| Comparison between Nutritional Risk Tools and Parameters Derived from Bioelectrical Impedance Analysis with Subjective Global Assessment. | |
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MedLine Citation:
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PMID: 23017565 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Nutritional risk and malnutrition are highly prevalent among hospitalized patients. As a result, several methods have been developed to produce an adequate nutritional diagnosis. OBJECTIVE: We aimed to assess the relationship between nutritional risk tools and parameters derived from bioelectrical impedance analysis with a Subjective Global Assessment (SGA). DESIGN: A cross-sectional study was conducted from April to September 2010. PARTICIPANTS/SETTING: The study included 124 patients admitted to the Surgical Clinic I, University Hospital, Federal University of Santa Catarina, Florianópolis, Brazil, to undergo elective surgery. MAIN OUTCOME MEASURES: We utilized SGA and Nutritional Risk Screening 2002 (NRS 2002), Nutritional Risk Index (NRI), Fat-Free Mass Index (FFMI), Fat Mass Index (FMI), body cell mass as a percentage of the total weight (%BCM), and standardized phase angle (SPA). STATISTICAL ANALYSIS PERFORMED: The agreement was tested by κ coefficient, while bivariate associations were tested by Mann-Whitney U test. RESULTS: Prevalence of nutritional risk by NRS 2002 and NRI or malnutrition by SGA, FFMI, FMI, %BCM, and SPA was 19.3%, 69.5%, 35.5%, 12.9%, 8.1%, 46.8%, and 4.8%, respectively. The best agreement was between SGA and NRS 2002 (κ=.490), possibly because they constitute similar instruments. Patients identified as malnourished by SGA (B+C) showed considerably lower values of FFMI, FMI, BCM, and SPA. CONCLUSIONS: The results suggest that the NRS 2002 and parameters derived from bioelectrical impedance analysis identify patients with impaired nutritional status. |
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Authors:
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Marion Schneider Meireles; Elisabeth Wazlawik; João Luiz Bastos; Monique Ferreira Garcia |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the Academy of Nutrition and Dietetics Volume: 112 ISSN: 2212-2672 ISO Abbreviation: J Acad Nutr Diet Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-09-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101573920 Medline TA: J Acad Nutr Diet Country: United States |
Other Details:
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Languages: eng Pagination: 1543-9 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2012 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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