scholarly journals The influence of nutritional status on complications after major intra abdominal Surgery.

2018 ◽  
Vol 27 (2) ◽  
pp. 6-10
Author(s):  
MA Hannan ◽  
Md Nowshad Ali ◽  
ANM Zia Ur Rahman ◽  
PM Basak ◽  
CK Das
Keyword(s):  
Nutritional Status ◽  
Abdominal Surgery ◽  
Protein Energy Malnutrition ◽  
Clinical Problem ◽  
Surgical Patient ◽  
Protein Energy ◽  
Operative Outcome ◽  
Malnourished Patient ◽  
Elective Surgical Patient ◽  
Nutritional Imbalance

Background: Malnutrition is an impairment of health resulting from a deficiency or imbalance of nutrients, are associated with alteration in cellular physiology and organ function, which are of importance for the surgical patients. Protein energy malnutrition is a known clinical problem in hospital has an important role on post operative outcome so that necessary measures can be taken to improve nutritional status of these patients and improve post operative outcome. Objective: The objectives of this study are to assess the relation of nutritional status with post operative complications following major intra-abdominal surgery and to find out the complications in a malnourished patient. Method: This is prospective descriptive Study. The sample for the study constituted 100 randomly selected of major intra abdominal surgery age ≥12 yrs which was admitted the surgical word of SSMC& Mitford Hospital, Dhaka from May 2010 to October 2010 as a case of elective abdominal surgery.Result: Higher Prevelence of malnourished was found among elective surgical patient that about 48-57%. Regearding pattern of post operative complication among malnourished patent pulmonary complication 15.3% (Average 11%) Wound infection 17% (Average 12%) Brust abdomen 2.8% (Average 4.1%) Excess duration of Hospital Stay in melnutrited group than the Nutritionally Sound gorup was about 11 days.Conclusion: There is significant number of surgical patient suffering from diferent type of Nutritional imbalance. Due attention should be given to improve nutritional status of a patient before any major intrabdominal surgery.TAJ 2014; 27(2): 6-10

scholarly journals Nutritional Status of Participating and Non-participating Pupils in the Ghana School Feeding Programme

2012 ◽  
Vol 1 (3) ◽  
pp. 263 ◽  
Author(s):  
A. O. Danquah ◽  
A. N. Amoah ◽  
M. Steiner-Asiedu ◽  
C. Opare-Obisaw
Keyword(s):  
Nutritional Status ◽  
School Children ◽  
Protein Energy Malnutrition ◽  
School Lunch ◽  
Nutrient Deficiencies ◽  
Demographic Health Survey ◽  
School Feeding ◽  
Protein Energy ◽  
Significant Difference ◽  
Better Than

The Ghana Demographic Health Survey indicates that the major nutritional challenges in Ghana among school children are protein-energy malnutrition and micro-nutrient deficiencies. School Feeding Programmes are one of the main interventions addressing malnutrition and its related effects on children’s health and education. The purpose of this study was to assess the influence of Ghana School Feeding Programme on nutritional status of school children in Atwima-Nwabiagya District of Ashanti Region, Ghana. A total of 234 pupils between 9 and 17 years of age, comprising 114 participants and 120 non-participants from three participating and three non-participating schools, respectively, with similar characteristics, took part in the study. It was hypothesized that the nutritional status of participants was better than that of non-participants. Results did not indicate any association between the school lunch and nutritional status. There was no statistically significant difference in the nutritional status of participants and non-participants. The programme did not impact the nutritional status of participants.

scholarly journals MALNUTRITION IN CIRRHOSIS: ASSOCIATION WITH ETIOLOGY AND HEPATOCELLULAR DYSFUNCTION

2020 ◽  
Vol 57 (4) ◽  
pp. 375-380
Author(s):  
Kalinca S OLIVEIRA ◽  
Luana Reis OLIVEIRA ◽  
Sabrina A FERNANDES ◽  
Gabriela P CORAL
Keyword(s):  
Liver Disease ◽  
Nutritional Status ◽  
Protein Energy Malnutrition ◽  
Muscle Thickness ◽  
Bioelectrical Impedance ◽  
Disease Etiology ◽  
Adductor Pollicis Muscle ◽  
Protein Energy ◽  
End Stage ◽  
A Prospective Study

ABSTRACT BACKGROUND: The protein-energy malnutrition alters the prognosis of patients with cirrhosis. Its prevalence may vary according to the etiology of liver disease, it´s severity and the evaluation of the method applied. The infection by the hepatitis C virus (HCV) and alcoholism are the main etiologies of cirrhosis and result in a significant morbidity and mortality. OBJECTIVE: To evaluate the nutritional status of patients with cirrhosis according the liver disease etiology and severity. METHODS: It is a prospective study, in which the sample was for convenience and consisted of patients with cirrhosis, infected by HCV or alcoholic etiology. The nutritional status evaluation was carried out through anthropometry, food consumption, bioelectrical impedance (BIA) and subjective global assessment (SGA). The anthropometric data evaluated were weight, height, body mass index (BMI), triceps skinfold (TSF), circumference of the arm (CA), non-dominant handshake strength (FAM) and the adductor pollicis muscle thickness (APM). Patients were classified according to the severity of liver disease, using the Child-Pugh and Model for End-stage Liver Diseases (MELD) scores. RESULTS: Ninety patients with cirrhosis were evaluated, 47 with HCV and 43 with alcoholic etiology. The prevalence of protein-calorie malnutrition ranged from 10.9% to 54.3% in the HCV group and from 4.7% to 20.9% in the alcoholic group, depending on the method used for evaluation. The group with HCV infection presented a higher malnutrition prevalence in comparison to the alcoholic in the following evaluations: TSF (P<0.001), phase angle (PA) (P=0.016) and SGA (P=0.010). PA values were lower in patients with viral cirrhosis (5.68±1.05) when compared to those with alcoholic etiology (6.61±2.31) (P=0.016). When all patients were analyzed, regardless of etiology, an inversely correlation was observed among Child-Pugh score and PA values (P=0.018). CONCLUSION: HCV cirrhosis showed worse nutritional parameters in comparison to alcoholic etiology; however, the PA was associated with worse liver function in both etiologies.

Nutrition in Children with Kidney Disease: Pitfalls of Popular Assessment Methods

2005 ◽  
Vol 25 (3_suppl) ◽  
pp. 143-146 ◽  
Author(s):  
Bethany J. Foster ◽  
Mary B. Leonard
Keyword(s):  
Body Composition ◽  
High Risk ◽  
Kidney Disease ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Fluid Overload ◽  
Protein Energy Malnutrition ◽  
Protein Energy ◽  
Accurate Picture ◽  
Pubertal Delay

Children with chronic kidney disease (CKD) are considered at high risk for protein-energy malnutrition. Clinical practice guidelines generally recommend an evaluation of numerous nutritional parameters to give a complete and accurate picture of nutritional status. This review summarizes the potential limitations of commonly used methods of nutritional assessment in the setting of CKD. Unrecognized fluid overload and inappropriate normalization of body composition measures are the most important factors leading to misinterpretation of the nutritional assessment in CKD. The importance of expressing body composition measures relative to height or height-age in a population in whom short stature and pubertal delay are highly prevalent is emphasized. The limitations of growth as a marker for nutritional status are also addressed. In addition, the prevailing belief that children with CKD are at high risk for malnutrition is challenged.

A Study on Under Five Nutritional Status and its Determinants in a Semi-Rural Community of Ile-Ife, Osun State, Nigeria

2003 ◽  
Vol 17 (1) ◽  
pp. 21-27 ◽  
Author(s):  
E.O. Ojofeitimi ◽  
O.O. Owolabi ◽  
A. Aderonmu ◽  
A.O. Esimai ◽  
S.O.H. Olasanmi
Keyword(s):  
Nutritional Status ◽  
Rural Community ◽  
Urban Areas ◽  
Protein Energy Malnutrition ◽  
Growth Monitoring ◽  
Under Five ◽  
Rural And Urban Areas ◽  
Protein Energy ◽  
Rural And Urban ◽  
Nutritional Status Of Children

Ten variables were assessed as they influence the under five (U5) nutritional status of children at Oranfe, a semi-rural community in Ife East Local Government Area of Osun state, Nigeria. The two types of protein energy malnutrition (PEM) that are prevalent in the community are stunting and wasting. Of the 230 children assessed using Waterlow's technique, 23% and 22.6% were stunted and wasted respectively. The results confirmed that mothers' educational level, age, parity, types of family and children's immunization status and age are some of the key determinants of nutritional status of U5 children. The intensification of exclusive breast feeding, female education, a compulsory food demonstration unit in all health centres, use of complementary feeds from 7 months upwards, growth monitoring and promotion are some of the strategies to reduce the high prevalence of PEM in both rural and urban areas of developing countries.

scholarly journals KADAR TRIGLISERIDA DAN STATUS GIZI PADA KLIEN TUBERKULOSIS

2017 ◽  
Vol 5 (2) ◽  
pp. 101
Author(s):  
Noor Diani ◽  
Devi Rahmayanti
Keyword(s):  
Nutritional Status ◽  
Protein Energy Malnutrition ◽  
The Body ◽  
Nutrition Status ◽  
P Value ◽  
Cross Sectional ◽  
Protein Energy ◽  
Tnf Α ◽  
Relationship Of ◽  
The Relationship

Abstrak Tuberkulosis (TBC) mengakibatkan penurunan asupan dan malabsorbsi nutrien serta metabolisme tubuh berubah sehingga terjadi massa otot dan lemak menurun akibat mekanisme malnutrisi dari energi protein. Malnutrisi pada TBC berpengaruh terhadap prognosis dan tingkat kematian. Peningkatan produksi IFNl- γ dan IL-6, TNF α menghambat dari aktivitas Lipo Protein Lipase (LPL) dijaringan lemak. Enzim LPL berperan dalam proses bersihan trigliserida. Peningkatan ini meningkatkan trigliserida sehingga proses sintesis lemak menurun dan proses lipolisis lemak meningkat di jaringan. Tujuan penelitian ini menganalisis hubungan trigliserida dan status gizi pada klien TBC. Metode penelitian ini korelasi analitik dengan pendekatan cross-sectional, sampel 25 orang, dengan uji korelasi Pearson-Product Moment. Hasil penelitian status gizi dibawah normal 56%, normal 40% dan kelebihan berat badan 4%. Kadar Trigliserida normal 84%, trigliserida tinggi 16%. Kesimpulan ada hubungan antara kadar trigliserida dan status gizi yakni r hitung sebesar 0,5: r tabel = 0,396 sehingga r hitung > r tabel dengan korelasi positif.Kata Kunci : Trigliserida, Status Gizi, Tuberkulosis.AbstractTuberculosis(TB) resulting the decreasing of nutrient intake and malabsorbsi as well as changing the metabolism of the body. The wasthing are decreased protein energy. Malnutrition on TB affects the prognosis of the treatment and death rates. The increase TNF α will inhibit the enzyme activity of Lipoprotein Lipase (LPL) in the fat tissue. LPL enzyme plays a role in cleavage process of triglycerides. This research was to analyze the relationship of triglycerides and nutrition status on the client with tuberculosis. The design was cross-sectional approach. The respondents were gathered from 25 newly TB patients. The analyzed using Pearson Product-Moment correlation. The results showed 56% respondents undernutrition, and normal 40% and over nutrition 4%. Most triglyceride level of the respondent were normal (84). The concluded was a relationship between triglycerides and the nutritional status with a positive correlation ( P value 0,396).Keywords : Triglycerides, Nutritional Status, Tuberculosis

scholarly journals Nutritional status changes in children with malignant solid tumor before and after chemotherapy

2016 ◽  
Vol 45 (4) ◽  
pp. 166
Author(s):  
Boris Januar ◽  
Sri S Nasar ◽  
Rulina Suradi ◽  
Maria Abdulsalam
Keyword(s):  
Nutritional Status ◽  
Serum Albumin ◽  
Solid Tumors ◽  
Protein Energy Malnutrition ◽  
Survival Rates ◽  
Albumin Level ◽  
Level Measurement ◽  
Protein Energy ◽  
Before And After ◽  
Malignant Solid Tumor

Background Although aggressive multimodal treatment programsin childhood cancer have significantly increased survival rates, themorbidity caused by protein energy malnutrition related to therapyis still high.Objective To describe nutritional status changes in children withmalignant solid tumors after 21 days of chemotherapy.Methods A descriptive prospective study with pre- and post-testdesign in children with malignant solid tumors was conducted inthe Department of Child Health, Medical School University of In-donesia/Cipto Mangunkusumo Hospital, Jakarta between Janu-ary and July 2004. Anthropometrics (body weight, BW and mid-upper-arm circumference, MUAC) and serum albumin measure-ments were performed before and after 21 days of chemotherapy.Results Twenty-two children were enrolled in this study. After 21days of chemotherapy, 8 children had decreased BW and 6 chil-dren had decreased MUAC, but 3 children gained weight and hadincreased MUAC. Based on MUAC-for-age, 7 children had de-creased nutritional status. Fifteen children had reduced serum al-bumin levels based on a 10% cut-off point. The number of childrenwho had reduced serum albumin was larger than those who hadreduced BW and MUAC. In the evaluation of average oral foodconsumption during 21 days, 7 out of 16 children could acceptmore than 2/3 portion of served food. All of the children who re-ceived enteral feeding could accept more than 2/3 portion of servedfood.Conclusion There was a decrease of nutritional status, BW,MUAC, and serum albumin in most of the subjects after chemo-therapy. Serum albumin level measurement was the more sensi-tive parameter in determining nutritional status changes. Enteralfeeding seems more appropriate to fulfill nutritional needs than oralfeeding

Perfil Nutricional de Crianças Hospitalizadas e sua Relação com o Período de Internação em um Hospital de Ensino no Sul de Minas Gerais/Nutritional Profile of Hospitalized Children and their Relationship with the Hospitalization Period in a Teaching Hospi

1970 ◽  
Vol 4 (4) ◽  
pp. 61-72 ◽  
Author(s):  
Edilaine Pereira Da Silva ◽  
Andréa Tiengo
Keyword(s):  
Nutritional Status ◽  
Objective Assessment ◽  
Protein Energy Malnutrition ◽  
Objective Evaluation ◽  
Subjective Assessment ◽  
Nutritional Risk ◽  
Protein Energy ◽  
Hospitalization Period ◽  
Nutritional Status Of Children ◽  
Hospital School

Objetivo: Avaliar o estado nutricional de crianças internadas no setor de pediatria do Hospital Escola de Itajubá, no período de fevereiro a maio de 2014 e correlacionar o mesmo com o tempo de internação. Materiais e Métodos: A amostra foi composta por 148 crianças, com idade de 0 a 14 anos, de ambos os gêneros, internadas na clínica pediátrica do Hospital Escola, no período de fevereiro a maio de 2014. Os pacientes foram submetidos a um questionário socioeconômico, avaliações nutricionais objetiva (antropométrica) e subjetivas (escore de risco nutricional e Avaliação Nutricional Subjetiva Global - ANSG). O estado nutricional foi avaliado a partir dos índices antropométricos: peso/estatura (P/E), estatura/idade (E/I), peso/idade (P/I) e índice de massa corporal/idade (IMC/I). Resultados: Das crianças avaliadas 58,8% eram do gênero masculino e 41,2% do gênero feminino. Houve maior número de internações de crianças com faixa etária de 3 a 10 anos. Verificou-se que 79,7% (n=118) não estavam desnutridos e 20,3% (n=30) sofriam de desnutrição. Das variáveis analisadas, apenas o período de internação teve relação direta com o estado nutricional, com p=0,001. Dos métodos subjetivos, observou-se que 37,2% dos pacientes encontravam-se desnutridos segundo a ANSG, enquanto pelo escore, 57,4% dos pacientes estavam com desnutrição. Conclusão: Os resultados indicam que a avaliação antropométrica é um bom parâmetro para indicar pacientes que já se encontram com desnutrição. Por outro lado é importante associar a avaliação subjetiva à objetiva, para melhor identificação de fatores de risco associados à desnutrição. Palavras-chave: hospitalização, desnutrição energético-proteica, estado nutricional infantil. ABSTRACTObjective: To assess the nutritional status of children admitted to the pediatric department of the Hospital School Itajubá, from February to May 2014 and correlate it with the duration of hospitalization. Materials and Methods: The sample consisted of 148 children aged 0-14 years of both sexes, admitted to the pediatric clinic of the Hospital School of Itajubá, from February to May 2014. Patients underwent a socioeconomic questionnaire, objective assessment (anthropometric measurements) and subjective assessment (score of nutritional risk and Subjective Global Assessment - SGA). Nutritional status was assessed using anthropometric indices: weight / height (W / H), height / age (H / A), weight / age (W / A) and BMI / age mass (BMI / A). Results: Of the children evaluated 58.8% were male and 41.2% female. There were more hospitalizations of children aged 3-10 years. It was found that 79.7% (n = 118) were not malnourished and 20.3% (n = 30) suffering from malnutrition. From the variables analyzed, only the hospitalization period was directly related to nutritional status, with p = 0.001. With the subjective methods, it was observed that 37.2% of patients were malnourished according to the SGA, while  from  the score method,  57.4% of patients were suffering from malnutrition. Conclusion: The results indicate that the anthropometric assessment is a good parameter to indicate patients who are already malnourished. On the other hand it is important to associate the subjective to the objective evaluation, to better identify risk factors associated with malnutrition. Keywords: hospitalization, protein-energy malnutrition, child nutritional status. 

Incidence, mortality and hospital resource utilization in patients with gastrointestinal cancer and malnutrition: A nationwide analysis.

2021 ◽  
Vol 39 (3_suppl) ◽  
pp. 466-466
Author(s):  
Vatsala Katiyar ◽  
Ishaan Vohra ◽  
Prasanth Lingamaneni ◽  
Binav Baral ◽  
Rohit Kumar
Keyword(s):  
Nutritional Status ◽  
Resource Utilization ◽  
Protein Energy Malnutrition ◽  
Temporal Trends ◽  
Failure To Thrive ◽  
Total Charge ◽  
Protein Energy ◽  
High Prevalence ◽  
Icd 10 ◽  
Comorbidity Index

466 Background: Malignancies are associated with a high prevalence of cachexia, protein energy malnutrition (PEM) and failure to thrive. We analyzed the National inpatient Sample database (NIS) to understand the temporal trends and differences between gastrointestinal cancers (GIC) patients with and without malnutrition. Methods: All adults admitted with GIC including esophageal, gastric, pancreatic, hepatic, gall bladder, small and large intestine and anal cancers from 2012-2016 were identified from the NIS using the ICD 9 and ICD 10 codes. We analyzed the temporal trends of mortality and resource utilization. Multivariable logistic regression was used to evaluate the risk factors for malnutrition in patients with GIC. Results: There were 2,645,285 GIC inpatient admissions between 2012-2016, out of which 6.1% patients died. 11.1% (±0.22) patients had PEM and three most common GIC associated with PEM were Esophageal (19.7±0.24%), gastric (16.5±0.22%) and small intestine (15.2±0.41%). On multivariate analysis, PEM was more common in male gender (OR: 1.07, 95% CI:1.05-1.08, P<0.01), African- American race (OR:1.14, 95% CI: 1.10-1.17, P<0.01) and Charlson comorbidity index >=2(OR:1.5, 95% 1.42-1.51, P<0.01). Malnourished patients were often terminally ill (48.8% vs 39.8%), in intensive care unit (7.89% vs 3.75%), were more likely to be seen by palliative care team (17.6 % vs 9.8%) and were more likely to die (9.6% vs 5.70%, OR-1.76; p <0.01). The incidence, mortality, and total charge of PEM in patients with GIC significantly increased from 2012 to 2016 as shown in the table below. Conclusions: Malnourished patients with GIC tend to have more advanced disease and have an increased mortality as compared to patients with adequate nutritional status. Optimization of their nutritional status can greatly improve outcomes and curb healthcare costs. [Table: see text]

EFFECTIVENESS OF STRUCTURED NURSING INTERVENTION ON NUTRITIONAL STATUS OF UNDERFIVE CHILDREN, KNOWLEDGE AND PRACTICE OF MOTHERS REGARDING THE PREVENTION AND MANAGEMENT OF PROTEIN ENERGY MALNUTRITION IN SELECTED COASTAL VILLAGES OF KERALA.

2021 ◽  
pp. 57-59
Author(s):  
Lija R Nath
Keyword(s):  
Nutritional Status ◽  
Protein Energy Malnutrition ◽  
Nursing Intervention ◽  
P Value ◽  
Anthropometric Parameters ◽  
Knowledge Questionnaire ◽  
Protein Energy ◽  
Childhood Morbidity ◽  
Post Test ◽  
Knowledge And Practice

Malnutrition is not only an important cause of childhood morbidity and mortality, but leads also to permanent impairment of physical and possibly, of mental growth of those who survive. The study was carried out to nd out the effectiveness of structured nursing intervention on nutritional status of underve children, knowledge and practice of mothers regarding prevention and management of malnutrition in selected coastal villages of Kerala. Samples consisted of 122 underve children who were identied with different degrees of malnutrition and their mothers. Pre experimental study design was used. Anthropometric parameters (Weight, Height, MUAC) were checked. Structured knowledge questionnaire and practice check list were used to measure the knowledge and practice of mothers related to the prevention and management of malnutrition. All the measurements were carried out once before the Structured Nursing Intervention and three times after the intervention. Structured Nursing Intervention was found to be effective in improving the knowledge and practice of mothers related to prevention and management of malnutrition among underve children (p < 0.001). Percentage of grade I malnutrition reduced from 83.6% in pre test to 63.69% in post test III. Z test was carried out and it was concluded that Structured Nursing Intervention had signicant inuence on the nutritional status of underve children (Z = 3.33**, p value <0.01).

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