Nutritional risk profile in a university hospital population

Tangvik, Randi Julie; Tell, Grethe S.; Guttormsen, Anne Berit; Eisman, John A.; Henriksen, Ann-Helen; Nilsen, Roy Miodini; Ranhoff, Anette Hylen

doi:10.1016/j.clnu.2014.08.001

Cited by 77 publications

(89 citation statements)

References 28 publications

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“…When cancer patients are compared with other hospital patients they come out as amongst the most malnourished (3) . In a recent study by Tangvik et al (4) which screened 3279 hospital patients, 49 % of cancer patients assessed were at nutritional risk, second only to those with acute infections. In this study, the highest number of patients at nutritional risk had a BMI in the normal or overweight category and were aged 60-80 years (4) .…”

Section: Proceedings Of the Nutrition Societymentioning

confidence: 99%

“…In a recent study by Tangvik et al (4) which screened 3279 hospital patients, 49 % of cancer patients assessed were at nutritional risk, second only to those with acute infections. In this study, the highest number of patients at nutritional risk had a BMI in the normal or overweight category and were aged 60-80 years (4) . The largest study to date of 8160 cancer patients from Canada and Europe with locally advanced or metastatic disease reported that 73 % experienced involuntary weight loss and that BMI and percentage weight loss predicted survival independent of disease site, stage or performance score (5) .…”

Section: Proceedings Of the Nutrition Societymentioning

confidence: 99%

See 1 more Smart Citation

Cancer-associated malnutrition, cachexia and sarcopenia: the skeleton in the hospital closet 40 years later

et al. 2016

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An awareness of the importance of nutritional status in hospital settings began more than 40 years ago. Much has been learned since and has altered care. For the past 40 years several large studies have shown that cancer patients are amongst the most malnourished of all patient groups. Recently, the use of gold-standard methods of body composition assessment, including computed tomography, has facilitated the understanding of the true prevalence of cancer cachexia (CC). CC remains a devastating syndrome affecting 50-80 % of cancer patients and it is responsible for the death of at least 20 %. The aetiology is multifactorial and complex; driven by pro-inflammatory cytokines and specific tumour-derived factors, which initiate an energy-intensive acute phase protein response and drive the loss of skeletal muscle even in the presence of adequate food intake and insulin. The most clinically relevant phenotypic feature of CC is muscle loss (sarcopenia), as this relates to asthenia, fatigue, impaired physical function, reduced tolerance to treatments, impaired quality of life and reduced survival. Sarcopenia is present in 20-70 % depending on the tumour type. There is mounting evidence that sarcopenia increases the risk of toxicity to many chemotherapy drugs. However, identification of patients with muscle loss has become increasingly difficult as 40-60 % of cancer patients are overweight or obese, even in the setting of metastatic disease. Further challenges exist in trying to reverse CC and sarcopenia. Future clinical trials investigating dose reductions in sarcopenic patients and dose-escalating studies based on pre-treatment body composition assessment have the potential to alter cancer treatment paradigms.

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Section: Proceedings Of the Nutrition Societymentioning

confidence: 99%

Section: Proceedings Of the Nutrition Societymentioning

confidence: 99%

Cancer-associated malnutrition, cachexia and sarcopenia: the skeleton in the hospital closet 40 years later

et al. 2016

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“…Earlier studies have assessed nutritional risk using data from a screening tool and not estimated the malnutrition rate directly [14][15][16][17]. We are not aware of any studies from hospitals in the Nordic countries where the actual malnutrition rate has been estimated using the recommended national criteria.…”

Section: What Is Newmentioning

confidence: 99%

“…In Norway it is recommended that all patients are screened for nutritional risk at admittance and weekly with one of the following screening tools: NRS-2002, MUST or MNA [13]. Using the NRS-2002 screening tool, one-third of the patients in the western part of Norway were at nutritional risk or malnourished [14]. The estimate is even higher among older patients; Eide et al found that 45% of patients older than 70 years were at nutritional risk [15].…”

Section: What Is Newmentioning

confidence: 99%

A low proportion of malnourished patients receive nutrition treatment — results from nutritionDay

Henriksen

Gjelstad

Nilssen

et al. 2017

Food & Nutrition Research

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NutritionDay is a yearly point-prevalence study of malnutrition in hospitals from more than 50 countries. The aim of the present study was to quantify the frequency of malnutrition and the proportion of malnourished patients receiving nutritional treatment in two university hospitals in Norway using data from nutritionDay. All units at Oslo University Hospital (OUH) and University Hospital of Northern Norway (UNN) were invited to participate in nutritionDay 2014, and 28 out of 85 eligible units agreed to take part. Malnutrition was diagnosed based on body mass index (BMI), weight reduction and food intake in the previous week, according to national guidelines and ESPEN criteria. Data from 488 patients were available, representing 90.1% of occupied beds in participating units. Thirty percent of the patients were diagnosed malnourished when national criteria were used, and only 41% of these patients received nutritional treatment. The estimated malnutrition rate was 11% when the ESPEN consensus criteria were used. Data on weight or height were frequently missing in the patient records, and BMI could only be calculated in twothirds of the patients. The frequency of low BMI (<18.5 kg/m 2 ) was only 5%. Involuntary weight loss was present in 37% of the patients, and 60% had eaten less than normal in the previous week. Oncology units had the highest frequency of patients with low BMI, and the highest weight loss and overall malnutrition rate. Surgery and geriatric units had the highest rate of patients with low food intake. In this study, nearly 60% of the malnourished patients did not receive any nutritional treatment, and this indicates a potential for improved nutritional care and cost savings. Low food intake and weight loss were frequent at these two Norwegian hospitals, and in line with previous reports from nutritionDay in other countries. ARTICLE HISTORY

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“…One study showed that one out of four patients discharged from hospital in Norway was at nutritional risk (31). These patients will therefore need further nutritional treatment following discharge.…”

Section: Documentationmentioning

confidence: 99%

Rutiner for å vurdere ernærings=status i hjemme=sykepleien

Aagaard¹,

Grøndahl²

2017

Sykepleien

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Weight is one of the simplest measurements of nutritional status. Nevertheless, a number of personnel in the community nursing services lack knowledge about nutrition and good routines for weighing patients. Purpose: The purpose of this study was to describe the routines that managers and health care personnel in the community nursing services follow when assessing patients' nutritional status.Method: The study was a quantitative cross-sectional study, comprising two sub-studies: one among managers in the community nursing services and one among health care personnel. Data were collected by means of a questionnaire. A total of 273 managers (response rate 59%) and 212 health care personnel (response rate 74%) answered the questionnaire.Results: 67% of the managers and 37% of the health care personnel were familiar with the Directorate of Health's national guidelines. One out of three respondents replied that the community nursing services have written procedures for assessing nutritional status. 80% of the managers and 69% of the health care personnel stated that it was not usual to weigh service users when registering them for community nursing services.

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Nutritional risk profile in a university hospital population

Cited by 77 publications

References 28 publications

Cancer-associated malnutrition, cachexia and sarcopenia: the skeleton in the hospital closet 40 years later

Cancer-associated malnutrition, cachexia and sarcopenia: the skeleton in the hospital closet 40 years later

A low proportion of malnourished patients receive nutrition treatment — results from nutritionDay

Rutiner for å vurdere ernærings=status i hjemme=sykepleien

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