scholarly journals Prognostic Indices of Poor Nutritional Status and Their Impact on Prolonged Hospital Stay in a Greek University Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Georgia Tsaousi ◽  
Stavros Panidis ◽  
George Stavrou ◽  
John Tsouskas ◽  
Dimitrios Panagiotou ◽  
...  
Keyword(s):  
Weight Loss ◽  
Food Intake ◽  
Nutritional Status ◽  
University Hospital ◽  
Hospital Length Of Stay ◽  
Nutritional Risk ◽  
Nutrition Status ◽  
Artificial Nutrition ◽  
Arm Circumference ◽  
Poor Nutritional Status

Background. To ascertain the potential contributors to nutritional risk manifestation and to disclose the factors exerting a negative impact on hospital length of stay (LOS), by means of poor nutritional status, in a nonselected hospitalized population.Materials and Methods. NutritionDay project questionnaires were applied to 295 adult patients. Study parameters included anthropometric data, demographics, medical history, dietary-related factors, and self-perception of health status. Body Mass Index (BMI) and Malnutrition Universal Screening Tool (MUST) were calculated for each participant. MUST score was applied for malnutrition assessment, while hospital LOS constituted the outcome of interest.Results. Of the total cohort, 42.3% were at nutritional risk and 21.4% malnourished. Age, gender, BMI, MUST score, autonomy, health quality, appetite, quantity of food intake, weight loss, arm or calf perimeter (P<0.001, for all), and dietary type (P<0.01) affected nutritional status. Poor nutrition status (P=0.000), deteriorated appetite (P=0.000) or food intake (P=0.025), limited autonomy (P=0.013), artificial nutrition (P=0.012), weight loss (P=0.010), and arm circumference <21 cm (P=0.007) were the most powerful predictors of hospital LOS >7 days.Conclusion. Nutritional status and nutrition-related parameters such as weight loss, quantity of food intake, appetite, arm circumference, dietary type, and extent of dependence confer considerable prognostic value regarding hospital LOS in acute care setting.

scholarly journals A study of nutritional status, development of malnutrition and food consumption in hospitalized patients

2019 ◽  
Vol 3 (2) ◽  
pp. 66-80
Author(s):  
Anil Evrim Gungor ◽  
Perihan Arslan ◽  
Osman Abbasoglu
Keyword(s):  
Weight Loss ◽  
Nutritional Status ◽  
Hospitalized Patients ◽  
Nutritional Risk ◽  
Food Services ◽  
Hospital Malnutrition ◽  
Arm Circumference ◽  
Nrs 2002 ◽  
Mid Upper Arm Circumference ◽  
Nutritional Risk Screening

Purpose: To investigate the nutritional status of patients on admission and during hospital stay, the factors leading to weight loss, and to evaluate patient satisfaction of hospital food. Methods: On admission, Nutritional Risk Screening (NRS-2002), weight, height, Body Mass Index (BMI), mid upper arm circumference (MAC) measurements were carried out; serum total protein and albumin levels were recorded. Upon discharge, measurements of weight, MAC were repeated, along with a food satisfaction questionnaire. Results: Patients with NRS-2002>3, BMI<20, were classified as nutrionally at risk which were 43.6% and 9.4% respectively. Of the patients, 77% lost weight (2.6±1.9 kg). Patients who were determined to be malnourished on admission by BMI and NRS-2002 stayed longer in hospital (p<0.0 and p<0.001, respectively). The relationships between weight loss and lenght of stay, use of medications and period of starvation were significant (p<0.0001, for each). Of the patients, 49.9% did not satisfy with the hospital food. Conclusions: Nutritional status of hospitalized patients should be screened with NRS-2002, assessed and monitored. Keywords: NRS-2002, hospital malnutrition, hospital food services

Identifikasi risiko malnutrisi dan evaluasi status nutrisi pasien kanker anak dengan pengobatan kemoterapi

2019 ◽  
Vol 15 (4) ◽  
pp. 137
Author(s):  
Agus Santosa ◽  
Sri Mulatsih ◽  
Susetyowati Susetyowati
Keyword(s):  
Weight Loss ◽  
Nutritional Status ◽  
Childhood Cancer ◽  
Cancer Patients ◽  
Energy Intake ◽  
Protein Intake ◽  
Nutrition Status ◽  
Observational Research ◽  
Hospitalization Period ◽  
Poor Nutritional Status

Identification of malnutritional risk and nutrition status evaluation of pediatric cancer patients with chemotherapy treatmentBackground: Hospitalized childhood cancer patients had a high risk for malnutrition, either caused by the disease or effects of cancer treatment. Malnutrition in cancer patients gives negative impacts on treatment outcomes in the form of increasing morbidity and mortality rates. Nutrition screening for identifying malnutrition risks could prevent malnutrition in hospitals.Objectives: Investigating the influence of malnutrition risk during hospitalization on the changes in the nutritional status of childhood cancer patients with chemotherapy treatment. Methods: This research was observational research with the nested case-control design. The research subjects were childhood cancer patients aged 2-18 years old meeting the inclusion criteria. They were 64 in number consisting of the case group involving 32 patients and a control group involving the rest. During hospitalization, analyses of nutritional intake, change in body weight, nutritional status, and hospitalization period. Furthermore, the analyses of the influence of malnutrition risk on the outcome between those two groups were then compared. Results: There was a significant influence of malnutrition risk on less energy intake (p<0.001), less protein intake (p=0.002), weight loss >2% (p<0.001), poor nutritional status based on the BMI/U (p=0.011), and longer hospitalization (p=0.034). The group of patients with malnutrition risks had risks of 15.5 (CI 95%: 3.991-63.359) times higher for less energy intake, 6.12 (CI 95%: 1.675-24.906) times higher for less protein intake, and 45.3 (CI 95%: 5.666-1940.768) times higher for weight loss > 2% than the group of patients without malnutrition risks.Conclusions: Patients with a significant risk of malnutrition had less energy and protein intake, weight loss > 2%, poor nutritional status based on BMI/U, and longer hospitalization.

Nutrition status of HIV+ children in Botswana

2015 ◽  
Vol 115 (5) ◽  
pp. 495-514 ◽  
Author(s):  
Maria Nnyepi ◽  
Maurice R. Bennink ◽  
Jose Jackson-Malete ◽  
Sumathi Venkatesh ◽  
Leapetswe Malete ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Supplement ◽  
Nutrition Status ◽  
Older Children ◽  
Post Intervention ◽  
Content Type ◽  
Cell Counts ◽  
Arm Circumference ◽  
Poor Nutritional Status ◽  
Hiv Aids

Purpose – Identifying and addressing poor nutritional status in school-aged children is often not prioritized relative to HIV/AIDS treatment. The purpose of this paper is to elucidate the benefits of integrating nutrition (assessment and culturally acceptable food supplement intervention) in the treatment strategy for this target group. Design/methodology/approach – The authors conducted a randomized, double blind pre-/post-intervention trial with 201 HIV-positive children (six to 15 years) in Botswana. Eligibility included CD4 cell counts < 700/mm3 (a marker for the severity of HIV infection), documented treatment with antiretroviral (ARV) drugs, and no reported evidence of taking supplemental food products with one or more added nutrients in the six-month period prior to the study. The intervention (12 months) consisted of two food supplements for ethical reason, one with a higher protein content, bean (bean-sorghum based) group (n=97) and a cereal (sorghum) group (n=104) both of which contained added energy- and micro- nutrients. Anthropometric and biochemical nutritional status indicators (stunting, wasting, underweight, skinfolds for fat and muscle protein reserves, and hemoglobin levels) were compared within and between the bean and the cereal groups pre- and post-intervention separately for children six to nine years and ten to 15 years. Findings – Older children (ten to 15 years) fared worse overall compared to those who were younger (six to nine years) children in anthropometric and protein status indicators both at baseline and post-intervention. Among children six to nine years, the mid arm circumference and blood hemoglobin levels improved significantly in both the bean and cereal groups (p < 0.01 and p < 0.05, respectively). Although the BMI for age z-score and the triceps skinfold decreased significantly in the bean group, the post-intervention subscapular skinfold (fat stores) was significantly higher for the bean group compared to the cereal group (p < 0.05). Among children ten to 15 years, both the bean and the cereal groups also showed improvement in mid arm circumference (p < 0.001), but only those in the bean group showed improvement in hemoglobin (p < 0.01) post-intervention. Originality/value – Similar significant nutritional status findings and trends were found for both food interventions and age within group pre- vs post-comparisons, except hemoglobin in the older children. Post-intervention hemoglobin levels for the type food supplement was higher for the “bean” vs the “cereal” food in the younger age group. The fact that all children, but especially those who were older were in poor nutritional status supports the need for nutrition intervention in conjunction with ARV treatment in children with HIV/AIDS, perhaps using a scaled up future approach to enhance desired outcomes.

scholarly journals NutriDia Brasil: retrato dos cuidados nutricionais em um hospital de alta complexidade do Rio Grande do Sul

2020 ◽  
Vol 35 (3) ◽  
pp. 216-221
Author(s):  
Marilene Fleck de Oliveira ◽  
Maria Cristina Zanchim ◽  
Carolina Benvenuti de Mattos ◽  
Vanuza Burille ◽  
Tatiana Pacheco Rodrigues ◽  
...  
Keyword(s):  
Weight Loss ◽  
Food Intake ◽  
Quality Care ◽  
Length Of Hospital Stay ◽  
Public Health Problem ◽  
Nutritional Therapy ◽  
Nutritional Risk ◽  
Artificial Nutrition ◽  
Hospital Malnutrition ◽  
Loss Of Appetite

ntroduction: Hospital malnutrition is considered a public health problem, whose prevalence ranges from 40% to 60% on admission, reaching figures of 80% during the course of hospitalization. In this context, the nutriDia Brasil project aims to highlight nutritional problems that hospitalized patients have, as well as resources available for the management and knowledge of health professionals in this regard. Methods: Longitudinal observational study, using data from the multiprofessional nutritional therapy team at Hospital São Vicente de Paulo, in Passo Fundo, RS, an institution participating in nutriDia Brasil, in November 2017. For the composition of the study, variables such as gender, age, diagnosis, length of hospital stay, body mass index (BMI), weight loss, identification of nutritional risk, type of nutritional therapy, acceptance of diet, consumption of food outside the hospital routine and clinical outcome after 30 days. Results: 136 patients were evaluated, with a mean age of 57 ± 3.2 years, most of whom were male (53%). The main causes of hospitalization were diseases of the musculoskeletal system (21.1%), circulatory (15.8%), digestive (13.9%) and genitourinary (10%). Regarding nutritional status, the mean BMI was 25.9 ± 4.8 kg/m² and weight loss was reported in 55% of cases, with an average reduction of 6.7 ± 2.1 kg. 39.2% of those evaluated and only 51.9% managed to ingest the entire hospital diet prescribed. Among the causes of reduced food intake, 13.2% reported symptoms such as nausea or vomiting and 9.1% loss of appetite. 71.3% received an exclusive oral diet; 17.4% used nutritional supplements in combination with hospital foods and 11.3% received artificial nutrition. Conclusion: Weight loss, inadequate food intake and the presence of nutritional deviations were the most relevant factors, suggesting the need to implement improvements that contribute to safe and quality care for the patient.

scholarly journals Length of stay in surgical patients: nutritional predictive parameters revisited

2012 ◽  
Vol 109 (2) ◽  
pp. 322-328 ◽  
Author(s):  
Ana Isabel Almeida ◽  
Marta Correia ◽  
Maria Camilo ◽  
Paula Ravasco
Keyword(s):  
Weight Loss ◽  
Length Of Stay ◽  
Nutritional Status ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Nutritional Risk ◽  
Surgical Patients ◽  
Anthropometric Parameters ◽  
Predictive Parameters ◽  
Nrs 2002

Nutritional evaluation may predict clinical outcomes, such as hospital length of stay (LOS). We aimed to assess the value of nutritional risk and status methods, and to test standard anthropometry percentilesv.the 50th percentile threshold in predicting LOS, and to determine nutritional status changes during hospitalisation and their relation with LOS. In this longitudinal prospective study, 298 surgical patients were evaluated at admission and discharge. At admission, nutritional risk was assessed by Nutritional Risk Screening-2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST) and nutritional status by Subjective Global Assessment (SGA), involuntary % weight loss in the previous 6 months and anthropometric parameters; % weight loss and anthropometry were reassessed at discharge. At admission, risk/undernutrition results by NRS-2002 (P< 0·001), MUST (P< 0·001), % weight loss (P< 0·001) and SGA (P< 0·001) were predictive of longer LOS. A mid-arm circumference (MAC) or a mid-arm muscle circumference (MAMA) under the 15th and the 50th percentile, which was considered indicative of undernutrition, did predict longer LOS (P< 0·001); conversely, there was no association between depleted triceps skinfold (TSF) and longer LOS. In-hospital, there was a high prevalence of weight, muscle and fat losses, associated with longer LOS. At discharge, patients with a simultaneous negative variation in TSF+MAC+MAMA (n158, 53 %) had longer LOS than patients with a TSF+MAC+MAMA positive variation (11 (8–15)v.8 (7–12) d,P< 0·001). We concluded that at risk or undernutrition evaluated by all methods, except TSF and BMI, predicted a longer LOS. Moreover, MAC and MAMA measurements and their classification according to the 50th percentile threshold seem reliable undernutrition indicators.

scholarly journals Mid upper arm and calf circumferences as indicators of nutritional status in women of reproductive age

2021 ◽  
Vol 8 (4-5) ◽  
pp. 612-618
Author(s):  
T. Khadivzadeh
Keyword(s):  
Nutritional Status ◽  
Effective Means ◽  
Reproductive Age ◽  
Nutritional Risk ◽  
Upper Arm ◽  
Arm Circumference ◽  
Poor Nutritional Status ◽  
Islamic Republic Of Iran ◽  
Mid Upper Arm Circumference ◽  
Age Range

Mid upper arm circumference [MUAC] is recognized as an effective means of screening for poor nutritional status in adults. The efficacy of calf circumference [CC] as a screening tool, however, is not well reported. We studied 2000 healthy women [age range: 15-49 years] in Mashed, Islamic Republic of Iran, to assess anthropometric measurements at reproductive age and the usefulness of MUAC and CC for estimating body mass index [BMI] and screening of women at nutritional risk. We found a strong correlation between MUAC and CC with weight and BMI, suggesting that MUAC and CC can be used to estimate BMI and detect nutritional disorders

NUTRITIONAL STATUS OF INPATIENTS IN HUE UNIVERSITY HOSPITAL

2018 ◽  
pp. 73-78
Author(s):  
Thi Bach Yen Hoang ◽  
Thi Phuong Anh Bui ◽  
Thi Tao Tran ◽  
Thi Thanh Tam Ho ◽  
Thi Bich Trang Luong ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Risk Factors ◽  
Nutritional Status ◽  
Rural Areas ◽  
Urban Areas ◽  
The Body ◽  
University Hospital ◽  
Nutritional Risk ◽  
Nutrition Status ◽  
Cross Sectional

Background: Nutritional status is a set of functional, structural and biochemical characteristics that reflect the level of nutritional needs of the body. Both undernutrition and overnutrition affect human health in general and the health of patients in particular. Malnutrition prolongs hospital stay, reduces resistance and increases the risk of complications. Therefore, screening and evaluating the nutrition status of patients is important in the treatment process. Objectives: 1. To screen and assess the nutritional status of inpatients at the Hue University Hospital; 2. To find out some factors related to the patient’s nutritional status. Methodology: A cross-sectional study was carried out on 700 inpatients at departments of internal medicine and surgery, Hue University Hospital. NRS2002 tool was used for screening nutritional risk, Body Mass Index (BMI) was used for assessing nutritional status and questionnaires was used to understand some of the risk factors. Results: Prevalence of inpatients had nutritional risk was 37.4%, in which 38.1% at internal medicine department and 36.8% at surgery departments. Assessment of nutritional status by using BMI showed that 28.1% of inpatients was undernutrition (24.2% at internal medicine departments, and 32.4% at surgery departments); Some risk factors for undernutrition of inpatients were old age (≥ 60 group was higher than <60 (p <0.001), smoking (smokers were at higher risk than patients used to smoke and nonsmokers (p<0.001); living place (patients who live in rural areas had a 1.6 times higher risk of undernutrition than those living in urban areas (p<0.001). Conclusions: Prevalence of inpatients with nutritional risk in internal medicine and surgery was quite high. All inpatients should be screened for nutritional status for better treatment.

scholarly journals Determinants of Nutritional Status among School Girls in Chittagong Metropolitan Area

2021 ◽  
Vol 41 (1) ◽  
pp. 39-67
Author(s):  
Md Abdul Karim ◽  
Jesmin Akter
Keyword(s):  
Food Intake ◽  
Nutritional Status ◽  
Metropolitan Area ◽  
Family Income ◽  
Multinomial Logistic Regression ◽  
Income Group ◽  
Bivariate Analysis ◽  
Place Of Residence ◽  
Arm Circumference ◽  
School Girls

This study aims to investigate the determinants of nutritional status (BMI) of school girls, selected randomly from the schools of Chittagong metropolitan area because good nutritional status is a prerequisite for good health, fertility and national productivity. The results of this study show that more than one-third (38.6%) school girls belong to underweight, 47.9% normal and 13.5% overweight. The overall mean BMI of the selected girls is found 20.03±4.06 kg/m2 with considerable variations by their background characteristics. The co-efficient of variation (20.27%) indicates that there exists extreme heterogeneity in BMI of the respondents. Co-efficient of skewness (β1=0.85) and excess of kurtosis (γ2=1.05) reflect that the distribution of BMI is positively skewed and leptokurtic. The mean BMI is found relatively high among the respondents living in the metropolitan area (21.18 kg/m2). The highest mean BMI is found among the girls belong to high family income group (21.62 kg/m2) and low (18.69 kg/m2) in lower family income group. Bivariate analysis indicates that religion, place of origin, place of residence, respondents’ education, arm circumference, fathers and mothers education and occupation, family income, family size, sibling size, skipping and cycling, duration of sporting activity and sleeping, and food intake are found to have significant association with nutritional status of the girls. The study also shows that BMI is significantly positively correlated with family income and negatively with duration of sporting activities. Multinomial logistic regression analysis illustrates that place of residence, arm circumference, mothers’ occupation, duration of sleeping and food intake is found significant predictors of BMI. The Chittagong Univ. J. Sci. 40(1) : 39-67, 2019

Artificial nutrition support

2010 ◽  
pp. 1535-1546
Author(s):  
Jeremy Woodward
Keyword(s):  
Body Mass Index ◽  
Weight Loss ◽  
Nutritional Status ◽  
Clinical Signs ◽  
Nutrition Support ◽  
Artificial Nutrition ◽  
Nutrition Screening ◽  
Patients At Risk ◽  
Major Predictor ◽  
Current Body Mass Index

The prevalence and importance of malnutrition in affluent societies is under-recognized, and nutritional status is a major predictor of outcome for most diseases. Nutrition screening identifies patients at risk of malnutrition and should be performed in all clinical areas: this requires evaluation of events in the past (recent weight loss); present (current body mass index (BMI) and clinical signs of malnutrition); and future (current nutrient intake and foreseeable likely causes of reduced intake). A BMI of less than 18.5 kg/m...

Artificial nutrition support

2020 ◽  
pp. 1914-1926
Author(s):  
Jeremy Woodward
Keyword(s):  
Body Mass Index ◽  
At Risk ◽  
Weight Loss ◽  
Nutritional Status ◽  
Body Mass ◽  
Oral Intake ◽  
Nutrition Support ◽  
Artificial Nutrition ◽  
Nutrition Screening ◽  
Disease States

The prevalence and relevance of undernutrition in affluent societies is often unrecognized, but nutritional status significantly impacts outcomes in all disease states. Nutrition screening identifies patients at risk of undernutrition and should be carried out in hospitals and community: its components comprise past weight loss, current body mass index, and likely foreseeable nutritional challenges. A body mass index less than 18.5 kg/m2; weight loss of more than 10% over 6 months; or BMI of less than 20 kg/m2 with weight loss of more than 5% over 6 months, are all indicative of undernutrition. Nutrition support is indicated for malnourished patients or those at risk of undernutrition in view of inadequate oral intake or malabsorption. Timing of the intervention depends on the pre-existing nutritional status and the likelihood of restoring adequate intake.

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