Different classification of an adult population by two validated indexes of adherence to the Mediterranean diet.

Abstract

Llamazares JL. Impacto de una adecuada codificación de la desnutrición relacionada con la enfermedad en los índices hospitalarios. Nutr Hosp 2016;33:86-90 Palabras clave: Codificación hospitalaria. Desnutrición. Apoyo nutricional. Gestión de atención al paciente. Diagnóstico. AbstractIntroduction: Disease related malnutrition (DRM) affects at least one in four inpatients, increasing both morbidity and mortality during admission and after discharge. Nevertheless, its repercussion on hospital activity is not properly quantified. Objective: To determine the impact of an adequate coding of DRM and procedures employed to reverse it in the hospital average weight and other hospital indicators. Methods: Comparative study carried out in every patients requiring nutritional support and followed up by the Clinical Nutrition and Dietetics Unit of the Endocrinology and Nutrition Department in Complejo Asistencial Universitario de León (Spain) in 2008 and 2013. A nutritional coding report at discharge including diagnosis, nutritional treatment and access was performed following ICD-9-MC.Average weight, average length of stay adjusted by case-mix and case-mix index were compared before and after coding. Results: Hospital average weight increased after coding, both in 2008 (+4.1%) and 2013 (+1.7%) and especially in those departments in which nutritional screening is performed (Hematology, +10.5%). Average length of stay adjusted by case-mix was reduced under 1 (-5.7% and -0.2% in 2008 y 2013), pointing out to better functioning, and functioning index also decreased (-5.6% y -0.4% in 2008 and 2013), what means a higher efficiency. Conclusion: Adequate coding of nutritional diagnosis and treatment of patients with DRM increases the average weight of our hospital and improves average length of stay adjusted by case-mix and functioning index.

Health Determinants Associated with the Mediterranean Diet: A Cross-Sectional Study

“…Regarding the methodology and instruments used, the choice of the diet quality index is one of the most relevant aspects of the study since it establishes the cut-off points on which the conclusions will be drawn. Although diet quality indices are very useful for assessing adherence to dietary patterns in specific populations [ 18 ], there is no universal indicator that can be extrapolated to all populations.…”

“…Study variables: The variables and categories used for the analyses were as follows: sex (male or female); age groups (16–24 years, 25–44 years, 45–64 years, ≥65 years); country of birth (Spain or others); educational level (no education, primary education, secondary education or higher education); employment status (with full-time or part-time paid work or without paid work which in turn included unemployed persons, students, retired, permanently disabled, engaged in housework and other kinds of economic activity); living with a partner (yes or no); perception of health (good health, which in turn included the responses very good, good and acceptable and bad health which included bad and very bad); leisure-time physical activity (little or none or several times a week) [ 18 ]; sedentary behavior (<2 h/day or ≥2 h/day); hours of screen time per day of television, computer and Internet (>2 h/day or ≤2 h/day) [ 19 ]; smoking (yes, no or ex-smokers); snacking between hours (yes or no), alcohol consumption (no consumption–low-risk consumption, risk consumption or harmful consumption) [ 20 ], arterial hypertension (AHT) (yes or no), myocardial infarction (yes or no), neurological diseases (yes, no) hypercholesterolemia (yes or no), cancer (yes or no), diabetes (yes or no), body mass index (BMI) (underweight, normal weight, overweight or obesity) [ 21 ].…”

Estudio de los factores de riesgo de deterioro cognitivo en el medio rural: metodología y pilotaje desde la farmacia comunitaria

“…Por una parte, se ha visto que la adherencia aumenta con la edad y que puede estar influenciada por factores socioeconómicos y de salud en entornos rurales (20). Respecto a la comparación con otras poblaciones, y pese a que es posible obtener resultados distintos en función del test empleado para valorarla, se han publicado valores de adherencia dentro del mismo rango para varios grupos poblacionales de nuestro país (21).…”

Association between Adherence to the Mediterranean Diet and Anthropometric and Health Variables in College-Aged Males

“…However, the results of these existing studies are also contradictory in certain cases. As for the adherence to MD, the percentage of subjects in this age group with optimal adherence ranges from 9.5% to 58% [ 24 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ]. Likewise, while some studies have found a clear association between adherence to MD and anthropometric parameters [ 36 , 37 ], this association between variables has not been observed in other research [ 38 , 39 ].…”