Prevalence of nutritional risk and malnutrition in hospitalized patients: a retrospective, cross-sectional study of single-day screening

Hospital malnutrition remains a significant public health issue, particularly in developing countries. The Global Leadership Initiative on Malnutrition (GLIM) proposed homogenizing criteria to standardize malnutrition diagnosis. This study aimed to retrospectively determine the prevalence of nutriti...

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Published in:Applied physiology, nutrition, and metabolism nutrition, and metabolism, 2024-06, Vol.49 (6), p.838-843
Main Authors: Alvarez-Altamirano, Karolina, Bejarano-Rosales, Mónica P, González-Rodríguez, Bárbara Kassandra, Mondragón-Nieto, Grissel, Alatriste-Ortiz, Gabriela, Noguez, Liz J Jiménez, Gutiérrez-Salmeán, Gabriela, Fuchs-Tarlovsky, Vanessa
Format: Article
Language:English
Subjects:
Cross-sectional studies
Health risks
Hospitalization
Malnutrition
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Summary:Hospital malnutrition remains a significant public health issue, particularly in developing countries. The Global Leadership Initiative on Malnutrition (GLIM) proposed homogenizing criteria to standardize malnutrition diagnosis. This study aimed to retrospectively determine the prevalence of nutritional risk and malnutrition diagnoses among hospitalized patients using the Nutritional Risk Screening (NRS)-2002 screening instrument and the GLIM criteria, respectively. We conducted a retrospective, cross-sectional study from nutritional records of patients hospitalized in a single centre 2021. Nutrition data from records included medical diagnosis, gender, length of stay, age, weight, height, body mass index, weight loss, calf circumference, and middle upper arm circumference. Nutritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. The study included 616 records of patients; 52.3% (  = 322) of the population were male. The prevalence of nutritional risk, according to NRS-2002, was 69.5% (  = 428). Nutritional risk as well as malnutrition diagnosis according to GLIM criteria was observed in 87.8% (  = 374) of patienttritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. Ws. Tools showed a strong concordance (κ= 0.732). All anthropometric data, except for height, were found to be significantly different between patients with moderate and severe malnutrition (  
ISSN:1715-5312
1715-5320
DOI:10.1139/apnm-2023-0190