Nutrition Screening, Reported Dietary Intake, Hospital Foods, and Malnutrition in Critical Care Patients in Malawi.
Nutrition Screening, Reported Dietary Intake, Hospital Foods, and Malnutrition in Critical Care Patients in Malawi.
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DOI：
10.3390/nu13041170
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发表时间：
2021-04-01
期刊：
影响因子：
5.9
通讯作者：
Chimera B
中科院分区：
文献类型：
--
作者：
Barcus GC;Papathakis PC;Schaffner A;Chimera B
在低收入国家，有关医院营养不良的数据很少。食物摄入量减少，再加上医院提供的营养不足的食物，都会造成营养风险。这项研究调查了在重症监护病房住院的成年人报告的膳食摄入量和疾病状态是否与由中上臂围(MUAC)确定的营养不良有关。马拉维两家公立三级医院的结核病、烧伤、肿瘤科和重症监护病房的成人住院患者(n=126)接受了MUAC和关于当前饮食摄入量的问题的营养状况筛查。检查了医院的菜单；称了份量。中重度营养不良的患病率为62%。与器官相关疾病和感染性疾病患者的报告膳食摄入量减少率最高，分别为71.4%和57.9%；然而，报告膳食摄入量与MUAC之间没有相关性。然而，在那些无法进食的人中，严重营养不良的比例为50%。菜单包括粥和浓缩的玉米淀粉和油炸卷心菜；每周提供两次蛋白质食物。每天有250卡路里和13克蛋白质的营养缺口。研究结果支持需要增加饮食/营养服务，以便在医院使用简单的筛查工具预防和治疗营养不良。
In low-income countries there are few data on hospital malnutrition. Reduced food intake combined with nutrient-poor foods served in hospitals contribute to nutritional risk. This study investigated whether reported dietary intake and disease state of hospitalized adults in critical care units was related to malnutrition determined by mid-upper arm circumference (MUAC). Adult in-patients (n = 126) in tuberculosis, burn, oncology, and intensive care units in two public tertiary hospitals in Malawi were screened for nutritional status using MUAC and a question on current dietary intake. The hospital menu was reviewed; portion sizes were weighed. The prevalence of moderate and severe malnutrition was 62%. Patients with organ-related diseases and infectious diseases had the highest rates of reduced reported dietary intake, 71.4% and 57.9%, respectively; however, there was no association between reported dietary intake and MUAC. In those unable to eat, however, the rate of severe malnutrition was 50%. The menu consisted of porridge and thickened corn-based starch with fried cabbage; protein foods were provided twice weekly. There was a nutrient gap of 250 calories and 13 gm protein daily. The findings support the need for increasing dietetic/nutrition services to prevent and treat malnutrition in hospitals using simple screening tools.
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影响因子：
3.4
作者：
Isanaka, Sheila;Hanson, Kerstin E.;Grais, Rebecca F.
通讯作者：
Grais, Rebecca F.
DOI：
10.12659/msm.894238
发表时间：
2015-10-02
期刊：
Medical science monitor : international medical journal of experimental and clinical research
影响因子：
--
作者：
Konturek PC;Herrmann HJ;Schink K;Neurath MF;Zopf Y
通讯作者：
Zopf Y
影响因子：
6.3
作者：
Dupertuis, YM;Kossovsky, MP;Pichard, C
通讯作者：
Pichard, C
DOI：
10.1038/nrdp.2017.67
发表时间：
2017-09-21
期刊：
Nature reviews. Disease primers
影响因子：
--
作者：
Bhutta ZA;Berkley JA;Bandsma RHJ;Kerac M;Trehan I;Briend A
通讯作者：
Briend A
影响因子：
13.6
作者：
de Brito-Ashurst, Ione;Varagunam, Mira;Yaqoob, Muhammad M.
通讯作者：
Yaqoob, Muhammad M.