Nutrition impact symptoms, handgrip strength and nutritional risk in hospitalized patients with gastroenterological and liver diseases

Knudsen, Anne Wilkens; Naver, Astrid Vinsand; Bisgaard, Karen; Nordgaard-Lassen, Inge; Becker, Ulrik; Krag, Aleksander; Slinde, Frode

doi:10.3109/00365521.2015.1028994

Cited by 29 publications

(12 citation statements)

References 22 publications

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“…A previous meta-analysis reported that objective measures of physical function (i.e., GS, walking speed, chair rising, and standing balance times) were predictive factors for all-cause mortality in elderly community-dwelling populations [49]. As muscle function reacts early to nutrition deprivation, GS can be a reliable marker for nutrition status [50,51]. These observations may be linked to our current results.…”

Section: Discussionsupporting

confidence: 77%

Grip Strength: A Useful Marker for Composite Hepatic Events in Patients with Chronic Liver Diseases

et al. 2020

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Here we sought to clarify the prognostic impact of sarcopenia-related markers (grip strength (GS), muscle mass using bioimpedance analysis and patient quality of life as assessed by the 36-Item Short-Form Health Survey (SF36)) in patients with chronic liver diseases (CLDs, n = 411; 160 liver cirrhosis patients; median age, 64 years) on the incidence of composite hepatic events (CHEs). A GS decrease was defined as <26 kg in men and <18 kg in women, while a skeletal muscle mass index (SMI) decrease was defined as <7.0 kg/m2 in men and <5.7 kg/m2 in women based on the current guidelines. The physical and metal component summary scores on the SF36 were also included into the analysis. Sixty-two patients (15.1%) had the first incidence of CHEs. The three-year cumulative incidence rates of CHEs in patients with GS decrease or non-decrease were 24.51% and 12.44% (p = 0.0057). The three-year cumulative incidence rates of CHEs in patients with an SMI decrease or non-decrease were 19.65% and 12.99% (p = 0.0982). Multivariate analysis revealed that GS decrease (p = 0.0350) and prothrombin time (p = 0.0293) were significantly associated with the incidence of CHEs. In conclusion, GS can be an independent predictor for CHE development in patients with CLDs.

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Section: Discussionsupporting

confidence: 77%

Grip Strength: A Useful Marker for Composite Hepatic Events in Patients with Chronic Liver Diseases

et al. 2020

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“…According to the data obtained by the MNA (93.2%) and SCREEN II (100%), the respondents who were in the nursing homes had a higher risk of malnutrition or suffered from malnutrition more frequently. Similar results are presented in the research of Donini and et al (22). Nutritional status might have been affected not only by reduced consumption of fruits and vegetables, but also to the other risk factors, such as poor social status and low incomes.…”

Section: Discussionsupporting

confidence: 92%

Comparison of Nutritional Status Between Nursing Home Residents and Community Dwelling Older Adults: a Cross-Sectional Study from Bosnia and Herzegovina

et al. 2019

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Aim: The aim of the study was to determine the differences in nutritional status and risk for malnutrition between nursing home and community-dwelling residents. Methods: Cross-sectional study included 146 nursing home residents and 300 community-dwelling elderly adults from four municipalities in Bosnia and Herzegovina. Anthropometric measurements, biochemical analyses, nutritive, functional and cognitive assessments were carried out. Nutritional status and risk for malnutrition were assessed by Mini Nutritional Assessment (MNA), Seniors in the Community: Risk Evaluation for Eating and Nutrition, version II (Screen II) and the food intake analysis for the past 24 hours. Functional status was assessed by the Lawton scale, the Katz Independence Index, Timed Up and Go test, the Functional Reach Test. Mini Cog test and Six-item cognitive impairment test were used for the evaluation of cognitive functioning. Results: The incidence of high nutritive risk by SCREEN II (100%) and being “at risk for malnutrition” by MNA (81.60%) was higher among nursing home residents compared to community-dwellers. Community-dwelling elderly people had higher BMI (27.94 ± 4.73), weight (78.40 ± 13.99), height (167.69 ± 9.74), waist circumference (97.77 ± 12.88), hip circumference (104.61 ± 11.47), mid-arm arm (27.54 ± 3.58), hip (27.54 ± 3.58) and calf circumference (34.02 ± 5.16 ). Statistical differences in regards to place of living were found in functional status (p<0.001), cognitive functioning (p<0.001) and hand grip strength (p<0.001). Conclusion: The frequency of malnutrition and high nutritional risk was higher in respondents who were living in the nursing homes compared to community-dwellers. The results of this study showed that health professionals involved in the care for institutionalized elderly people should implement routine screening of malnutrition within the comprehensive geriatric assessment in their daily practice.

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“…( 32 ) Fearon et al, ( 33 ) and Roxburgh et al, ( 34 ) attributed the cancer patients’ inadequate food intake to the tumor itself, whereas Jeffery et al, ( 18 ) and Pearce et al,( 35 ) related this to the toxicity of the treatment. Other authors ( 2 , 3 , 36 , 37 ) stated both tumor and treatment were able to impair the food intake. Energy intake of cancer patients may vary according to the type of disease, therapeutic protocol, prior nutritional status and complications; therefore each of these aspects should be evaluated individually.…”

Section: Discussionmentioning

confidence: 97%

Clinical, dietary and demographic characteristics interfering on quality of life of cancer patients

Campos

Silva

Spexoto

et al. 2018

Einstein (São Paulo)

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Objective To estimate the dietary intake of cancer patients and its relation with clinical and demographic characteristics, and to assess the contribution of dietary intake, appetite/symptoms and clinical and demographic characteristics to their quality of life.Methods The consumption of energy and macronutrients of patients was estimated. The relation between dietary intake and clinical and demographic characteristics was evaluated by analysis of variance. The intake of energy and macronutrient of the patients was compared to the nutritional recommendations using 95% confidence interval. The Cancer Appetite and Symptom Questionnaire (CASQ) and the European Organization for Research and Treatment of Cancer (EORTC QLQ C-30) were used to assess appetite/symptoms and quality of life, respectively. The psychometric properties of the instruments were estimated. A structural equation model was prepared.Results In this study, 772 cancer patients (63.1% women) participated. There was a significant relation between dietary intake and work activity, economic class, specialty field of cancer, type of treatment and nutritional status. Patients’ energy and macronutrients intake was below recommended values. Both CASQ and EORTC QLQ C-30 were refined to fit the data. In the structural model, impaired appetite, more symptoms, presence of metastasis, being female and of higher economic classes were characteristics that significantly contributed to interfering in patients’ quality of life.Conclusion The dietary intake of oncology patients did not reach the recommended values. Different characteristics impacted on quality of life of patients and should be considered in clinical and epidemiological protocols.

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Nutrition impact symptoms, handgrip strength and nutritional risk in hospitalized patients with gastroenterological and liver diseases

Abstract: NIS that preclude food intake are very frequent among patients with diseases of the liver and gastrointestinal tract. Specific NIS are associated with low HGS, weight loss and being at nutritional risk.

Cited by 29 publications

References 22 publications

Grip Strength: A Useful Marker for Composite Hepatic Events in Patients with Chronic Liver Diseases

Grip Strength: A Useful Marker for Composite Hepatic Events in Patients with Chronic Liver Diseases

Comparison of Nutritional Status Between Nursing Home Residents and Community Dwelling Older Adults: a Cross-Sectional Study from Bosnia and Herzegovina

Clinical, dietary and demographic characteristics interfering on quality of life of cancer patients

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