scholarly journals The Investigation of the Use of Prealbumin as a Tool for Nutritional Assessment in Adults Coinfected with HIV and Intestinal Helminth Parasites in KwaZulu-Natal, South Africa

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
B. T. Mkhize ◽  
M. H. L. Mabaso ◽  
S. Madurai ◽  
Z. L. Mkhize-Kwitshana
Keyword(s):  
South Africa ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Multinomial Logistic Regression ◽  
Normal Weight ◽  
Intestinal Helminth ◽  
Helminth Parasites ◽  
Intestinal Helminths ◽  
Cross Sectional ◽  
Kwazulu Natal

Serum prealbumin is considered to be as important as albumin in the nutritional status assessment. However, there is relatively little evidence of its advantage over the commonly used albumin. This study investigated the use of prealbumin compared to albumin as a marker of nutritional status in adults singly and dually infected with human immunodeficiency virus (HIV) and intestinal helminths, with or without inflammatory conditions, in different body mass index (BMI) categories. This cross-sectional study was conducted in a periurban setting in KwaZulu-Natal, South Africa. Multivariate multinomial logistic regression models were fitted to investigate the effect of prealbumin and albumin in nutritional assessment among HIV and helminth individuals with or without inflammation, indicated by elevated and normal C-reactive protein (CRP) levels. In normal CRP, albumin was significantly lower in unadjusted BMI [RRR = 0.8, p = 0.001] and in normal weight [RRR = 0.7, p = 0.003] and overweight [RRR = 0.5, p = 0.001] participants. In elevated CRP, albumin was significantly lower [RRR = 0.8, p = 0.050] and prealbumin was significantly higher in unadjusted BMI [RRR = 1.2, p = 0.034] and overweight [RRR = 1.4, p = 0.052] individuals. The current study found that prealbumin can differentiate between inflammation-induced reduction of albumin and true malnutrition in adults singly or coinfected with HIV and intestinal helminths in the presence or absence of inflammation in various BMI categories.

scholarly journals The Interaction between HIV and Intestinal Helminth Parasites Coinfection with Nutrition among Adults in KwaZulu-Natal, South Africa

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
B. T. Mkhize ◽  
M. Mabaso ◽  
T. Mamba ◽  
C. E. Napier ◽  
Z. L. Mkhize-Kwitshana
Keyword(s):  
South Africa ◽  
Nutritional Status ◽  
Transferrin Saturation ◽  
Intestinal Helminth ◽  
Helminth Parasites ◽  
Probit Regression ◽  
Cross Sectional ◽  
Care Clinic ◽  
Comprehensive Primary Health Care ◽  
Kwazulu Natal

In South Africa few studies have examined the effects of the overlap of HIV and helminth infections on nutritional status. This cross-sectional study investigated the interaction between HIV and intestinal helminths coinfection with nutritional status among KwaZulu-Natal adults. Participants were recruited from a comprehensive primary health care clinic and stratified based on their HIV, stool parasitology, IgE, and IgG4 results into four groups: the uninfected, HIV infected, helminth infected, and HIV-helminth coinfected groups. The nutritional status was assessed using body mass index, 24-hour food recall, micro-, and macronutrient biochemical markers. Univariate and multivariate multinomial probit regression models were used to assess nutritional factors associated with singly and dually infected groups using the uninfected group as a reference category. Biochemically, the HIV-helminth coinfected group was associated with a significantly higher total protein, higher percentage of transferrin saturation, and significantly lower ferritin. There was no significant association between single or dual infections with HIV and helminths with micro- and macronutrient deficiency; however general obesity and low micronutrient intake patterns, which may indicate a general predisposition to micronutrient and protein-energy deficiency, were observed and may need further investigations.

scholarly journals WHICH PATIENTS SURGICALLY TREATED FOR UROLITHIASIS NEED NUTRITIONAL CARE?

2015 ◽  
pp. 1-5
Author(s):  
V. Aparecida Leandro-Merhi ◽  
J.L. Braga de Aquino ◽  
R. Marmiroli ◽  
L. Oliveira Reis
Keyword(s):  
Nutritional Status ◽  
Kidney Stones ◽  
Nutritional Assessment ◽  
Multinomial Logistic Regression ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Significance Level ◽  
Factors Associated ◽  
Urologic Diseases ◽  
The Impact

Introduction: The present study is justified by the interest of investigating the impact of nutritional status on urology patients. Objective: To investigate the nutritional status of urology patients and identify the risk factors associated with type of kidney stone. Method: This cross-sectional study assessed the nutritional status and energy and nutrient intakes of 175 hospitalized adult urology patients stratified as follows: patients submitted to percutaneous nephrolithotripsy (PN), patients submitted to endoscopic ureterolithotripsy (EU), and patients without kidney stones. All study variables were investigated as possible predictors of urologic diseases. Multinomial logistic regression analysis and the proportional odds model identified the factors associated with kidney stones. The significance level was set at 5%. Results: Kidney stones were more common in females (p<0.0001), EU patients without nutritional risk according to the Nutritional Risk Screening (NRS) (p=0.0061), patients with normal triceps skinfold thickness (p=0.015), and younger patients (p=0.0001). Patients hospitalized for longer periods (p=0.0038) and older patients (p=0.0001) did not have kidney stones. In EU patients kidney stones were associated with being female (p<0.0001; OR: 3.699; CI: 2.001; 6.838), having mid-upper arm muscle circumference between the 10th and 90th percentiles (p=0.0477; OR: 3.164; CI: 1.012; 9.895), not being at nutritional risk according to the NRS (p=0.0308; OR: 3.265; IC: 1.116; 9.557), and being younger (p=0.0008; OR: 0.966; CI: 2.001; 6.838). Conclusion: PN patients seem to need nutritional assessment and follow-up, while patients with kidney stones smaller than one centimeter do not seem to need routine nutritional assessment.

scholarly journals An assessment of nutritional status in children of rural, northern KwaZulu-Natal province

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Kelly R. Gate ◽  
Nompumelelo G. Mfeka-Nkabinde ◽  
Kantharuben Naidoo
Keyword(s):  
South Africa ◽  
Nutritional Status ◽  
Primary Healthcare ◽  
Metabolic Diseases ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Childhood Malnutrition ◽  
Kwazulu Natal

Background: Childhood malnutrition in South Africa is largely perceived as one of undernutrition, with the opposite end of the spectrum (overnutrition) being evidenced in the increasing prevalence of childhood obesity, demonstrated to be associated with chronic metabolic diseases in adulthood. Targeting childhood malnutrition is a potential interventional strategy to prevent non-communicable diseases amongst adults. As the prevalence of malnutrition (undernutrition and overnutrition) in rural, northern KwaZulu-Natal province, South Africa, is largely unknown, this study aimed to determine the baseline nutritional status of children attending primary healthcare facilities within the Bethesda Hospital catchment area.Methods: This quantitative, cross-sectional study included children aged 6 weeks to 19 years, attending any primary healthcare clinics for over a 3 months period. Anthropometric measurements were obtained to categorise the children according to the World Health Organisation’s (WHO) nutritional classifications.Results: Stunting in children aged less than 5 years was found to be lower (14%) than nationally representative studies (27%); however, 14.4% of the infants aged 6 weeks to 5 months were overweight, increasing to 32.3% in those aged 14–19 years. Males in the 6-weeks to 5-month age group were more likely to be overweight/obese and stunted than females in the same age group.Conclusion: Undernutrition is showing a downward trend, which is a testament to initiatives to reduce food insecurity amongst the poor. However, the emerging upward trend of overweight/obesity in children of all ages, indicates the need to have a national discussion on over- and undernutrition, its causes and implications.

scholarly journals Anthropometric Profile and Nutritional Status in Elderly: A Cross-Sectional Study

2021 ◽  
Vol 9 (02) ◽  
pp. 320-326
Author(s):  
Zeynel Abidin Erbesler ◽  
Tufan Ulcay
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Normal Weight ◽  
Anthropometric Measurements ◽  
Screening Tools ◽  
Cross Sectional ◽  
Not At Risk

Background: Various screening tools are used to identify elderly individuals who are malnourished or at risk for malnutrition based on their nutritional status. Anthropometric measurements are important indicators of an individual’s nutritional status. In this study, we aimed to establish anthropometric standards for the Turkish elderly population and to investigate any significant relationship between anthropometric characteristics and nutritional status. Materials and Methods: Age, sex, weight, height, waist-to-hipratio (WHR) and body massindex (BMI) were recorded. We also administered the Mini Nutritional Assessment (MNA) and a hand grip test. Results: In our study, 72% of males and 84% of females were in the overweight group, 24% of males and 16% of females were in the normal weight group, and only 4% of males were in theweak group. For males, 76% were not at risk for malnutrition, 20% were at risk, and 4% were determined to have malnutrition. For females, 68% were not at risk for malnutrition, and 32% were at risk. There were no females who had malnutrition. With regard to muscle strength, 80% of males and 92% of females did not have sufficient strength. Weight, grip strength and WHR were significantly related to MNA (p < 0.05). Conclusion: We provided sex-specific distributions for many anthropometric measurements for the elderly which can be used as reference values for the Turkish elderly population to identify individuals at greater risk for nutritional disorders.

scholarly journals The importance of dysphagia screening and nutritional assessment in hospitalized patients

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Patrícia Amaro Andrade ◽  
Carolina Araújo dos Santos ◽  
Heloísa Helena Firmino ◽  
Carla de Oliveira Barbosa Rosa
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
The Body ◽  
Subjective Global Assessment ◽  
Cross Sectional ◽  
Knee Height

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

Prevalence of malnutrition among women and adolescent girls: impact of urbanization in rural–urban interface of Bangalore

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Veerabhadrappa Bellundagi ◽  
K.B. Umesh ◽  
B.C. Ashwini ◽  
K.R. Hamsa
Keyword(s):  
Nutritional Status ◽  
Adolescent Girls ◽  
Associated Factors ◽  
Multinomial Logistic Regression ◽  
Wealth Index ◽  
Total Sample ◽  
Normal Weight ◽  
Double Burden ◽  
Content Type ◽  
Multinomial Logistic Regression Analysis

PurposeIndia is facing a double burden of malnutrition, i.e. undernutrition and obesity. Women and adolescent health and nutrition are very relevant issues which have not received much attention it deserves in India, especially in the context of a girl child. Hence, the purpose of this study is to assess malnutrition among women and adolescent girls as well as the associated factors.Design/methodology/approachAn attempt was made to assess malnutrition among women and adolescent girls and associated factors. The required data was collected from the north (616) and south transects (659) sample households of Bangalore constituting a total sample size of 1,275. The data was analyzed by adopting multiple linear regression and multinomial logistic regression analysis using STATA software.FindingsThe effects of this study simply confirmed that, urbanization had an instantaneous effect on dietary repute of women and adolescent girls, while transferring throughout the gradient from rural to urban with the growing significance of weight problems and obese. In adolescent girls, about 31% were underweight followed by normal weight and overweight across rural–urban interface of Bangalore. The factors such as education, consumption of meat and animal products, a dummy for urban, diabetes and blood pressure were significantly and positively influencing the nutritional status (Body Mass Index) of women across rural–urban interface. While consumption of vegetables, wealth index and per capita income had a positive and significant influence on the nutritional status of adolescent girls.Originality/valueWith limited studies and data available in Karnataka, especially in Bengaluru, one of the fastest growing cities in the world. Against this backdrop, the study was conducted to assess the prevalence of malnutrition among women and adolescents and its association with various socio-economic variables.

Assessment of nutritional status of hemodialysis patients by subjective global assessment score: a single centre study from Karachi, Pakistan

2022 ◽  
Vol 71 (12) ◽  
pp. 2761-2765
Author(s):  
Lubna Ghazi ◽  
Murtaza Dhrolia ◽  
Aamna Hamid ◽  
Ruqaya Qureshi ◽  
Kiran Nasir ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Practical Method ◽  
Hemodialysis Patients ◽  
Normal Weight ◽  
Maintenance Hemodialysis ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
Subjective Global Assessment ◽  
Cross Sectional

Objective: Despite being an important predictor of morbidity and mortality, routine screening for malnutrition in dialysis patients is not a common practice in Pakistan. Modified Subjective Global Assessment (SGA) is a convenient, inexpensive and practical method to assess nutritional status particularly in resource limited setup. Methods: This cross sectional study was conducted in The Kidney Center Post Graduate Training institute (TKC-PGTI). Patients on maintenance hemodialysis (MHD) were included through non-probability consecutive sampling. A one-time SGA score was calculated based on the history and physical examinations using modified SGA or Dialysis Malnutrition Score (DMS). Chi square test was applied to find association between variables, while to observe the amount of effect of factors on SGA score; binary logistic regression analysis was run. P value of ? 0.05 considered significant. Results: Mild-Moderately malnourished patients were the most frequent in our study 96(64%).None of patient had severe malnourishment. Females were 2.6 times more prone for malnourishment (p value=0.009). More than 5- years on hemodialysis also increased the risk of malnourishment by 12.5 times (p value <0.001). Overweight patients had 85 % less chance of being malnourished as compare to patients with normal weight (p value=0.004). Conclusion: Malnutrition is quite common in hemodialysis patients, which necessitates its regular assessment and monitoring. There is a need to assess the reasons of more malnourishment in female as compared to male. Similarly, the longer duration (> 5 years) on hemodialysis also need attention for prevention and cure of malnourishment.  Continuous...

Effect of the Mini Nutritional Assessment-Short Form (MNA-SF) in Elderly Burn Patients

2021 ◽  
Author(s):  
Jia-Yu Wei ◽  
Shu-Ting Shi ◽  
Dan Sun ◽  
Guo-Zhong Lyu
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Reference Points ◽  
Nutrition Intervention ◽  
Burn Patients ◽  
Cross Sectional

Abstract Objective Nutritional assessment can early identify patients who are malnourished and at risk of malnutrition. To examine the effect of nutritional status on wound healing in elderly burn patients, we used the MNA-SF to measure the nutritional status of elderly patients. This study aimed to examine the role of MNA-SF in elderly burn patients through the correlation analysis of wound-healing indicators and MNA-SF score. Design Prospective observational and cross-sectional study. Methods This study used the MNA-SF to investigate the elderly burn patients at the department of burn. According to the score, the patients fell into three groups: good nutritional status (more than 12 points), malnutrition risk (8~11 points), and malnutrition (0~7 points). At the same time, we measured and compared the wound-healing indicators among the three groups of patients, and detected the correlation. Results The statistical analysis found gender had a slight influence on the score of nutritional status. While age was negatively correlated with the MNA-SF score and nutrition-related indicators. There was a low positive linear correlation between the wound healing percent area change or wound healing rate of patients and the score of the MNA-SF. Conclusion This study finds malnutrition is common among hospitalized elderly burn patients. The application of the MNA-SF in elderly burn patients is efficient and accurate to identify malnutrition early and prevent further obstruction of the normal wound healing, which can provide reference points for early nutrition intervention programs.

scholarly journals Evaluación Nutricional en preescolares atendidos en el Hospital de Manglaralto, Santa Elena / Nutritional Evaluation of pre-school children attended in Manglaralto Hospital, Santa Elena province

Ciencia Unemi ◽  
2015 ◽  
Vol 8 (15) ◽  
pp. 103
Author(s):  
Yumy Fernandez Velez ◽  
Angel Caballero Torres ◽  
Katiuska Mederos Mollineda
Keyword(s):  
Nutritional Status ◽  
Diarrheal Disease ◽  
Respiratory Infections ◽  
Eating Habits ◽  
Normal Weight ◽  
Cross Sectional ◽  
Nutritional Evaluation ◽  
Qualitative And Quantitative ◽  
Poverty And Health ◽  
Santa Elena

Con el objetivo de analizar los hábitos alimentarios, actividad física y estado nutricional de 514 niñas y niños en edades de 3 a 5 años, se realizó una investigación de corte transversal descriptiva, no experimental, y documental con técnicas cualitativas y cuantitativas para la descripción de los datos e informaciones encontradas, la cual permitió construir la labor técnica Se trabajó con encuestas, mensuraciones antropométricas e investigaciones bioquímicas (hemoglobina) en una muestra de la población atendida en la consulta ambulatoria del Hospital Manglaralto, provincia de Santa Elena, Ecuador, 2014. Se clasificó a los preescolares en desnutridos, normopeso, sobrepeso y obeso, además de identificar la existencia de anemia. Se buscó la asociación con los hábitos alimentarios, acceso y disponibilidad de alimentos, el nivel de cultura alimentaria y escolar, pobreza económica y educación sanitaria de las familias de los preescolares. Se encontró un 44.5% de desnutridos y 0,7% con sobrepeso, además de 81.7% con anemia. Se detectó asociación entre desnutrición y anemia en más de la tercera parte de la población estudiada, además de estar asociada la presentación de Infección Respiratoria Aguda y Enfermedad Diarreica Aguda con la desnutrición y la anemia. En la población estudiada existe correspondencia entre el estado nutricional y los determinantes estudiados. AbstractA cross-sectional descriptive piece of research was conducted in order to document the eating habits, physical activity and nutritional status of 514 children aged 3-5 years. Both Qualitative and quantitative techniques were used to describe the data and information found; surveys, anthropometric evaluations and biochemical investigations (hemoglobin) were carried out on a sample of the population treated at the outpatient clinic of Manglaralto Hospital in Santa Elena province, Ecuador during 2014. Preschool children were classified as malnourished, normal weight, overweight and obese, and the existence of anemia was also identified. The data was studied to observe associations between eating habits, access to and availability of food, the level of culture in terms of diet and education, economic poverty and health education for families of preschoolers. It was found that 44.5% of the group were malnourished, 0.7% overweight, and 81.7% suffered from anemia. An association was found between malnutrition and anemia in more than a third of the population studied, with a further association between both conditions and acute respiratory infections and diarrheal disease. In the population there is a relationship between nutritional status and determining variables studied.

scholarly journals Dietary Practices and Nutritional Status of the Urban Vulnerable: A Cross Sectional Study on Waste Collectors of Dhaka City in Bangladesh

2020 ◽  
Vol 11 (4) ◽  
pp. 44-55
Author(s):  
Asit Biswas ◽  
M A Rifat ◽  
Hazera Binte Sufian ◽  
MD Khurshidul Zahid
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Multinomial Logistic Regression ◽  
Cross Sectional Study ◽  
Dietary Quality ◽  
Dhaka City ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Multinomial Logistic Regression Analysis ◽  
Main Meals

Purpose The socioeconomic conditions of urban waste collectors are vulnerable. However, their nutrition vulnerability remains undocumented. Here we focused on dietary practices and the nutritional status of waste collectors of Dhaka city in Bangladesh. Methods A cross-sectional design was employed that included 130 waste collectors from 15 different sites of Dhaka city. The 24-hours recall method, body mass index (BMI) and BMI for age Z-score were used to determine dietary practices and nutritional status respectively. Chi-square test, Fisher’s exact test, and multinomial logistic regression analysis were used to observe the associations and their risk factors. Results The majority (58.5%) of the waste collectors were normal by BMI whereas 36.2%, 4.5%, and 0.8% were underweight, overweight, and obese respectively. The prevalence of underweight was higher among males and respondents less than 18-years old (P<0.001). The dietary pattern of the respondents was poor. Meals were mainly rice and vegetable-based. Consumption of meats, eggs and fruits was low. Only 18.4% and 16.92% respondents were found to consume meat and eggs at least once a day, respectively. In addition, 78.5% consumed insufficient foods in their main meals, 9.2% had skipped meals and 13.1% consumed stale food and food waste regularly. Consumption of less than three main meals a day and food of poor dietary quality were risk factors of underweight. Conclusion Findings demonstrated that waste collectors in Dhaka city had poor nutritional status which was primarily associated with inadequate dietary intake. Increased quality and quantity of food in the diet, which could be achieved through appropriate health and nutritional support, are needed to overcome the situation.

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