P.83 The hospital malnutrition Italian study

Comi, D; Palmo, A.; Brugnani, M.; D'Amicis, A.; Costa, Aline Bárbara Pereira; D'Andrea, F; Toma, E. del; Domeniconi, D; Fusco, Maria Antonia; Gatti, Enza; Lesi, C.; Lucchin, Lucio

doi:10.1016/s0261-5614(98)80239-2

Cited by 7 publications

(7 citation statements)

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“…In recent years, a number of works have reported an increasing incidence of obesity in the general population, but data on the prevalence of obesity and overweight in the gastroenterological population have been limited. The average prevalence of overweightobesity in our study was 22.7%; this rate of obesity was lower than those reported in a hospital setting in previous Italian [28][29][30] reports but was higher than the Italian general population rate, especially in outpatients. We also found that approximately 10% of the obese and overweight hospitalized patients were undernourished and that the risk of malnutrition was present in more than one-third of the obese and overweight gastroenterological patients, with rates that reached 80% in > 65-year-old obese inpatients.…”

Section: Discussioncontrasting

confidence: 83%

“…In our population, the prevalence of undernutrition was similar to those reported in other European [8] and Italian studies [28] but differed from other studies [9,29,30,50] because of both (1) the different tools used to evaluate malnutrition; and (2) the diverse stages of disease. In this study, we reported for the first time (1) the rate of undernutrition in gastroenterology outpatients; and (2) the correlation of undernutrition with hospital admission.…”

Section: Discussionsupporting

confidence: 75%

“…Currently few data are available in the literature about the prevalence of undernutrition and the risk of malnutrition among Italian inpatients and outpatients, particularly in the gastroenterological setting. The Italian multicenter HOMIS study identified undernutrition in 19.1% and obesity in 24.8% of its patients [28] . Another Italian multicenter study, PIMAI, reported a prevalence rate of undernutrition of 30.7%, a risk of malnutrition, evaluated by the NRS-2002, of 28.6% and a rate of obesity of 21% [29,30] .…”

Section: Introductionmentioning

confidence: 99%

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Undernutrition, risk of malnutrition and obesity in gastroenterological patients: A multicenter study

Rizzi

Mazzuoli

Regano

et al. 2016

WJGO

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Section: Discussioncontrasting

confidence: 83%

Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

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Undernutrition, risk of malnutrition and obesity in gastroenterological patients: A multicenter study

Rizzi

Mazzuoli

Regano

et al. 2016

WJGO

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“…In MNA-SF assessed patients, the malnutrition risk increased with higher ECW and lower BMI, Hb, PA, and muscle strength. In NRS-2002 assessed patients, this risk increased with higher CRP and lower PA. Our results for MNA-SF assessing the older patients are consistent with reports from other hospitalized populations in Switzerland, China, Italy, and Israel [20][21][22][23]. However, the comparison of our results for NRS-2002 patients, indicated that our survey recorded a much higher prevalence of nutritional risk relative to that observed in the Swiss, Chinese, Italian, and Israel surveys.…”

Section: Resultssupporting

confidence: 91%

A multi-center survey on hospital malnutrition and cachexia in Slovenia

et al. 2019

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Background Malnutrition has become a prevalent condition, with European and international studies reporting rates of approximately 25-40% in hospitals. We set out to perform a multi-center cross-sectional study to assess malnutrition rates in Slovenian hospitals and to convert the findings into a mobile application suitable for use by nurses and staff at the bedside. In addition, we examined the association of the results of this mobile application with parameters for body composition measured by bioimpedance method, muscle strength, anthropometrics, and specific blood markers. Methods We selected the Nutritional Risk Screening 2002 (NRS-2002) method, the second version of the modified shortform of Mini-Nutritional Assessment (MNA-SF), and the diagnostic criteria for cachexia proposed by Evans (CDE) as evidence-based methods for estimating the risk of and prevalence of malnutrition or/and cachexia. The methods were converted into the Android mobile application named MalNut that was used in three Slovenian hospitals by nurses and dietitians. Results We applied NRS-2002 and MNA-SF to screen for malnutrition risk and to assess malnutrition in 207 individuals aged 18 years and older, regardless of gender or reason for hospitalization during 1-week periods. Totally, 98% of these patients consider nutrition an important part of medical treatment care. NRS-2002 estimated the malnutrition risk to be 66.3%, which includes both patients to be at risk for malnutrition and patients that are truly malnourished. The malnutrition risk in the elderly (65+) estimated by MNA-SF was 39.6% and malnutrition 42.5%. When applying the CDE score in these two categories, 66.7% were identified as cachectic and 21.4% as pre-cachectic. In the patients assessed with the CDE score, malnutrition risk increased with higher extracellular water and decreased body mass index, hemoglobin, phase angle, and muscle strength. In all, 75% of patients assessed as high risk for malnutrition by NRS-2002, were identified as cachectic and 15.7% as pre-cachectic. In NRS-2002 assessed patients, this risk increased with higher C-reactive protein and lower phase angle. Conclusions The study showed that both malnutrition and cachexia are largely overlapping notions and are common in hospitalized adults in Slovenia. The MNA-SF and NRS-2002 tools showed that malnutrition risk was not significantly correlated with age, gender, serum albumin, but was correlated with lower phase angle, CRP, and muscle strength in elderly patients. The results have been used to develop further nutritional interventions in Slovenia.

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“…Nevertheless, there is evidence that diseases might present with different geographical distribution and data obtained from studies considering this effect too are generally more applicable [5,18,19]. Moreover, scant and unreliable data on the Italian state of art are now available [20]. According to this background the Federation of Nutritional Italian Societies (FeSIN) designed the multicentric "PIMAI study" (Project: Iatrogenic MAlnutrition in Italy) in order to: (1) estimate the national prevalence of malnutrition among Italian hospital in-patients and (2) investigate potential geographical differences and factors that should be considered when designing national nutritional policies.…”

Section: Introductionmentioning

confidence: 99%

A nationally representative survey of hospital malnutrition: the Italian PIMAI (Project: Iatrogenic MAlnutrition in Italy) study

Lucchin

D'Amicis

Gentile

et al. 2009

Mediterr J Nutr Metab

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*See the end of the text for the complete list of affiliations Overall prevalence of malnutrition was 30.7%, with higher rates in the northern macroarea (36.7%) than in central (28.0%), southern (26.9%) and island (16.7%) ones (p < 0.0001). This discrepancy appeared to be mainly related to the prevalence of overweight/obesity. By a multivariate model, malnutrition was significantly lower in males (p < 0.05) and surgical wards (p < 0.002), associated with geography (p < 0.05) and consistently higher in patients aged ≥65 years (p < 0.01), presenting with malignancies (p < 0.005) and having multidrug therapy (p < 0.05). The prevalence of hospital malnutrition is high also in Italy. It presents with different geographical distribution also according to overweight prevalence. This evidence should be considered when designing national nutritional policies.

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P.83 The hospital malnutrition Italian study

Cited by 7 publications

References 0 publications

Undernutrition, risk of malnutrition and obesity in gastroenterological patients: A multicenter study

Undernutrition, risk of malnutrition and obesity in gastroenterological patients: A multicenter study

A multi-center survey on hospital malnutrition and cachexia in Slovenia

A nationally representative survey of hospital malnutrition: the Italian PIMAI (Project: Iatrogenic MAlnutrition in Italy) study

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