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 |
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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 |
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