While literature suggests that malnutrition and falls in frail elderly are related (Vellas et al., 1990 and Vellas et al., 1992), and a relation

via loss of muscle mass seems realistic, there are only a few empirical studies that investigated the relationship between fall incidents and nutritional status in this population. Daniels (2002) found that in residential care settings a substantial number of elderly susceptible to falling is also at risk of poor nutritional health. The primary aim of this study is to explore the relation between malnutrition and fallers in Dutch LTC residents. Residential LTC institutions in the Netherlands provide temporary or permanent multidisciplinary treatment, guidance, support and nursing care for elderly patients with long-term, complex health problems, expressed primarily in functional disorders and handicaps. Secondary, we will investigate Stem Cell Compound Library cell assay the role of activity within this relationship. Thirdly, we will investigate whether the relation between nutritional status and fallers is affected by Anti-diabetic Compound Library nutritional intervention. This study is a secondary data analysis of the annual independent National Prevalence Measurement of Care Problems of Maastricht University (LPZ called; www.LPZ-UM.eu) in Dutch healthcare. Yearly, more than 400 health care organizations (hospitals, nursing homes, homes for the elderly, and home care organizations)

participate voluntarily in the LPZ measurement. It is a cross-sectional, multi-center point prevalence and incidence measurement. Patients are investigated regarding the prevalence or incidence, prevention, and treatment of several health care problems,

e.g. pressure ulcers, incontinence, restraints, intertrigo, falls and malnutrition. For this study we analyzed the Dutch malnutrition and falls data of 2008 (Halfens et al., 2008). In 81 LTC settings in the Netherlands, 6828 residents participated in the LPZ measurement regarding malnutrition and falls. The following exclusion criteria were applied: residents younger than 65 years, residents without complete data regarding fall history and/or nutritional status. Permission to conduct the study was obtained from the Medical Ethics Committee at Maastricht University Medical Forskolin cell line Center (MUMC). Prior to the data collection, oral or written informed consent by residents, relatives or legal guardians in case of psycho geriatric residents, preceded participation. The LPZ uses a standardized questionnaire to register amongst others data of measured weight, height, number of diseases, nutritional intake, undesired weight loss, nutritional interventions, fall history, Braden scale (Ayello & Braden, 2002), and Care Dependency Scale (CDS) (Dijkstra, Tiesinga, Platinga, Veltman, & Dassen, 2005). The Braden activity-item was used to score the amount of physical activity of the participants with the following categories: (1) bedfast, (2) chairfast, (3) walks occasionally, and (4) walks frequently.