Impact of Energy intake at One Week after Hospitalization on Prognosis for Older Adults with Pneumonia

Shirado, Kengo; Wakabayashi, Hidetaka; Maeda, Keisuke; Nishiyama, Akiko; Asada, Masahito; Isse, Hamdi Mohamed; Saito, Seisuke; Kakitani, Chisa; Momosaki, Ryo

doi:10.1007/s12603-019-1282-y

Cited by 10 publications

(8 citation statements)

References 28 publications

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“…But the delay may lead to the lack of knowledge of the true causes of malnutrition, failure of discharge home, and increased mortality rate 28,31,33 .…”

Section: Discussionmentioning

confidence: 99%

Hospital nutrition: dietary intake characteristics among adults with NCDs (Algeria, 2020)

Boutata

Bencharif

Abdessemed

2022

Rev Esp Nutr Hum Diet

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Introduction: Hospital malnutrition is a common problem among non-communicable diseases' (NCDs) inpatients, and it is related to food intake characteristics. The aim of this study was to determine the current dietary intake characteristics of hospitalized adults with NCDs in Algeria. Methods: The study sample consisted of 105 inpatients. The dietary intake was evaluated using the 24 hours recall method, CIQUAL Table, 2016 was used for nutritional values and Subjective global assessment (SGA) for the nutritional status assessment. Results: The study design responds to a descriptive cross-sectional study carried out on a sample of 105 inpatients. The malnutrition percentage was 44.76% (B/C on SGA). Most consumed food was self-provided (78.09%) and 3.81% of food was hospital-provided. Energy intakes were low with a median of 4805 kJ/day; 24.76% of participants met 100% of their energy requirements while 13.33% met ≥75% of their protein requirements with no significant difference between well-nourished and malnourished patients. Dietary sugar was higher than 10% of total energy, and alpha-linolenic acid was at 0.06% of total energy with severe deficient of vitamins and minerals. Conclusions: Current food supply including non-regulated sources in hospital was not able to meet the dietary requirements of inpatients. Improving hospital nutritional services, supporting patients at mealtimes and nutritional education among patients’ families are solutions to improve patient nutritional status.

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“…But the delay may lead to the lack of knowledge of the true causes of malnutrition, failure of discharge home, and increased mortality rate 28,31,33 .…”

Section: Discussionmentioning

confidence: 99%

Hospital nutrition: dietary intake characteristics among adults with NCDs (Algeria, 2020)

Boutata

Bencharif

Abdessemed

2022

Rev Esp Nutr Hum Diet

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“…In general, greater energy intake is associated with increased risk of mortality including risk of cardiovascular and cancer death in the general population and in patients with chronic diseases such as type 2 diabetes mellitus and end-stage CKD [17,19,30], whereas it is associated with lower mortality in critically ill patients with low BMI [31]. On the other hand, lower energy intake increases the risk of mortality in patients with chronic diseases [17,19] and in elderly people [32], and a favorable effect of lower energy intake on longevity that has been observed in animal studies remains controversial in human studies [33,34]. Thus, optimal energy intake for favorable prognosis seems to vary depending on patient characteristics.…”

Section: Discussionmentioning

confidence: 99%

Energy intake during hospital stay predicts all-cause mortality after discharge independently of nutritional status in elderly heart failure patients

et al. 2021

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Objective Malnutrition is associated with an increased risk of mortality in heart failure (HF) patients. Here, we examined the hypothesis that assessment of energy intake in addition to nutritional status improves the stratification of mortality risk in elderly HF patients. Methods We retrospectively examined 419 HF patients aged ≥ 65 years (median 78 years, 49% female). Nutritional status was assessed by the Mini Nutritional Assessment Short Form (MNA-SF), and daily energy intake was calculated from intake during 3 consecutive days before discharge. Results During a median 1.52-year period (IQR 0.96–2.94 years), 110 patients (26%) died. Kaplan–Meier survival curves showed that patients with low tertile of daily energy intake had a higher mortality rate than did patients with high or middle tertile of daily energy intake. In multivariate Cox regression analyses, low daily energy intake was independently associated with higher mortality after adjustment for the model including age, sex, BNP, Charlson Comorbidity Index, history of HF hospitalization, and cachexia in addition to MNA-SF. Inclusion of both MNA-SF and energy intake into the adjustment model improved the accuracy of prediction of the mortality after discharge (continuous net reclassification improvement, 0.355, p = 0.003; integrated discrimination improvement, 0.029, p = 0.003). Results of a fully adjusted dose-dependent association analysis showed that risk of all-cause mortality was lowest among HF patients who consumed 31.5 kcal/kg/day of energy. Conclusions Energy intake during hospital stay is an independent predictor of the mortality in elderly HF patients, and its assessment together with established predictors improves the mortality risk stratification. Graphic abstract

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“…As a measure of nutritional management for COVID-19 patients, energy needs to be estimated by a prediction formula based on body weight, and a protein intake of at least 1.0 g/kg (maximum 1.5 g/kg) is needed to prevent weight loss and reduce the risk of complications [16]. In addition, the mean energy intake after hospitalization is higher than that of basal energy expenditure in elderly patients with pneumonia, which affects their prognosis and ADL ability at discharge [18].…”

Section: Discussionmentioning

confidence: 99%

Effect of Rehabilitation Nutrition on a Post-Acute Severe COVID-19 Patient: A Case Report

et al. 2021

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Coronavirus disease 2019 (COVID-19) may lead to post-acute physical function deterioration due to intensive-care-unit-acquired weakness-related sarcopenia and dyspnea. Limited reports have examined the effects of rehabilitation and nutritional therapy on patients with post-acute COVID-19. We present the case of a 67-year-old man, who was admitted for the treatment of post-acute severe COVID-19, who benefited from rehabilitation nutrition. When the patient’s condition stabilized, sarcopenia and malnutrition were observed, and rehabilitation nutrition was implemented. The physical therapist implemented a program focused mainly on resistance training and aerobic exercise, and the dietitian provided oral nutritional supplements and hospital food that met the patient’s energy and protein intake requirements. Comparing the initial evaluations with those at discharge, factors affecting nutritional status, such as body mass index and skeletal muscle mass index, and physical functions, such as grip strength and walking speed, and dyspnea, had improved. The patient was discharged and returned to work. This case suggests improvements in the nutritional status and physical functions of post-acute severe COVID-19 patients by interventions following rehabilitation nutrition.

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Impact of Energy intake at One Week after Hospitalization on Prognosis for Older Adults with Pneumonia

Cited by 10 publications

References 28 publications

Hospital nutrition: dietary intake characteristics among adults with NCDs (Algeria, 2020)

Hospital nutrition: dietary intake characteristics among adults with NCDs (Algeria, 2020)

Energy intake during hospital stay predicts all-cause mortality after discharge independently of nutritional status in elderly heart failure patients

Effect of Rehabilitation Nutrition on a Post-Acute Severe COVID-19 Patient: A Case Report

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