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Matthews, Dwight, and Marinos Elia. "Assessment of nutritional status and analytical methods." Current Opinion in Clinical Nutrition and Metabolic Care 15, no. 5 (September 2012): 411–12. http://dx.doi.org/10.1097/mco.0b013e328356bc0f.
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Erpuleva, Yulia V., and Roman E. Rumiantsev. "Screening methods for the nutritional status assessment in young children with an intestinal infection." Clinical nutrition and metabolism 2, no. 1 (January 15, 2021): 37–43. http://dx.doi.org/10.17816/clinutr81078.
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The nutritional status assessment in young children with infectious diseases is an important and necessary measure in the practice of a pediatrician.
Nutrition is an important component of therapeutic measures for various childhood diseases from the time of illness; a child may have difficulty eating and not receive an age-appropriate amount of nutrients. Untimely nutritional support harms the course of the disease and can lead to the development of nutritional deficiency.
The highest risk of developing nutritional status disorders exists in children with acute intestinal infections. Patients have dyspeptic symptoms (nausea, vomiting, and diarrhea), which makes the natural consumption of food difficult. Specialized enteral nutrition in acute intestinal infections plays an important role it restores the balanced nutritional status of a sick child, maintains the intestinal microbiota, and reduces the duration of intestinal infections.
This article describes the modern principles of screening assessment of nutritional status in young children with intestinal infections. The main laboratory markers are shown (concentration of albumin, transthyretin, transferrin, and the total number of circulating lymphocytes) in which the changes may indicate the risk of developing nutritional deficiency and a more severe course of the disease. In an infectious hospital, screening methods to assess nutritional status can be used to timely detect eating disorders, such as the method for assessing the risk of malnutrition (STRONGkids), screening for malnutrition in pediatrics (STAMP), and the universal screening scale for malnutrition (MUST).
Different scales and tools are used for screening; thus, further research is needed to determine the most optimal method of nutritional status assessment in young children with infectious pathology.
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Ahmad, Iftikhar. "ABCDE OF COMMUNITY NUTRITIONAL ASSESSMENT." Gomal Journal of Medical Sciences 17, no. 2 (June 30, 2019): 27–28. http://dx.doi.org/10.46903/gjms/17.02.2059.
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Nutritional status of an individual generally depends on two factors; external factors including food safety, cultural, political & socio-economic and internal factors such as sex, age, behavior, physical activity, nutrition and overall health. Nutritional status of a community is the sum total of the nutritional statuses of the individuals residing in that particular community. Nutritional assessment is a detailed investigation ideally by a physician and a dietician to identify and quantify clinically relevant malnutrition. Nutritional management as a result of nutritional screening & assessment effectively reduces the risk of morbidity and mortality among communities. Nutritional screening involves two methods: directly through objective criteria from individuals and indirectly using community health and nutritional indices.
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Herlambang, Bambang Agus, Febrian Murti Dewanto, Aris Trijaka Harjanta, and Vilda Ana Veria Setyawati. "Implementation of Profile Matching Methods In A Mobile Based Adolescent Nutritional Assesment Systems." Jurnal Transformatika 16, no. 1 (August 10, 2018): 1. http://dx.doi.org/10.26623/transformatika.v16i1.868.
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The use of mobile apps in knowing the problems as early as possible was considered effective. The application of mobile applications required today was an application that could help determine various health problems. The health problems discussed in this study were the nutritional status of adolescents. The method of measuring the nutritional status used was the BMI / A method. Profile Matching method in built mobile application is used to rank the nutritional status of adolescents. Aspect of nutritional status assessment in this research was physical aspect (BMI/A and Physical Activity) with 70% and Non-Physical Aspect (Eating & Socioeconomic Aspect) with 30% assessment percentage. Core factor in the determination of nutritional status were the Category of BMI and Frequency of Eating. While, secondary factor were food pattern and socio Economics. The results of mobile application implementation with Profile Matching method in this research there were several forms for the process of ranking the status of Adolescent Nutrition. The form contained in Administrator features include Administrator Login Form, Aspect Setup Form, Sub Aspect Setting Form, Physical Activity Setting Form, Form Setting Frequency Diet, Setting Form BMI/A, Economic Condition Set Form, Setting Form Weight Gap Value. In the User Features there was an Assessment form and a page to see the results of ranking the nutritional status of adolescents.
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Sonal, Viyas, Kumari Rinki, Tiwari Anamika, Shahi UP, and Singh GPI. "The Effect of Nutrition on Risk of Breast Cancer." Journal of Clinical Cases & Reports 3, no. 1 (January 31, 2020): 22–28. http://dx.doi.org/10.46619/joccr.2020.3-1056.
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Introduction: The nutritional status has been related to breast cancer risk factors as well as to cancer treatment morbid mortality. Thus, its assessment is important for developing strategies for the promotion of nutritional status and breast cancer outcome. Material and Methods: Several different methods used for nutritional assessment in breast cancer patients undergoing therapy were used, including subjective global assessment (SGA), body mass index (BMI), and biochemical analysis (BA). The occurrence of complications during breast cancer treatment versus the nutritional status was assessed. Results: We followed 86 women with age range 18-76 years. Most patients were considered malnourished (65%). A good number of patients experienced complications during breast cancer treatment, and associated with nutritional status. Conclusion: In breast cancer women undergoing therapy, the prevalence of under nutrition was high. There were the effects of poor nutrition or undernutrition on clinical outcomes of breast cancer.
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Srinivasan, Balaji, Seoho Lee, David Erickson, and Saurabh Mehta. "Precision nutrition — review of methods for point-of-care assessment of nutritional status." Current Opinion in Biotechnology 44 (April 2017): 103–8. http://dx.doi.org/10.1016/j.copbio.2016.12.001.
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Elmadfa, Ibrahim, and Alexa L. Meyer. "Developing Suitable Methods of Nutritional Status Assessment: A Continuous Challenge." Advances in Nutrition 5, no. 5 (September 1, 2014): 590S—598S. http://dx.doi.org/10.3945/an.113.005330.
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Sohrabi, Zahra, Atefeh Kohansal, Hanieh Mirzahosseini, Moein Naghibi, Morteza Zare, Neda Haghighat, and Marzieh Akbarzadeh. "Comparison of the Nutritional Status Assessment Methods for Hemodialysis Patients." Clinical Nutrition Research 10, no. 3 (2021): 219. http://dx.doi.org/10.7762/cnr.2021.10.3.219.
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Crestani, Mariana S., Thaiciane Grassi, and Thais Steemburgo. "Methods of nutritional assessment and functional capacity in the identification of unfavorable clinical outcomes in hospitalized patients with cancer: a systematic review." Nutrition Reviews 80, no. 4 (November 28, 2021): 786–811. http://dx.doi.org/10.1093/nutrit/nuab090.
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Abstract Context Malnutrition has a negative impact on patients with cancer. Identifying risk, nutritional status, and functional capacity can contribute to adequate and early nutritional therapy, which can reduce unfavorable clinical outcomes. Objective To evaluate and summarize the main instruments of nutritional assessment and functional capacity and associate their results with clinical outcomes in hospitalized patients with cancer. Data sources A systematic search was performed in the PubMed/MEDLINE, Embase, SciELO, and LILACS databases. Studies in which researchers evaluated and compared screening, nutritional assessment, and functional capacity instruments and their associations with clinical outcomes were included. Data extraction The data were extracted by 2 independent reviewers. Results A total of 29 studies met the inclusion criteria (n = 20 441 individuals). The Nutritional Risk Screening-2002 (NRS-2002) and Patient-Generated Subjective Global Assessment (PG-SGA) were the most common tools used for nutritional assessment. High nutritional risk according to the NRS-2202 and worse nutritional status according to the PG-SGA and Subjective Global Assessment were positively associated with a longer hospital stay and mortality. Low functional capacity, according to handgrip strength, was associated with longer hospital stay and nutrition impact symptoms. Conclusions Tools such as the NRS-2002, PG-SGA, Subjective Global Assessment, and handgrip strength assessment are efficacious for assessing unfavorable clinical outcomes in hospitalized patients with cancer.
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Saka, Bulent, Gulistan Bahat Ozturk, Sami Uzun, Nilgun Erten, Sema Genc, Mehmet Akif Karan, Cemil Tascioglu, and Abdulkadir Kaysi. "Nutritional risk in hospitalized patients: impact of nutritional status on serum prealbumin." Revista de Nutrição 24, no. 1 (February 2011): 89–98. http://dx.doi.org/10.1590/s1415-52732011000100009.
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OBJECTIVE: Poor recognition and monitoring of nutritional status is the most important cause of malnutrition in hospitalized patients. The aim of this study was to assess the nutritional status of a group of patients and compare the results with their serum prealbumin levels. METHODS: Ninety-seven patients admitted consecutively to the hospital were enrolled in the study. The risk of malnutrition was assessed according to anthropometric data and the Subjective Global Assessment and Nutrition Risk Screening 2002 tools. The nutritional statuses of the patients were compared with their age, gender, body mass index, medical history, weight loss and routine biochemical analyses, including prealbumin and length of hospital stay. RESULTS: According to the Nutrition Risk Screening 2002, 57% of the patients were malnourished or at risk of malnutrition, correlating well with the Subjective Global Assessment (p<0.001, r=0.700). Multivariate analysis revealed positive correlations between malnutrition and age, weight loss, malignancy and serum C-reative protein (p=0.046, p=0.001, p=0.04 and p=0.002). Nutrition Risk Screening 2002 score ³3 was associated with prolonged length of hospital stay (p=0.001). Serum prealbumin correlated with nutritional status, regardless of the number of chronic diseases and inflammation biomarkers (p=0.01). Serum prealbumin sensitivity, specificity, positive predictive value, negative predictive value and diagnostic value in the assessment of risk of malnutrition were 94%, 32%, 0.67, 0.78 and 69 respectively. After 7 days of nutritional support, the risk of malnutrition decreased by 12% (p<0.001) and serum prealbumin levels increased by 20% (p=0.003). CONCLUSION: Instead of reflecting overall nutritional status, low serum prealbumin may be regarded as a sign of increased risk of malnutrition, requiring further nutritional assessment. It can be used for monitoring patients receiving nutritional support.
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Foster, Bethany J., and Mary B. Leonard. "Nutrition in Children with Kidney Disease: Pitfalls of Popular Assessment Methods." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 25, no. 3_suppl (February 2005): 143–46. http://dx.doi.org/10.1177/089686080502503s38.
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Children with chronic kidney disease (CKD) are considered at high risk for protein-energy malnutrition. Clinical practice guidelines generally recommend an evaluation of numerous nutritional parameters to give a complete and accurate picture of nutritional status. This review summarizes the potential limitations of commonly used methods of nutritional assessment in the setting of CKD. Unrecognized fluid overload and inappropriate normalization of body composition measures are the most important factors leading to misinterpretation of the nutritional assessment in CKD. The importance of expressing body composition measures relative to height or height-age in a population in whom short stature and pubertal delay are highly prevalent is emphasized. The limitations of growth as a marker for nutritional status are also addressed. In addition, the prevailing belief that children with CKD are at high risk for malnutrition is challenged.
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Li, Hongli, Shaohua Ge, and Yi Ba. "Nutritional status and quality of life in patients with gastric cancer in China." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e15508-e15508. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e15508.
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e15508 Background: The incidence of gastric cancer is much higher in China than in any other country. Although the overall survival rate of patients with gastric cancer has increased due to the advancements in multimodality management. However, significant morbidity, including loss of appetite, dysphagia, nausea, and vomiting is still associated with gastric cancer patients. These symptoms have a profound impact on nutritional status and quality of life in these patients. The primary objective of the present study was to assess the nutritional status and quality of life in gastric cancer patients. Methods: A preliminary assessment of patients’ nutritional status, quality of life, and medical characteristics was conducted using the Patient Generated Subjective Global Assessment (PG-SGA) and the European Organization for Research and Treatment of Cancer quality of life (QOL-C30, version 3) questionnaires. The PG-SGA is a clinical nutrition assessment tool used to evaluate oncology patients. The nutritional status of the patients fell into three groups by a score of PG-SGA-A, -B, and C. Results: A preliminary assessment of patients’ nutritional status, quality of life, and medical characteristics was conducted using the Patient Generated Subjective Global Assessment (PG-SGA) and the European Organization for Research and Treatment of Cancer quality of life (QOL-C30, version 3) questionnaires. The PG-SGA is a clinical nutrition assessment tool used to evaluate oncology patients. The nutritional status of the patients fell into three groups by a score of PG-SGA-A, -B, and C. Conclusions: These results suggest that the nutritional status of the patients with stomach cancer may impact on their QoL. It is necessary to develop nutritional intervention to improve QoL in gastric cancer patients.
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E., Suganya, Vrushabhendra H. N., Srikanth S., and Sudha V. "Assessment of nutritional status and preference of nutritional supplements among anganwadi children." International Journal Of Community Medicine And Public Health 4, no. 5 (April 24, 2017): 1526. http://dx.doi.org/10.18203/2394-6040.ijcmph20171546.
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Background: Integrated Child Development Scheme (ICDS) was launched in India during 1975, to tackle the high prevalence of malnutrition among under 5 children. NFHS 3 (2005-06) reports that only 33% of ICDS services were utilized by them. To ensure the effectiveness of the scheme, nutritional status of under 5 children and the form of nutritional supplement - either Hot Cooked Meals (HCM) or Take Home Ration (THR), preferred by the beneficiaries must be assessed. Methods: A Cross sectional study was done among under 5 children in 2015 for a period of 2 months, in three randomly selected villages, Rural Field Practice Area, Sri Venkateshwaraa Medical College Hospital & Research Centre, Puducherry. Weight and Height were measured for all the eligible children using standard procedures. World Health Organization (WHO) growth standards were used to assess their nutritional status. The mothers were enquired about the nutritional supplement utilization, type of nutrition supplement (HCM/THR) utilized by their children and the reasons for preference. Statistical significance was assessed by chi-square test. Results: Among 153 children enrolled, 138 (90%) were consuming HCM and 15 (10%) were THR utilizers. The overall prevalence of under nutrition was 59%. The prevalence of underweight, stunting and wasting were 28%, 28% and 38.5% respectively and it was found significantly (p value <0.05) higher among THR utilizers (74%, 60% and 53% respectively) than those receiving HCM (25%, 36% and 23%). Conclusions: HCM was preferred more than THR. The children receiving HCM were better nourished than THR utilizers.
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Ueshima, Junko, Keisuke Maeda, Hidetaka Wakabayashi, Shinta Nishioka, Saori Nakahara, and Yoji Kokura. "Comprehensive Geriatric Assessment and Nutrition-Related Assessment: A Cross-Sectional Survey for Health Professionals." Geriatrics 4, no. 1 (February 15, 2019): 23. http://dx.doi.org/10.3390/geriatrics4010023.
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(1) Background: It is important to assess physical and nutritional status using the Comprehensive Geriatric Assessment (CGA). However, the correlation between the CGA usage and nutritional-related assessments remain unclear. This study aims to clarify the correlation between the CGA usage and other nutritional-related assessments. (2) Methods: We conducted a questionnaire survey on clinical use of CGA, assessment of sarcopenia/sarcopenic dysphagia/cachexia, and defining nutritional goals/the Nutrition Care Process/the International Classification of Functioning, Disability, and Health (ICF)/the Kuchi–Kara Taberu Index. (3) Results: The number of respondents was 652 (response rate, 12.0%), including 77 who used the CGA in the general practice. The univariate analyses revealed that participants using the CGA tended to assess sarcopenia (P = 0.029), sarcopenic dysphagia (P = 0.001), and define nutritional goals (P < 0.001). Multivariate logistic regression analyses for the CGA usage revealed that using ICF (P < 0.001), assessing sarcopenia (P = 0.001), sarcopenic dysphagia (P = 0.022), and cachexia (P = 0.039), and defining nutritional goals (P = 0.001) were statistically significant after adjusting for confounders. (4) Conclusions: There are correlations between the use of CGA and evaluation of sarcopenia, sarcopenic dysphagia, and cachexia and nutritional goals.
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Tamanna, Sonia, Md Masud Rana, Aysha Ferdoushi, Shah Adil Ishtiyaq Ahmad, Mustafizur Rahman, and Atiqur Rahman. "Assessment of Nutritional Status among Adolescent Garo in Sherpur District, Bangladesh." Bangladesh Journal of Medical Science 12, no. 3 (June 23, 2013): 269–75. http://dx.doi.org/10.3329/bjms.v12i3.15423.
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Background: Garo is one of the largest indigenous communities of Bangladesh. Adolescence is a golden period of time for nutritional promotion. Adolescent nutrition did not receive adequate attention in Bangladesh. Tribal people like the Garo are even more unaware about the importance of adolescent nutrition. Objectives: To find out physical growth as well as nutritional status among adolescent Garo children in Sherpur district on the basis of anthropometric indices. Methods and materials: This cross sectional descriptive study was conducted among 384 adolescent Garo children (boys and girls) aged 10- 18 years. A structured pre-tested questionnaire and a checklist were used to collect data through interview. Anthropometric survey of randomly selected adolescent was carried out and compared against the NCHS/WHO reference indicators such as BMI-for-age, Height-for-age and Weight-for-age. Standard methods were applied to measure the height and weight of the adolescent and BMI was calculated. Associations of nutritional status with socio-economic status, maternal working status, family type and family size were determined. Results: In most of the age groups it is notable that the mean height and weight of both boys and girls were lower than the WHO/NCHS standards. The prevalence of thinness, stunting and underweighting was 49.74%, 15.1% and 7.29% respectively. Conclusions: Significant association between malnutrition and socio-economic parameters was observed. So socio-economic status, maternal working status, family type and family size are important determinants of nutritional status of adolescent. Therefore, comprehensive programmes are required to be undertaken for the overall nutritional development of the Garo population with special focus on the adolescents. Bangladesh Journal of Medical Science Vol. 12 No. 03 July 13 Page 269-275 DOI: http://dx.doi.org/10.3329/bjms.v12i3.15423
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Druzhinina, N. A., L. M. Nasibullina, D. R. Merzlyakova, R. Z. Akhmetshin, G. P. Shiryaeva, and S. V. Shagarova. "Features the nutritional status of children with relapsing respiratory pathology." Medical Council, no. 11 (July 18, 2019): 188–94. http://dx.doi.org/10.21518/2079-701x-2019-11-188-194.
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A survey of 182 children aged 5 to 9 years in the children’s sanatorium «Duslyk» Ufa. A survey of 182 children aged 5 to 9 years in the children’s sanatorium «Duslyk» Ufa.The main group included 101 children with relapsing respiratory pathology, the control group 81 healthy children. The article presents an analysis of the actual weekly diet of children at home, modern approaches to the study of nutritional status using clinical, biochemical, anthropometric, somatometric methods, bioimpedance measurements. The actual nutrition of children with relapsing respiratory pathology was characterized by an imbalance in the content of the main nutrients. A comprehensive assessment of nutritional status revealed malnutrition in children of the main group. The aim of the study was to assess the actual nutrition, the study of nutritional status, taking into account the clinical and laboratory parameters and the component composition of the body of children in the children’s sanatorium. The inclusion of an assessment of actual nutrition and nutritional status in the survey program will make it possible to timely identify malnutrition in children with relapsing respiratory pathology, purposefully carry out preventive measures.
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Swora-Cwynar, Ewelina, Jacek Karczewski, Anna Musiał, Marian Grzymisławski, Emilia Marcinkowska, Agnieszka Dobrowolska, and Dorota Mańkowska-Wierzbicka. "Assessment of nutritional status and feeding methods in patients with inflammatory bowel disease." Journal of Medical Science 84, no. 3 (September 30, 2015): 167–82. http://dx.doi.org/10.20883/medical.e14.
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Aim. The aim of this study was to evaluate diet of patients with IBD, their nutritional status and potential differences as compared to diet of healthy persons.Material and methods. The examination included the patients of Internal, Metabolic Diseases and Dietetics Ward and Gastroenterology, Internal Diseases and Human Nutrition Ward of Heliodor Święcicki Clinic in the Poznan University of Medical Sciences in Poznan. The criterion allowing participation into the study involved a diagnosed ulcerative or Crohn’s disease, basing on histopathology and radiological examination. The study was conducted on 50 patients, 25 women and 25 men. The control of group included 50 persons, 30 women and 20 men, potentially healthy and occupationally active. In the study the authors' own questionnaire was used, which contained questions related to diet and evaluating conditions of nutrition, based on the results of anthropometric measurements and selected biochemical parameters.Results. The study documented that IBD affected diet, which proved to be distinct from that of potentially healthy person. Course of the disease reduced some laboratory parameters in serum: decreased levels of total protein were detected in 40% patients, reduced levels of albumin in 28% patients and of haemoglobin in 72% patients with IBD. Most of patients introduced some modifications and dietary restrictions to reduce the symptoms and prolong remission. Presentation of such attitudes, indicates a need for an effective multidirectional education, which should affect a conscious decision making about the diet. The Body Mass Index and evaluation of nutrition demonstrated that IBD predisposed development of malnutrition: as compared to the control group, 28% of the patients manifested underweight.
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陈, 鹏杰. "Current Status of Nutritional Assessment Methods of Hepatic Alveolar Echinococcosis Patients." Advances in Clinical Medicine 11, no. 08 (2021): 3405–12. http://dx.doi.org/10.12677/acm.2021.118494.
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ÖZEK, Eren, Deniz ERTEM, Elif ERKAN, Ender PEHLİVANOĞLU, and Nural BEKİROĞLU. "Assessment of Nutritional Status in the Newborn: A Comparison of Methods." Turkish Journal of Medical Sciences 26, no. 4 (January 1, 1996): 379–81. http://dx.doi.org/10.55730/1300-0144.5196.
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Bhattacharya, Ankita, Shankarashis Mukherjee, and Subrata Kumar Roy. "Nutritional assessment of Oraons of West Bengal: a comparison between biochemical and anthropometric methods." Anthropological Review 82, no. 3 (September 1, 2019): 297–311. http://dx.doi.org/10.2478/anre-2019-0022.
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Abstract Comprehensive nutritional assessment is the basis of nutritional diagnosis and necessary to identify the individual or the population at a risk of dietary deficiencies. However, there is no specific and confirmatory method to measure nutritional status. Present study tried to find out the efficacy of two nutritional assessment method (1) biochemical test like Total serum protein (TSP) and (2) anthropological measurements like body mass index (BMI) and mid-upper-arm-circumference (MUAC). Later, three methods were tested and compared for the strength of assessing the nutritional status. Study was conducted among 198 adult Oraon, 84 male, 114 female individuals of Madarihat and Falakata police station area, Alipurduar district, West Bengal. Selected blood parameters such as total serum protein (TSP), serum albumin and haemoglobin and anthropometric measurements (height, weight, mid-upper arm circumference, waist circumference, hip circumference, calf circumference, biceps skinfold, triceps skinfold, and calf skinfold) were obtained following standard instruments and protocols. Nutritional status of all individuals was assessed by TSP, BMI and MUAC classification methods. Comparison between/among three classification methods (TSP, BMI and MUAC) was done and discriminant function analysis was adopted to find out the percentage of correct classification by each methods. It was found that prevalence of undernutrition using TSP classification was 38.1% male and 43.0% female; using BMI was 34.5% male and 53.5% female; using MUAC was 45.2% male and 64.9% female. Discriminant function analysis showed that BMI (97.0%) had the highest capability of correct classification followed by MUAC (84.80%) and TSP (63.60%). Results indicate that however, TSP is an objective way of nutritional assessment, but BMI had the highest capability of correct classification of nutritional status. It may be pointed out that the evaluation with TSP was expensive and invasive whereas BMI is non-expensive and completely a non-invasive way of evaluation. Therefore, BMI may widely be used for nutritional assessment.
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DT, Bobamuratova, Boymuradov ShA, Rakhmonov SB, and Olimjonov TA. "Nutrition of Patients with Jaw Fracture and After Orthognatik Surgery, Review of the Literature." Journal of Dentistry, Oral Disorders & Therapy 6, no. 2 (October 12, 2018): 1–7. http://dx.doi.org/10.15226/jdodt.2018.00199.
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Nutritional deficiencies occurring during treatment process in patients with jaw fractures will have a negative impact as: reducing of immune indicators in the body, weakening of protective reactions, tendency to complications, and traumatic effects. This article summarizes the content of scientific studies related to the nutritional status or nutrition of patients with fractures. Methods: Was conducted a systematic review of randomized controlled trials evaluating the nutritional status of patients with jaw fractures and post-orthodontic surgery during immobilization. Results: Were identified twenty-seven studies. It is established that during the immobilization period the patient has changes of the trophic status, nutritional insufficiency (malnutrition), explained by weight loss and changes in anthropometric parameters, blood changes (hypoalbuminemia, decrease of hemoglobin of blood). Oral nutritional supplements or alternative feeding methods improve nutritional status, as many studies have observed (weight and other anthropometric parameters, normalization of biochemical blood parameters,). In addition, according to some authors, decreased the number of complications and reduced the duration of hospitalization and expenditure. It is recommended that nutritional supplements be offered to malnourished patients during this period. Keywords: Maxillofacial trauma; Mandibular fracture; Jaw fracture; Nutrition; Feeding; Diet; Nutritional assessment; Nutritional status; Intermaxillar fixation; Orthognatik surgery;
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Tsaousi, Georgia, Stavros Panidis, George Stavrou, John Tsouskas, Dimitrios Panagiotou, and Katerina Kotzampassi. "Prognostic Indices of Poor Nutritional Status and Their Impact on Prolonged Hospital Stay in a Greek University Hospital." BioMed Research International 2014 (2014): 1–8. http://dx.doi.org/10.1155/2014/924270.
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Background. To ascertain the potential contributors to nutritional risk manifestation and to disclose the factors exerting a negative impact on hospital length of stay (LOS), by means of poor nutritional status, in a nonselected hospitalized population.Materials and Methods. NutritionDay project questionnaires were applied to 295 adult patients. Study parameters included anthropometric data, demographics, medical history, dietary-related factors, and self-perception of health status. Body Mass Index (BMI) and Malnutrition Universal Screening Tool (MUST) were calculated for each participant. MUST score was applied for malnutrition assessment, while hospital LOS constituted the outcome of interest.Results. Of the total cohort, 42.3% were at nutritional risk and 21.4% malnourished. Age, gender, BMI, MUST score, autonomy, health quality, appetite, quantity of food intake, weight loss, arm or calf perimeter (P<0.001, for all), and dietary type (P<0.01) affected nutritional status. Poor nutrition status (P=0.000), deteriorated appetite (P=0.000) or food intake (P=0.025), limited autonomy (P=0.013), artificial nutrition (P=0.012), weight loss (P=0.010), and arm circumference <21 cm (P=0.007) were the most powerful predictors of hospital LOS >7 days.Conclusion. Nutritional status and nutrition-related parameters such as weight loss, quantity of food intake, appetite, arm circumference, dietary type, and extent of dependence confer considerable prognostic value regarding hospital LOS in acute care setting.
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Aini, Khurotul, and Aisya Kemala. "The Nutritional Status of Athletes in the Athletics Branches of DKI Jakarta During the Covid-19 Period Based on Anthropometry." JUARA : Jurnal Olahraga 6, no. 1 (November 10, 2020): 11–21. http://dx.doi.org/10.33222/juara.v6i1.1028.
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Changes in the habit of consuming food at regular training venues to the homes of individual athletes during a pandemic should still meet the nutritional needs of the athletes. The performance of athletes in athletic sports must be supported by good nutrition, even during the Covid-19 period. This research uses descriptive quantitative research techniques with survey methods using google form with data analysis using percentages. The purpose of this study was to determine the level of assessment of the nutritional status of athletes in athletic in DKI Jakarta. Based on the research conducted, it revealed that as many as 100% (n = 104) of the research subjects were athletic athletes under the auspices of the DKI-Jakarta Government, 44 were female and 66 were male. Anthropometry results for male athletes showed an average nutritional status at BMI of 32.89 with over nutritional status and for female athletes at BMI of 32.68 with over nutritional status. Hence, the average nutritional status of athletes in athletic sports in DKI Jakarta is in the category of excess nutrition in the Covid-19 condition. Based on the anthropometric assessment of athletes in athletic sports during the Covid-19 period, excess nutritional status was obtained.
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Tirmenstajn-Jankovic, Biserka, and Nada Dimkovic. "Simple methods for nutritional status assessment in patients treated with repeated hemodialysis." Medical review 57, no. 9-10 (2004): 439–44. http://dx.doi.org/10.2298/mpns0410439t.
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Introduction Protein-energy malnutrition is common in chronic hemodialysis patients and is strongly associated with increased morbidity and mortality. While determination of the nutritional status is often based on objective measurements such as biochemical parameters and anthropometric measurements, there is no single measurement that can reliably identify risk for malnutrition. Material and methods A subjective global assessment (SGA) was performed to evaluate the nutritional status in 43 chronic dialysis patients (27 men and 16 women). Anthropometric measurements including body weight (BW), body mass index (BMI), skin-fold thickness (triceps-TS, biceps-BS, subscapular-SSS, suprailiac-SIS), mid-arm circumference (MAC); mid-arm muscle circumference (MAMC); body fat percentage (%BF); total body fat (TBF); lean body mass (LBM) and laboratory parameters (total proteins, albumins, transferrin, hemoglobin, lymphocytes. Results According to SGA, patients were divided into three groups: first group of 23 pts with a normal nutritional status, second group of 11 pts with mild malnutrition and third group of 9 pts with moderate or severe malnutrition. In examined groups there was a significant decrease in total protein (p = 0.02), serum albumin (p = 0.000) and hemoglobin (p = 0.04) levels with an increase in SGA scores (oneway ANOVA). In the same way, SGA was correlated with the number of anthropometric parameters (BW, BMI, TS, SSS, SIS, MAC, MAMC, % BF, TBF, LBM). Conclusion Our data confirmed a high prevalence of malnutrition in hemodialysis patients and showed that SGA closely correlated with more objective measures. Being an inexpensive method of well-proven realibility, SGA can be recommended for a more frequent assessment of nutritional status in dialysis patients.
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Wei, J., J. Wu, L. Meng, B. Zhu, H. Wang, Y. Xin, Y. Chen, et al. "Effects of early nutritional intervention on oral mucositis in patients with radiotherapy for head and neck cancer." QJM: An International Journal of Medicine 113, no. 1 (August 20, 2019): 37–42. http://dx.doi.org/10.1093/qjmed/hcz222.
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Summary Background To observe the effect of early nutritional intervention on radiation-induced oral mucositis and nutritional status in patients with head and neck cancer (HNC). Methods A total of 54 HNC patients were divided into early (28 cases) and late (26 cases) nutritional intervention groups. The early group received enteral nutrition at the beginning of radiotherapy (RT), while the late group received enteral nutrition after restricted feeding. Operators reported and assessed the timing and extent of oral mucositis and nutritional status during treatment. The nutritional status assessment indicators included body weight; body mass index (BMI); Patient-Generated–Subjective Global Assessment (PG-SGA) score; levels of albumin, hemoglobin and pre-albumin and total lymphocyte count. Results The incidence of high-grade oral mucositis was significantly lower in the early group than that in the late group (P < 0.05). Nutritional status assessments showed more significant weight and BMI losses in the late group than in the early group at weeks 4 and 7 after RT (P < 0.01). The albumin decreased in the late group at week 7 after RT was more significant than that in the early group (P < 0.05). Albumin, hemoglobin and pre-albumin levels and total lymphocyte count decreased significantly in both groups (P > 0.05). During therapy, more patients in the early group were well-nourished and fewer were malnourished according to PG-SGA scores (P < 0.05). Conclusion Early nutritional intervention can reduce the incidence of high-grade oral mucositis during RT in patients with HNC and improve the nutritional status during treatment, which has important clinical significance.
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Madro, Agnieszka. "Malnutrition in Chronic Pancreatitis: Causes, Assessment Methods, and Therapeutic Management." Canadian Journal of Gastroenterology and Hepatology 2020 (August 8, 2020): 1–6. http://dx.doi.org/10.1155/2020/8875487.
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Purpose. In recent years, more and more emphasis has been placed on early diagnosis and adequate treatment of malnutrition in the course of chronic diseases (CP). One of these diseases is chronic pancreatitis in which malnutrition may develop as a consequence of abdominal pain, vomiting, diarrhea, and alcohol abuse. The aim of this review paper is recognized if we can improve the nutritional status of patients with CP. Methods. This paper is based on systematic literature review according to the PubMed. Results. One of the most important problems is lack of “gold standard” in screening of nutritional status in patients with CP, especially in outpatient clinics. Another problem is preventing malnutrition in these patients and beginning treatment already at significant stages of disease. To prevent malnutrition you must first recognize the causes of malnutrition in CP, adequately assess its severity using one of available questionnaires and then apply the appropriate therapeutic management. At each visit, remember to assess the nutritional status of the patient, including laboratory markers and anthropometric measurements. Patients should be advised to stop smoking and drinking alcohol and to use adequate enzyme supplementation. Conclusion. Patients with CP should be led by a team of gastroenterologist, diabetologist, and psychologist and consulted by a dietitian, specialist of pain treatment, and surgeon.
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Babiarczyk, Beata, and Danuta Sternal. "Report on the first year of applying initial assessment of nutritional status in hospital inpatients." Polish Journal of Public Health 125, no. 4 (December 1, 2015): 211–14. http://dx.doi.org/10.1515/pjph-2015-0057.
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Abstract Introduction. Since 2012, Polish hospitals are recommended to implement the assessment of the nutritional status and appoint nutrition support teams. Aim. To evaluate the application of initial assessment of inpatients’ nutritional status in the first year of its implementation in clinical practice. Material and methods. A retrospective analysis of medical documentation of patients admitted to hospital in the year 2012 was conducted. The research sample included one in ten medical records. Results. A total of 433 medical records was analyzed. In 5.3% medical records a lack of duly completed Subjective Global Assessment questionnaires was revealed. In 81.8% cases a calculated Body Mass Index (BMI) was not found. No instances of renewed calculation of BMI were recorded. In 49.7% cases no information on diet recommended to the inpatient was found. With the exception of the internal medicine ward, in 87% of the cases the diets were not recommended in writing by a physician or included in the medical orders documentation. The inpatients classified as undernourished were usually recommended a diet containing 2000 kcal + additional 300 kcal as second breakfast and afternoon snack. Information on cooperation with the nutrition support team and on inpatient’s nutrition was not included in the nursing documentation. Conclusions. During the first year when the obligatory patient nutritional status assessment was introduced in Polish hospitals, the awareness of its significance, nutritional therapy planning and monitoring of the results were insufficient. The assessment of nutritional status seems to be another dead letter in patient medical documentation.
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Clarke, Stephen John, and Cindy Tan. "Use of inflammatory markers to triage cancer patients requiring nutritional assessment and interventions." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): e17541-e17541. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e17541.
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e17541 Background: Nutritional status impacts on the outcomes of cancer treatment ( http://www.cancer.gov/cancertopics/pdq/supportivecare/nutrition/ HealthProfessional ). Nutrition is a concern of cancer patients. Many centres lack the resources to undertake formal nutritional assessments on cancer patients. Inflammatory markers have been shown to correlate with nutritional status and cancer treatment outcomes. The NLR is the ratio of the neutrophil and lymphocyte counts in a full blood count (FBC). Our aim was to determine if the NLR can be used to identify cancer patients needing nutritional assessment and intervention. Methods: A prospective observational study evaluated sequential new patients attending a cancer centre. All were assessed for nutritional status using the patient generated scored global assessment (PGSGA) tool and categorized as A (well nourished), or B/C (malnourished). A FBC was done in the week prior to treatment. Receiver operation characteristic (ROC) curves were used to determine optimal cut-points for NLR to predict malnutrition. Results: 234 patients were enrolled - 112 had advanced cancer. The median age was 60 years (range 25-83), 108 (46%) were male and 101 (43%) were malnourished at baseline. The mean NLR was higher in malnourished patients (4.1 vs 2.5 – p<0.001), however this was due to differences in advanced cancer patients. The optimal cut point for NLR in all patients to predict malnutrition was 5.0 (4.3 in advanced patients). In advanced patients, an NLR ≥4.3 had a sensitivity and specificity for malnutrition of 42.2% (95% CI 30.1-54.3) and 97.9% (95% CI 88.9-99.9), respectively, producing a positive predictive value of 0.96 (95% CI-0.82-1.00). Thus, NLR while strongly correlated with malnutrition is not sensitive enough alone to be used to identify malnourished cancer patients. However, as >98% of patients with a raised NLR had malnutrition, the NLR could be used to triage patients for nutritional assessment and thereby reduce the workload for clinical dieticians. Conclusions: The NLR is a useful indicator of nutritional status, which when elevated is specific for malnutrition. A low NLR should be reassuring in regard to nutritional status in advanced cancer patients.
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Dang, Justin, Matthew E. Lin, Samantha Huang, Ian F. Hulsebos, Haig A. Yenikomshian, and Justin Gillenwater. "536 Use of Bioelectrical Impedance Analysis for Assessment of Nutritional Status: A Systematic Review." Journal of Burn Care & Research 42, Supplement_1 (April 1, 2021): S116. http://dx.doi.org/10.1093/jbcr/irab032.186.
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Abstract Introduction Nutritional support is an essential component of caring for burn patients. Burns can induce a hypermetabolic state greater than twice the normal metabolic rate which can lead to higher rates of lean tissue mass breakdown. Despite its importance, there is no clear gold standard for monitoring nutritional status in the burn and critical care population. Many current methods of assessing body composition can be costly, labor-intensive, and inaccurate. Bioelectrical impedance analysis (BIA) is a promising new technology for assessing body composition that functions by sending a low-voltage current through the body and measuring the impedance to that current. Parameters derived from BIA have been demonstrated to reflect cellular health and correlate with nutritional status. The use of BIA to assess nutritional status in the critical care and burn population has not been well investigated. Thus, we have conducted a systematic review of the use of BIA to assess nutritional status in critically ill adults. Methods A search was conducted on Pubmed and Google Scholar in accordance with PRISMA guidelines between June 2020-August 2020 utilizing the keywords: bioelectrical impedance analysis, critical care, critical, nutrition, body composition, lean body mass, phase angle, water, fluid. Inclusion criteria were articles investigating the relationship between BIA and nutritional status in critically ill adults. Reviews, non-English articles, and studies involving pediatric patients were excluded. Results Our final study included 14 articles. BIA measured muscle mass was compared to a CT scan in two studies, with both reporting a statistically significant correlation. One article compared the ability of BIA and ultrasound to assess muscle mass, and this relationship was statistically significant. BIA derived phase angle was compared to NUTRIC and Subjective Global Assessment scores in four articles with all four reporting significant correlations. BIA was also compared to biochemical markers of nutrition such as albumin and two of three articles found significant correlations. One article compared BIA with gas exchange measured by indirect calorimetry and found that BIA could accurately assess body cell mass. No articles were found comparing BIA with other common nutritional markers such as prealbumin or nitrogen balance. Conclusions BIA shows promise as a method of assessing body composition and nutritional status in the critically ill patient population.
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Safian, Claudia Aline Oliveira, and Ângelo José Gonçalves Bós. "Relationship Between Body Composition and Nutritional Status in Brazilian Nonagenarians." International Journal of Nutrition 4, no. 1 (April 15, 2019): 31–41. http://dx.doi.org/10.14302/issn.2379-7835.ijn-19-2645.
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Introduction Brazil has undergone considerable changes in age distribution, particularly in nonagenarians. Allied to this reality, there is a series of nutritional disorders in this population segment. An important factor related to quality of life and healthy aging is good nutrition throughout life. Objective To observe the possible relationship between nutritional status and body composition in nonagenarians. Methodology This is a descriptive, cross-sectional and analytical study, with participants aged 90 years or older, evaluated using the Mini Nutritional Assessment (MNA), anthropometric parameters, and Bioimpedance. Results The sample consisted of 72 nonagenarians, averaging in age 93.7 years, most female (72%), white (82%) and widowed (64%), 19.4% were in nutritional risk, based on the MNA criteria. All anthropometric parameters presented lower averages among nonagenarians in nutritional risk. Regarding the bioimpedance parameters, in general the risk-free nonagenarians presented higher averages of weight, maximum ideal weight, minimum ideal weight, BMI, lean-mass, fat-mass, percentage of fat-mass and minimum percentage of fat-mass. Conclusions Most nonagenarians were in good nutritional status. Both anthropometric and bioimpedance parameters were effective to discriminate between normal and at nutritional risk nonagenarians. We also concluded that nutritional risk assessment in nonagenarians patients requires a joint analysis of the several existing methods for the nutritional evaluation, in order to obtain global diagnosis and accurate analysis of the nutritional status of the nonagenarians.
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Amarendra, M., and M. Yoganand. "Comparison of clinical assessment of nutritional status (CAN) score with other methods in the assessment of fetal malnutrition." International Journal of Contemporary Pediatrics 4, no. 3 (April 25, 2017): 713. http://dx.doi.org/10.18203/2349-3291.ijcp20171070.
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Background: Assessment of nutritional status of new born has been a major concern to many clinicians because of the potentially serious sequelae of malnutrition on multiple organ system and future health. Various methods have been used to identify malnourished babies as early as possible. The objective of the study was to assess the nutritional status of new born at birth using CAN score and to compare the utility of CAN score with other commonly used measures for defining nutritional status of new borns like weight for gestational age, Ponderal index and Kanawati index.Methods: The present study is a hospital based cross sectional study consisting of 250 singleton full term with no major congenital malformations. Clinical assessment of nutritional status was done on the basis of CAN score and compared with other methods like weight for gestational age, Ponderal index and Kanawati index.Results: Out of 250 babies, CAN score detected 171 (68.4%) babies as malnourished, weight for gestational age at birth detected 150 (60%) babies as AGA and 100 (40%) babies as SGA. Based on Ponderal index and Kanawati index, 154 (61.6%) babies and 140 (56%) babies were malnourished respectively. Using CAN score as the gold standard for identifying fetal malnutrition, the sensitivity and specificity of weight for gestational age at birth were 51% and 21.5%, the sensitivity and specificity of Ponderal index were 69.5% and 55.6% and the sensitivity and specificity of MAC/HC (Kanawati index) were 77.7% and 91.1%.Conclusions: CAN score is a simple, systemic method of identifying fetal malnutrition. This method does not require any sophisticated equipments or laborious calculations and is a good indicator in comparison with other methods of determining fetal malnutrition.
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DAHEL, Corinne C. "Assessment of adult nutritional status: Case of denutrition." Nutrition & Santé 09, no. 02 (December 16, 2020): 52–73. http://dx.doi.org/10.30952/ns.9.2.1.
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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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Mamedsakhatova, S. Ch. "Hygienic assessment of the nutritional status of patients with multi-drug-resistant pulmonary tuberculosis." Herald of Pancreatic Club 44, no. 3 (July 16, 2019): 79–83. http://dx.doi.org/10.33149/vkp.2019.03.09.
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Introduction. The priority direction of hygienic science at the present stage is the study of the nutritional status of patients with multi-drug-resistant tuberculosis (MDR-TB) of the lungs.
The aim of study is to identify the basic patterns of formation of the structure of the nutritional status of patients with MDR-TBof the lungs in order to adopt a reasonable system of measures for their optimization(from a hygienic point of view).
Materials and research methods. The actual nutrition of 103 patients with MDR-TBof the lungs was studied using a specially prepared standardized questionnaire, which included information on previous and yesterday nutrition. Nutritional status was determined by evaluating anthropometric indices (height, body mass, chest circumference), on the basis of which the Quetelet index was calculated. Surveyed control group included 20 relatively healthy patients. Bioimpedancemetrywas a special research method.
Results and discussion. In the case of multiple correlation analysis, a high direct correlation of the total protein level with the indicator of fat mass according to bioimpedancemetry (r=0.63; p<0.01)was found in patients with MDR-TB of the lungs.
Conclusion. There is a need for prevention and correction of excess fatty tissue and a lack of muscle mass, which can be achieved with the help of physical exercise, rational nutrition and nutritional support.
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Vidyalakshmi, M., and B. Kirubhakaran. "Assessment of Nutritional Status and Its Associated Factors in Elderly in Rural Area of Tamil Nadu, India." Galore International Journal of Health Sciences and Research 6, no. 1 (May 18, 2021): 38–43. http://dx.doi.org/10.52403/gijhsr.20210107.
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Introduction: Ageing population is increasing rapidly in India, posing many challenges to health care services. One among the challenge is growing malnutrition in elderly. Malnutrition impairs body composition and body function of elderly thereby impairing their quality of life. Hence measures to prevent and treat malnutrition is need of the hour. Malnutrition is multifactorial and hence study to determine various factors associated with malnutrition becomes essential. Aim and objective: The objective of present study was to assess the nutritional status of elderly and to study the various factors associated with malnutrition. Materials and methods: Each individual in the study was subjected to a personal interview on demographic detail, living condition, literacy and financial status. Functional status was assessed using Instrumental activities of daily living (IADL), depression using Geriatric depression scale (GDS), nutritional status using Mini nutritional assessment (MNA) and caloric intake using 24 hour dietary recall. Result: A significant association was found between the nutritional status and age group more than 75 years, female gender, illiteracy, living alone without family support, status of being financially and functionally dependent, depression and inadequate caloric intake. Conclusion: It is essential to perform nutritional assessment as routine out patient procedure for all elderly to detect malnutrition at earliest and intervene early to prevent deleterious effect of malnutrition on elderly. Multi dimensional approach is needed to educate about need of proper nutrition to elders and their caregivers. Keywords: Caloric intake, Healthy ageing, Malnutrition, Nutrition.
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Moy, Ryan H., Shalom Sabwa, Steven Brad Maron, Marina Shcherba, Arlyn J. Apollo, Yelena Y. Janjigian, Geoffrey Yuyat Ku, William P. Tew, David H. Ilson, and Elizabeth Won. "A nutritional management algorithm in older patients with locally advanced esophageal cancer." Journal of Clinical Oncology 39, no. 15_suppl (May 20, 2021): e16038-e16038. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e16038.
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e16038 Background: Esophageal cancer primarily affects older adults, who are at highest risk for poor nutritional status due to medical comorbidities, physiological changes of aging and geriatric issues such as altered cognition and mobility. Malnutrition is correlated with poor outcomes in patients with esophageal cancer; however, standardized nutritional interventions are not commonly utilized. Therefore, we performed a feasibility study of a nutritional management algorithm with risk-based guidelines for older patients with esophageal cancer receiving chemoradiation (CRT). Methods: Elderly patients (age ≥ 65 years old) with locally advanced esophageal or gastroesophageal junction (GEJ) cancer receiving induction chemotherapy and preoperative or definitive CRT were eligible for enrollment on this single center study. Patients completed baseline nutritional assessment using the Mini Nutritional Assessment (MNA) screening scale, and patients who were at risk for malnutrition or malnourished were referred to a clinical dietician for evaluation and counseling. Nutritional status was reassessed after induction chemotherapy, and patients with severe malnutrition were to be referred for enteral feeding tube placement prior to CRT. The primary objective was to determine the feasibility of the nutritional management algorithm based on completion rates of nutritional assessment, clinical dietician referral and enteral feeding. Secondary endpoints included toxicity, functional status and quality of life assessment. Results: Twenty elderly patients with locally advanced esophageal cancer were enrolled, and fourteen patients met criteria for clinical dietitian referral based on poor baseline nutritional status. Induction chemotherapy was associated with improved dysphagia, with 92% of patients reporting improvement or resolution of symptoms. There were no patients who met criteria for enteral feeding prior to CRT based on the guidelines, and only one patient (5%) required feeding tube placement during CRT. In total, 17 patients (85%) completed the nutritional management algorithm and finished the planned treatment course. Rates of hospitalization, grade ≥2 esophagitis, grade ≥3 toxicity and early CRT discontinuation were similar between patients with normal and abnormal baseline nutrition. Conclusions: This study demonstrates that a risk-based nutritional management algorithm is feasible in elderly patients with esophageal cancer. The induction chemotherapy approach may ameliorate dysphagia, reduce the need for enteral feeding and facilitate CRT completion in this nutritionally vulnerable population. Clinical trial information: NCT02027948.
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R., Bincy, and Beena Chacko. "ASSESSMENT OF NUTRITIONAL STATUS OF PATIENTS RECEIVING CHEMOTHERAPY." Journal of Health and Allied Sciences NU 04, no. 03 (September 2014): 033–37. http://dx.doi.org/10.1055/s-0040-1703797.
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Abstract Background: Cancer treatment itself and particularly chemotherapy seems to be an important nutritional risk factor. Early nutritional assessment can identify problems to help patients increase or maintain weight, improve their response to treatment, and reduce complications.This study aimed to determine the nutritional status of patients receiving chemotherapy. Methods: A prospective study was conducted among 30 subjects between 30 and 70 years of age diagnosed with cancer of various sites and scheduled for first cycle of chemotherapy. Nutritional status of each subject was assessed based on nutritional parameters i.e. Anthropometric [BMI (body mass index), MAMC (mid-arm muscle circumference), TSF (triceps skinfold thickness)], MAC (mid-arm circumference) and Biochemical [(Hb and Albumin)] measurements before the initiation of chemotherapy, and follow-up assessment was performed on the third week after the first cycle of chemotherapy. Results: In this study it has been found that 90% of subjects suffered from weight loss after the first cycle of chemotherapy (3wks post treatment). The't' test showed a significant decrease in TSF [t=5.4(p0.01)] and MAC [t=6.86 (p<0.01)] before and after 3 weeks of chemotherapy. The't' test showed a decrease in MAMC, t=5.83(p<0.01) before and after 3 weeks of chemotherapy. The mean serum Albumin level of the patients before and after 3weeks of chemotherapy was 3.16±.50 g/dl and 3.07±.49 g/dl respectively. A significant decrease in albumin [t=4.17 at p<0.01 level] was observed in patients after chemotherapy. The mean haemoglobin level of the patients before and after 3weeks of chemotherapy was10.64±1.88 g/dl and10.41 ± 1.89 g/dl respectively, which showed a significant decrease [(t=13.32 at p<0.01 level)]. Conclusion: The nutritional status assessment must be carried out on each patient at the beginning and during the treatment. The cancer patients who are receiving chemotherapy are at risk of malnutrition.
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ROCHA, Naruna Pereira, and Renata Costa FORTES. "TOTAL LYMPHOCYTE COUNT AND SERUM ALBUMIN AS PREDICTORS OF NUTRITIONAL RISK IN SURGICAL PATIENTS." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 28, no. 3 (September 2015): 193–96. http://dx.doi.org/10.1590/s0102-67202015000300012.
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Background: Early detection of changes in nutritional status is important for a better approach to the surgical patient. There are several nutritional measures in clinical practice, but there is not a complete method for determining the nutritional status, so, health professionals should only choose the best method to use. Aim: To evaluate the total lymphocyte count and albumin as predictors of identification of nutritional risk in surgical patients. Methods: Prospective longitudinal study was conducted with 69 patients undergoing surgery of the gastrointestinal tract. The assessment of nutritional status was evaluated by objective methods (anthropometry and biochemical tests) and subjective methods (subjective global assessment). Results: All parameters used in the nutritional assessment detected a high prevalence of malnutrition, with the exception of BMI which detected only 7.2% (n=5). The albumin (p=0.01), the total lymphocytes count (p=0.02), the percentage of adequacy of skinfolds (p<0.002) and the subjective global assessment (p<0.001) proved to be useful as predictors of risk of postoperative complications, since the smaller the values of albumin and lymphocyte count and higher the score the subjective global assessment were higher risks of surgical complications. Conclusions: A high prevalence of malnutrition was found, except for BMI. The use of albumin and total lymphocyte count were good predictor for the risk of postoperative complications and when used with other methods of assessing the nutritional status, such as the subjective global assessment and the percentage of adequacy of skinfolds, can be useful for identification of nutritional risk and postoperative complications.
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Lamers, Yvonne. "Approaches to improving micronutrient status assessment at the population level." Proceedings of the Nutrition Society 78, no. 02 (January 15, 2019): 170–76. http://dx.doi.org/10.1017/s0029665118002781.
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Optimising micronutrient status globally is a major health priority. Nutritional biomarkers are critical for the identification of nutrient inadequacies in light of the limitations of dietary assessment methods. Early diagnosis and prevention of nutrient inadequacies require sensitive, validated and harmonised methods to determine and monitor micronutrient status in individual healthcare and population-based surveys. Important criteria in the identification, validation and implementation of nutritional biomarkers include the testing of biomarker specificity and sensitivity, and their response to dietary as well as physiologic changes, e.g. age or pregnancy. Nutritional status can be categorised into deficient, suboptimal, adequate and excess status, where appropriate, and provided cut-offs are available. Cut-offs are quantitative measures to reflect health outcomes and are important in validating nutritional surveys, interventions and monitoring of populations. For many biomarkers, available cut-offs have limited interpretability and are most commonly derived in adult populations only. For the comparison of studies from across the globe, the harmonisation of analytical methods is essential and can be realised with the use of internationally available reference material and interlaboratory comparison studies. This narrative review describes current efforts on identifying and validating existing and new biomarkers, the derivation of biomarker cut-offs, and international efforts on harmonisation of laboratory methods for biomarker quantitation and their interpretation, in the example of B-vitamins. Establishing sensitive, reliable and cost-efficient biomarkers and related cut-offs for use in populations across the globe are critical to facilitating the early diagnosis of micronutrient inadequacies on the clinical and community-based level for timely intervention and disease prevention.
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Prajapati, Priyanka, and Rita Patil. "Assessment of nutritional status of children with cerebral palsy." Journal of Nutrition Research 7, no. 1 (December 15, 2019): 111–15. http://dx.doi.org/10.55289/jnutres/v7i1.1.
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Introduction: Cerebral Palsy (CP) affects muscle coordination due to abnormal brain development. Objective and Methods: The objective was to assess nutritional status of children with CP. Anthropometric measurements and dietary recall was obtained from 75 children between age group (5-18) years. Results: There were monoplegic (14.67%), diplegic (38.67%), triplegic (12%), hemiplegic (20%) and quadriplegic children (14.67%). Mean height and weight was 128.26±25.83cm and 27.61±13.78kg, respectively. There were severely thin (29.33%), thin (9.33%), overweight (6.67%), and obese (5.33%) children. Mean energy and protein intake was lower than the requirements. Conclusions: Nutrient intake was poor and RDA was not met by the subjects. There were more undernourished children than overweight children. Key words: Cerebral palsy, spastics, nutritional status, anthropometry.
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Corish, Clare A., and Nicholas P. Kennedy. "Protein–energy undernutrition in hospital in-patients." British Journal of Nutrition 83, no. 6 (June 2000): 575–91. http://dx.doi.org/10.1017/s000711450000074x.
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Impaired nutritional status has been frequently reported in surveys estimating its prevalence amongst patients in hospital. While there is no doubt that protein–energy undernutrition has serious implications for health, recovery from illness or surgery and hospital costs, lack of nationally or internationally accepted cut-off points and guidelines for most nutrition-related variables make nutritional assessment difficult and proper comparisons between studies impossible. In reviewing published work in which the prevalence of undernutrition has been assessed, it can be seen that each study defined undernutrition, or nutritional risk, using different methodology. This present review aims to highlight the problems which arise when deciphering these studies, and the resulting difficulty in determining the true prevalence of undernutrition and nutritional risk, amongst both general and specific groups of hospital in-patients. It is widely agreed that routine hospital practices can further adversely affect the nutritional status of sick patients in hospital. How this occurs, and the potential effects of impaired nutritional status on clinical outcome are examined. The methods currently available to assess nutritional status are evaluated in the knowledge that such assessments are difficult in clinical practice. The review concludes by proposing that if we want the medical and nursing professions to consider the nutritional status of hospital patients seriously, definitions of undernutrition and nutritional risk, and cut-off values for the nutritional variables measured must be agreed to allow evidence-based practice. Outcome measures which allow clear comparisons between groups and treatments must be used in studies assessing the effects of nutritional interventions.
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Sharma, Sabita, Dipendra Kumar Yadav, Isha Karmacharya, and Raju Pandey. "Quality of Life and Nutritional Status of the Geriatric Population of the South-Central Part of Nepal." Journal of Nutrition and Metabolism 2021 (April 30, 2021): 1–8. http://dx.doi.org/10.1155/2021/6621278.
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Background. The main objective of the study was to assess the nutritional status and quality of life in the geriatric population of Lahan municipality of Siraha district. Methods. A cross-sectional analytical study was conducted in Lahan municipality of Siraha district from June to December 2017. The Mini-Nutritional Assessment tool was used to investigate the nutritional status, and World Health Organization Quality of Life-OLD questionnaires were used to assess the quality of life among geriatric population. Result. Out of the total participants, one-third (45.7%) of the participants were at risk of malnutrition and 19.8% were malnourished while 34.5% had normal nutritional status. It was seen that 48.2% of participants had good quality of life whereas 51.8% of them had poor quality of life. There was a significant association between nutritional status and quality of life in the elderly population. Conclusion. The findings showed the need for active ageing interventions to improve the nutritional status and quality of life of elders at the community settings. Proper attention should be focused on elders’ nutrition to reduce the observed prevalence of malnutrition, and focus should be given on the nutrition status that leads to improve the quality of life of elders.
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Jiang, Shantong, and Pingping Li. "Current Development in Elderly Comprehensive Assessment and Research Methods." BioMed Research International 2016 (2016): 1–10. http://dx.doi.org/10.1155/2016/3528248.
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Comprehensive geriatric assessment (CGA) is a core and an essential part of the comprehensive care of the aging population. CGA uses specific tools to summarize elderly status in several domains that may influence the general health and outcomes of diseases of elderly patients, including assessment of medical, physical, psychological, mental, nutritional, cognitive, social, economic, and environmental status. Here, in this paper, we review different assessment tools used in elderly patients with chronic diseases. The development of comprehensive assessment tools and single assessment tools specially used in a dimension of CGA was discussed. CGA provides substantial insight into the comprehensive management of elderly patients. Developing concise and effective assessment instruments is helpful to carry out CGA widely to create a higher clinical value.
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Anam, Khoirul, Takdir Tahir, and Ilkafah Ilkafah. "The Nutritional Status Sensitivity of the Assessment of Nutritional Status Based on Mini Nutritional Assessment (MNA) Was Compared with Patient-Generated Subjective Global Assessment (PG-SGA) in Cancer Patients Undergoing Chemotherapy in RSUP Dr Wahidin Sudirohusoda Makassar." NurseLine Journal 4, no. 2 (February 19, 2020): 76. http://dx.doi.org/10.19184/nlj.v4i2.11234.
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Background: Chemotherapy is highly recommended for cancer treatment, however can cause some side effects such as nausea and vomiting. This will affect food intake and nutritional status in cancer patients who undergo chemotherapy.
Aim: To describe nutritional status based on anthropometry Body Mass Index (BMI), hemoglobin (Hb), Patient-Generated Subjective Global Assessment (PG-SGA) and Mini Nutritional Assessment (MNA) in cancer patients undergoing chemotherapy in RSUP. Dr. Wahidin sudirohusodo Makassar.
Methode: This experiment uses a quantitative non-experimental research method with cross sectional approach on 1010 patients, nonprobability sampling with purposive sampling technique on 70 respondents, data collection with interview and observation techniques.
Results: Nutritional status based on Body Mass Index (BMI) shows that 39 people (55.7%) had normal BMI values. About 37 people (52.9%) had good / normal nutritional status based on Patient-Generated Subjective Global Assessment (PG-SGA) while Mini Nutritional Assessment (MNA) reveals 100% of respondents experienced nutritional status problems.
Conclusion: Mini Nutritional Assessment (MNA) is the best tool to identify nutritional status of cancer patients that undergo chemotherapy since this instrument is very sensitive and practical. Patient-Generated Subjective Global Assessment (PG-SGA) is good to assess nutritional status in subject who have lost weight drastically and shows signs of subcutaneous fat loss and muscle mass loss.
Keyword: Cancer, chemotherapy, body mass index (BMI), Patient-Generated Subjective Global Assessment (PG-SGA), Mini Nutritional Assessment (MNA).
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Iwasaki, Masanori, Keiko Motokawa, Yutaka Watanabe, Maki Shirobe, Hiroki Inagaki, Ayako Edahiro, Yuki Ohara, Hirohiko Hirano, Shoji Shinkai, and Shuichi Awata. "A Two-Year Longitudinal Study of the Association between Oral Frailty and Deteriorating Nutritional Status among Community-Dwelling Older Adults." International Journal of Environmental Research and Public Health 18, no. 1 (December 30, 2020): 213. http://dx.doi.org/10.3390/ijerph18010213.
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Background: Limited longitudinal studies exist to evaluate whether poor oral health and functions affect the incidence of deteriorating nutritional status. We investigated if there were longitudinal associations between oral frailty, defined as accumulated deficits in oral health, and deteriorating nutritional status among community-dwelling older adults. Methods: The study population consisted of 191 men and 275 women (mean age, 76.4 years) from the Takashimadaira Study. Multifaced oral health assessment was performed at baseline, and oral frailty was defined as having ≥3 of the following six components: fewer teeth, low masticatory performance, low articulatory oral motor skill, low tongue pressure, and difficulties in chewing and swallowing. Nutritional status assessment was performed at baseline and two-year follow-up using the Mini Nutritional Assessment®-Short Form (MNA®-SF). Deteriorating nutritional status was defined as a decline in the nutritional status categories based on the MNA®-SF score during the study period. The association between oral frailty and deteriorating nutritional status was assessed using logistic regression analyses. Results: Oral frailty was observed in 67 (14.4%) participants at baseline. During the study, 58 (12.4%) participants exhibited deteriorating nutritional status. After adjusting for potential confounders, oral frailty was significantly associated with deteriorating nutritional status (adjusted odds ratio, 2.24; 95% confidence interval, 1.08–4.63). Conclusion: Community-dwelling older adults with oral frailty had an increased risk of deteriorating nutritional status.
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BARBOSA, Luiza Regina L. S., Antonio LACERDA-FILHO, and Livia Cristina L. S. BARBOSA. "IMMEDIATE PREOPERATIVE NUTRITIONAL STATUS OF PATIENTS WITH COLORECTAL CANCER: a warning." Arquivos de Gastroenterologia 51, no. 4 (December 2014): 331–36. http://dx.doi.org/10.1590/s0004-28032014000400012.
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Context Weight loss and malnutrition are disorders observed in colorectal cancer patients. Objectives We sought to evaluate the immediate preoperative nutritional status of patients with colorectal cancer. Methods This is a cross-sectional clinical study conducted at a single center. Sixty-six consecutive patients in preoperative for elective surgical treatment were studied. The clinical history, socio-demographic data and nutritional status of the patients were evaluated using Subjective Global Assessment and objective (anthropometry) methods. The primary outcome measures were nutritional status classification as nourished or malnourished and the relationship between nutritional status and socio-demographic and clinical features. Results Most of patients exhibited left colon tumors and disease stage II. According to the Subjective Global Assessment, 36.4% of patients were malnourished. Malnutrition ranged from 7.6% to 53% depending on the evaluation method used, with poor correlation to Subjective Global Assessment. The prevalence of malnutrition was significantly greater in females and non-married patients and in those with two or more symptoms of colorectal cancer. Conclusions More than a third of patients in the immediate preoperative period for colorectal cancer exhibited malnutrition. Therefore, routine nutritional assessment is highly advisable so that appropriate measures may be taken to minimize the potential postoperative complications.
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Amor, Nadia Ben, Faten Mahjoub, Olfa Berriche, and Henda Jamoussi. "Assessment of the Nutritional Status of Hospitalized Type 2 Diabetic Patients." Current Developments in Nutrition 5, Supplement_2 (June 2021): 841. http://dx.doi.org/10.1093/cdn/nzab047_004.
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Abstract Objectives The aim of our work was to assess the nutritional status and to determine the prevalence of undernutrition in type 2 diabetic patients hospitalized in a center specializing in Nutrition, Diabetology and Metabolic Diseases. Methods This is a descriptive cross-sectional prospective study, which involved 40 type 2 diabetic patients, aged 18 and over, hospitalized in department A of the National Institute of Nutrition and Food Technology. The assessment of nutritional status was carried out using clinical means (kinetics of weight loss, a dietary survey, anthropometric measurements, impedancemetry, Nutritional Risk Score 2002 for those under 70 years old and the Mini Nutritional Assessment from 70 years old) and biological (albuminemia). The positive diagnosis of malnutrition was selected according to the criteria of the High Authority of Health of 2019 for adults under 70 years, and of 2007 for elderly subjects. Results The mean age was 59.6 ± 11.59 years old. The average duration of diabetes was 10.83 ± 8.03 years. The mean level of glycated hemoglobin was 11.03 ± 1.97% and the Body Mass Index was 28.88 kg/m² with extremes ranging from 14.6 to 40.9 kg/m². Weight loss was noted in 48% of patients. Calorie intake was low in 30% of the patients. Protein and mono-unsaturated fatty acid low intake was noted in respectively 28% and 70% of patients. More than half of patients had deficiency in vitamin C, D, B12 and B9 as well as in zinc, calcium, magnesium and cooper. Iron and vitamin B12 low intake was more prevalent in patients with malnutrition (p = 0.043 and p = 0.003 respectively). The mean serum albumin was 37.58 ± 2.93 g/l with ranges ranging from 27.2 to 43.8 g/l. Malnutrition was diagnosed in 25% of patients and in half of the cases, it was severe. Conclusions Patients with type 2 diabetes mellitus are at high risk of malnutrition with a high prevalence of dietary intakes deficiencies. Funding Sources 1. HAS. Diagnostic de la dénutrition de l'enfant et l'adulte. Service de bonnes pratiques professionnelles, 2019. 2. HAS. Stratégie de prise en charge en cas de dénutrition protéino-énergétique chez la personne âgée. Service des recommandations professionnelles. Avril 2007. 3. Anses. Actualisation des repères du PNNS: élaboration des références nutritionnelles. Saisie n° 2012-SA-0186. Avis de l'Anses. Rapport d'expertise collective. Décembre 2016.
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Nzeagwu, O. C., G. O. Iheme, and E. N. Nkuku. "Anthropometric status and nutritional risks of older adults in Umuahia metropolis, Abia state Nigeria." Journal of Dietitians Association of Nigeria 12 (February 16, 2022): 22–29. http://dx.doi.org/10.4314/jdan.v12i1.4.
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Background: A thorough nutritional assessment is necessary for successful diagnosis and development of appropriate/comprehensive treatment plans for malnutrition among older adults.
Objective: This study assessed the anthropometric status and nutritional risks of older persons in Umuahia Metropolis, Abia state.
Methods: The study was descriptive cross-sectional in design. A two-stage sampling technique was used to select 305 respondents. A structured questionnaire was used to elicit information on the relevant characteristics. Mini Nutritional Assessment (MNA) form and Malnutrition Universal Screening Tool (MUST) were used to categorize the respondents’ nutritional risk. Anthropometric values were compared with their standard recommendations. Descriptive statistics were computed for the categorical and continuous variables using SPSS version 25
Results: The study findings revealed that a good number (44.3%) of the older persons in the study area were between 60-64years, had family size of 4-6 members and earned income between N30,000 -50,000 (50.8%) and above N50,000 (45.9%). Majority of the respondents were normal or at low risk of nutrition using MNA (89.2%) and MUST (93.4%) classification. Similarly, most of the older adults had normal body mass index (74.4%), mid upper arm circumference (88.9%), waist hip ratio (65.2%) and calf circumference (85.6%) status.
Conclusion: This study revealed that the respondents had normal/safe nutritional and health status using the various anthropometry and malnutrition assessment scales. Therefore, efforts to maintain healthy nutritional status and improve the socio-economic profile of older adults should be encouraged.
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Meta Maulida Damayanti, Yuniarti, Caecielia Makaginsar, and Siska Nia Irasanti. "Association of Malnutrition Based on Body Mass Index with A Presence of Oral Disease." DENTA 15, no. 2 (November 20, 2021): 58–63. http://dx.doi.org/10.30649/denta.v15i2.1.
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Background: To maintain oral health, the body needs good nutrition. The relationship between nutritional status and oral health conditions is very complex, influenced by many factors, both internal and external. Inadequate nutrition can increase the risk of oral disease. Purpose: To analyze the association between malnutrition and oral diseases. Methods: This study used the cross-sectional analytic observational design. Data were collected from the Manarul Huda Islamic Boarding School in Bandung, which 38 participants were selected based on criteria. Body mass index perform to asses nutritional status, while oral disease was collected through form data. Analysis’s data using chi-square and SPSS 23 version. Results: Classification of body mass index the highest in undernutrition group (47.4%) and oral disease the highest for tooth staining (52.6%), there was no significant association between malnutrition and oral disease with p value >0.05. Conclusion: Early analysis of nutritional assessment reduced oral disease. Further assessment will be needed to determine the long-term oral health effect of malnutrition.
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Mukhopadhyay, Soma, Tusi Dutta, Sonali Dey, Somnath Datta, and Ashis Mukhopadhyay. "Assessment of Nutrition Status in Children with Leukemia: A Study from a Developing Country." Blood 112, no. 11 (November 16, 2008): 1317. http://dx.doi.org/10.1182/blood.v112.11.1317.1317.
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Abstract Background: In developing countries 40 % children suffer from mal-nutrition. It has been shown that a good nutritional status can reduce complications of treatment, strengthen the immune system and contribute to the patient’s general well being throughout treatment. A good nutritional status is therefore essential for optimal treatment of a leukemic child. The aim of our study was to see the nutritional status of leukemic children on diagnosis and effect of nutrition on outcome of therapy. Material & Methods: During period from January 2004 to December 2007 we prospectively analyzed the nutritional status of 400 paediatric patients in Netaji Subhash Chandra Bose Cancer Research Institute, a tertiary cancer center of Eastern India. The age of the patients were 1 to 18 years (median age 12.5 years). The parameter analyzed were weight for age, height for age, total protein, serum albumin and skin fold thickness. The weight for age, height for age and skin fold thickness were taken as normal if they were between 3rd and 97th percentile curve of the growth chart recommended by the Indian Council of Medical Research. The albumin level and the total protein was considered normal if the value is equal to or more than 3gm% and 5.8gm% respectively. Result: It was seen that total 56 patients (14% children) were low weight for age, 40 patients (10% children) were low height and 67 patients (16.75% children) had low mid arm circumference. Total 44 patients (11% children) had low serum albumin while 80 patients (20% children) had low serum protein. It was found that low weight for age, low serum albumin and low mid arm circumference were significance factors in remission induction, disease free survival and toxicity of chemotherapy (p < 0.005). Conclusion: We conclude that mal-nutrition is a major finding in cancer patients with leukemia in developing country like ours. The patient with mal-nutrition had less remission in induction, disease free survival and more toxicities during therapy as compared to well-nourished children.
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Olsen, Marie Njerve, Randi J. Tangvik, and Anne-Kristine Halse. "Evaluation of Nutritional Status and Methods to Identify Nutritional Risk in Rheumatoid Arthritis and Spondyloarthritis." Nutrients 12, no. 11 (November 21, 2020): 3571. http://dx.doi.org/10.3390/nu12113571.
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Patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA) experience several nutritional challenges and are prone to develop malnutrition. This observational study aimed to perform a comprehensive nutritional assessment of outpatients diagnosed with RA and SpA, as well as to evaluate methods to identify nutritional risk. Nutritional status was investigated by anthropometric measures, body composition (DXA, dual energy X-ray absorptiometry), and handgrip strength (HGS). Nutritional risk was classified by Nutritional Risk Screening 2002 (NRS2002) and malnutrition was defined by the Global Leadership Initiative on Malnutrition (GLIM) criteria and fat-free mass index (FFMI; kg/m2, <16.7 (M), <14.6 (F)). Out of 71 included patients, 46 (66%) were abdominally obese, 28 (39%) were obese in terms of body mass index (BMI), and 33 (52%) were obese in terms of the fat mass index (FMI; kg/m2, ≥8.3 (M), ≥11.8 (F)). Malnutrition was identified according to FFMI in 12 (19%) patients, according to GLIM criteria in 5 (8%) patients, and on the basis of BMI (<18.5 kg/m2) in 1 (1%) patient. None were identified by NRS2002 to be at nutritional risk. Our study revealed high prevalence of abdominal obesity and low FFMI. Waist circumference was a good indicator of FMI. BMI, NRS2002, and HGS did not capture patients with malnutrition identified by DXA.