Adult Malnutrition (Undernutrition) Screening: An Evidence Analysis Center Systematic Review

Skipper, Annalynn; Coltman, A.; Tomesko, Jennifer; Charney, Pam; Porcari, Judith; Piemonte, Tami A.; Handu, Deepa; Cheng, Feon W.

doi:10.1016/j.jand.2019.09.010

Cited by 40 publications

(31 citation statements)

References 68 publications

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“…In other words, it should not address specific patient populations, but allow for universal use instead. Therefore, this consensus supports the systematic review published by Skipper et al 16 . and the more recent position of the Academy 10 , which have described the MST (Chart 3) as the tool with the best validity, agreement, and reliability, regardless of age, medical history, or site where the patient is offered care.…”

Section: Level Of Evidence a Strength 1 Commentssupporting

confidence: 89%

Consensus on the standard terminology used in the nutrition care of adult patients with chronic kidney disease

Martins¹,

Saeki²,

Nascimento

et al. 2021

Braz. J. Nephrol.

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This nutrition consensus document is the first to coordinate the efforts of three professional organizations - the Brazilian Association of Nutrition (Asbran), the Brazilian Society of Nephrology (SBN), and the Brazilian Society of Parenteral and Enteral Nutrition (Braspen/SBNPE) - to select terminology and international standardized tools used in nutrition care. Its purpose is to improve the training delivered to nutritionists working with adult patients with chronic kidney disease (CKD). Eleven questions were developed concerning patient screening, care, and nutrition outcome management. The recommendations set out in this document were developed based on international guidelines and papers published in electronic databases such as PubMed, EMBASE(tm), CINHAL, Web of Science, and Cochrane. From a list of internationally standardized terms, twenty nutritionists selected the ones they deemed relevant in clinical practice involving outpatients with CKD. The content validity index (CVI) was calculated with 80% agreement in the answers. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework was used to assess the strength of evidence and recommendations. A total of 107 terms related to Nutrition Assessment and Reassessment, 28 to Diagnosis, nine to Intervention, and 94 to Monitoring and Evaluation were selected. The list of selected terms and identified tools will be used in the development of training programs and the implementation of standardized nutrition terminology for nutritionists working with patients with chronic kidney disease in Brazil.

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Section: Level Of Evidence a Strength 1 Commentssupporting

confidence: 89%

Consensus on the standard terminology used in the nutrition care of adult patients with chronic kidney disease

Martins¹,

Saeki²,

Nascimento

et al. 2021

Braz. J. Nephrol.

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“…These observations suggest that assessing the risk for malnutrition in community-dwelling older adults could be a useful strategy for early detection of individuals at risk of low ASMI. Validated tools such as MUST and Mini Nutritional Assessment - Short Form can be used to assess the risk of malnutrition 52 , 53 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of low muscle mass and associated factors in community-dwelling older adults in Singapore

Tey

Huynh

Berde

et al. 2021

Sci Rep

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The population is rapidly aging worldwide, and there is an age-related decline in muscle mass. Therefore, it is important to examine the prevalence and associated factors of low appendicular skeletal muscle mass index (ASMI) in older adults. The objectives of this cross-sectional study were (i) to determine the prevalence of low ASMI (ASM/height2) and (ii) to identify factors associated with low ASMI. This study included 1211 community-dwelling adults aged ≥ 65 years. Low ASMI was defined as < 7.0 kg/m2 in males and < 5.7 kg/m2 in females (bioelectrical impedance analysis). Gender-specific cut-off values of calf circumference for low ASMI were determined. The prevalence of low ASMI in the overall cohort was 59.9%, i.e., 57.0% among males and 61.8% among females, with no significant difference between genders (P = 0.1068). The prevalence of low ASMI was 81.3% in individuals at risk of malnutrition compared to 20.6% in their counterparts with normal nutritional status (P < 0.0001). Participants with low ASMI were older, had lower physical activity scores, and greater likelihood of hospitalization in prior 6 months compared with normal ASMI (all P < 0.0001). Low ASMI was associated with risk of malnutrition (odds ratio: 3.58 for medium risk, odds ratio: 12.50 for high risk), older age, smoking, drinking, smaller calf circumference, and lower bone mass (all P ≤ 0.0328). Cut-off values of calf circumference for low ASMI for males was 33.4 cm and for females was 32.2 cm. In conclusion, we found that low ASMI was highly prevalent among community-dwelling older adults at risk of malnutrition. Other significant factors associated with low ASMI were age, smoking, drinking, calf circumference, and bone mass. Screening community-dwelling older adults for risk of malnutrition can prevent or delay onset of low ASMI.

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“…The MST is a two‐item screening tool that assesses unintentional weight loss and decreased appetite. It is used to identify adults at risk of malnutrition (MST score of <2, not at risk; ≥2, at risk) ( 18 , 19 ).…”

Section: Methodsmentioning

confidence: 99%

Nutrition Information Resources Used by People With Systemic Sclerosis and Perceived Advantages and Disadvantages: A Nominal Group Technique Study

Østbø

Jimenez

Harb

et al. 2021

ACR Open Rheumatology

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Objective Where people with systemic sclerosis (SSc) (or scleroderma) obtain diet and nutrition information to manage their disease is not known. Objectives were to identify 1) resources used by people with SSc for nutrition and diet information and 2) perceived advantages and disadvantages of resources. Methods We conducted nominal group technique (NGT) sessions in which people with SSc reported nutrition and diet information resources they have used and perceived advantages and disadvantages of accessing and using resources. Participants indicated whether they had tried each resource. They rated helpfulness and importance of possible advantages and disadvantages. Items elicited across sessions were merged to eliminate overlap. Results We conducted four NGT sessions (three English language, one French language; 15 total participants) and identified 33 unique information resources, 147 resource‐specific advantages, and 118 resource‐specific disadvantages. Resource categories included health care providers, alternative and complementary practitioners, websites and other media platforms, events, and print materials. The most common themes for advantages and disadvantages included quality and individualization of information and accessibility of resources in terms of cost, location, and comprehensibility. Information provided by medical professionals was regarded as most credible and can be obtained through books, articles, and websites if individual consultation is not easily accessible. Web‐based information was considered highly accessible, although of variable credibility. In‐person events may be an important source of health information for people with SSc. Conclusion People with SSc obtain nutrition and diet information from multiple resources. They seek credible and accessible resources that provide SSc‐specific and individualized information.

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Adult Malnutrition (Undernutrition) Screening: An Evidence Analysis Center Systematic Review

Cited by 40 publications

References 68 publications

Consensus on the standard terminology used in the nutrition care of adult patients with chronic kidney disease

Consensus on the standard terminology used in the nutrition care of adult patients with chronic kidney disease

Prevalence of low muscle mass and associated factors in community-dwelling older adults in Singapore

Nutrition Information Resources Used by People With Systemic Sclerosis and Perceived Advantages and Disadvantages: A Nominal Group Technique Study

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