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

Autor: Hinke M. Kruizenga, Carel G. M. Meskers, M.A.E. de van der Schueren, Jean-Yves Hogrel, M.V. Narici, Gillian Butler-Browne, Mati Pääsuke, Anna G M Rojer, Marijke C. Trappenburg, Esmee M. Reijnierse, Sarianna Sipilä, Andrea B. Maier, Jamie S. McPhee
Přispěvatelé: Neuromechanics, AMS - Ageing and Morbidity, Nutrition and Health, Research Institute MOVE, Internal medicine, Rehabilitation medicine, MOVE Research Institute, EMGO - Lifestyle, overweight and diabetes
Jazyk: angličtina
Rok vydání: 2016
Předmět:
0301 basic medicine
Gerontology
Male
Pediatrics
Nutritional Sciences
Critical Care and Intensive Care Medicine
Thinness/etiology
geriatric patient
Body Mass Index
Nutritional Sciences/methods
0302 clinical medicine
underweight
Weight loss
Prevalence
Medicine
030212 general & internal medicine
Young adult
comparative study
pathophysiology
health care organization
Nutrition and Dietetics
ta3141
Scientific
ta3142
Middle Aged
Europe
nutritional assessment
Elder Nutritional Physiological Phenomena
outpatient
Acute Disease
Practice Guidelines as Topic
Body Composition
Female
medicine.symptom
Risk assessment
Societies
Scientific

Predictive validity
Adult
Risk
medicine.medical_specialty
Consensus
geriatric nutrition
Nutritional Status
malnutrition
adult
aged
Article
body mass
controlled study
disease predisposition
fat free mass
female
human
major clinical study
male
middle aged
population research
predictive validity
prevalence
risk assessment
short nutritional assessment questionnaire
weight reduction
acute disease
body composition
consensus
geriatric assessment
nutritional science
nutritional status
practice guideline
procedures
risk
young adult
Acute Disease

Aged
Geriatric Assessment
Humans
Malnutrition
Nutrition Assessment
Risk Assessment
Thinness
Young Adult
Body mass index
Definition
Fat free mass index
Europe/epidemiology
03 medical and health sciences
SDG 2 - Zero Hunger
030109 nutrition & dietetics
business.industry
NUTRITION&DIETETICS
medicine.disease
Nutritional science
business
Societies
Malnutrition/diagnosis
Zdroj: Rojer, A G M, Kruizenga, H M, Trappenburg, M C, Reijnierse, E M, Sipila, S, Narici, M V, Hogrel, J Y, Butler-Browne, G, McPhee, J S, Paeaesuke, M, Meskers, C G M, Maier, A B & de van der Schueren, M A E 2016, ' The prevalence of malnutrition according to the new ESPEN definition in four diverse populations ', Clinical Nutrition, vol. 35, no. 3, pp. 758-762 . https://doi.org/10.1016/j.clnu.2015.06.005
Rojer, A G M, Kruizenga, H M, Trappenburg, M C, Reijnierse, E M, Sipilä, S, Narici, M V, Hogrel, J Y, Butler-Browne, G, McPhee, J S, Pääsuke, M, Meskers, C G M, Maier, A B & de van der Schueren, M A E 2016, ' The prevalence of malnutrition according to the new ESPEN definition in four diverse populations ', Clinical Nutrition, vol. 35, no. 3, pp. 758-762 . https://doi.org/10.1016/j.clnu.2015.06.005
Clinical Nutrition, 35(3), 758-762. Churchill Livingstone
ISSN: 0261-5614
DOI: 10.1016/j.clnu.2015.06.005
Popis: © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism.Background & aims: Consensus on the definition of malnutrition has not yet been reached. Recently, The European Society for Clinical Nutrition and Metabolism (ESPEN) proposed a consensus definition of malnutrition. The aim of the present study was to describe the prevalence of malnutrition according to the ESPEN definition in four diverse populations. Methods: In total, 349 acutely ill middle-aged patients, 135 geriatric outpatients, 306 healthy old individuals and 179 healthy young individuals were included in the study. Subjects were screened for risk of malnutrition using the SNAQ. The ESPEN definition of malnutrition, i.e. low BMI (< 18.5 kg/m2) or a combination of unintentional weight loss and low FFMI or low BMI was applied to all subjects. Results: Screening identified 0, 0.5, 10 and 30% of the healthy young, the healthy old, the geriatric outpatients and the acutely ill middle-aged patients as being at risk of malnutrition. The prevalence of malnutrition ranged from 0% in the healthy young, 0.5% in healthy old individuals, 6% in the geriatric outpatients to 14% in the acutely ill middle-aged patients. Prevalence of low FFMI was observed in all four populations (14-33%), but concurred less frequently with weight loss (0-13%). Conclusions: Using the ESPEN definition, 0%-14% malnutrition was found in the diverse populations. Further work is needed to fully address the validity of a two-step approach, including risk assessment as an initial step in screening and defining malnutrition. Furthermore, assessing the predictive validity of the ESPEN definition is needed.
Databáze: OpenAIRE