Malnutrition – The Ignored Risk Factor

Lochs, Herbert; Dervenis, Christos

doi:10.1159/000074105

Cited by 22 publications

(13 citation statements)

References 20 publications

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“…Based on the literature and consultation with Dutch experts in the field, malnutrition was defined according to one of the three following criteria: (1) BMI less than 18·5 kg/m 2 ; (2) unintentional weight loss (6 kg in the previous 6 months or 3 kg in the previous month) or (3) BMI between 18·5 and 20 kg/m 2 in combination with no nutritional intake for 3 d or reduced intake for more than 10 d (6,9,21 -24) .…”

Section: Instrumentmentioning

confidence: 99%

Malnutrition prevalence in The Netherlands: results of the Annual Dutch National Prevalence Measurement of Care Problems

et al. 2008

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The objective of this study was to provide data on malnutrition prevalence in hospitals, nursing homes and home-care organisations in The Netherlands in a nationally representative sample, and to assess the factors such as age, sex, time since admission, ward type and disease for identifying patients at high risk of malnutrition. A cross-sectional, multi-centre design with a standardised questionnaire was used to measure the prevalence of malnutrition. Nutritional status was assessed by BMI, undesired weight loss and nutritional intake. In this study, 12 883 patients were included. The prevalence of malnutrition was the highest in hospitals (23·8 %), followed by home-care organisations (21·7 %) and nursing homes (19·2 %). Logistic regression analysis revealed no association with age, time since admission and ward type. Being female was associated with malnutrition only in nursing homes. Blood diseases, gastrointestinal tract diseases, infection, chronic obstructive pulmonary disease, dementia and cancer were the factors associated with malnutrition in hospitals. Dementia was associated with malnutrition in nursing homes, while gastrointestinal tract diseases, diabetes mellitus and cancer were the associated factors in home care. This study shows that malnutrition is still a substantial problem in hospitals, nursing homes and home care in The Netherlands. Malnutrition is a problem for more than one in five patients. Despite growing attention to the problem, more continued alertness is required. Malnutrition continues to be an important and under-recognised problem in all health-care settings. Malnutrition can encompass both over-and undernutrition as well as deficiencies or imbalances of specific nutrients (1) . In this study, malnutrition is described as a state of undernutrition.The first national survey of malnutrition conducted in 2001 by the dietitians in The Netherlands included 7606 patients, and indicated that approximately 12 % appeared to be malnourished and 13 % at risk of malnutrition in hospitals, nursing homes and home-care organisations (2) . Since then, no other large-scale studies of malnutrition prevalence have been performed in The Netherlands.Comparisons of malnutrition prevalence in patients hospitalised in different European countries reveal that this fluctuates from 20 to 60 % (3) . European studies specifically related to the elderly report prevalence ranging from 22 % in Germany up to 84 % in Ireland (4,5) . Stratton et al.showed that disease-related malnutrition occurs in hospitals (10-60 %), nursing homes (50 % or more) and among individuals living independently (.10 %). These prevalence rates for malnutrition fluctuate extensively, as they depend on how malnutrition is operationalised (7 -9) . As no worldwide consensus on the elements of malnutrition operationalisation has yet been reached, it is very difficult to find a uniform operationalisation covering different patient groups, diseases and settings. It is thus difficult to compare the prevalence rates of malnutrition across diffe...

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Section: Instrumentmentioning

confidence: 99%

Malnutrition prevalence in The Netherlands: results of the Annual Dutch National Prevalence Measurement of Care Problems

et al. 2008

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“…Malnutrition is common in all hospitalized patients, but especially so in patients with malignant diseases and the elderly (Lochs and Dervenis, 2003). In patients requiring surgery, the clinical impact of malnutrition includes an increased risk of peri-operative complications (Terada et al, 1988;Burnett et al, 1993;Obermair et al, 2001), increased postoperative residual tumour after initial surgery (Obermair et al, 2001) and increased length of hospital stay (Massad et al, 1993).…”

Section: Introductionmentioning

confidence: 99%

Malnutrition among gynaecological cancer patients

et al. 2006

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Objective: To assess the nutritional status of patients with gynaecological cancer. Design: A prospective study assessing the nutritional status of gynaecological patients with suspected or proven gynaecological cancer. Setting: Queensland Centre for Gynaecological Cancer, Brisbane, Australia; a tertiary referral centre for gynaecological cancer. Subjects: One hundred forty-five patients with suspected or proven gynaecological cancer aged 20-91 years. Intervention: Scored patient-generated subjective global assessment (PG-SGA) and serum albumin before treatment. Results: One hundred and sixteen (80%) patients were categorized as PG-SGA class A, 29 (20%) patients were PG-SGA B and none of the patients were PG-SGA C. Ovarian cancer patients had significantly lower serum albumin levels (P ¼ 0.003) and higher PG-SGA scores (Po0.001) than patients with other types of cancer and benign conditions. Sixty-seven per cent of patients with ovarian cancer were classified as PG-SGA B. After adjusting for patient's age, body mass index and albumin level, ovarian cancer patients were 19 times more likely to be categorized as PG-SGA class B compared to patients with benign conditions (95% confidence interval: 3.03-129.8; P ¼ 0.002). Conclusion: Malnutrition in gynaecological cancer patients is a significant problem, especially among those patients diagnosed with ovarian cancer.

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“…Pema prvom, pothranjenost se definiše kao nedovoljan unos hrane, odnosno nedovoljno unošenje esencijalnih nutrijenata, a drugi pristup govori o proteinsko-energetskoj pothranjenosti (engl. protein-energy undernutrition − PEU) koja se odlikuje progresivnim gubitkom tjelesne mase i masnog tkiva, što proizlazi iz nedovoljnog konzumiranja proteina i kalorija [11]. Iako se nutritivni status bolesnika pokazao kao veoma važan faktor koji utiče na ishod i oporavak od bolesti ili povrede, ipak, uprkos tim saznanjima, u današnje doba malnutricija u bolnicama ostaje problem koji nije prepoznat u velikom procentu.…”

Section: Nutritivni Status I Učestalost Malnutricijeunclassified

“…Najjednostavniji način za prevazilaženje ovog problema jeste uvođenje procjene nutritivnog statusa kao rutinske metode za sve bolesnike prilikom primanja u bolnicu. Mjerenjem vrijednosti biohemijskih parametara, poput nivoa albumina, prealbumina, lipida, glukoze, vitamina, mineralnih sastojaka i elektrolita u krvi, koji su najtačniji pokazatelji malnutricije, upotpunjuje se slika o nutritivnom statusu pojedinca [11]. Istraživanja pokazuju da prevalenca malnutricije nakon 65. godine iznosi od 16%-85% (u zavisnosti od korišćenih parametara i mjesta stanovanja) [12].…”

Section: Nutritivni Status I Učestalost Malnutricijeunclassified

Nutritivni status kod starih osoba

Pavlović

Joković

Hadživuković

et al. 2017

Biomedicinska istraž.

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Kratak sadržajStarenje stanovništva, a samim tim i povećanje očekivanog trajanja života su danas globalni fenomeni. U okviru poremećaja stanja uhranjenosti kod starih posebno treba obratiti pažnju na pothranjenost, odnosno proteinsko-energetski deficit, nutritivnu anemiju i gojaznost. Nutritivnа anemija kod starih najčešće je posljedica nedostatka gvožđa, folata i vitamina B12, a često je udružena sa infekcijom ili je posljedica nekog hroničnog oboljenja. Prеvаlеncа gојаznоsti imа stаlаn porаst i prеdstаvljа znаčајаn zdrаvstvеni prоblеm u vеćini industriјаlizоvаnih zеmаljа. Proces nutritivne njege mora da bude kontinuiran, a procjena nutritivnog statusa, otkrivanje faktora rizika za malnutriciju i pravovremena primjena odgovarajućeg liječenja doprinose smanjenju morbiditeta, mortaliteta, troškova liječenja i poboljšanju kvaliteta života starih osoba.

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Malnutrition – The Ignored Risk Factor

Cited by 22 publications

References 20 publications

Malnutrition prevalence in The Netherlands: results of the Annual Dutch National Prevalence Measurement of Care Problems

Malnutrition prevalence in The Netherlands: results of the Annual Dutch National Prevalence Measurement of Care Problems

Malnutrition among gynaecological cancer patients

Nutritivni status kod starih osoba

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