Validity of nutritional screening with MUST and SNAQ in hospital outpatients

Leistra, E.; Langius, J.A.E.; Evers, A.M.; Schueren, Marian A.E. de van der; Visser, Marjolein; Vet, Henrica C.W. de; Kruizenga, Hinke

doi:10.1038/ejcn.2013.85

Cited by 43 publications

(39 citation statements)

References 20 publications

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“…Only 4 (19%) high risk patients were receiving dietetic care, consistent with the findings of previous research showing that only 15-17% of malnourished outpatients receive nutritional treatment [20,21]. This is of concern given that advice on diet is one of the most important issues for patients with IBD [10,11,22] and previous authors reported that of those who had not seen a dietitian, the vast majority would have liked to [23].…”

Section: Discussionsupporting

confidence: 83%

A multicentre Study of Nutrition Risk Assessment in Adult Patients with Inflammatory Bowel Disease Attending Outpatient Clinics

et al. 2018

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Background: Overnutrition and undernutrition can affect patients with inflammatory bowel disease (IBD). Although all IBD outpatients should be screened for nutrition risk, screening is not routinely performed, potentially leading to reduced identification and treatment. This study aimed to estimate the prevalence of nutrition risk in adult IBD outpatients and the proportion of cases who discussed diet and/or nutrition during their routine clinical appointment. Methods: Adults with IBD attending outpatient clinics at 4 hospitals in Greece and in UK were recruited. Demographic and anthropometric data were collected using face-to-face patient interviews and clinical records. Patients were classified as high (i.e., body mass index [BMI] < 18.5 or 18.5–20 kg/m² and weight loss > 5%), moderate (i.e., BMI 20–25 kg/m² and weight loss > 5%) or low risk of undernutrition and high risk of obesity (i.e., BMI 25–30% and weight gain > 5%). The proportion of patients who discussed diet and/or nutrition during their clinical appointment was calculated. Results: In total, 390 IBD patients participated. Sixteen (4%) patients were underweight, 113 (29%) were overweight and 71 (18%) were obese. Twenty-one (5%) patients were at high risk of undernutrition; of these 4 (19%) were under dietetic care. Of those at high risk of undernutrition, 11 (52%) had discussed diet and/or nutrition during their routine clinical appointment. Fifty-six (14%) patients had gained more than 5% weight since their last recorded/reported weight and 19 (5%) were at high risk of obesity. Conclusions: Few patients were identified to be at high risk of undernutrition and less than a fifth of these were under dietetic care. Overnutrition is a growing problem in IBD with almost half of adult patients being overweight or obese. Diet and/or nutrition were not routinely discussed in this group of IBD outpatients.

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Section: Discussionsupporting

confidence: 83%

A multicentre Study of Nutrition Risk Assessment in Adult Patients with Inflammatory Bowel Disease Attending Outpatient Clinics

et al. 2018

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“…In this study the SNAQ screening tool was applied in all four populations. However, recent research has shown that the SNAQ is less valid for outpatients [4]. For that reason, we have chosen to present the outcome of the diagnostic procedure both with and without preceding SNAQ screening.…”

Section: Discussionmentioning

confidence: 99%

“…As recent studies have shown that the validity of SNAQ is low in outpatients [4], the recently released ESPEN consensus definition of malnutrition (see Fact box 1) was applied to all subjects in the populations, dependent as well as independent of the SNAQ screening results. Only individuals for whom all data on screening and diagnostic criteria were complete were included in the analysis.…”

Section: Methodsmentioning

confidence: 99%

The prevalence of malnutrition according to the new ESPEN definition in four diverse populations

et al. 2016

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“…The data obtained showed that hospitalized people often complained of a lack of appetite or a rapid feeling of fullness. The rating of appetite seems to be especially important, because in most cases malnutrition may be due to eating inadequate portions and/or meals poor in nutrients [11,12]. …”

Section: Discussionmentioning

confidence: 99%

Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards

et al. 2017

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Introduction: Malnutrition is a common problem among hospitalized patients. In chronic kidney disease, it affects up to 50% of the population. Undernourishment has an adverse effect on prognosis and prolongs convalescence. The aim of the study was to test the effectiveness of NRS (Nutrition Risk Screening) -2002 in the assessment of risk of malnutrition for patients hospitalized in nephrology wards. The aim was to develop clinical characteristics of malnourished patients and to assess the relationship between nutritional status and patient outcome. Methods: The analysis included 292 patients, consecutively admitted to nephrology wards. NRS-2002 was assessed in comparison to subjective global assessment. Associations with patient characteristics and outcome were evaluated. Results: Out of all the respondents, 119 patients (40%) suffered from malnutrition. The NRS-2002 showed a very strong relationship with Subjective Global Assessment (SGA) (p < 0.0001). Malnourished patients were older, were characterized by a significantly lower body mass index (BMI), and had a much longer hospitalization duration. In multiple regression analysis, the presence of malnutrition proved to be an independent predictor of the duration of hospital stay. CONCLUSIONS: Malnutrition is highly prevalent among patients hospitalized in nephrology wards, and it affects the length of hospitalization. Identification of malnourished patients and patients at serious risk of malnutrition progression allows the implementation of appropriate nutritional intervention.

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Validity of nutritional screening with MUST and SNAQ in hospital outpatients

Cited by 43 publications

References 20 publications

A multicentre Study of Nutrition Risk Assessment in Adult Patients with Inflammatory Bowel Disease Attending Outpatient Clinics

A multicentre Study of Nutrition Risk Assessment in Adult Patients with Inflammatory Bowel Disease Attending Outpatient Clinics

The prevalence of malnutrition according to the new ESPEN definition in four diverse populations

Analysis of Outcomes of the NRS 2002 in Patients Hospitalized in Nephrology Wards

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