To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006–2014 in 56 countries worldwide: a descriptive analysis

Schindler, Karin; Themessl-Huber, Michael; Hiesmayr, Michael; Kosak, S.; Lainščak, Mitja; Laviano, Alessandro; Ljungqvist, Olle; Mouhieddine, M.; Schneider, Stéphane; Schueren, Marian A.E. de van der; Schütz, Tatjana; Schuh, Christian; Singer, Pierre; Bauer, Péter; Pichard, Claude

doi:10.3945/ajcn.116.137125

Cited by 66 publications

(56 citation statements)

References 24 publications

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“…Overweight and obese patients have become more prevalent in ICUs in parallel with increasing prevalence in the population [337]. Reported recommendations [41] are based on randomized trials of hypocaloric intake performed more than 20 years ago in less than 50 patients and models based on observational data and summarized by Dickerson et al [336].…”

Section: Commentary To Recommendations 51 and 52mentioning

confidence: 99%

“…Obese patients are only slightly more prevalent in the ICU than in the hospital and in the related populations. There is a large variability in the prevalence between countries with more than 39% and 37% obese (BMI>30 kg/ m 2 ) present in the US ICUs and hospital wards, 22% and 19% in Europe, 17% and 14% in South America and 10% and 7% in the Asian and Pacific region based on data from the Nutrition Day project [6,337]. Such large differences can be explained by different stages of the obesity epidemic but also by differences in genetic background and ethnicity.…”

Section: Commentary To Recommendations 51 and 52mentioning

confidence: 99%

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ESPEN guideline on clinical nutrition in the intensive care unit

et al. 2019

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s u m m a r yFollowing the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various clinical conditions. When to start and how to progress in the administration of adequate provision of nutrients is also described. The best determination of amount and nature of carbohydrates, fat and protein are suggested. Special attention is given to glutamine and omega-3 fatty acids. Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy. Monitoring of this nutritional therapy is discussed in a separate document.

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Section: Commentary To Recommendations 51 and 52mentioning

confidence: 99%

Section: Commentary To Recommendations 51 and 52mentioning

confidence: 99%

ESPEN guideline on clinical nutrition in the intensive care unit

et al. 2019

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“…Readily available in‐hospital food intake assessment tools have been widely used in day‐long surveys (e.g. NutritionDay, Nutrition Care Day survey) . According to this approach, the amount of food consumed at each meal, during any single hospitalization day, is recorded using simple categories .…”

Section: Introductionmentioning

confidence: 99%

Food intake assessment in acutely ill older internal medicine patients

Tonkikh

Shadmi

Zisberg

2019

Geriatrics Gerontology Int

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Aim: Poor food intake is a major concern among hospitalized older adults. This study investigated the frequency and optimal timing of in-hospital food intake assessment in terms of its ability to predict hospitalization functional outcomes.Methods: Secondary analysis of a cohort study of 699 older adults (age ≥70 years) admitted to internal medicine wards for non-disabling conditions was carried out. Daily food intake was assessed using self-reported estimation of portions consumed at each meal and calculated according to the caloric composition of the meals. Nutritional status on admission, baseline and discharge activities of daily living, and cognitive status were assessed using validated questionnaires. Repeated measures analysis of variance (n = 263) and multiple logistic regression models (n = 475) for predicting activities of daily living and cognitive decline were used to establish required frequency and optimal timing of food-intake monitoring.Results: Mean daily intake significantly increased from the first 48 h from admission (0.51 AE 0.30) to the second and third assessments (0.62 AE 0.30 and 0.63 AE 0.30, respectively). Eating half or less of the served meals both within the first 48 h of admission and after 48 h was associated with higher odds of cognitive decline (OR 1.93, 95% CI 1.27-2.94; OR 1.62, 95% CI 1.04-2.51, respectively). Low intake after 48 h of admission was associated with higher odds of activities of daily living decline (OR 1.66, 95% CI 1.03-2.67).Conclusions: Food intake increases from the first 48 h of admission onwards and becomes more consistent 3 days after admission. The associations between low food intake at various time points and worse functional outcomes show the importance of routine food intake monitoring for at least 3 days.

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“…The prevalence of malnutrition in Europeans admitted to hospital is estimated to be between 21%-37% (Felder et al, 2015;Kondrup & Sorensen, 2009). A global nutritional survey (Nutrition Day) found inadequate food intake among 47% of patients admitted to 56 hospitals (Schindler et al, 2016). Therefore, people may be admitted to hospital malnourished and then not receive the nutritional support they require.…”

Section: Introductionmentioning

confidence: 99%