Food intake in 1707 hospitalised patients: a prospective comprehensive hospital survey
Food intake in 1707 hospitalised patients: a prospective comprehensive hospital survey
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DOI：
10.1054/clnu.2002.0623
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发表时间：
2003-04-01
影响因子：
6.3
通讯作者：
Pichard, C
中科院分区：
文献类型：
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作者：
Dupertuis, YM;Kossovsky, MP;Pichard, C
背景和目标。本研究旨在评估医院膳食服务的能力，以满足病人的nutritional needs.Methods：所有住院病人谁收到3餐/天没有人工营养支持。将24小时内供应、消耗和浪费的食物的营养价值与患者的需求进行比较，估计为能量：110% Harris- Benedict公式;蛋白质：小于或等于或> 65岁的患者分别为1.2或1.0 g/kg体重/天。结构化访谈记录患者对膳食质量的评价，他们不进食的原因以及食物摄入与疾病之间的关系。结果：在纳入的1707名患者中，1416名患者可完全评估（59%为女性; 68 ± 21岁;体重指数：24.3 ± 5.1 kg /m2）。每日膳食提供2007 +/- 479千卡和78 +/- 21克蛋白质，分别超过患者需求的41%和15%。然而，有975名患者没有吃饱。平板废物为471 +/- 372 kcal和21 +/- 17 g蛋白质/天/患者。此外，这些营养不良患者中有572人（59%）的食物摄入量主要不受疾病影响。Logistic回归分析确定为其他危险因素：BMI升高，男性性别，修改饮食处方，住院时间< 8 or >90天，suppressed.Conclusion：尽管有足够的食物供应，大多数住院患者没有覆盖他们的估计需求。由于食物摄取不足往往归因于疾病以外的原因，因此医院膳食服务应具有改善的潜力。(C)2003爱思唯尔科技有限公司版权所有。
Background & Aims.-This study aimed to assess the ability of the hospital meal service to meet patients' nutritional needs.Methods: All hospitalised patients who received 3 meals/day without artificial nutritional support were included. The nutritional values of food served, consumed and wasted during a 24 h period were compared to patients' needs estimated as energy: 110% Harris- Benedict formula; protein: 1.2 or 1.0 g/kg body weight/day for patients less than or equal to or > 65 years old, respectively. A structured interview recorded patients' evaluation of the meal quality, their reasons for non-consumption of food and the relationship between food intake and disease.Results: Out of 1707 patients included, 1416 were fully assessable (59% women; 68 +/- 21 years; body mass index: 24.3 +/- 5.1 kg /m(2)). Daily meals provided 2007 +/- 479 kcal and 78 +/- 21 g of protein and exceeded patients' needs by 41 % and 15%, respectively. However, 975 patients did not eat enough. Plate waste was 471 +/- 372 kcal and 21 +/- 17 g of protein/day/patient. Moreover, the food intake of 572 (59%) of these underfed patients was not predominantly affected by disease. Logistic regression analyses identified as other risk factors: elevated BMI, male gender, modified diet prescription, length of stay < 8 or > 90 days and inadequate supper.Conclusion: Despite sufficient food provision, most of the hospitalised patients did not cover their estimated needs. Since insufficient food intake was often attributed to causes other than disease, there should be potential to improve the hospital meal service. (C) 2003 Elsevier Science Ltd. All rights reserved.