Nutritional assessment of hospitalized elderly people
Authors:
R. Kozáková; E. Skřivánková; D. Jarošová
Authors place of work:
Lékařská fakulta
; Děkan: doc. MUDr. Arnošt Martínek, CSc.
; Ostravská univerzita v Ostravě
Published in the journal:
Prakt. Lék. 2010; 90(9): 536-539
Category:
Of different specialties
Summary
Scale for assessment of nutritional status (MNA), Subjective global assessment (SGA) and nutritional risk screening (NRS) are screening and evaluation tools to detect malnutrition and risk of malnutrition. The aim of this study was to determine what is the nutritional status of older people in hospitals. We verified the applicability and sensitivity of these instruments in patients older than 65 years. Testing of measuring instruments, MNA, SGA, and NRS conducted in elderly hospitalized on internal, neurological and surgical inpatient wards of two hospitals in Ostrava. The study included 101 patients (57 women and 44 men, average age 73.2 years). Statistical analysis was performed by SPSS software version 17.0. For testing relationships and dependencies were used the following tests:
– ANOVA test, and
– Pearson’s correlation coefficient.
All tests significantly correlated with body mass index (BMI) of patients. At the same time confirmed a statistically significant relationship between length of stay, and these tests evaluating malnutrition.
MNA test revealed several risk patients or patients at risk of malnutrition (70.3%) than test SGA (31.7%) or NRS (38.7%).
Key words:
patients older than 65 years of age, nutrition, evaluation, Mini Nutritional Assessment (MNA), Subjective Global Assessment (SGA), Nutritional Risk Screening (NRS 2002).
Zdroje
1. Alberda, C., Graf, A., McCargar, L. Malnutrition: etiology, concequences and assessment of a patient risk. Best Pract. Res. Clin. Gastroenterol. 2006, 20, 3, p. 419- 439.
2. Bauer, J. M., Vogl, T., Wicklein, S. et. al. Comparison of the Mini Nutritional Assessment, Subjective Global Assessment, and Nutritional Risk Screening (NRS 2002) for nutritional screening and assessment in geriatric hospital patiens. Gerontol. Geriatr. 2005, 38, 5, p. 322-327.
3. Detsky, A.S., McLaughlin, J.R., Baker, J.P. et al. What is subjective global assessment of nutritional status. JPEN 1987, 11, 1, p. 8–14.
4. De Groot, C.P., van Taveren, W.A. Undernutrition in the European SENECA studies. Clin. Geriatr. Med. 2002, 18, 4, p. 699–708.
5. Guigoz, Y., Hellas, B., Garry, P.J. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr. Rev. 1996, 54, p. 59–65.
6. Kelly, I., Tessier, S., Cahill, A. et al. Still hungry in hospital identifying malnutrition in acute hospital admissions. QJM 2000, 93, 2, p. 93-98.
7. Kleinwächterová, H., Brázdová, Z. Výživový stav člověka a způsoby jeho zjišťování. 2. přeprac. vyd. Brno: Institut pro další vzdělávání pracovníků ve zdravotnictví v Brně, 2001, 102 s. ISBN 80-7013-336-8.
8. Kondrup, J., Rasmussen, H.H., Hamburg, O., Stanga, Z. Ad Hoc ESPEN Working Group Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin. Nutr. 2003, 22, p. 321–336.
9. Kondrup, J., Allison, S.P., Elia, M., Hellas, B., Plauth, M. ESPEN guidelines for nutrition screening 2002. Clin. Nutr. 2003, 22, 4, p. 415–421
10. Kubešová, H., Weber, P. Poruchy příjmu potravy ve stáří. Interní Med. 2008, 10, 1, s. 64–68.
11. Kyle, U.G., Kossovsky, M.P., Karsegard, V.L., Pichard, C. Comparison of tools for nutritional assessment and screening at hospital admission: a population study. Clin. Nutr. 2006, 25, 3, p. 409-417.
12. Langiano, E., Di Russo, C., Atrei. P. et. al. Nutritional status of elderly institutionalized subjects in a health district in Frosinone (Italy). Ig Sanita Pubbl. 2009, 65, 1, p. 17-28.
13. Ozturk, E., Can, M., Dag, B. Comparison of Nutritional risk screening tool (NRS 2002) and Subjective Global Assessment (SGA) for nutritional screening and assessment at hospital admission. Clin. Nutr. Suppl. 2009, 4, 2, p. 88.
14. Raslan, M., Gonzales, M., Waitzberg, D. Complementarity between Subjective global assessment (SGA) and Nutritional risk screening (NRS 2002) to predict clinical outcomes. Clin. Nutr. Suppl. 2009, 4, 2, p. 97.
15. The Veterans affairs total parenteral nutrition cooperative study group. Perioperative total parenteral nutrition in surgical patients. N. Engl. J. Med. 1991, 325, 8, p. 525–532.
16. Tomíška, M. Umělá klinická výživa [online]. Brno: Masarykova univerzita, 2007.
[cit. 2009-09-10]. Dostupné z WWW: http://www.med.muni.cz/~mpesl/trafficjam/Interny/zIHOKu/vyziva.ppt.
17. Topinková, E. Využití standardizovaných škál pro hodnocení výživy u starších nemocných. Čes. Ger. Rev. 2003, 1, 1, s. 6-11. ISSN 1214-0732.
18. World Health Organisation. Physical status: the use and interpretation of anthropometry. Report of WHO Expert Committee, 1995, Geneva, WHO.
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