Journal of Nutrition,Fasting and Health

Journal of Nutrition,Fasting and Health

The Trend of Malnutrition Frequency among Imam Reza Teaching Hospital: Results from Nutrition Day 2019-2021

Document Type : Research Paper

Authors
Faezeh Mashhadi 1
Majid Khadem-rezaiyan 2
Maryam Golzar 1
Maryam Alinezhad-Namaghi 1, 3
1 Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Department of community medicine, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Transplant Research Center, Clinical Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/jnfh.2024.79892.1513
Abstract
Introduction: Malnutrition is a global health issue affecting nearly 40% of the population. Hospital malnutrition is a severe medical problem, which is often overlooked and has negative effects on both patients' health and the economy. In addition, malnutrition increases the risk of clinical complications and mortality. On Nutrition Day (nDay), patients in hospital wards and nursing homes worldwide participate in a cross-sectional survey using a standard questionnaire to assess their nutritional status. This study aimed to investigate the prevalence of malnutrition among patients at Imam Reza Teaching Hospital from 2019 to 2021. Method: This study analyzed nDay data from Mashhad’s Imam Reza Teaching Hospital from 2019 to 2021. The study included demographic and nutritional data from patients in fourteen different wards/units of the hospital. Over the past three years, an overview of malnutrition trends was presented by examining patient-reported responses to questions about malnutrition and its risk factors. Results: The frequency of malnutrition in Burn units was the highest at 37.5% in the male unit in 2020 (P-value: <0.0001). The lowest BMI was observed in Oncology patients, averaging 18.9±2.4 in 2019. The most significant decrease in nutritional intake occurred in the Gastroenterology department, at 37.5% in 2019. The most significant change in hospital nutrition intake one week before admission was in the General Surgery ward, with a 47.4% decrease in 2019. Conclusion: The significance of malnutrition, particularly in hospitals, could assist the health system in addressing this issue by using nDay as a standard questionnaire and screening tool. This study indicated that Burn units, Gastroenterology, Oncology, and General Surgery departments are the most susceptible to malnutrition and thus require increased attention.
Keywords
Malnutrition
Hospital malnutrition
Nutrition Day
Subjects
  1. Wells JC, Sawaya AL, Wibaek R, Mwangome M, Poullas MS, Yajnik CS, et al. The double burden of malnutrition: aetiological pathways and consequences for health. The Lancet. 2020;395(10217):75-88.
  2. Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. The lancet. 2019;393(10173):791-846.
  3. Crichton M, Craven D, Mackay H, Marx W, De Van Der Schueren M, Marshall S. A systematic review, meta-analysis and meta-regression of the prevalence of protein-energy malnutrition: associations with geographical region and sex. Age and ageing. 2019;48(1):38-48.
  4. Fleming TP, Watkins AJ, Velazquez MA, Mathers JC, Prentice AM, Stephenson J, et al. Origins of lifetime health around the time of conception: causes and consequences. The Lancet. 2018;391(10132):1842-52.
  5. Kiesswetter E, Colombo MG, Meisinger C, Peters A, Thorand B, Holle R, et al. Malnutrition and related risk factors in older adults from different health-care settings: an enable study. Public Health Nutrition. 2020;23(3):446-56.
  6. Besora-Moreno M, Llauradó E, Tarro L, Solà R. Social and economic factors and malnutrition or the risk of malnutrition in the elderly: a systematic review and meta-analysis of observational studies. Nutrients. 2020;12(3):737.
  7. Correia MIT, Sulo S, Brunton C, Sulz I, Rodriguez D, Gomez G, et al. Prevalence of malnutrition risk and its association with mortality: nutritionDay Latin America survey results. Clinical Nutrition. 2021;40(9):5114-21.
  8. Inciong JFB, Chaudhary A, Hsu H-S, Joshi R, Seo J-M, Trung LV, et al. Hospital malnutrition in northeast and southeast Asia: A systematic literature review. Clinical Nutrition ESPEN. 2020;39:30-45.
  9. Trtovac D, Lee J. The use of technology in identifying hospital malnutrition: scoping review. JMIR Medical Informatics. 2018;6(1):e4.
  10. Tarantino S, Sulz I, Barazzoni R, Preiser J-C, Gonzales M, Perez Cano A, et al. NutritionDay worldwide annual report 2019. Clinical Nutrition ESPEN. 2022 .
  11. Serón-Arbeloa C, Labarta-Monzón L, Puzo-Foncillas J, Mallor-Bonet T, Lafita-López A, Bueno-Vidales N, et al. Malnutrition Screening and Assessment. Nutrients. 2022;14(12).
  12. Leij-Halfwerk S, Verwijs MH, van Houdt S, Borkent JW, Guaitoli PR, Pelgrim T, et al. Prevalence of protein-energy malnutrition risk in European older adults in community, residential and hospital settings, according to 22 malnutrition screening tools validated for use in adults ≥65 years: A systematic review and meta-analysis. Maturitas. 2019;126:80-9.
  13. Böhne SEJ, Hiesmayr M, Sulz I, Tarantino S, Wirth R, Volkert D. Recent and current low food intake – prevalence and associated factors in hospital patients from different medical specialities. European Journal of Clinical Nutrition. 2022;76(10):1440-8.
  14. Tarantino S, Hiesmayr M, Sulz I. nutritionDay Worldwide Annual Report 2019. Clinical Nutrition ESPEN. 2022;49:560-667.
  15. Poudineh S, Shayesteh F, Kermanchi J, Haghdoost AA, Torabi P, Pasdar Y, et al. A multi-centre survey on hospital malnutrition: result of PNSI study. Nutr J. 2021;20(1):87.
  16. Williams FN, Herndon DN, Jeschke MG. The hypermetabolic response to burn injury and interventions to modify this response. Clin Plast Surg. 2009;36(4):583-96.
  17. Chan MM, Chan GM. Nutritional therapy for burns in children and adults. Nutrition. 2009;25(3):261-9.
  18. Clark A, Imran J, Madni T, Wolf SE. Nutrition and metabolism in burn patients. Burns & trauma. 2017;5.
  19. Yu YM, Tompkins RG, Ryan CM, Young VR. The metabolic basis of the increase in energy expenditure in severely burned patients. Journal of Parenteral and Enteral Nutrition. 1999;23(3):160-8.
  20. Williams FN, Herndon DN, Jeschke MG. The hypermetabolic response to burn injury and interventions to modify this response. Clinics in plastic surgery. 2009;36(4):583-96.
  21. Demling RH, Seigne P. Metabolic management of patients with severe burns. World Journal of Surgery. 2000;24:673-80.
  22. Magnotti LJ, Deitch EA. Burns, bacterial translocation, gut barrier function, and failure. The Journal of Burn Care & Rehabilitation. 2005;26(5):383-91.
  23. Graves C, Saffle J, Morris S. Comparison of urine urea nitrogen collection times in critically ill patients. Nutrition in Clinical Practice. 2005;20(2):271-5.
  24. Law ML. Cancer cachexia: Pathophysiology and association with cancer-related pain. Frontiers in Pain Research. 2022;3:971295.
  25. Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, et al. Definition and classification of cancer cachexia: an international consensus. The Lancet Oncology. 2011;12(5):489-95.
  26. Del Fabbro E. Combination therapy in cachexia. Ann Palliat Med. 2019;8(1):59-66.
  27. Mantovani G, Macciò A, Madeddu C, Serpe R, Massa E, Dessì M, et al. Randomized phase III clinical trial of five different arms of treatment in 332 patients with cancer cachexia. The Oncologist. 2010;15(2):200-11.
  28. Wu Q, Liu Z, Li B, Liu Y-e, Wang P. Immunoregulation in cancer-associated cachexia. Journal of Advanced Research. 2023.
  29. Fromhold-Treu S, Lamprecht G. [Gastrointestinal causes of weight loss: clinical presentation, diagnostic workup and therapy]. Dtsch Med Wochenschr. 2016;141(4):253-60.
  30. Sawczenko A, Sandhu B. Presenting features of inflammatory bowel disease in Great Britain and Ireland. Archives of Disease in Childhood. 2003;88(11):995-1000.
  31. Elsherif Y, Alexakis C, Mendall M. Determinants of Weight Loss prior to Diagnosis in Inflammatory Bowel Disease: A Retrospective Observational Study. Gastroenterol Res Pract. 2014;2014:762191.
  32. Rigaud D, Cerf M, Sobhani I, Carduner M, Mignon M. Increase of resting energy expenditure during flare-ups in Crohn disease. Gastroenterologie Clinique et Biologique. 1993;17(12):932-7.
  33. Karmiris K, Koutroubakis IE, Kouroumalis EA. Leptin, adiponectin, resistin, and ghrelin–implications for inflammatory bowel disease. Molecular Nutrition & Food Research. 2008;52(8):855-66.
  34. Konturek PC, Herrmann HJ, Schink K, Neurath MF, Zopf Y. Malnutrition in hospitals: it was, is now, and must not remain a problem! Medical science monitor: International Medical Journal of Experimental and Clinical Research. 2015;21:2969.
  35. Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’(‘MUST’) for adults. British Journal of Nutrition. 2004;92(5):799-808.
  36. Vidal A, Iglesias MJ, Pertega S, Ayúcar A, Vidal O. Prevalence of malnutrition in medical and surgical wards of a university hospital. Nutrición Hospitalaria. 2008;23(3):263-7.
Journal of Nutrition,Fasting and Health
Volume 12, Issue 3
Summer 2024
Pages 141-158

  • Receive Date 12 May 2024
  • Revise Date 20 June 2024
  • Accept Date 24 June 2024