Malnutrition: laboratory markers vs nutritional assessment
| Autor: | Tushar Gohel, Parul Tandon, Ibrahim A. Hanouneh, Hiren Vallabh, Shaiva Ginoya, Andrea Jevenn, Shishira Bharadwaj, John Guirguis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Future studies Physical examination malnutrition physical examination serum markers 03 medical and health sciences 0302 clinical medicine Serum biomarkers Medicine 030212 general & internal medicine Risk factor Intensive care medicine Review Articles Confusion 030109 nutrition & dietetics medicine.diagnostic_test business.industry Gastroenterology Nutritional status Standard methods medicine.disease Malnutrition Biochemistry medicine.symptom business |
| Zdroj: | Gastroenterology Report |
| ISSN: | 2052-0034 |
| Popis: | Malnutrition is an independent risk factor for patient morbidity and mortality and is associated with increased healthcare-related costs. However, a major dilemma exists due to lack of a unified definition for the term. Furthermore, there are no standard methods for screening and diagnosing patients with malnutrition, leading to confusion and varying practices among physicians across the world. The role of inflammation as a risk factor for malnutrition has also been recently recognized. Historically, serum proteins such as albumin and prealbumin (PAB) have been widely used by physicians to determine patient nutritional status. However, recent focus has been on an appropriate nutrition-focused physical examination (NFPE) for diagnosing malnutrition. The current consensus is that laboratory markers are not reliable by themselves but could be used as a complement to a thorough physical examination. Future studies are needed to identify serum biomarkers in order to diagnose malnutrition unaffected by inflammatory states and have the advantage of being noninvasive and relatively cost-effective. However, a thorough NFPE has an unprecedented role in diagnosing malnutrition. |
| Databáze: | OpenAIRE |
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