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Subjective Global Nutrition Assessment

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https://www.readbyqxmd.com/read/29761843/calf-circumference-a-marker-of-muscle-mass-as-a-predictor-of-hospital-readmission
#1
Gustavo Gonzales Real, Inara Regina Frühauf, José Henrique Koth Sedrez, Eduarda Jaine Fachinello Dall'Aqua, Maria Cristina Gonzalez
Hospital readmissions (HRs) are common, potentially preventable, and a marker of poor quality in health services. This study aimed to identify risk factors for HR in clinical patients, with an emphasis on nutrition aspects, especially calf circumference (CC), as a marker of muscle mass. A prospective cohort study of patients admitted to the internal medicine ward was conducted. The short form of the Patient-Generated Subjective Global Assessment was performed in the first 24 hours of hospitalization. In addition, single-frequency bioelectrical impedance analysis was used to estimate the phase angle, CC as a surrogate of muscle mass, and handgrip strength as a marker of strength...
May 15, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29735478/development-and-validation-of-a-multidisciplinary-mobile-care-system-for-patients-with-advanced-gastrointestinal-cancer-interventional-observation-study
#2
Ji Yeong Soh, Won Chul Cha, Dong Kyung Chang, Ji Hye Hwang, Kihyung Kim, Miyong Rha, Hee Kwon
BACKGROUND: Mobile health apps have emerged as supportive tools in the management of advanced cancers. However, only a few apps have self-monitoring features, and they are not standardized and validated. OBJECTIVE: This study aimed to develop and validate a multidisciplinary mobile care system with self-monitoring features that can be useful for patients with advanced gastrointestinal cancer. METHODS: The development of the multidisciplinary mobile health management system was divided into 3 steps...
May 7, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29701878/targeted-full-energy-and-protein-delivery-in-critically-ill-patients-a-pilot-randomized-controlled-trial-feed-trial
#3
Kate Fetterplace, Adam M Deane, Audrey Tierney, Lisa J Beach, Laura D Knight, Jeffrey Presneill, Thomas Rechnitzer, Adrienne Forsyth, Benjamin M T Gill, Marina Mourtzakis, Christopher MacIsaac
BACKGROUND: International guidelines recommend greater protein delivery to critically ill patients than they currently receive. This pilot randomized clinical trial aimed to determine whether a volume-target enteral protocol with supplemental protein delivered greater amounts of protein and energy to critically ill patients compared with standard care. METHODS: Sixty participants received either the intervention (volume-based protocol, with protein supplementation) or standard nutrition care (hourly-rate-based protocol, without protein supplementation) in the intensive care unit (ICU)...
April 27, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29691779/nomogram-and-validity-of-a-model-for-predicting-malnutrition-in-patients-on-liver-transplant-lists
#4
María Teresa García-Rodríguez, Sonia Pértega-Díaz, Beatriz López-Calviño, María Del Carmen Piñón-Villar, Alejandra Otero-Ferreiro, Francisco Suárez-López, Manuel Gómez-Gutiérrez, María Teresa Seoane-Pillado, Salvador Pita-Fernández
BACKGROUND: Malnutrition is associated with increased morbimortality in liver transplant patients, and it is important to identify factors related to nutritional status in these patients. AIMS: Determine variables associated with malnutrition and create a nomogram in liver transplant candidates. METHODS: Cross-sectional study (n = 110). VARIABLES: demographic variables, imbalances due to the disease, transplant aetiology and analytical parameters...
April 25, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29673501/association-of-sarcopenia-with-nutritional-parameters-quality-of-life-hospitalization-and-mortality-rates-of-elderly-patients-on-hemodialysis
#5
Juliana Giglio, Maria Ayako Kamimura, Fernando Lamarca, Juliana Rodrigues, Fernanda Santin, Carla Maria Avesani
OBJECTIVE: This study aimed to assess whether diminished muscle mass, diminished muscle strength, or both conditions (sarcopenia) are associated with worse nutritional status, poor quality of life (QoL), and hard outcomes, such as hospitalization and mortality, in elderly patients on maintenance hemodialysis (MHD). DESIGN AND SUBJECTS: This is a multicenter observational longitudinal study that included 170 patients on MHD (age 70 ± 7 years, 65% male) from 6 dialysis centers...
May 2018: Journal of Renal Nutrition
https://www.readbyqxmd.com/read/29663632/use-of-hand-grip-strength-in-nutrition-risk-screening-of-older-patients-admitted-to-general-surgical-wards
#6
Angela Byrnes, Alison Mudge, Adrienne Young, Merrilyn Banks, Judy Bauer
AIM: Hand grip strength (HGS) has been proposed as an indicator of nutritional status that is objective, requires minimal assessor training and is quick to administer, making it attractive for use in the acute setting. This study aimed to determine the discriminatory ability of impaired HGS to screen for malnutrition in an older hospital population and assess the added value of combining this with existing screening tools. METHODS: Measures were undertaken during acute admission in patients ≥65 years admitted to general surgical wards...
April 16, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29657203/the-development-of-malnutrition-is-not-dependent-on-its-traditional-contributing-factors-in-patients-on-maintenance-hemodialysis-in-developing-countries
#7
Syed Rizwan Ali Bokhari, Mirza Ameer Faizan Ali, Syed Arsalan Khalid, Bushra Iftikhar, Hafiz Ijaz Ahmad, Ahlam Safdar Hussain, Usman Yaqoob
Malnutrition in dialysis population is associated with significant morbidity and mortality. Nutritional assessment is a neglected area in hemodialysis (HD) patients in developing countries. The aim of the study was to find out whether any traditional parameters have statistically significant correlation with malnutrition. All 58 end-stage renal disease patients on maintenance HD in our dialysis unit were enrolled in this cross-sectional study. The nutritional status was assessed by a predesigned questionnaire including subjective global assessment (SGA)...
March 2018: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/29657201/prevalence-of-malnutrition-in-hemodialysis-patients-a-single-center-study-in-palestine
#8
Hinar Abu Rezeq, Lubna N Khdair, Zakaria I Hamdan, Waleed M Sweileh
Only a few studies have been published on the nutritional status of hemodialysis (HD) patients in Arab countries. The aim of this study was to determine the nutritional status and prevalence of malnutrition and its predictors among HD patients at An-Najah National University Hospital, Nablus, Palestine. A cross-sectional study was carried out on HD patients in this hospital. Seven-Point Subjective Global Assessment (7-point SGA) was used to assess the nutritional state of HD patients. Biochemical tests were obtained during the study period from medical files of the studied patients...
March 2018: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/29625409/relationship-of-nutritional-status-and-inflammation-with-survival-in-patients-with-advanced-cancer-in-palliative-care
#9
Marcela Souza Cunha, Emanuelly Varea Maria Wiegert, Larissa Calixto-Lima, Livia Costa Oliveira
OBJECTIVE: This study aimed to evaluate the prognostic value of nutritional and inflammatory status in patients with advanced cancer receiving palliative care. METHODS: The systemic inflammatory response was assessed using the modified Glasgow Prognostic Score (mGPS), and nutritional status was evaluated according to the Patient-Generated Subjective Global Assessment (PG-SGA) in 172 patients evaluated on their first visit in the Palliative Care Unit at the National Cancer Institute in Brazil...
February 8, 2018: Nutrition
https://www.readbyqxmd.com/read/29606602/adductor-muscle-thickness-of-the-thumb-a-new-and-reliable-parameter-for-nutritional-assessment-of-pediatric-inpatients
#10
Juliana Paludo Vallandro, Luciana da Silveira Klein Campos, Laura Dresch Neumann, Elza Daniel de Mello
BACKGROUND & AIMS: The adductor pollicis muscle thickness (APMT) is a promising method for evaluation of muscle loss and, consequently, malnutrition in adult and elderly patients. However, to date, there have been no studies of its applicability to the pediatric population. Within this context, we sought to evaluate the association of APMT with anthropometric variables, body mass index (BMI), pediatric Subjective Global Assessment (SGA) of nutrition, nutritional screening, and clinical outcomes in hospitalized pediatric patients...
February 16, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29605765/resting-energy-expenditure-and-body-composition-in-patients-with-head-and-neck-cancer-an-observational-study-leading-to-a-new-predictive-equation
#11
Micheline Tereza Pires Souza, Pierre Singer, Gislaine Aparecida Ozorio, Vitor Modesto Rosa, Maria Manuela Ferreira Alves, Rossana Verónica Mendoza López, Dan L Waitzberg
OBJECTIVES: Patients with head and neck cancer have changes in body composition and resting energy expenditure (REE) related to significant inflammatory processes. We investigated REE and body composition in a population of patients with head and neck cancer, comparing the measured REE with predicted energy expenditure and deriving an equation of anthropometric values and body composition. METHODS: This retrospective, observational, descriptive study of a single center included patients with head and neck cancer...
February 5, 2018: Nutrition
https://www.readbyqxmd.com/read/29605573/multi-site-implementation-of-nutrition-screening-and-diagnosis-in-medical-care-units-success-of-the-more-2-eat-project
#12
Heather H Keller, Renata Valaitis, Celia V Laur, Tara McNicholl, Yingying Xu, Joel A Dubin, Lori Curtis, Suzanne Obiorah, Sumantra Ray, Paule Bernier, Leah Gramlich, Marilee Stickles-White, Manon Laporte, Jack Bell
BACKGROUND: Improving the detection and treatment of malnourished patients in hospital is needed to promote recovery. AIM: To describe the change in rates of detection and triaging of care for malnourished patients in 5 hospitals that were implementing an evidence-based nutrition care algorithm. To demonstrate that following this algorithm leads to increased detection of malnutrition and increased treatment to mitigate this condition. METHODS: Sites worked towards implementing the Integrated Nutrition Pathway for Acute Care (INPAC), including screening (Canadian Nutrition Screening Tool) and triage (Subjective Global Assessment; SGA) to detect and diagnose malnourished patients...
March 22, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29596718/bioelectrical-impedance-analysis-derived-measurements-in-chronic-hepatitis-c-clinical-relevance-of-fat-free-mass-and-phase-angle-evaluation
#13
Tatiana Bering, Kiara G D Diniz, Marta Paula P Coelho, Ana Carolina M de Souza, Luisa Freitas de Melo, Diego Alves Vieira, Maria Marta S Soares, Adriana M Kakehasi, Maria Isabel T D Correia, Rosângela Teixeira, Dulciene Maria Magalhães Queiroz, Gifone A Rocha, Luciana D Silva
OBJECTIVE: Because cirrhotic patients are at high risk of malnutrition and sarcopenia, we evaluated the prevalence of low fat-free mass index (FFMI) and low phase angle (PhA) among patients with chronic hepatitis C (CHC). METHODS: In total, 135 subjects with CHC (50.4% males; mean age, 52.4 ± 11.8 years; 65.9% noncirrhotic and 34.1% compensated cirrhotic patients) were prospectively included and evaluated by bioelectrical impedance analysis. Subjective global assessment was used to evaluate malnutrition...
December 18, 2017: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29590725/nutritional-issues-and-nutrition-support-in-older-home-care-patients-in-the-city-of-zagreb
#14
Darija Vranešić Bender, Marta Kovačević, Miro Hanževački, Božena Vrabec, Vanesa Benković, Viktor Domislović, Željko Krznarić
Population aging is a global demographic trend showing continuous growth and among its consequences is a rise in malnutrition that is characteristic for the elderly. The objective of this study was to evaluate nutritional status of elderly home care patients immediately after hospital discharge and to determine factors that affect nutritional status using questionnaires based on validated tools (NRS-2002, DETERMINE checklist) and basic medical history data. The study involved 76 elderly individuals (51.3% of them older than 70) living in the City of Zagreb...
December 2017: Acta Clinica Croatica
https://www.readbyqxmd.com/read/29578256/the-nutrition-impact-symptoms-nis-score-detects-malnutrition-risk-in-patients-admitted-to-nephrology-wards
#15
H L MacLaughlin, J Twomey, R Saunt, S Blain, K C Campbell, P Emery
BACKGROUND: Nutritional screening tools recommended for the general hospitalised population do not always adequately detect malnutrition risk in patients with kidney disease. The present study assessed the validity and reliability of the Nutrition Impact Symptoms (NIS) score as a nutrition screening tool for hospitalised inpatients prefer in nephrology wards. METHODS: Nutritional status was classified using Subjective Global Assessment (SGA). NIS scores were calculated from the total score of responses to questions assessing symptoms impacting upon nutritional status from the patient-generated SGA...
March 26, 2018: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/29576356/thickness-of-the-adductor-pollicis-muscle-accuracy-in-predicting-malnutrition-and-length-of-intensive-care-unit-stay-in-critically-ill-surgical-patients-thickness-of-the-adductor-pollicis-muscle-in-surgical-critically-patients
#16
Thainá Gattermann Pereira, Jaqueline da Silva Fink, Flávia Moraes Silva
BACKGROUNDS & AIMS: new techniques for assessment of nutritional status of critically ill and surgical patients have been investigated to overcome inherent limitations of conventional method. The current study aimed to evaluate the ability of thickness of the adductor pollicis muscle (TAPM) in detecting malnutrition and predicting morbidity and mortality in critically ill surgical patients. METHODS: cohort study of adult patients, assessed within the 48 h of admission to the surgical intensive care unit (ICU) of a public hospital...
April 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29576345/a-review-of-the-validity-of-malnutrition-screening-tools-used-in-older-adults-in-community-and-healthcare-settings-a-manuel-study
#17
REVIEW
Lauren Power, Deirdre Mullally, Eileen R Gibney, Michelle Clarke, Marjolein Visser, Dorothee Volkert, Laura Bardon, Marian A E de van der Schueren, Clare A Corish
BACKGROUND: Older adults are at increased risk of malnutrition compared to their younger counterparts. Malnutrition screening should be conducted using a valid malnutrition screening tool. An aim of the Healthy Diet for a Healthy Life (HDHL) Joint Programming Initiative (JPI) 'Malnutrition in the Elderly Knowledge Hub' (MaNuEL) was to review the reported validity of existing malnutrition screening tools used in older adults. METHODS: A literature search was conducted to identify validation studies of malnutrition screening tools in older populations in community, rehabilitation, residential care and hospital settings...
April 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29571609/assessment-of-parenteral-nutrition-prescription-in-canadian-acute-care-settings
#18
Daniela Adjemian, Bianca M Arendt, Johane P Allard
BACKGROUND: Parenteral nutrition (PN) prescription can be challenging in patients with complex conditions and has potential complications. OBJECTIVE: To assess PN prescription, monitoring, and PN-related complications in a Canadian acute care setting. METHODS: This was a prospective cohort study in which patients receiving PN were assessed by an auditor for nutritional status, PN-related prescription, monitoring, and complications. In addition, length of stay and mortality were recorded...
May 2018: Nutrition
https://www.readbyqxmd.com/read/29565167/metabolic-inflammatory-and-oxidative-stress-markers-in-the-nitric-oxide-variation-of-hemodialysis-subjects
#19
Andreza De Paula Santos Epifânio, Karla Pereira Balbino, Monica De Paula Jorge, Sonia M R Ribeiro, Ana Vládia Bandeira Moreira, Jerusa Maria Oliveira, Leandro Licursi Oliveira, Helen Hermana Miranda Hermsdorff
INTRODUCTION: Oxidative stress markers such as nitric oxide (NO) have been investigated in hemodialysis (HD). OBJECTIVE: Evaluate the association of NO variation with adiposity indicators, metabolic, inflammatory and oxidative stress markers in individuals to HD. METHODS: Cross-sectional study with 85 subjects on HD treatment (≥ 18 years). The clinical-nutritional status was evaluated through subjective global assessment modified (SGAm), anthropometric measurements and body composition...
January 10, 2018: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29559233/malnutrition-poor-food-intake-and-adverse-healthcare-outcomes-in-non-critically-ill-obese-acute-care-hospital-patients
#20
Ekta Agarwal, Maree Ferguson, Merrilyn Banks, Angela Vivanti, Marijka Batterham, Judy Bauer, Sandra Capra, Elisabeth Isenring
BACKGROUND & AIMS: Obesity, defined as a BMI ≥ 30 kg/m2 , has demonstrated protective associations with mortality in some diseases. However, recent evidence demonstrates that poor nutritional status in critically ill obese patients confounds this relationship. The purpose of this paper is to evaluate if poor nutritional status, poor food intake and adverse health-related outcomes have a demonstrated association in non-critically ill obese acute care hospital patients. METHODS: This is a secondary analysis of the Australasian Nutrition Care Day Survey dataset (N = 3122), a prospective cohort study conducted in hospitals from Australia and New Zealand in 2010...
March 10, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
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