PDF
ePub
Citation
Print
Abstract
Nutritional screening and assessment in patients with malnutrition is the critical first step for nutritional care. Although nutritional assessment is a rigorous process that includes obtaining diet and medical history, current clinical status, physical examination, anthropometric data, laboratory data, and often functional and economic information, it is a very effective and worthy practice in terms of reducing various complications, morbidity, mortality and total medical costs. Systematic approaches with appropriate tools for nutritional screening and assessment are needed based on the clinical situations in each institute.
References
1. Chang DK. Hospital malnutrition. Intest Res. 2013; 11:238–242.
2. Haider M, Haider SQ. Assessment of protein-calorie malnutrition. Clin Chem. 1984; 30:1286–1299.
3. Plauth M, Merli M, Kondrup J, Weimann A, Ferenci P, Müller MJ. ESPEN Consensus Group. ESPEN guidelines for nutrition in liver disease and transplantation. Clin Nutr. 1997; 16:43–55.
4. Yoon SY, Jung SA. Nutritional support in patients with inflammatory bowel diseases. Intest Res. 2013; 11:243–249.
5. Singer P, Berger MM, Van den Berghe G, et al. ESPEN guidelines on parenteral nutrition: intensive care. Clin Nutr. 2009; 28:387–400.
6. Dvir D, Cohen J, Singer P. Computerized energy balance and complications in critically ill patients: an observational study. Clin Nutr. 2006; 25:37–44.
7. Whitney EN, Cataldo CB, Rolfes SR. Understanding normal and clinical nutrition. 6th ed.Belmont, CA: Wadsworth;2002.
8. Merli M, Riggio O, Romiti A, et al. Basal energy production rate and substrate use in stable cirrhotic patients. Hepatology. 1990; 12:106–112.
9. Mueller C, Compher C, Ellen DM. American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: nutrition screening, assessment, and intervention in adults. JPEN J Parenter Enteral Nutr. 2011; 35:16–24.
10. Stratton RJ, King CL, Stroud MA, Jackson AA, Elia M. 'Malnutrition Universal Screening Tool' predicts mortality and length of hospital stay in acutely ill elderly. Br J Nutr. 2006; 95:325–330.
11. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003; 22:415–421.
12. Vellas B, Guigoz Y, Garry PJ, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999; 15:116–122.
13. White JV, Guenter P, Jensen G, Malone A, Schofield M. Academy Malnutrition Work Group; A.S.P.E.N. Malnutrition Task Force; A.S.P.E.N. Board of Directors. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enteral Nutr. 2012; 36:275–283.
14. Jensen GL, Mirtallo J, Compher C, et al. International Consensus Guideline Committee. Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee. JPEN J Parenter Enteral Nutr. 2010; 34:156–159.
15. Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987; 11:8–13.
16. Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition. 1996; 12(1 Suppl):S15–S19.
17. Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition. 1999; 15:458–464.
18. Mullen JL, Buzby GP, Waldman MT, Gertner MH, Hobbs CL, Rosato EF. Prediction of operative morbidity and mortality by pre-operative nutritional assessment. Surg Forum. 1979; 30:80–82.
19. The Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med. 1991; 325:525–532.
20. Kruizenga HM, Seidell JC, de Vet HC, Wierdsma NJ, van Bokhorst-de van der Schueren MA. Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ). Clin Nutr. 2005; 24:75–82.
21. Martindale RG, McClave SA, Vanek VW, et al. American College of Critical Care Medicine; A.S.P.E.N. Board of Directors. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: Executive Summary. Crit Care Med. 2009; 37:1757–1761.
22. Long MD, Crandall WV, Leibowitz IH, et al. ImproveCareNow Collaborative for Pediatric IBD. Prevalence and epidemiology of overweight and obesity in children with inflammatory bowel disease. Inflamm Bowel Dis. 2011; 17:2162–2168.
23. Shea MK, Houston DK, Nicklas BJ, et al. The effect of random-ization to weight loss on total mortality in older overweight and obese adults: the ADAPT Study. J Gerontol A Biol Sci Med Sci. 2010; 65:519–525.
24. Han TS, Tajar A, Lean ME. Obesity and weight management in the elderly. Br Med Bull. 2011; 97:169–196.
25. Zawada ET Jr. Malnutrition in the elderly. Is it simply a matter of not eating enough? Postgrad Med. 1996; 100:207–208.
26. Lanfranchi GA, Brignola C, Campieri M, et al. Assessment of nutritional status in Crohn's disease in remission or low activity. Hepatogastroenterology. 1984; 31:129–132.
27. O'Sullivan M, O'Morain C. Nutrition in inflammatory bowel disease. Best Pract Res Clin Gastroenterol. 2006; 20:561–573.
28. Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr. 1981; 34:2540–2545.
29. Jensen GL, Hsiao PY, Wheeler D. Adult nutrition assessment tutorial. JPEN J Parenter Enteral Nutr. 2012; 36:267–274.
30. Jonnalagadda SS, Mitchell DC, Smiciklas-Wright H, et al. Accuracy of energy intake data estimated by a multiple-pass, 24-hour dietary recall technique. J Am Diet Assoc. 2000; 100:303–308. quiz 309–311.
31. Wilson MM, Vaswani S, Liu D, Morley JE, Miller DK. Prevalence and causes of undernutrition in medical outpatients. Am J Med. 1998; 104:56–63.
32. Curb JD, Ceria-Ulep CD, Rodriguez BL, et al. Performance-based measures of physical function for high-function populations. J Am Geriatr Soc. 2006; 54:737–742.
33. Chang DK. Hospital malnutrition. Intest Res. 2013; 11:238–242.
Table 1.
Instruments for Nutritional Screening and Assessment
XML Download