Investigation of nutritional risk factors using anthropometric indicators in hospitalized surgery patients

Abstract

-Context -The investigation of risk factors associated with nutritional status could contribute for better knowledge of the malnutrition. Objective -To investigate the incidence of malnutrition and its possible association with many parameters that assess nutritional status and to identify the associated risk factors. Methods -The nutritional status was assessed in 235 hospitalized patients. Malnutrition was defined as present when the patient presented at least two anthropometric criteria below the normal range and habitual energy intake below 75% of the energy requirement (HEI/ER<75%). Gender, age, type of disease, recent weight change and dental problems were investigated as possible associated risk factors. The chi-square and Mann-Whitney tests were used to compare the data and univariate and multiple logistic regressions were used to identify the factors associated with malnutrition. The odds ratio (OR) and confidence interval (CI) of 95% were calculated with the significance level set at 5% (P<0.05). Results -One-fifth (20%) of the patients were malnourished on admission to the hospital and 27.5% reported recent weight loss. Malnutrition (P<0.0001) was greater in patients with malignant diseases. The only variables significantly associated with malnutrition according to univariate logistic regression were recent weight loss (P = 0.0058; OR = 2.909; IC95% = 1.362; 6.212) and malignant disease (P = 0.0001; OR = 3.847; IC95% = 1.948; 7.597). When multiple regression was used in the model which included type of disease, malignant disease was shown to increase the chance of malnutrition fourfold (P = 0.0002; OR = 3.855; IC95% = 1.914; 7.766). When disease was excluded, recent weight loss also increased malnutrition fourfold (P = 0.0012; OR = 3.716; IC95% = 1.677; 8.236). Conclusion -Patients with a history of recent weight loss and those with malignant diseases are more susceptible to malnutrition.

Preoperative Nutritional Status and Its Consequences on Abdominal Surgery in Wolaita Zone, Southern Ethiopia: An Institution-Based Observational Study

“…In the present study, it was found that 95.5% of malnourished patients developed wound healing complications and also 2 times more likely to have wound healing complications and require a significantly longer stay than well-nourished patients (7 ± 2 versus4 ± 1 days). This finding is supported by different literatures [ 6 , 14 , 18 , 19 ].…”

Malnutrition In Intensive Care Patients

“…Aynı zamanda malnütrisyon yara iyileşmesinde gecikme ve bozulma, bağışıklık sisteminde baskılanma, kognitif fonksiyonlarda gerileme ve genel olarak fonksiyonel kapasitelerde azalma gibi önemli klinik durumların meydana gelmesinde önemli bir faktördür (1). Hastaneye yatan hastalarda malnütrisyon oranları hastane tipine, hastanenin bulunduğu bölgeye ve araştırmanın yapıldığı popülasyona bağlı olarak değişmekle birlikte %15 ile % 60 arasında değişmektedir (5)(6)(7). Malnütrisyonlu hastalarda malnütrisyonu olmayan hastalara göre daha yüksek mortalite ve morbidite oranı, daha uzun hastanede kalış süresi, daha fazla ilaç kullanımı olduğu belirtilmiştir (8).…”

Malnutrition and nutritional screening in patients undergoing surgery in low and middle income countries: A systematic review

“…Of the 16 studies included in the review, 13 were cross-sectional studies, where malnutrition was measured at one time point, and of these, 12 were prospective [23][24][25][26][27][28][29][30][31][32][33][34] and one was retrospective. 35 Two collected cross-sectional nutritional data across two sites 36 and preoperatively and postoperatively.…”

“…28 The mean number of patients per study was 252, (range 25-928). Eight studies included patients undergoing surgery for cancer, [26][27][28]30,31,[33][34][35] four were for gastrointestinal surgery, 24,25,32,36 three were for general surgery 23,37,38 and one was for emergency laparotomy 29 (Table 1).…”