Nutritional status was assessed using the Mini Nutritional Assessment (MNA). Laboratory tests (albumin, vitamin&#xa0;D, hemoglobin, etc.) and functional scores (Barthel Index of Activities of Daily Living [Barthel ADL], Lawton Instrumental Activities of Daily Living Scale [Lawton IADL]) were recorded. Logistic regression analysis was performed to examine the factors associated with the development of pressure ulcers.</p> Results <p>A&#xa0;total of 60&#xa0;geriatric patients were included in the study, with 30&#xa0;in the pressure ulcer group and 30&#xa0;in the control group. Malnutrition, low body mass index (BMI), reduced MNA scores, hypoalbuminemia and vitamin&#xa0;D deficiency were significantly more common among patients with pressure ulcers (<i>p</i> &lt; 0.01). The Barthel and Lawton ADL scores were also notably lower in this group. Logistic regression analysis revealed that an MNA score &lt; 17&#xa0;was an independent risk factor for the development of pressure ulcers.</p> Conclusion <p>In this study, malnutrition, hypoalbuminemia, vitamin&#xa0;D deficiency and reduced functional capacity emerged as potential risk factors for the development of pressure ulcers in hospitalized geriatric patients. These findings emphasize the need for early identification of individuals at risk and the implementation of preventive strategies.</p>

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Association between pressure ulcers and malnutrition in hospitalized geriatric patients

  • 期刊论文

  • 发表日期：

    2026年1月21日

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  • Zehra Demir,
  • Zehra Sarıkaya Demirbaş,
  • Sema Basat

摘要

Objective

Malnutrition and pressure ulcers are major geriatric syndromes that reduce the quality of life and increase complication risk. The aim of this study was to investigate the association between pressure ulcers and malnutrition in hospitalized geriatric patients and to evaluate the relationship between serum albumin and vitamin D levels and pressure ulcers.

Material and methods

This cross-sectional analytical study included 60 geriatric patients (≥ 65 years) hospitalized in an internal medicine clinic in 2015 and 30 patients with pressure ulcers were matched with 30 controls. Nutritional status was assessed using the Mini Nutritional Assessment (MNA). Laboratory tests (albumin, vitamin D, hemoglobin, etc.) and functional scores (Barthel Index of Activities of Daily Living [Barthel ADL], Lawton Instrumental Activities of Daily Living Scale [Lawton IADL]) were recorded. Logistic regression analysis was performed to examine the factors associated with the development of pressure ulcers.

Results

A total of 60 geriatric patients were included in the study, with 30 in the pressure ulcer group and 30 in the control group. Malnutrition, low body mass index (BMI), reduced MNA scores, hypoalbuminemia and vitamin D deficiency were significantly more common among patients with pressure ulcers (p < 0.01). The Barthel and Lawton ADL scores were also notably lower in this group. Logistic regression analysis revealed that an MNA score < 17 was an independent risk factor for the development of pressure ulcers.

Conclusion

In this study, malnutrition, hypoalbuminemia, vitamin D deficiency and reduced functional capacity emerged as potential risk factors for the development of pressure ulcers in hospitalized geriatric patients. These findings emphasize the need for early identification of individuals at risk and the implementation of preventive strategies.