Abstract
Malnutrition is a common finding in the acute-care hospital. To assess the adequacy of nutritional intake to individual needs and the effects of the hospitalization on nutritional status and to identify the reasons for inadequate energy intake. A total of 286 patients with a mean ( +/- SD) age of 79 +/- 6 years (range, 70 to 99 years), consecutively admitted to the geriatrics and internal medicine wards of an acute-care university hospital, underwent multidisciplinary assessment on admission and at discharge and daily dietary data collection. The needed, prescribed, and actual daily energy intake for each individual was measured. Nutritional depletion was diagnosed if midarm circumference decreased by 3.6% or more from admission to discharge. Nutritional depletion occurred in 27% of the patients and correlated with anorexia (86.4% vs 65.5% and 40% in patients whose midarm circumference was unchanged and increased, respectively; P < .001), Mini-Mental State Examination score (21.6 +/- 8.3 vs 23 +/- 6.9 and 26.5 +/- 3.6; P < .05), simplified premorbid Activities of Daily Living score (4.4 +/- 2.2 vs 5.1 +/- 1.8 and 5.0 +/- 1.8; P < .03), lymphocyte count (1.32 +/- 0.63 x 10(9)/L vs 1.62 +/- 0.88 x 10(9)/L and 1.47 +/- 0.50 x 10(9...Continue Reading
Citations
Apr 22, 2005·Reviews in Endocrine & Metabolic Disorders·David R Thomas
Oct 16, 2003·Nutrition·David R Thomas
Mar 1, 1997·Nutrition·J Edington, P Kon
May 8, 2010·The British Journal of Nutrition·Emanuele CeredaUNKNOWN PIMAI Group
Mar 13, 2001·Journal of Public Health Dentistry·A W WallsP J Moynihan
Oct 14, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Riccardo CaccialanzaPaolo Dionigi
Dec 15, 2010·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Danielle St-Arnaud McKenzieGuylaine Ferland
Oct 7, 2011·Heart International·Emad F AzizMarrick L Kukin
Mar 19, 2009·Annals of Internal Medicine·Cynthia J BrownJeffrey M Roseman
Mar 30, 2000·Aging : Clinical and Experimental Research·E JoostenW Pelemans
Mar 17, 1999·Aging : Clinical and Experimental Research·R Antonelli IncalziP U Carbonin
Dec 11, 2002·Journal of General Internal Medicine·Kenneth E Covinsky
Feb 1, 2002·Journal of Clinical Nursing·I Kowanko
Feb 14, 2009·The Journal of Nutrition, Health & Aging·D St-Arnaud McKenzieG Ferland
Jan 26, 2011·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Alison M MudgeMerrilyn D Banks
Dec 7, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Kristina NormanMatthias Pirlich
Jan 9, 2008·Journal of the American Geriatrics Society·Ruth E HubbardKen W Woodhouse
Sep 27, 2005·Clinics in Geriatric Medicine·Jacob Dimant
May 14, 1999·Journal of the American Geriatrics Society·K E CovinskyC S Landefeld
Feb 11, 2014·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Emanuele CeredaRiccardo Caccialanza