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

Rizzi, M.; Mazzuoli, S.; Regano, N.; Inguaggiato, Rosa; Bianco, Margherita; Leandro, Gioacchino; Bugianesi, Elisabetta; Noè, Donatella; Orzes, Nicoletta; Pallini, P.; Petroni, Maria Letizia; Testino, Gianni; Guglielmi, Francesco William

doi:10.4251/wjgo.v8.i7.563

Cited by 16 publications

(17 citation statements)

References 48 publications

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“…Our results indicated 40% of patients with malnutrition risk at admission, which is a lower rate of malnutrition than in the abovementioned Croatian study that used Subjective Global Assessment for nutritional status calculation. Nevertheless, our results are comparable to other studies which used NRS-2002 to quantify the prevalence of malnutrition risk, and the majority of them have reported similar findings 2,9,13,24,26 , with the exception of the Romanian gastroenterology study, which showed a lower rate of malnutrition risk (17.1%) 4 .…”

Section: Discussionsupporting

confidence: 89%

Nutritional Risk Screening in Gastroenterological Patients at the Rijeka University Hospital Centre

Žeželj

Malec

Janko-Labinac

et al. 2020

ACC

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Malnutrition is usually related to some diseases such as inflammatory bowel disease, chronic pancreatitis, chronic liver disease and malignant tumors. It is characterized by weight loss, protein deficiency, and deficit of specific nutrients. The aim was to estimate the prevalence of nutritional risk among 160 gastrointestinal patients by use of the Nutritional Risk Screening (NRS-2002) score at hospital admission and discharge. The patients stayed in the hospital between 5 and 15 days or longer. Results showed that 40% of patients at admission and 36.2% at discharge were malnourished. There were 53.1% of patients with recognized malnutrition at admission that received nutritional support, whereas at discharge 34.4% of patients at risk were not dietary supported. Malnourished patients were significantly older, had lower body mass index, longer hospital stay and higher rate of malignant diseases than properly nourished patients. Regular screening for malnutrition should be conveyed in hospitals as to provide appropriate dietary support for all patients at risk.

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Section: Discussionsupporting

confidence: 89%

Nutritional Risk Screening in Gastroenterological Patients at the Rijeka University Hospital Centre

Žeželj

Malec

Janko-Labinac

et al. 2020

ACC

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“… 8 Additionally, a cross-sectional multicentre study found that more than 63% of outpatients and 80% of inpatients in gastroenterological centres suffered from significant changes in body composition. 9 In addition, underweight (BMI <18.5 kg/m 2 ) or obese body condition (BMI >30 kg/m 2 ) are both associated with multiple abdominal symptoms leading to reduced QOL. 10 11 Although extensive research has been carried out on the prevalence of obesity in the general population and in connection with numerous diseases, there are only little published data on the prevalence and clinical relevance of nutritional status and body mass in patients with IBS.…”

Section: Introductionmentioning

confidence: 99%

Is body mass index associated with symptom severity and health-related quality of life in irritable bowel syndrome? A cross-sectional study

et al. 2018

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ObjectiveThe aim of this study was to describe the body mass index (BMI) distribution in patients with irritable bowel syndrome (IBS) based on the Rome III criteria and to evaluate the association of BMI with symptom severity and quality of life (QOL).MethodsA cross-sectional study was carried out in patients visiting our outpatient functional gastrointestinal disorders specialty clinic. IBS diagnosis was made based on Rome III criteria. IBS symptom severity was investigated using the IBS severity score system. QOL was assessed using the Short Form 36 Health Survey, which consists of physical health and mental health.Results366 patients (252 women) who fulfilled Rome III criteria and provided complete BMI data (23.90±5.22 kg/m2) were included. Overall, 59.0% of patients with IBS were in the normal weight range, 30.3% were overweight or obese, and 10.7% were underweight. Both physical and mental health decreased significantly with the severity of symptoms (all p<0.01), while controlling for several covariates (age, gender, family status, education status and IBS subtypes). Obesity and symptom severity (β=−0.177,△R2=0.037, p<0.01; β=−0.387,△R2=0.147, p<0.01) were significant negative factors that influencing physical health. Symptom severity (β=−0.301,△R2=0.084, p<0.01) was significant negative factor that influencing mental health. However, BMI didn’t account for additional variance in mental health (p>0.05).ConclusionBeing overweight is a common phenomenon in patients with IBS regardless of IBS subtype. The association between QOL and symptom severity followed a negative dose-response pattern. Patients with higher BMI, especially obese patients, were more frequently in poor physical health. However, this kind of relationship was not found in BMI and mental health.

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“…It has many advantages over other tools, such as easiness to use, speed, high reproducibility, yield and, unlike other methods, it evaluates the consumption of foods recently, being able to consider the risk according to the reduction of the appetite [23][24][25][26] . Studies comparing NRS-2002 with other nutritional screening tools have demonstrated that this method has high specificity and sensitivity in patients with different clinical situations and ages, and that it presents greater precision and prediction of clinical evolution, mortality and length of stay 3,22,25,[27][28][29] . Almost half of the patients of this study were at nutritional risk, a result similar to those found in other studies 5,6,22,24,25,27,[29][30][31][32][33] .…”

Section: Discussionmentioning

confidence: 99%

Comparação dos critérios da nrs-2002 com o risco nutricional em pacientes hospitalizados

Barbosa

Vicentini

Langa

2019

Ciênc. saúde coletiva

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Resumo A triagem “Nutritional Risk Screening (NRS-2002)” é uma ferramenta considerada padrão ouro na análise do risco nutricional. Sendo assim, objetivou-se identificar na “NRS-2002” qual ou quais os critérios avaliados que mais contribuem para determinar o risco nutricional. Estudo descritivo transversal e quantitativo com 763 adultos e idosos hospitalizados, no ano de 2015. Aplicada a “NRS-2002” que avalia as variáveis Índice de Massa Corporal (IMC), perda de peso nos últimos 3 meses, redução da ingestão alimentar na última semana e gravidade da doença. A estatística dos dados foi descritiva e analítica por meio do método de regressão logística univariada. Observou-se que 46,4% dos pacientes apresentaram risco nutricional, com maiores chances em homens e idosos. Sendo a perda de peso o critério mais prevalente seguido da redução da ingestão alimentar, o IMC < 20,5kg/m² teve maior efeito no risco nutricional (OR = 31,0; IC 95%:14,21;67,44). Concluiu-se que o IMC < 20,5kg/m² e a perda de peso nos últimos três meses foram os fatores que mais contribuíram na determinação do risco nutricional, sendo a identificação precoce do risco nutricional de extrema importância para o direcionamento da conduta dietoterápica para a melhora da ingestão alimentar com objetivo de recuperação do peso corporal.

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

Cited by 16 publications

References 48 publications

Nutritional Risk Screening in Gastroenterological Patients at the Rijeka University Hospital Centre

Nutritional Risk Screening in Gastroenterological Patients at the Rijeka University Hospital Centre

Is body mass index associated with symptom severity and health-related quality of life in irritable bowel syndrome? A cross-sectional study

Comparação dos critérios da nrs-2002 com o risco nutricional em pacientes hospitalizados

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