Hepatic proteins and nutrition assessment

Fuhrman, M. Patricia; Charney, Pamela; Mueller, Charles

doi:10.1016/j.jada.2004.05.213

Cited by 465 publications

(341 citation statements)

References 50 publications

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“…The use of this tool in otherwise healthy older people can identify those who require assessment to prevent weight loss. A detailed and further assessment by clinicians usually involves a combination of the following: anthropometric measures, questions regarding weight loss, food intake assessment, medication history, and measurement of blood parameters such as serum albumin, hematocrit, lymphocyte count, total cholesterol, and serum folate (all of which tend to be reduced in malnutrition) [26,83].…”

Section: Diagnosis Methods Of Undernutritionmentioning

confidence: 99%

Anorexia, undernutrition, weight loss, sarcopenia, and cachexia of aging

Hao

Guo

2012

Eur Rev Aging Phys Act

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During the period between 2000 and 2030, the number of persons older than 65 years is projected to grow from 550 to 937 million worldwide. Globally, this growth represents an increase from 6.9 to 12 %. Studies have found that 74.6 % of women and 67.4 % of men aged 65 years or older suffer from many clinical and subclinical syndromes and problems, including anorexia, undernutrition, weight loss, sarcopenia, and cachexia, which are often overlooked or managed inadequately. These issues are very common in the elder. The key clinical question is whether these changes in the elder are distinct entities or an interdependent continuum. In this article, we reviewed these issues of related basic, clinical knowledge. The purpose of this review is to enhance the recognition of anorexia, undernutrition, weight loss, sarcopenia, and cachexia.

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Section: Diagnosis Methods Of Undernutritionmentioning

confidence: 99%

Anorexia, undernutrition, weight loss, sarcopenia, and cachexia of aging

Hao

Guo

2012

Eur Rev Aging Phys Act

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“…The use of these indicators for measuring nutritional status or response to nutrition interventions is inconclusive. Their presence in elderly people who have involuntary weight loss correlates with other coexisting medical conditions, including inflammation and severe illness, known to alter these biochemical parameters (57). Recommended language for the nutrition-focused physical findings category were poor dentition (oral cavity changes, missing teeth, poor fitting dentures, chewing difficulty) (30%) and impaired skin integrity (skin breakdown, ulcers, and wounds) (11%).…”

Section: Missing Languagementioning

confidence: 99%

Content Validation of a Standardized Language Diagnosis by Certified Specialists in Gerontological Nutrition

Ritter-Gooder

Lewis

Eskridge³

2011

Journal of the American Dietetic Association

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“…There are many tools to assess patients' nutritional status. Serum albumin is a good and simple predictor of surgical risk and has a close correlation with the degree of malnutrition [4] . Hypoalbuminemia is a predictor of delayed recovery of bowel function and is strongly associated with postoperative complications after right hemicolectomy for right-sided colon cancer [5] , or following other major gastrointestinal surgery [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Pre-operative hypoalbuminemia is a major risk factor for postoperative complications following rectal cancer surgery

Lohsiriwat¹,

Lohsiriwat²,

Boonnuch³

et al. 2008

WJG

114

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AIM:To determine the relationship between preoperative hypoalbuminemia and the development of complications following rectal cancer surgery, as well as postoperative bowel function and hospital stay. METHODS:The medical records of 244 patients undergoing elective oncological resection for rectal adenocarcinoma at Siriraj Hospital during 2003 and 2006 were reviewed. The patients had pre-operative serum albumin assessment. Albumin less than 35 g/L was recognized as hypoalbuminemia. Postoperative outcomes, including mortality, complications, time to first bowel movement, time to first defecation, time to resumption of normal diet and length of hospital stay, were analyzed. RESULTS:The patients were 139 males (57%) and 105 females (43%) with mean age of 62 years. Fifty-six patients (23%) had hypoalbuminemia. Hypoalbuminemic patients had a significantly larger tumor size and lower body mass index compared with non-hypoalbuminemic patients (5.5 vs 4.3 cm; P < 0.001 and 21.9 vs 23.2 kg/m 2 ; P = 0.02, respectively). Thirty day postoperative mortality was 1.2%. Overall complication rate was 25%. Hypoalbuminemic patients had a significantly higher rate of postoperative complications (37.5% vs 21.3%; P = 0.014). In univariate analysis, hypoalbuminemia and ASA status were two risk factors for postoperative complications. In multivariate analysis, hypoalbuminemia was the only significant risk factor (odds ratio 2.22, 95% CI 1.17-4.23; P < 0.015). Hospitalization in hypoalbuminemic patients was significantly longer than that in non-hypoalbuminemic patients (13 vs 10 d, P = 0.034), but the parameters of postoperative bowel function were not significantly different between the two groups. CONCLUSION:Pre-operative hypoalbuminemia is an independent risk factor for postoperative complications following rectal cancer surgery.

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Hepatic proteins and nutrition assessment

Cited by 465 publications

References 50 publications

Anorexia, undernutrition, weight loss, sarcopenia, and cachexia of aging

Anorexia, undernutrition, weight loss, sarcopenia, and cachexia of aging

Content Validation of a Standardized Language Diagnosis by Certified Specialists in Gerontological Nutrition

Pre-operative hypoalbuminemia is a major risk factor for postoperative complications following rectal cancer surgery

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