Abstract:
Introduction:Introduction: disease-related malnutrition (DRM) is a specific type of malnutrition caused by the inflammatory response to the underlying disease. Its prevalence worldwide varies from 30 % to 50 %, being similar in Spanish hospitals. DRE is not commonly recognized but is usually misdiagnosed and generally not treated. It is associated with an increased risk of morbidity, mortality, and costs. Nutritional societies recommend that screening be performed within the first 24 to 48 hours after admission for the early detection of malnutrition. No screening tool is universally accepted. Objectives: to evaluate the predictive validity (hospital stay, complications, readmissions and mortality) of the CONUT method as compared to SGA and NSA. Material and method: a retrospective study included in a prospective observational study of 365 hospitalized patients from July to December 2012. Results: the most frequent admission services were Internal Medicine and Oncology (30.7 % and 29.3 %). Moderate and severe risk of malnutrition: CONUT, 42.2 % and 12.1 %, SGA 25.8 % and 10.1 %, and NSA 13.7 % and 14.5 %. Malnutrition evaluated using the CONUT method was significantly related to complications (p = 0.036), readmissions (p = 0.041) and mortality (p = 0.007). The ROC curves for mortality, for all the methods evaluated, showed that CONUT is the best tool. Conclusions: CONUT is an automatic detection tool that can be used as a first step in the diagnosis risk of malnutrition. CONUT offers the advantage of being a prognostic factor for complications, readmission, and mortality. Introducción:Introducción: la desnutrición relacionada con la enfermedad (DRE) es un tipo específico de desnutrición producida por la respuesta inflamatoria de la enfermedad de base. Su prevalencia en todo el mundo varía del 30 al 50 %, siendo similar en los hospitales españoles. La DRE no se reconoce comúnmente, se diagnostica inadecuadamente y generalmente no se trata. Se asocia a un mayor riesgo de morbilidad, mortalidad y costes. Las sociedades nutricionales recomiendan que el cribado se realice en las primeras 24 a 48 horas posteriores al ingreso para la detección temprana de la desnutrición. Ninguna herramienta de cribado se acepta universalmente. Objetivos: evaluar la validez predictiva (estancia hospitalaria, complicaciones, reingresos y mortalidad) del método CONUT en comparación con la VGS y el VEN. Material y método: estudio retrospectivo incluido en un prospectivo observacional de 365 pacientes hospitalizados de julio a diciembre de 2012. Resultados: los servicios de ingreso más frecuentes fueron Medicina Interna y Oncología (30,7 % y 29,3 %). Detección de los riesgos moderado y severo de desnutrición: CONUT, 42,2 y 12,1 %; VSG, 25,8 % y 10,1 %; VEN, 13,7 y 14,5 %. La desnutrición evaluada utilizando el método CONUT se relacionó significativamente con las complicaciones (p = 0,036), los reingresos (p = 0,041) y la mortalidad (p = 0,007). Las curvas ROC de la mortalidad, para todos los métodos evaluados, mostraron que CONUT es la mejor herramienta. Conclusiones: CONUT es una herramienta de detección automática que se puede utilizar como primer paso en el diagnóstico del riesgo de desnutrición. CONUT ofrece la ventaja de ser un factor pronóstico de complicaciones, reingreso y mortalidad.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
García-Vazquez N,Palma Milla S,López Plaza B,Valero-Pérez M,Morato-Martínez M,Gómez Candela Cdoi
10.20960/nh.03062subject
Has Abstractpub_date
2020-08-27 00:00:00pages
799-806issue
4eissn
0212-1611issn
1699-5198journal_volume
37pub_type
杂志文章abstract:UNLABELLED:Enteral nutrition therapy (ENT) is an essential part in the management of critically ill patients, having a significant impact on these patients' clinical results. It can be administered on a continuous or intermittent basis using an infusion pump. There is a discussion on which of these techniques has the b...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,随机对照试验
doi:10.3305/nh.2014.29.3.7169
更新日期:2014-03-01 00:00:00
abstract::Given the high numbers of nutritional supplements and enteral diets which are supplied for patients suffering from cystic fibrosis, by the departments of hospital pharmacy, the present study aims to review which are the characteristics of this disease which determine the appearance of malnutrition in these patients. A...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 00:00:00
abstract:INTRODUCTION:Few studies have evaluated the efficacy and reliability of weight loss-focussed prepared food dishes in obese post-menopausal women. OBJECTIVE:To compare the efficacy of a weight loss programme based on a balanced hypocaloric diet using prepared dishes* with that of a similar programme based on standard c...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112012000200038
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION:there is a lack of consensus on the benefits of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) supplementations on cognition in dementia and/or Alzheimer's disease (AD) elderly. OBJECTIVE:this study presents a systematic review of the results of randomized clinical trials about this topic. The...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.32.2.9111
更新日期:2015-08-01 00:00:00
abstract::Phospholipids are amphipathic lipids, which are found in all the cell membranes, organized as a lipid bilayer. They belong to the glycerol-derived lipids, showing a similar structure as triglycerides. The current interest of them comes from its effectiveness to incorporate different fatty acids in the cell membrane, a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.31.1.7961
更新日期:2014-09-12 00:00:00
abstract:UNLABELLED:Diabetes is a complication which occurring during gestation might substantially influence the development of offspring during fetal life and postnatally. Flaxseed is a source of omega-3, that the appropriate supply during gestation and lactation are determinant for a suitable perinatal growth and development...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.4.7637
更新日期:2014-10-01 00:00:00
abstract::As part of the nutritional survey of the Canary Islands (ENCA-1998), the concentrations in serum of Na, K, Ca and P were determined in 395 individuals representing the population of the Canary Islands. The concentrations were found to be within the reference intervals described for the healthy population. Differences ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:There is scarce information about constipation in elderly subjects. Among the variety of factors causing constipation, the sleeping hours are a factor usually not taken into account. OBJECTIVES:To determine the association between hours of sleep during the week and weekend, with constipation in older adults...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.1.7976
更新日期:2014-09-12 00:00:00
abstract::La obesidad interfiere con el metabolismo óseo a través de factores mecánicos, hormonales e inflamatorios. El principal tratamiento de dicha enfermedad es la dieta, modificación de la cantidad y tipo de alimento. Este tratamiento nutricional tiene una influencia sobre el metabolismo óseo en dos sentidos: modifica el e...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.809
更新日期:2016-11-29 00:00:00
abstract:OBJECTIVES:Nutritional aspects of breakfast, plasma levels of glucose and beta-hydroxybutyrate, body mass index and academic performance have been studied in urban and rural children (Extremadura, Spain). METHODS:Representative samples of schoolchildren (3 to 12 years old, random cluster-sampling in schools). RESULTS...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:INTRODUCTION:The satisfaction's analysis is being used as an instrument to create different sanitary reforms to improve the quality and numerous studies aim to the increase the mother's satisfaction directly related to the maternity care. OBJECTIVES:[corrected] Identify the woman satisfaction's degree about birth atte...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6395
更新日期:2013-05-01 00:00:00
abstract:Introducción:el propósito de este estudio fue investigar la eficacia del entrenamiento diario de una repetición máxima (1RM) de la sentadilla en fuerza máxima. Material y método:tres levantadores de peso de competición realizaron la sentadilla durante 37 días consecutivos y se reportan como casos individuales. Partici...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.129
更新日期:2016-03-25 00:00:00
abstract:BACKGROUND:the prognostic value of maximal inspiratory and expiratory pressures on functional capacity and mortality of hospitalized patients are not well established. AIM:to evaluate the prognostic value of respiratory pressures in hospitalized patients. METHODS:patients admitted to a general hospital in Santiago-Ch...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1478
更新日期:2018-05-17 00:00:00
abstract:INTRODUCTION:In recent years, several investigations have related -hydroxy--methylbutyrate (HMB) to a reduced muscle proteolysis and to an increase in muscle mass. Therefore, a number of studies focused on the cellular and molecular mechanisms regulating these effects have been carried out. AIMS:The objectives of th...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.31.2.8437
更新日期:2014-11-27 00:00:00
abstract:UNLABELLED:Morbid obesity is a risk factor for numerous diseases including liver disease with an incidence of hepatic steatosis from 70 to 80%. Although surgical treatment is effective in reducing weight, its effects on the liver have not been established convincingly. We report 2 cases of patients with bariatric surge...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.1.9174
更新日期:2015-07-01 00:00:00
abstract::Diet, along with lifestyle factors, is an important determinant of the health status of an individual and of a community. Dietary assessment at the population level provides us with key information on the frequency and distribution of possible inadequate diets and/or nutritional status. It is also useful as input into...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.31.sup3.8750
更新日期:2015-02-26 00:00:00
abstract::With obesity the amount of pro- and anti-inflammatory adipokines released is increased within the fat tissue. These molecules are implicated in many clinical manifestations of this pathology such as diabetes, arterial hypertension, or cardiovascular disease. At the first stage, the fat tissue of the obese patient beco...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:Taekwondo (TKD) is a combat sport, which has also been proposed as a fitness program, with a strong anaerobic component. Creatine (Cr) supplementation is used to improve both anaerobic exercise performance and body composition. Therefore, Cr supplementation could be beneficial in TKD. AIMS:To determine th...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,随机对照试验
doi:10.3305/nh.2013.28.2.6314
更新日期:2013-03-01 00:00:00
abstract::The aim of this study is to evaluate the incidence of phlebitis in patients with inflammatory bowel disease under parenteral nutrition treatment (700 mOsm/ml) via peripheral vein. Results will be used to develop an standar protocol. 30 patients were sampled and the cannulation was performed by nursery personnel. Daily...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:Introduction:Objective: to present the results of the Spanish home enteral nutrition (HEN) registry of the NADYA-SENPE group for the year 2016 and 2017. Material and methods: from January 1st 2016 to December 31st 2017, the HEN registry was recorded and afterwards a further descriptive and analytical analysis was done....
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02365
更新日期:2019-03-07 00:00:00
abstract:BACKGROUND & AIMS:Home enteral nutrition is used increasingly in pediatric populations. Our objective was to describe the profile of pediatric patients requiring this treatment. MATERIAL AND METHODS:All patients under 18 years old requiring treatment with home enteral nutrition between January 1995 and December 2004 w...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.5.5898
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study examined the association of physical activity and sedentarism with tobacco and alcohol consumption, and adherence to the Mediterranean diet in teenagers of both genders. METHODS:A total number of 1897 Spanish teenagers (12-16 year-olds) took part in the present cross-sectional stud...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8256
更新日期:2015-04-01 00:00:00
abstract::For years now, a stronger tendency towards overweight among diabetes 1 population has been described, a tendency already observed during childhood and pubescence. Insulin replacement therapy to be one of the main underlying factors. Clarifying these issues and determining whether this weight gain may bring in an incre...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.30.6.7878
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Chile has drastically altered eating patterns and physical activity. The main nutritional problem faced by Chilean society is overweight, which arises progressively from an early age. The aim of this study is to determine the nutritional status and compare fitness levels and fasting glucose in students. PAT...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.6.8932
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION:The beneficial effects of the overall Mediterranean dietary pattern on cardiovascular risk factors and on carbohydrate metabolism are well known; however, it is unclear whether the consumption of olive oil in particular is able to reduce the incidence of type 2 diabetes. OBJECTIVE:To evaluate the specific...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:To ascertain the relationship between maternal weight gain and birth weight, in every pre-gestational body mass index (BMI) category. MATERIAL AND METHODS:A two-stage sampling observational and descriptive study was carried out in the health department of La Ribera (Valencia, Spain). The sample was divided ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8495
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:To check the correlation between gastric intolerance and hypertension intracranial pressure and their association with the clinical parameters and severity indexes in patients with severe head injury (HI); to evaluate the advantages of transpyloric feeding. DESIGN:Prospective and observational clinical study...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract:Introduction:Objective: to identify cytokines and to associate them with several indexes of total and central adiposity in young female undergraduate students. Methods: 58 young female sophomore students, aged 18 to 25 years, from a Brazilian public university were evaluated. Both anthropometric measures (weight, heigh...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02860
更新日期:2020-04-16 00:00:00
abstract::The relationship between adequate folate intake, adequate serum levels, and lowering the risk of suffering from cardiovascular diseases, neural tube defects, neural illness and some kind of cancers have been widely studied. Because of the expected health benefits, the consumption of foods with high folate content or e...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2006-01-01 00:00:00
abstract::Knowing the dietary intake of specific nutrients is a good base for planning the start of intervention methods aimed at correcting nutritional habits. Using the crude weight method, we have carried out the dietary assessment of the amounts of calcium and vitamin D ingested with the diet, in several populations of the ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00