Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients

SUSETYOWATI, Susetyowati; SHOLIKHATI, Amalia Sarah; CAHYANINGRUM, Dinda Krisma; RACHMAWATI, Azizah Isna; HANDAYA, Adeodatus Yuda

doi:10.4274/mmj.galenos.2023.64554

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…The levels of dietary mineral intake in the malnourished group were lower than those in the nonmalnourished group. [11] 157 (30.5) 119 (33.8) 0.3 NRS 2002 score (≥3), n (%) [12] 242 (47.1) 143 (40.6) 0.06 GLIM score (≥2), n (%) [13] 170 (33.1) 113 (32.1) 0.8 KPS score, mean ± SD 82.61 ± 17.5 82.76 ± 16.45 0.9 Appetite score, [14] mean ± SD 6.99 ± 2.20 6.87 ± 2.18 0.5 Dietary intake score, [15] Logistic regression analysis of the associations between the NRS 2002 and GLIM with the intake of dietary minerals Table 2 shows the results of a multivariable logistic regression analysis of the associations of the NRS 2002 and GLIM with the dietary mineral intake after controlling for relevant confounders. Forest plots based on the regression analysis are shown in Figure 1 and Figure 2.…”

Section: Baseline Parameters Of the Study Populationmentioning

confidence: 99%

Correlation of dietary mineral intake and malnutrition in cancer patients: A multicenter cross-sectional study

Wang,

Xue,

Miao

et al. 2023

J Nutr Oncol

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Background To examine the correlation between the dietary mineral intake and the nutritional status of patients suffering from malignancies. Methods This multicenter cross-sectional study included a total of 866 patients with malignant tumors recruited from seven hospitals throughout China. The information of sociodemographic characteristics and biochemical indicators was obtained from electronic medical records of inpatients. Dietary data were collected using a 3-day 24-hour dietary recall questionnaire. The intakes of energy, dietary calcium (Ca), phosphorus (P), potassium (K), sodium (Na), magnesium (Mg), iron (Fe), zinc (Zn), selenium (Se), copper (Cu), and manganese (Mn) were estimated according to the Chinese Food Composition Tables (standard edition). The weight and height of patients were measured, and the body mass index (BMI) was calculated. Nutritional risk and malnutrition were assessed by the Nutritional Risk Screening 2002 (NRS 2002) and Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria. We used a multivariable logistic regression model to estimate the associations between dietary minerals and malnutrition. Results The patients had an average age of (61.98 ± 15.49) years, and 40.6% (n = 352) were female. Slightly less than half (44.5%) of the patients were at nutritional risk (NRS 2002 ≥ 3), and 32.7% were diagnosed with malnutrition (using the GLIM criteria). Univariate analyses revealed that there was a statistically significant relationship between dietary mineral intake and the occurrence of nutritional risk (P < 0.001). After adjusting the collinearity, we found that higher levels of P, Mn, and Se intake were negatively associated with nutritional risk assessed by the NRS 2002 score. Moderate intake of Ca and high intake of Zn might also decrease the nutritional risk [Ca: odds ratio (OR) = 0.53, 95% confidence interval (CI) = 0.32–0.88; Zn: OR = 0.36, 95% CI = 0.19–0.68]. However, no significant relationships were observed between any dietary mineral intake and malnutrition identified by the GLIM criteria. Conclusions Dietary minerals, especially P, Se, and Mn, may have a protective effect on the occurrence of nutritional risk in patients with malignant tumors. In addition, patients should maintain appropriate levels of Ca and Zn.

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Section: Baseline Parameters Of the Study Populationmentioning

confidence: 99%

Correlation of dietary mineral intake and malnutrition in cancer patients: A multicenter cross-sectional study

Wang,

Xue,

Miao

et al. 2023

J Nutr Oncol

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Prevalence of nutritional risk and malnutrition in hospitalized patients: a retrospective, cross-sectional study of single-day screening

Alvarez-Altamirano,

Bejarano-Rosales,

González-Rodríguez

et al. 2024

Appl. Physiol. Nutr. Metab.

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Hospital malnutrition remains a significant public health issue, particularly in developing countries. The Global Leadership Initiative on Malnutrition (GLIM) proposed homogenizing criteria to standardize malnutrition diagnosis. This study aimed to retrospectively determine the prevalence of nutritional risk and malnutrition diagnoses among hospitalized patients using the Nutritional Risk Screening (NRS)-2002 screening instrument and the GLIM criteria, respectively. We conducted a retrospective, cross-sectional study from nutritional records of patients hospitalized in a single centre 2021. Nutrition data from records included medical diagnosis, gender, length of stay, age, weight, height, body mass index, weight loss, calf circumference, and middle upper arm circumference. Nutritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. The study included 616 records of patients; 52.3% ( n = 322) of the population were male. The prevalence of nutritional risk, according to NRS-2002, was 69.5% ( n = 428). Nutritional risk as well as malnutrition diagnosis according to GLIM criteria was observed in 87.8% ( n = 374) of patienttritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. Ws. Tools showed a strong concordance (κ= 0.732). All anthropometric data, except for height, were found to be significantly different between patients with moderate and severe malnutrition ( p < 0.05). Our findings highlight a high prevalence of malnutrition in this group of hospitalized patients in Mexico. NRS-2002 demonstrated good agreement with the diagnosis of malnutrition according to GLIM criteria and could be considered part of the straightforward two-step approach for malnutrition; however, further studies are needed.

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Clinical and surgical physician’s perception of nutrition knowledge

Ocampo-Ordóñez,

Headley,

Arévalo-Alvear

et al. 2024

BMC Prim. Care

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Background Due to the significant increase in the prevalence of food-related diseases, the value that physicians place on nutritional advice may have implications for patient treatment. The objective of this study was to evaluate the perception of the importance of nutritional intervention among physicians in the Universidad San Francisco de Quito’s (USFQ) healthcare system. Methods This cross-sectional study employed a telephone survey administered to a subset of all medical doctors (MDs) working in the healthcare system clinics of USFQ between 2021 and 2022. Study participants were recruited through voluntary response sample from a complete list of 253 MD. The single time questionnaire consisted of a 22-item validated survey in which attitudes, self-perceived capacity, and knowledge about nutrition ofmedical doctors were evaluated. Data was analyzed using descriptive statistics, two-sided t test, bivariate associations and linear and logistic regressions. Results 136 MDs completed the survey yielding a response rate of 54%. Our analysis grouped participants into clinical (CE) and non-clinical specialties, hereafter referred to as surgical MDs. While a higher percentage of physicians in CE are confident in their ability to provide examples of recommended food portions based on national or international guidelines, 1 in 10 do not know how to use and interpret BMI or waist circumference, and around 1 in 3 do not know how many calories there are in one gram of fat, protein, or carbohydrates, and their basic metabolic functions. Almost all survey participants believe MDs can have an impact on the eating behavior of a patient if time is used to discuss the problem, however, almost half of survey participants believe nutrition counseling is not an effective use of time. Conclusion It is important to explore the perceptions and self-confidence of physicians around nutrition related issues. Our results demonstrated that nearly 1 in 4 surgical MDs do not feel capable of recognizing nutritional risk in patients, which highlights the essentiality of physicians having an updated understanding of basic nutrition principles. Future research should examine how commonly MDs refer patients to nutritionists/dietitians, as well as strategies for improving physician knowledge on basic nutrition concepts.

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Comparison of Tools for Nutritional Assessment and Screening of Hospitalized Patients: A study on Surgical Patients

Cited by 3 publications

References 28 publications

Correlation of dietary mineral intake and malnutrition in cancer patients: A multicenter cross-sectional study

Correlation of dietary mineral intake and malnutrition in cancer patients: A multicenter cross-sectional study

Prevalence of nutritional risk and malnutrition in hospitalized patients: a retrospective, cross-sectional study of single-day screening

Clinical and surgical physician’s perception of nutrition knowledge

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