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1

Susetyowati, Susetyowati, Rizka Maulida Sarasati, Farah Rizqi, Nadira D'mas Getare Sanubari i Atikah Nuraini. "Determining the Valid Tools to Screen Malnutrition in Cancer Patients: A Comparison to Patient Generated-Subjective Global Assessment (PG-SGA)". Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) 11, nr 1 (2.12.2022): 49–56. http://dx.doi.org/10.14710/jgi.11.1.49-56.

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Background: Nutrition screening tools are necessary to predict the risk of malnutrition for cancer patients. Objectives: This study aimed to investigate the validity of nutrition screening tools in identifying malnutrition among cancer patients.Materials and Methods: This cross-sectional study involved 175 oncology patients in Dr. Sardjito General Hospital. Malnutrition risk of participants was screened using Nutrition Risk Screening (NRS) 2002, Simple Nutrition Screening Tool (SNST), Malnutrition Screening Tool (MST), Nutriscore, and the Royal Marsden Nutrition Screening Tool (RMNST). Patient Generated-Subjective Global Assessment (PG-SGA) was used as a gold standard. Nutritional assessments, including Body Mass Index (BMI), Mid-Upper Arm Circumference (MUAC), albumin, hemoglobin, Total Leucocytes Count (TLC), and Hand Grip Strength (HGS), were used to evaluate nutritional status.Results: The NRS 2002, SNST, MST, Nutriscore and RMNST identified nutritional risk in 64.6%; 58.9%; 49.1%; 30.3%; 84.6%, respectively. The SNST obtained the highest level of AUC discrimination (0.8) compared to NRS 2002 (0.7); MST (0.7); Nutriscore (0.7); and RMNST (0.7). There was a significant association between nutrition screening with nutritional parameters except for TLC (P>0.005). Patients who were at risk of malnutrition had a lower average of objective assessment tools.Conclusion: All the nutritional screenings were valid to screen for malnutrition risk among cancer patients. Nutritional screening has a strong correlation with nutritional assessment. The lower risk detected by nutrition screening, the poorer the nutrition status measured by nutrition assessments.
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Ribas, DF, RF Buzzini, RS Simões, G. Kelman i WM Bernardo. "Nutrition assessment - Home-based nutritional therapy". Revista da Associação Médica Brasileira 62, nr 8 (listopad 2016): 711–17. http://dx.doi.org/10.1590/1806-9282.62.08.711.

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Khor, Ban-Hock, Hui-Ci Tiong, Shing Cheng Tan, Raha Abdul Rahman i Abdul Halim Abdul Gafor. "Protein-Energy Wasting Assessment and Clinical Outcomes in Patients with Acute Kidney Injury: A Systematic Review with Meta-Analysis". Nutrients 12, nr 9 (13.09.2020): 2809. http://dx.doi.org/10.3390/nu12092809.

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Nutritional assessment is essential to identify patients with acute kidney injury (AKI) who are protein-energy wasting (PEW) and at risk of poor clinical outcomes. This systematic review aimed to investigate the relationship of nutritional assessments for PEW with clinical outcomes in patients with AKI. A systematic search was performed in PubMed, Scopus, and Cochrane Library databases using search terms related to PEW, nutrition assessment, and AKI to identify prospective cohort studies that involved AKI adult patients with at least one nutritional assessment performed and reported relevant clinical outcomes, such as mortality, length of stay, and renal outcomes associated with the nutritional parameters. Seventeen studies reporting eight nutritional parameters for PEW assessment were identified and mortality was the main clinical outcome reported. A meta-analysis showed that PEW assessed using subjective global assessment (SGA) was associated with greater mortality risk (RR: 1.99, 95% CI: 1.36–2.91). Individual nutrition parameters, such as serum chemistry, body mass, muscle mass, and dietary intakes, were not consistently associated with mortality. In conclusion, SGA is a valid tool for PEW assessment in patients with AKI, while other nutrition parameters in isolation had limited validity for PEW assessment.
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Corish, Clare A. "Pre-operative nutritional assessment". Proceedings of the Nutrition Society 58, nr 4 (listopad 1999): 821–29. http://dx.doi.org/10.1017/s0029665199001111.

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Protein-energy undernutrition, or the possibility of its development, has been documented to occur frequently in surgical patients admitted to hospital. Nutritional status is known to deteriorate over the course of the hospital stay, with poor awareness by medical and nursing staff as to the deleterious effects of impaired nutritional status on clinical outcome and hospital costs. While there is no consensus on the best method for assessment of the nutritional status of surgical patients pre-operatively, there are a number of techniques available. These techniques can be divided into two types, those suitable for screening for nutrition risk on admission to hospital and those used to fully assess nutritional status. Both techniques have their limitations, but if used correctly, and their limitations recognized, should identify the appropriate degree of nutritional intervention for an individual patient in a timely and cost-effective manner. The techniques currently available for nutritional screening and nutritional assessment are reviewed, and their applicability to the Irish setting are discussed in the present paper.
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Dawson, Joan. "NUTRITIONAL ASSESSMENT". Journal of Gerontological Nursing 12, nr 3 (1.03.1986): 37. http://dx.doi.org/10.3928/0098-9134-19860301-16.

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Lipman, Timothy O. "Nutritional assessment". Current Opinion in Gastroenterology 7, nr 2 (kwiecień 1991): 271–76. http://dx.doi.org/10.1097/00001574-199104000-00013.

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Walden, David T., i Samuel Klein. "Nutritional assessment". Current Opinion in Gastroenterology 8, nr 2 (kwiecień 1992): 286–89. http://dx.doi.org/10.1097/00001574-199204000-00015.

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Reilly, Helen. "Nutritional assessment". British Journal of Nursing 5, nr 1 (12.01.1996): 18–24. http://dx.doi.org/10.12968/bjon.1996.5.1.18.

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Johnston, I. D. A. "Nutritional assessment". Gut 26, nr 6 (1.06.1985): 645. http://dx.doi.org/10.1136/gut.26.6.645.

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Jeejeebhoy, Khursheed N. "Nutritional assessment". Nutrition 16, nr 7-8 (lipiec 2000): 585–90. http://dx.doi.org/10.1016/s0899-9007(00)00243-4.

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Jeejeebhoy, Khursheed N. "NUTRITIONAL ASSESSMENT". Gastroenterology Clinics of North America 27, nr 2 (czerwiec 1998): 347–69. http://dx.doi.org/10.1016/s0889-8553(05)70007-8.

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Smith, J. A. R. "Nutritional assessment". Clinical Nutrition 8, nr 1 (luty 1989): 60. http://dx.doi.org/10.1016/0261-5614(89)90029-0.

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Harrison, J. E., i K. G. McNeill. "Nutritional Assessment". Blood Purification 12, nr 1 (1994): 68–72. http://dx.doi.org/10.1159/000170147.

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Eirmann, Laura. "Nutritional Assessment". Veterinary Clinics of North America: Small Animal Practice 46, nr 5 (wrzesień 2016): 855–67. http://dx.doi.org/10.1016/j.cvsm.2016.04.012.

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DeLegge, Mark H., i Luke M. Drake. "Nutritional Assessment". Gastroenterology Clinics of North America 36, nr 1 (marzec 2007): 1–22. http://dx.doi.org/10.1016/j.gtc.2007.02.001.

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Pasulka, Patrick S., i George L. Blackburn. "Nutritional assessment". American Journal of Surgery 151, nr 5 (maj 1986): 576–80. http://dx.doi.org/10.1016/0002-9610(86)90551-9.

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Jawa, Randeep S., Rajeev B. Patel i David H. Young. "Nutritional Assessment". Critical Care Clinics 37, nr 1 (styczeń 2021): 205–19. http://dx.doi.org/10.1016/j.ccc.2020.08.011.

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Ahmad, Iftikhar. "ABCDE OF COMMUNITY NUTRITIONAL ASSESSMENT". Gomal Journal of Medical Sciences 17, nr 2 (30.06.2019): 27–28. http://dx.doi.org/10.46903/gjms/17.02.2059.

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Nutritional status of an individual generally depends on two factors; external factors including food safety, cultural, political & socio-economic and internal factors such as sex, age, behavior, physical activity, nutrition and overall health. Nutritional status of a community is the sum total of the nutritional statuses of the individuals residing in that particular community. Nutritional assessment is a detailed investigation ideally by a physician and a dietician to identify and quantify clinically relevant malnutrition. Nutritional management as a result of nutritional screening & assessment effectively reduces the risk of morbidity and mortality among communities. Nutritional screening involves two methods: directly through objective criteria from individuals and indirectly using community health and nutritional indices.
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Ueshima, Junko, Keisuke Maeda, Hidetaka Wakabayashi, Shinta Nishioka, Saori Nakahara i Yoji Kokura. "Comprehensive Geriatric Assessment and Nutrition-Related Assessment: A Cross-Sectional Survey for Health Professionals". Geriatrics 4, nr 1 (15.02.2019): 23. http://dx.doi.org/10.3390/geriatrics4010023.

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(1) Background: It is important to assess physical and nutritional status using the Comprehensive Geriatric Assessment (CGA). However, the correlation between the CGA usage and nutritional-related assessments remain unclear. This study aims to clarify the correlation between the CGA usage and other nutritional-related assessments. (2) Methods: We conducted a questionnaire survey on clinical use of CGA, assessment of sarcopenia/sarcopenic dysphagia/cachexia, and defining nutritional goals/the Nutrition Care Process/the International Classification of Functioning, Disability, and Health (ICF)/the Kuchi–Kara Taberu Index. (3) Results: The number of respondents was 652 (response rate, 12.0%), including 77 who used the CGA in the general practice. The univariate analyses revealed that participants using the CGA tended to assess sarcopenia (P = 0.029), sarcopenic dysphagia (P = 0.001), and define nutritional goals (P < 0.001). Multivariate logistic regression analyses for the CGA usage revealed that using ICF (P < 0.001), assessing sarcopenia (P = 0.001), sarcopenic dysphagia (P = 0.022), and cachexia (P = 0.039), and defining nutritional goals (P = 0.001) were statistically significant after adjusting for confounders. (4) Conclusions: There are correlations between the use of CGA and evaluation of sarcopenia, sarcopenic dysphagia, and cachexia and nutritional goals.
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Kitajima, Yukie. "Nutritional assessment and nutritional requirement". Journal of Japanese Society of Limb Salvage and Podiatric Medicine 4, nr 3 (2012): 117–25. http://dx.doi.org/10.7792/jlspm.4.117.

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McDonnell, M., C. Westoby, S. Sartain, P. Giannasca, J. Corthésy, Y. Grzywinski, A. Frézal, P. Capt, F. Cummings i S. Wootton. "P400 Identifying Nutritional targets in Crohn’s disease: INTICO1: a time-limited trial of exclusive enteral nutrition during adult CD remission". Journal of Crohn's and Colitis 17, Supplement_1 (30.01.2023): i530—i531. http://dx.doi.org/10.1093/ecco-jcc/jjac190.0530.

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Abstract Background During clinical remission in adult Crohn’s disease (CD), impaired health reacted quality of life and fatigue is common, and the nutritional state may be affected by factors such as restrictive eating and altered anatomy from previous inflammation or surgeries. Adults with CD in clinical remission do not routinely undergo nutritional assessments or intervention. The INTICO1 study used a time-limited trial of exclusive enteral nutrition (EEN) to expose and explore nutritionally sensitive aspects of in adults with CD during remission. The extent to which the nutritional state relates to the quality of CD remission and the potential role for nutritional therapies is neither well described nor understood. Methods This was a single arm longitudinal observation study with a dietary intervention. 24 adults in CD remission (Harvey Bradshaw &lt;5, faecal calprotectin &lt;250) underwent assessment of nutritional state at 3 time points; after habitual diet (assessment 1), after 7 days of polymeric EEN (assessment 2) and after a 2-week gradual return to habitual diet (assessment3). Assessments comprised food diary analysis, anthropometry, bio-electrical impedance analysis, routine pathology measures of micronutrient concentration, and patient reported outcome measures (PROMs). Results Assessment 1 (habitual diet) identified individuals with multiple inadequacies of intake (7% (26/368)) micronutrients bloods below the normal laboratory range (see table for analytes) reduced lean mass, low phase angle (PhA) and excessive fatigue (reduced SF-36 vitality). At assessment 2 (post EEN), subjects had fewer deficiencies 4% (16/368), with significant increases seen in Vitamins A, D, E, B2, B6, B9 and the minerals Ca, Cu, Po4 and Se. At visit 3 (return to free diet), micronutrient concentrations reverted toward assessment 1 level, although B6 and B9 remained significantly higher (pairwise comparison visit 1 vs visit 3). BIA measures of nutritional status (PhA) and the SF36 physical function score improved 1 and 2 (5.2 vs 5.4 p&lt;0.01 and 95 v100 p&lt;0.05) and returned to baseline levels on return to free diet (Assessment 3). Conclusion A time-limited trial (7 days) of EEN, given in this setting of adults in CD remission led to changes in micronutrient biochemistry, objective improvement in the bioelectrical properties of the body (increased phase angle) and an improvement in fatigue among the subjects as captured by the SF36-PF. The study suggests that impaired nutritional state and excessive fatigue is likely to be prevalent among adults with CD during remission and may be sensitive to nutritional intervention.
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Carruth, Betty Ruth. "Nutritional assessment: A guide for nutrition educators". Journal of Nutrition Education 20, nr 6 (grudzień 1988): 280–88. http://dx.doi.org/10.1016/s0022-3182(88)80005-0.

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Al Kalaldeh, Mahmoud, i Mahmoud Shahein. "Nurses' Knowledge and Responsibility toward Nutritional Assessment for Patients in Intensive Care Units". Journal of Health Sciences 4, nr 2 (9.09.2014): 90–96. http://dx.doi.org/10.17532/jhsci.2014.168.

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Introduction: Nutritional assessment is a prerequisite for nutritional delivery. Patients in intensive care suffer from under-nutrition and nutritional failure due to poor assessment. Nursing ability to early detect nutritional failure is the key for minimizing imparities in practice and attaining nutritional goals. Aim of this article is to examine the ability of Jordanian ICU nurses to assess the nutritional status of critically ill patients, considering biophysical and biochemical measures.Methods: This cross sectional study recruited nurses from different health sectors in Jordan. ICU nurses from the governmental sector (two hospitals) and private sectors (two hospitals) were surveyed using a self-administered questionnaire. Nurses' knowledge and responsibility towards nutritional assessment were examined.Results: A total of 220 nurses from both sectors have completed the questionnaire. Nurses were consistent in regard to knowledge, responsibility, and documentation of nutritional assessment. Nurses in the governmental hospitals inappropriately perceived the application of aspiration reduction measures. However, they scored higher in applying physical examination and anthropometric assessment. Although both nurses claimed higher use of biochemical measurements, biophysical measurements were less frequently used. Older nurses with longer clinical experience exhibited better adherence to biophysical measurement than younger nurses.Conclusion: Nursing nutritional assessment is still suboptimal to attain nutritional goals. Assessment of body weight, history of nutrition intake, severity of illness, and function of gastrointestinal tract should be considered over measuring albumin and pre-albumin levels. A well-defined evidence-based protocol as well as a multidisciplinary nutritional team for nutritional assessment is the best to minimize episodes of under-nutrition.
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Barber, Jacqueline R. "Nutritional Assessment and Support in Long-term Care Facilities". Journal of Pharmacy Practice 1, nr 3 (grudzień 1988): 209–17. http://dx.doi.org/10.1177/089719008800100310.

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In recent years, malnutrition has become recognized as a widespread phenomenon with significant potential for complicating the course of medical treatment and compromising quality of life for hospitalized patients, many of whom are elderly. Added to this has been a heightened awareness of the needs of the institutionalized geriatric segment of our population. This group is now acknowledged as being at significant risk for nutritionally related morbidity as a result of advanced age, chronic or underlying disease, multiple drug therapy, and/or a host of social, psychological, and economic factors. The questions arise of how to identify those at risk, define the extent of their nutritional problems, and then how to best address their needs in a safe and effective manner. Recent technological advances in parenteral and enteral nutrition coupled with increasing clinical experience have greatly improved the care of the malnourished patient in the hospital, and have fostered the development of programs for outpatient nutritional management as well. Along with more sophisticated methods of providing nutritional care, various strategies are evolving for coordination and administration of nutritional assessment and support in the nation's long-term care facilities based on experience with hospitalized patients and home nutritional support programs. Clearly, there is a need for research and further attention to providing such services to these individuals. Pharmacists are now finding great professional opportunity in responding to the demand for specialized nutritional support services in this rapidly growing elderly segment of our population.
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Schoeman, Judy, Elena J. Ladas, Paul C. Rogers, Suvekshya Aryal i Mariana Kruger. "Unmet Needs in Nutritional Care in African Paediatric Oncology Units". Journal of Tropical Pediatrics 65, nr 4 (30.11.2018): 397–404. http://dx.doi.org/10.1093/tropej/fmy068.

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Abstract Background Up to 50% of children diagnosed with cancer in low- and middle-income countries are malnourished, which likely affects survival. Subjects and methods An online survey to paediatric oncology units (POUs) in Africa was done regarding nutritional assessment and care. Results Sixty-six surveys were received from POUs in 31 countries. Only 44.4% had a dedicated dietician for nutritional assessment and support; 29.6% undertook routine nutritional assessment during treatment. None reported defined criteria for nutritional intervention. Total parenteral nutrition was not available for 42.6% of POUs, while 51.8% did not have access to commercial enteral nutrition for inpatients, and 25.9% of the hospitals could not supply any home-based nutritional supplements. Conclusion Nutritional assessment in POUs in Africa is neither routinely undertaken nor are there defined criteria to initiate nutritional interventions. Standardized guidelines for nutritional assessment and interventions are needed for African POUs to enable improved outcome.
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Cereda, Emanuele. "Mini Nutritional Assessment". Current Opinion in Clinical Nutrition and Metabolic Care 15, nr 1 (styczeń 2012): 29–41. http://dx.doi.org/10.1097/mco.0b013e32834d7647.

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Twomey, Patrick. "Assessing Nutritional Assessment". Journal of Parenteral and Enteral Nutrition 11, nr 5 (wrzesień 1987): 433–34. http://dx.doi.org/10.1177/0148607187011005433.

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Cox, Jeanne McQuaid. "Pediatric Nutritional Assessment". Journal of Pediatric & Prenatal Nutrition 2, nr 2 (11.01.1991): 17–41. http://dx.doi.org/10.1300/j290v02n02_02.

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Dabhi, Dr Leena, i Dr Jayesh Dutt. "ASSESSMENT OF NUTRITIONAL STATUS OF PATIENTS WITH COPDBYSUBJECTIVE GLOBAL ASSESSMENT(SGA)". International Journal of Scientific Research 3, nr 3 (1.06.2012): 247–48. http://dx.doi.org/10.15373/22778179/march2014/83.

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Corbee, Ronald Jan, Rilana van de Lande i Inge van Duiven. "Setting up a nurse-led nutrition service". Veterinary Nurse 10, nr 8 (2.10.2019): 404–9. http://dx.doi.org/10.12968/vetn.2019.10.8.404.

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Nutrition is a very important aspect of basic veterinary care. This is recognised by the WSAVA, as nutritional assessment is regarded as the 5th vital assessment. Veterinary nurses play a key role is nutritional assessment, nutritional recommendation, and follow up. This article will describe how to set up a nurse-led nutrition service, with Utrecht University Companion Animal Clinic as an example.
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N, Bharathi. "Mini Nutritional Assessment (MNA) of Elderly Hospitalized Patients undergoing Urological Surgery". JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES 06, nr 2 (15.06.2016): 50–53. http://dx.doi.org/10.58739/jcbs/v06i2.2.

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Background: Malnutrition in hospitalized elderly patients is common and often unrecognized. Undernourished elderly tend to have longer periods of illness, longer hospital stay, higher rate of infections, delayed wound healing, reduced appetite and increased mortality rates. Nutrition screening is the first step in identifying individuals at nutritional risk and with malnutrition. ‘Mini Nutritional Assessment’ (MNA) screening tool has been used in different settings to screen elderly for risk of nutrition deficiency. The MNA is an 18-item tool comprising anthropometric measurements combined with a questionnaire regarding die-tary intake, a global assessment and a self-assessment. Aims: This purpose of the study among the elderly patients admitted for urological surgery is to find those who are malnourished and at risk for malnutrition. Materials and methods: The study is carried out at a public referral hospital for nephro-urological condi-tions on patients aged 60 yrs and above who were admitted for urological surgery. Patients were screened on admission by MNA screening tool and identified as having adequate nutrition status (MNA score >23.5), at nutritional risk (17- 23.5) and with malnutrition (score <17). Results: The mean age of the 120 elderly patients studied was 65.4 ± 5.3 yrs and the mean BMI was 19.4 ± 2.17. Of them 7.5% were found to be mal-nourished and 52.5% were at risk of malnutrition. Conclusions: The findings highlight the need for routine nutritional screening of hospitalized elderly surgical patients and for a nutrition intervention for the mal-nourished and to those at risk for malnutrition. Keywords: elderly, urological surgery, MNA, nutrition assessment, geriatric.
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Sharashkina, N. V., N. K. Runikhina i O. N. Tkacheva. "Nurse protocol: nutrition and malnutrition assessment". Russian Journal of Geriatric Medicine, nr 1 (14.02.2020): 93–97. http://dx.doi.org/10.37586/2686-8636-1-2020-93-97.

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Hospitalized older adults are at risk of malnutrition. Nurses should carefully assess and monitor the nutritional status of the older hospitalized patient so that appropriate nutrition-related interventions can be implemented in timely fashions.Elderly patients are at risk of malnutrition due to dietary, economic, psychological and physiological factors. Older people are at risk of developing malnutrition. This condition or the risk of its development is observed in 39–47% of hospitalized elderly patients. The use of the Mini-Nutritional Assessment (MNA) is recommended to identify malnutrition or the risks of its development. The MNA scale takes into account the diet, patient mobility, BMI, the dynamics of weight loss, psychological stress, acute diseases, dementia and other mental features of the patient.Management plan of a patient with malnutrition: monitoring the implementation of the recommendations of a dietitian, clinical pharmacologist, and other specialists who determine the patient’s nutrition, ensuring adequate supply of nutrients, clinical nutrition (artificial nutrition, special nutritional support, parenteral, enteral nutrition, or a combination thereof), oral administration dietary supplements.
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Mitchell, Michael A., Donald R. Duerksen i Adam Rahman. "Are housestaff identifying malnourished hospitalized medicine patients?" Applied Physiology, Nutrition, and Metabolism 39, nr 10 (październik 2014): 1192–95. http://dx.doi.org/10.1139/apnm-2014-0133.

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Clinical nutrition and nutritional assessment are often a neglected component of medical school curriculums despite the high prevalence of malnutrition in hospitalized patients. This study found that medical housestaff performed nutritional assessments in only 4% of admitted patients despite a high rate of malnutrition (57%). Survey results show housestaff lack knowledge in the area of malnutrition. Medical schools and training programs must place greater emphasis of providing qualified physician nutrition specialists to implement effective nutrition instruction.
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Tsvigun, A. Т., i O. А. Tsvigun. "Assessment of nutritional approaches to nutritional requirements". Animal Husbandry of the Steppe of Ukraine 1, nr 1 (11.10.2022): 98–103. http://dx.doi.org/10.31867/2786-6750.1.1.2022.98-103.

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The article presents the results of scientific, economic and physiological experiments conducted on Ukrainian black-spotted and red-spotted cows in different phases of lactation: Ukrainian (2009), English FIM (2004) and US NRC (2001) feeding standards. It was found that feeding dairy cows according to the Ukrainian (2009) English (FIM, 2004) and US NRC (2001) provides almost the same productivity. In general, in all diets, the ratio between Calcium and Phosphorus was more than 2: 1, due to the excess in the diets of Calcium in two or more times. The ratio of Potassium to Magnesium in all diets was more than three, which is recommended for cows. It was found that the cation-anion balance in the diets of dairy cows was within physiological limits. Alkaline elements were predominant acidic, ie the balance was positive. The concentration of crude fat in the NRC, 2001 and FIM, 2004 was significantly lower (26.3 - 53.0 %), and that the content of Calcium, Phosphorus, Sulfur, Iron, Cobalt, Manganese, Iodine and Selenium compared to Ukrainian standards in all phases of lactation. Cows that received rations according to NRC and FIM norms had higher milk productivity than Ukrainian ones, but unevenly during lactation phases. Thus, in the first phase of lactation, according to English standards, milk yields were 3.3% higher, and according to US standards - 3.4% lower compared to Ukrainian standards. In the second phase of lactation milk yields according to Ukrainian and English standards were almost the same. Whereas under US standards, milk yields were 6.6% higher than in Ukraine. In the third phase of lactation, milk yields were 3.9% higher in English standards and 8.1% higher in US standards than in Ukrainian standards.
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Smith, Lloyd C., i James L. Mullen. "Nutritional Assessment and Indications for Nutritional Support". Surgical Clinics of North America 71, nr 3 (czerwiec 1991): 449–57. http://dx.doi.org/10.1016/s0039-6109(16)45426-5.

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Lumbis, Rachel H., i Minna Rinkinen. "Veterinary nutritional assessment: the importance of an interprofessional approach". Veterinary Nurse 13, nr 5 (2.06.2022): 214–19. http://dx.doi.org/10.12968/vetn.2022.13.5.214.

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Few pet topics provoke more debate and discussion than pet nutrition. The veterinary healthcare team have a central role as the expert source of information for optimal pet nutrition, with each member capable of playing an important part in providing optimal nutritional support and recommendations. This article provides an important reminder of nutritional assessment and specific dietary recommendations as the fifth vital assessment and an essential part of patient care for every pet at every visit. It also presents the non-branded support materials and practical aids available in the WSAVA Global Nutrition Toolkit. Using a patient scenario, consideration is given to how nutritional care and support can be enhanced through interprofessional practice.
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37

Baxter, J. P. "Problems of nutritional assessment in the acute setting". Proceedings of the Nutrition Society 58, nr 1 (luty 1999): 39–46. http://dx.doi.org/10.1079/pns19990006.

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Surveys have shown that 20–50 % of hospital admissions suffer from nutritional depletion and that there is failure to recognize its existence and significance. More emphasis must be placed in clinical medicine on identifying subjects who are at high risk of developing disease-related malnutrition. There is a need to screen patients on admission to hospital to identify those at risk of nutrition-related complications. More formal determination of nutritional status should be carried out to define the nutritional status of the patient and to monitor changes in nutritional status during nutritional support. The most frequently used tests of nutritional status include dietary, anthropometric, biochemical and functional indices of nutritional status. It is important, and indeed is the skill of the nutritional care team (particularly the dietitian) to be able to evaluate these measurements, as many of them are affected by non-nutritional factors. There is no consensus on the best method for the accurate assessment of nutritional status. Practical difficulties arise with individual measurements and in their interpretation in the acute setting. The aim of the present paper is to identify the most relevant variables to measure in clinical medicine, and to discuss the limitations of their use in the acute setting.
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Walton, Janette. "Dietary Assessment Methodology for Nutritional Assessment". Topics in Clinical Nutrition 30, nr 1 (2015): 33–46. http://dx.doi.org/10.1097/tin.0000000000000018.

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Kumar Sahu, Prafull, i Arun Kumar. "Nutritional Assessment among Tribal Population of Gram Panchayat – Umariya Dadar, of District Bilaspur of Chhattisgarh". Indian Journal of Research in Anthropology 5, nr 2 (15.12.2019): 65–70. http://dx.doi.org/10.21088/ijra.2454.9118.5219.2.

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The nutrition is essential to ensure healthy growth, strong immune system, neurological, cognitive development and proper organ formation and function among individual. The present study aims to assess the nutritional status among male tribal population of gram panchayat-Umariya Dadar, Bilaspur. To fulfill the objective of the present study subject were randomly selected individuals and measured for anthropometric characters and interviewed for the socio-demographic status. Worldwide nutritional assessment indicator body mass index used to assess the level of nutrition. The One Way ANOVAs test shows that the average value of somatometric measurements statistically different in-between age group. Among them, there are significant age and tribe differences found between nutritional statuses.
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Zheng, Jianheng, Feng Wu, Feijie Wang, Junrui Cheng, Hong Zou, Yuan Li, Jun Du i Juntao Kan. "Biomarkers of Micronutrients and Phytonutrients and Their Application in Epidemiological Studies". Nutrients 15, nr 4 (15.02.2023): 970. http://dx.doi.org/10.3390/nu15040970.

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Nutritional biomarkers can be used as important indicators of nutritional status and play crucial roles in the prevention as well as prognosis optimization of various metabolism-related diseases. Measuring dietary with the deployment of biomarker assessments provides quantitative nutritional information that can better predict the health outcomes. With the increased availability of nutritional biomarkers and the development of assessment tools, the specificity and sensitivity of nutritional biomarkers have been greatly improved. This enables efficient disease surveillance in nutrition research. A wide range of biomarkers have been used in different types of studies, including clinical trials, observational studies, and qualitative studies, to reflect the relationship between diet and health. Through a comprehensive literature search, we reviewed the well-established nutritional biomarkers of vitamins, minerals, and phytonutrients, and their association with epidemiological studies, to better understand the role of nutrition in health and disease.
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Klanjšek, Petra, Majda Pajnkihar, Nataša Marčun Varda, Mirjam Močnik, Sonja Golob Jančič i Petra Povalej Bržan. "Development and Validation of a New Screening Tool with Non-Invasive Indicators for Assessment of Malnutrition Risk in Hospitalised Children". Children 9, nr 5 (17.05.2022): 731. http://dx.doi.org/10.3390/children9050731.

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There is no evidence of the most effective nutritional screening tool for hospitalized children. The present study aimed to develop a quick, simple, and valid screening tool for identifying malnutrition risk of hospital admission with non-invasive indicators. A cross-sectional study was conducted. Children`s nutritional baseline using a questionnaire, subjective malnutritional risk, and Subjective Global Nutritional Assessment were assessed on admission. Concurrent validity was assessed using American Society for Parenteral and Enteral Nutrition (ASPEN)and Academy of Nutrition and Dietetics assessment and Subjective Global Nutritional Assessment tool. A new screening tool Simple Pediatric Nutritional risk Screening tool (SPENS) was developed, and sensitivity, specificity and reliability were evaluated. A total of 180 children aged from 1 month to 18 years were included (142 in the development phase and 38 in the validation phase). SPENS consist of four variables and shows almost perfect agreement with subjective malnutritional risk assessment (κ = 0.837) with high sensitivity and specificity (93.3% and 91.3% respectively). Compared with Subjective Global Nutritional Assessment and ASPEN and Academy of Nutrition and Dietetics assessment, SPENS had sensitivity 92.9% and 86.7%, a specificity of 87.5% and 87.0%, and an overall agreement of 0.78 and 0.728, respectively. Due to the fast, simple, easy, and practical to use, screening the SPENS can be performed by nurses, physicians, and dieticians.
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42

Talwar, B., R. Donnelly, R. Skelly i M. Donaldson. "Nutritional management in head and neck cancer: United Kingdom National Multidisciplinary Guidelines". Journal of Laryngology & Otology 130, S2 (maj 2016): S32—S40. http://dx.doi.org/10.1017/s0022215116000402.

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AbstractNutritional support and intervention is an integral component of head and neck cancer management. Patients can be malnourished at presentation, and the majority of patients undergoing treatment for head and neck cancer will need nutritional support. This paper summarises aspects of nutritional considerations for this patient group and provides recommendations for the practising clinician.Recommendations• A specialist dietitian should be part of the multidisciplinary team for treating head and neck cancer patients throughout the continuum of care as frequent dietetic contact has been shown to have enhanced outcomes. (R)• Patients with head and neck cancer should be nutritionally screened using a validated screening tool at diagnosis and then repeated at intervals through each stage of treatment. (R)• Patients at high risk should be referred to the dietitian for early intervention. (R)• Offer treatment for malnutrition and appropriate nutrition support without delay given the adverse impact on clinical, patient reported and financial outcomes. (R)• Use a validated nutrition assessment tool (e.g. scored Patient Generated–Subjective Global Assessment or Subjective Global Assessment) to assess nutritional status. (R)• Offer pre-treatment assessment prior to any treatment as intervention aims to improve, maintain or reduce decline in nutritional status of head and neck cancer patients who have malnutrition or are at risk of malnutrition. (G)• Patients identified as well-nourished at baseline but whose treatment may impact on their future nutritional status should receive dietetic assessment and intervention at any stage of the pathway. (G)• Aim for energy intakes of at least 30 kcal/kg/day. As energy requirements may be elevated post-operatively, monitor weight and adjust intake as required. (R)• Aim for energy and protein intakes of at least 30 kcal/kg/day and 1.2 g protein/kg/day in patients receiving radiotherapy or chemoradiotherapy. Patients should have their weight and nutritional intake monitored regularly to determine whether their energy requirements are being met. (R)• Perform nutritional assessment of cancer patients frequently. (G)• Initiate nutritional intervention early when deficits are detected. (G)• Integrate measures to modulate cancer cachexia changes into the nutritional management. (G)• Start nutritional therapy if undernutrition already exists or if it is anticipated that the patient will be unable to eat for more than 7 days. Enteral nutrition should also be started if an inadequate food intake (60 per cent of estimated energy expenditure) is anticipated for more than 10 days. (R)• Use standard polymeric feed. (G)• Consider gastrostomy insertion if long-term tube feeding is necessary (greater than four weeks). (R)• Monitor nutritional parameters regularly throughout the patient's cancer journey. (G)• Pre-operative:○ Patients with severe nutritional risk should receive nutrition support for 10–14 days prior to major surgery even if surgery has to be delayed. (R)○ Consider carbohydrate loading in patients undergoing head and neck surgery. (R)• Post-operative:○ Initiate tube feeding within 24 hours of surgery. (R)○ Consider early oral feeding after primary laryngectomy. (R)• Chyle Leak:○ Confirm chyle leak by analysis of drainage fluid for triglycerides and chylomicrons. (R)○ Commence nutritional intervention with fat free or medium chain triglyceride nutritional supplements either orally or via a feeding tube. (R)○ Consider parenteral nutrition in severe cases when drainage volume is consistently high. (G)• Weekly dietetic intervention is offered for all patients undergoing radiotherapy treatment to prevent weight loss, increase intake and reduce treatments interruptions. (R)• Offer prophylactic tube feeding as part of locally agreed guidelines, where oral nutrition is inadequate. (R)• Offer nutritional intervention (dietary counselling and/or supplements) for up to three months after treatment. (R)• Patients who have completed their rehabilitation and are disease free should be offered healthy eating advice as part of a health and wellbeing clinic. (G)• Quality of life parameters including nutritional and swallowing, should be measured at diagnosis and at regular intervals post-treatment. (G)
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Esmayel, Emam M. M., Mohsen M. Eldarawy, Mohamed M. M. Hassan, Hassan Mahmoud Hassanin, Walid M. Reda Ashour i Wael Mahmoud. "Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables". Journal of Aging Research 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/101725.

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Background.This work was constructed in order to assess the nutritional and functional status in hospitalized elderly and to study the associations between them and sociodemographic variables.Methods.200 elderly patients (>65 years old) admitted to Internal Medicine and Neurology Departments in nonemergency conditions were included. Comprehensive geriatric assessments, including nutritional and functional assessments, were done according to nutritional checklist and Barthel index, respectively. Information was gathered from the patients, from the ward nurse responsible for the patient, and from family members who were reviewed.Results.According to the nutritional checklist, 56% of participants were at high risk, 18% were at moderate risk of malnutrition, and 26% had good nutrition. There was a high nutritional risk in patients with low income and good nutrition in patients with moderate income. Also, there was a high nutritional risk in rural residents (61.9%) in comparison with urban residents (25%). Barthel index score was significantly lower in those at high risk of malnutrition compared to those at moderate risk and those with good nutrition.Conclusions.Hospitalized elderly are exposed to malnutrition, and malnourished hospitalized patients are candidates for functional impairment. Significant associations are noticed between both nutritional and functional status and specific sociodemographic variables.
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Ueshima, Junko, Ryo Momosaki, Akio Shimizu, Keiko Motokawa, Mika Sonoi, Yuka Shirai, Chiharu Uno i in. "Nutritional Assessment in Adult Patients with Dysphagia: A Scoping Review". Nutrients 13, nr 3 (27.02.2021): 778. http://dx.doi.org/10.3390/nu13030778.

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Malnutrition negatively affects the quality of life of patients with dysphagia. Despite the need for nutritional status assessment in patients with dysphagia, standard, effective nutritional assessments are not yet available, and the identification of optimal nutritional assessment items for patients with dysphagia is inadequate. We conducted a scoping review of the use of nutritional assessment items in adult patients with oropharyngeal and esophageal dysphagia. The MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched to identify articles published in English within the last 30 years. Twenty-two studies met the inclusion criteria. Seven nutritional assessment categories were identified: body mass index (BMI), nutritional screening tool, anthropometric measurements, body composition, dietary assessment, blood biomarkers, and other. BMI and albumin were more commonly assessed in adults. The Global Leadership Initiative on Malnutrition (GLIM), defining new diagnostic criteria for malnutrition, includes the categories of BMI, nutritional screening tool, anthropometric measurements, body composition, and dietary assessment as its required components, but not the blood biomarkers and the “other” categories. We recommend assessing nutritional status, including GLIM criteria, in adult patients with dysphagia. This would standardize nutritional assessments in patients with dysphagia and allow future global comparisons of the prevalence and outcomes of malnutrition, as well as of appropriate interventions.
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Saka, Bulent, Gulistan Bahat Ozturk, Sami Uzun, Nilgun Erten, Sema Genc, Mehmet Akif Karan, Cemil Tascioglu i Abdulkadir Kaysi. "Nutritional risk in hospitalized patients: impact of nutritional status on serum prealbumin". Revista de Nutrição 24, nr 1 (luty 2011): 89–98. http://dx.doi.org/10.1590/s1415-52732011000100009.

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OBJECTIVE: Poor recognition and monitoring of nutritional status is the most important cause of malnutrition in hospitalized patients. The aim of this study was to assess the nutritional status of a group of patients and compare the results with their serum prealbumin levels. METHODS: Ninety-seven patients admitted consecutively to the hospital were enrolled in the study. The risk of malnutrition was assessed according to anthropometric data and the Subjective Global Assessment and Nutrition Risk Screening 2002 tools. The nutritional statuses of the patients were compared with their age, gender, body mass index, medical history, weight loss and routine biochemical analyses, including prealbumin and length of hospital stay. RESULTS: According to the Nutrition Risk Screening 2002, 57% of the patients were malnourished or at risk of malnutrition, correlating well with the Subjective Global Assessment (p<0.001, r=0.700). Multivariate analysis revealed positive correlations between malnutrition and age, weight loss, malignancy and serum C-reative protein (p=0.046, p=0.001, p=0.04 and p=0.002). Nutrition Risk Screening 2002 score ³3 was associated with prolonged length of hospital stay (p=0.001). Serum prealbumin correlated with nutritional status, regardless of the number of chronic diseases and inflammation biomarkers (p=0.01). Serum prealbumin sensitivity, specificity, positive predictive value, negative predictive value and diagnostic value in the assessment of risk of malnutrition were 94%, 32%, 0.67, 0.78 and 69 respectively. After 7 days of nutritional support, the risk of malnutrition decreased by 12% (p<0.001) and serum prealbumin levels increased by 20% (p=0.003). CONCLUSION: Instead of reflecting overall nutritional status, low serum prealbumin may be regarded as a sign of increased risk of malnutrition, requiring further nutritional assessment. It can be used for monitoring patients receiving nutritional support.
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Muto, Y., i M. Kato. "Nutritional Assessment in Elderly." Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 33, nr 9 (1996): 652–56. http://dx.doi.org/10.3143/geriatrics.33.652.

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McLaren, Susan, i Sue Green. "Nutritional screening and assessment". Nursing Standard 12, nr 48 (19.08.1998): 26–29. http://dx.doi.org/10.7748/ns.12.48.26.s39.

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HASHIZUME, N. "Trends in Nutritional Assessment." Nippon Eiyo Shokuryo Gakkaishi 51, nr 1 (1998): 22–24. http://dx.doi.org/10.4327/jsnfs.51.22.

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Cynober, Luc. "Assessment of nutritional status". Current Opinion in Clinical Nutrition & Metabolic Care 21, nr 5 (wrzesień 2018): 319–20. http://dx.doi.org/10.1097/mco.0000000000000501.

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Shenkin, A. "Book Review: Nutritional Assessment". Scottish Medical Journal 31, nr 1 (styczeń 1986): 62–63. http://dx.doi.org/10.1177/003693308603100121.

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