Outils et procédures de dépistage de la dénutrition et de son risque en milieu hospitalier

Hasselmann, Michel; Alix, E.

doi:10.1016/j.nupar.2003.09.004

Cited by 37 publications

(10 citation statements)

References 38 publications

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“…Sur la base de données anthropométriques de différentes populations et sur les relations entre la corpulence et la performance physique, une classification de différents grades de dénutrition, en fonction de l'IMC, a été proposée pour des valeurs < 18,5 kg/m 2 [5,11,12]. En raison de la prise de poids physiologique, liée à l'âge, la borne inférieure de normalité de l'IMC est plus élevée chez la personne âgée, de telle sorte, qu'au-delà de 75 ans, les valeurs < 21 kg/m 2 sont un signe de dénutrition [7,34]. Une étude [35] a permis de considérer qu'une valeur d'IMC =12,0 kg/m 2 était la limite inférieure compatible avec le maintien physiologique de la vie.…”

Section: Indice De Masse Corporelleunclassified

“…La mesure des plis est, théoriquement, une façon simple et non invasive d'évaluer l'état nutritionnel. Cependant, pour être interprétable, elle nécessite un matériel fiable et un praticien expérimenté pour une précision des mesures de ±1 mm et une reproductibilité de ±5% [34]. Le suivi longitudinal par des mesures répétées compense le manque de précision de cette méthode [40].…”

Section: Plis Cutanésunclassified

“…Le suivi longitudinal par des mesures répétées compense le manque de précision de cette méthode [40]. Les valeurs moyennes du pli cutané tricipital sont de 12 mm chez l'homme et de 23 mm chez la femme et on estime qu'il y a épuisement de la masse grasse quand les valeurs sont diminuées de 50% [34]. Des équations de Durnin et Womersley (1974) [41] permettent de calculer, à partir de l'épaisseur des quatre plis cutanés la masse grasse totale avec une marge d'erreur assez faible *12+.…”

Section: Plis Cutanésunclassified

“…La circonférence brachiale (CB) est mesurée à mi-distance entre l'acromion et l'olécrane, à l'endroit même où sont mesurés les PCT et PCB [3]. Les valeurs moyennes de la CB sont de 28 cm chez l'homme et 22,2 cm chez la femme [34].…”

Section: Mesures Des Circonférencesunclassified

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Assessment of adult nutritional status: Case of denutrition

Dahel¹,

Alimentation²

2020

Nutr. Santé

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The assessment of the nutritional status is based on data including elements of the interrogation (food consumption, and evaluation of ingesta), clinical data based on the results of anthropometric, and body composition measurements, of biological mar-kers and/or multifactorial indexes. More complex assessment methods can be utilized. Undernutrition screening is based on elucidating relevant risk factors, and estimating food intake; however, undernutrition diagnosis is based on the measurement of nutri-tional markers. Food surveys allow to assess the intakes of an individual, or a group of individuals. Some of them estimate the consumption on specific days, others evaluate the usual consumption. The nutritional status assessment is carried out throughout clini-cal tools, common biological parameters, and validated composite indices, in addition to the evaluation of the overall food intake. More or less sophisticated tools (biophysical measurements), associating biological markers, such as: albumin, transthyretin, transferrin, retinol vector protein, etc., combined with clinical or anthropometric para-meters (body mass index (BMI), skin folds, circumference measurements, etc.), have been suggested attempting to ameliorate the nutritional status assessment, and to identify potentially undernourished subjects. Nutritional diagnosis is established further collecting clinical, and biological parameters, and validated composite indices. There-fore, this diagnosis remains the essential initial step to undertake prior any nutritional care, conditioning both therapy, and subsequent prognosis of nutritional pathology. However, it cannot be achieved by a single tool because none has enough sensitivity and specificity allowing the diagnosis of the type and severity of undernutrition.

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Section: Indice De Masse Corporelleunclassified

Section: Plis Cutanésunclassified

Section: Mesures Des Circonférencesunclassified

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Assessment of adult nutritional status: Case of denutrition

Dahel¹,

Alimentation²

2020

Nutr. Santé

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“…The collection of clinical and biological components easily accessible and the use of simple composite indices provide a nutritional diagnosis satisfying to consider therapeutic step [9]. For cela experts of the national Programme nutrition santé (PNNS), as well as the European Society for Parenteral and Enteral Nutrition (ESPEN) recommend the use of the MNA test in the elderly [10] [11].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Risk of Malnutrition in Elderly Hypertensive Patients with or without Associated Cardiovascular Risk Factors Living at Home (West Algeria) Sidi-Bel-Abbès

Merad-Boudia¹,

Bereksi-Reguig²

2016

IJCM

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Undernutrition is frequently underestimated in the elderly, because clinical manifestations are non-specific. For the francophone Club geriatrics and nutrition, poly medication is one of the warning signs to be the possibility of malnutrition in an elderly person. To do this, it is particularly interesting to verify what the profiles of hypertensive patients who are at risk of malnutrition are. This component remains very little explored and studies are lacking. The authors conducted a descriptive cross-sectional study whose objective is to evaluate the prevalence of undernutrition in hypertensive patients with or without associated cardiovascular risk factors, in a population of consultants of liberal medical offices, determine the profiles of hypertensive patients who are at risk of undernutrition and describe their eating habits and their anthropometric parameters as well as the link between the number of supported antihypertensives and risk of undernutrition. 1144 patients with an average age of 65 years old have been collected during the period of recruitment. The data collection was done using a questionnaire: the MNA. Sensitive and specific, it is validated method which has international sacle. The percentage of the risk of malnutrition was estimated at 36.7%. Thus the number of associated cardiovascular risk factors becomes larger, and the risk of malnutrition is increased. The risk of malnutrition was three times higher in patients who take more than three medications per day compared with those who consumed less (75.8% vs. 24.2%). As a monotherapy, an increased risk of malnutrition is associated with diuretics. For these older hypertensives, the risk of malnutrition was linked to the type of used dual. The percentage of hypertension risk of malnutrition treated with free dual was significantly higher H. N. Merad-Boudia, K. Bereksi-Reguig 145 compared to hypertensive treated dual handset. Some associations have proved to be more favorable than others in terms of nutritional risk. Finally, a third of hypertension patients who were treated with quadruple therapy were at risk of malnutrition. This work was also designed to present an argument to a doctor to detect the risk of undernutrition in elderly hypertensives. The use of the MNA is a simple, effective and quick way for pressure balance rhymes with nutritional balance.

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Épidémiologie de la dénutrition chez le malade hospitalisé

Beau¹

Traité De Nutrition Artificielle De L’adulte

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Outils et procédures de dépistage de la dénutrition et de son risque en milieu hospitalier

Cited by 37 publications

References 38 publications

Assessment of adult nutritional status: Case of denutrition

Assessment of adult nutritional status: Case of denutrition

Assessment of Risk of Malnutrition in Elderly Hypertensive Patients with or without Associated Cardiovascular Risk Factors Living at Home (West Algeria) Sidi-Bel-Abbès

Épidémiologie de la dénutrition chez le malade hospitalisé

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Outils et procédures de dépistage de la dénutrition et de son risque en milieu hospitalier

Cited by 37 publications

References 38 publications

Assessment of adult nutritional status: Case of denutrition

Assessment of adult nutritional status: Case of denutrition

Assessment of Risk of Malnutrition in Elderly Hypertensive Patients with or without Associated Cardiovascular Risk Factors Living at Home (West Algeria) Sidi-Bel-Abb&#232;s

Épidémiologie de la dénutrition chez le malade hospitalisé

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Product

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Assessment of Risk of Malnutrition in Elderly Hypertensive Patients with or without Associated Cardiovascular Risk Factors Living at Home (West Algeria) Sidi-Bel-Abbès