scholarly journals The Malnutrition Universal Screening Tool (MUST) and a nutrition education program for high risk cancer patients: strategies to improve dietary intake in cancer patients

BioMedicine ◽  
2015 ◽  
Vol 5 (3) ◽  
Author(s):  
Pei-Chun Chao ◽  
Hui-Ju Chuang ◽  
Li-Yen Tsao ◽  
Pei-Ying Chen ◽  
Chia-Fen Hsu ◽  
...  
2018 ◽  
Vol 120 (5) ◽  
pp. 528-536 ◽  
Author(s):  
Abbie L. Cawood ◽  
Emily R. Walters ◽  
Sarah K. E. Sharp ◽  
Marinos Elia ◽  
Rebecca J. Stratton

AbstractSelf-screening using an electronic version of the Malnutrition Universal Screening Tool (‘MUST’) has been developed but its implementation requires investigation. A total of 100 outpatients (mean age 50 (sd 16) years; 57 % male) self-screened with an electronic version of ‘MUST’ and were then screened by a healthcare professional (HCP) to assess concurrent validity. Ease of use, time to self-screen and prevalence of malnutrition were also assessed. A further twenty outpatients (mean age 54 (sd 15) years; 55 % male) examined preference between self- screening with paper and electronic versions of ‘MUST’. For the three-category classification of ‘MUST’ (low, medium and high risk), agreement between electronic self-screening and HCP screening was 94 % (κ=0·74, se 0·092; P<0·001). For the two-category classification (low risk; medium+high risk) agreement was 96 % (κ=0·82, se 0·085; P<0·001), comparable with the previously reported paper-based self-screening. In all, 15 % of patients categorised themselves ‘at risk’ of malnutrition (5 % medium, 10 % high). Electronic self-screening took 3 min (sd 1·2 min), 40 % faster than previously reported for the paper-based version. Patients found the tool easy or very easy to understand (99 %) and complete (98 %). Patients that assessed both tools found the electronic tool easier to complete (65 %) and preferred it (55 %) to the paper version. Electronic self-screening using ‘MUST’ in a heterogeneous group of hospital outpatients is acceptable, user-friendly and has ‘substantial to almost-perfect’ agreement with HCP screening. The electronic format appears to be as agreeable and often the preferred format when compared with the validated paper-based ‘MUST’ self-screening tool.


Author(s):  
Brunilda Subashi

Malnutrition, in all its forms, is a global problem and continues to be one of the greatest challenges facing our generation. ‘MUST’ is a five-step screening tool to identify adults, who are malnourished, at risk of malnutrition (undernutrition), or obese. Purpose: Evaluation of BMI, malnutrition and percentage of weight loss in the city of Vlora, Albania. Methodology: This is an exploratory study, carried out in the city of Vlora during May 20 - June 20, 2020, using the ‘MUST’ since data such as: height, weight and weight before 3-6 months, was obtained through the AFQPHALS Survey (Adult Food Quality and Physical Activity Level Survey), which was distributed online on social networks during May 17- 27, 2020 and completed by 545 adult subjects 18 years and older, including some Albanian cities with the predominance of the city of Vlora. Results & conclusions: Vlora constitute 55% part of the study sample; women 75%; with higher education 45% and master's degree 29%; full-time employees 38% and students 35%; 24% overweight, 9% obesity and 8% underweight; 73% has low risk, 16% has medium risk and 11% has high risk for malnutrition; 73% has not lost weight (0%). The high risk for malnutrition prevails in gender female, at higher education and master's level in students and full-time employees. Recommendations: Recognition and use of the Malnutrition Universal Screening Tool by the community, that is a free tool, easy and accessible for all to know and reduce malnutrition.


2021 ◽  
pp. 155982762098679
Author(s):  
Jillian Poles ◽  
Eduard Tiozzo ◽  
Janet Konefal ◽  
Allan Rodriguez ◽  
Judi M. Woolger ◽  
...  

Background. People living with HIV (PLWH) have increased risk of cardiovascular disease (CVD). Dietary behavior modification may assist in the treatment of CVD, but the optimal dose of nutrition education is unknown. The current aim was to determine if a weekly 1-hour nutrition education program would improve multiple outcomes among PLWH. Methods. Participants (n = 62) were assessed on dietary intake, serum biomarkers, and physical characteristics at baseline and 3 months, and percent change was calculated. Participants were grouped into 3 attendance categories of the classes: none, fair, or good. Analyses of covariance were performed on the outcomes. Results. Calories, protein, fat, saturated fat, carbohydrate, sugar, added sugar, and glycemic load were significantly different (all P values <.05). Those who attended no class typically had increases in these variables versus those with fair or good attendance. High-density lipoprotein cholesterol (HDL-C; P = .006) and total cholesterol/HDL-C ratio ( P = .083) were different, as those who attended no class or had fair attendance worsened, but those with good attendance improved. Conclusions. Several outcomes improved more so among those with good class attendance versus those with either fair or no attendance. Thus, an interactive nutrition education program may be an effective tool to help improve the health of PLWH.


Sign in / Sign up

Export Citation Format

Share Document