The Assessment Of Energy And Protein Needs Coverage In Hospitalized Patients: OCENA POKRITOSTI POTREB PO ENERGIJI IN BELJAKOVINAH MED HOSPITALIZIRANIMI BOLNIKI

Overview

Journal Zdr Varst

Publisher Sciendo

Specialty Public Health

Date 2016 Jun 11

PMID 27284383

Authors

Ruza Pandel Mikus

Vid Vicic

Raja Dahmane

Affiliations

Soon will be listed here.

Abstract

Aim: Aiming at assessing sufficiency of energy/protein intake in hospitalized patients, the objective was to monitor and analyze actual food intake of patients hospitalized in three clinical wards of one of major Slovenian hospitals.

Methods: 53 patients were included in the study. Food intake was assessed 3 times daily from leftovers. Nutritional status was assessed with Nutritional Risk Screening tool 2002. The observed outcomes were percentage of energy coverage (PEC) and percentage of protein coverage (PPC). In PEC energy nutritional value of the menu (ENVM), and in PPC protein nutritional value of the menu (PNVM) were considered as the main modifiable risk factors. Data were analyzed univariately and multivariately by using logistic regression method.

Results: The patients did not cover energy needs (67.4±24.5%). Multivariate model for PEC was highly significant (R2=0.347; pmodel<0.001) with ENVM showing high strength of association (b=0.040; p=0.004). Patients also did not cover protein needs (84.0±40.2%). Multivariate model for PEC was highly significant (R2=0.477; pmodel<0.001) and PNVM showing high strength of association (b=0.937; p=0.002).

Conclusion: For successful prevention and early detection of malnutrition, food intake in hospitals is vital and should be constantly monitored. A simple method for monitoring is proposed. The menus provided to patients should also be adequate in terms of energy and protein content.

References

Wright J, Willis G, Edwards M . Nutritional content of hospital diets. JAMA. 2004; 291(18):2194-6. DOI: 10.1001/jama.291.18.2194. View

Schindler K, Pernicka E, Laviano A, Howard P, Schutz T, Bauer P . How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007-2008 cross-sectional nutritionDay survey. Clin Nutr. 2010; 29(5):552-9. DOI: 10.1016/j.clnu.2010.04.001. View

Olin A, Armyr I, Soop M, Jerstrom S, Classon I, Cederholm T . Energy-dense meals improve energy intake in elderly residents in a nursing home. Clin Nutr. 2003; 22(2):125-31. DOI: 10.1054/clnu.2002.0610. View

Agarwal E, Ferguson M, Banks M, Batterham M, Bauer J, Capra S . Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: results from the Nutrition Care Day Survey 2010. Clin Nutr. 2012; 32(5):737-45. DOI: 10.1016/j.clnu.2012.11.021. View

Rolls B, Fedoroff I, Guthrie J, Laster L . Foods with different satiating effects in humans. Appetite. 1990; 15(2):115-26. DOI: 10.1016/0195-6663(90)90044-9. View

Harris J, Benedict F . A Biometric Study of Human Basal Metabolism. Proc Natl Acad Sci U S A. 1918; 4(12):370-3. PMC: 1091498. DOI: 10.1073/pnas.4.12.370. View

Pritchard S, Davidson I, Jones J, Bannerman E . A randomised trial of the impact of energy density and texture of a meal on food and energy intake, satiation, satiety, appetite and palatability responses in healthy adults. Clin Nutr. 2013; 33(5):768-75. DOI: 10.1016/j.clnu.2013.10.014. View

Culebras J . Malnutrition in the twenty-first century: an epidemic affecting surgical outcome. Surg Infect (Larchmt). 2013; 14(3):237-43. PMC: 3696934. DOI: 10.1089/sur.2013.9993. View

Kondrup J, Allison S, Elia M, Vellas B, Plauth M . ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003; 22(4):415-21. DOI: 10.1016/s0261-5614(03)00098-0. View

10.

Loser C . Malnutrition in hospital: the clinical and economic implications. Dtsch Arztebl Int. 2011; 107(51-52):911-7. PMC: 3023157. DOI: 10.3238/arztebl.2010.0911. View

11.

Hankey C, Wynne H . An audit of meal provision in an elderly care hospital. Int J Qual Health Care. 1996; 8(4):375-82. DOI: 10.1093/intqhc/8.4.375. View

12.

Hiesmayr M, Schindler K, Pernicka E, Schuh C, Schoeniger-Hekele A, Bauer P . Decreased food intake is a risk factor for mortality in hospitalised patients: the NutritionDay survey 2006. Clin Nutr. 2009; 28(5):484-91. DOI: 10.1016/j.clnu.2009.05.013. View

13.

Chima C, Dietz-Seher C, Kushner-Benson S . Nutrition risk screening in acute care: a survey of practice. Nutr Clin Pract. 2008; 23(4):417-23. DOI: 10.1177/0884533608321137. View

14.

Dupertuis Y, Kossovsky M, Kyle U, Raguso C, Genton L, Pichard C . Food intake in 1707 hospitalised patients: a prospective comprehensive hospital survey. Clin Nutr. 2003; 22(2):115-23. DOI: 10.1054/clnu.2002.0623. View

15.

Pai M, PALOUCEK F . The origin of the "ideal" body weight equations. Ann Pharmacother. 2000; 34(9):1066-9. DOI: 10.1345/aph.19381. View

16.

Jensen G, Mirtallo J, Compher C, Dhaliwal R, Forbes A, Grijalba R . Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee. Clin Nutr. 2010; 29(2):151-3. DOI: 10.1016/j.clnu.2009.11.010. View

17.

Berner Y, Stern F, Polyak Z, Dror Y . Dietary intake analysis in institutionalized elderly: a focus on nutrient density. J Nutr Health Aging. 2002; 6(4):237-42. View

18.

Kondrup J, Rasmussen H, Hamberg O, Stanga Z . Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003; 22(3):321-36. DOI: 10.1016/s0261-5614(02)00214-5. View

19.

Pirlich M, Schutz T, Norman K, Gastell S, Lubke H, Bischoff S . The German hospital malnutrition study. Clin Nutr. 2006; 25(4):563-72. DOI: 10.1016/j.clnu.2006.03.005. View

20.

Gall M, Grimble G, Reeve N, Thomas S . Effect of providing fortified meals and between-meal snacks on energy and protein intake of hospital patients. Clin Nutr. 1999; 17(6):259-64. DOI: 10.1016/s0261-5614(98)80317-8. View