Prevalence of Malnutrition in People Hospitalized for Surgery: Prospective Cross-Sectional Study

被引：0
作者：
Alamri, Abdulrahman [1 ,2 ,3 ]
Alaamer, Kholoud [1 ,2 ,3 ]
Almogbel, Yasser [4 ]
Alsalahi, Hanan [2 ,5 ]
Al Shareef, Mananl [2 ,5 ]
Alanazi, Saleh [1 ,2 ,3 ]
Al Samannoudi, Hamza [1 ,2 ]
Alhusaini, Fahad [2 ,5 ]
机构：
[1] Minist Natl Guard Hlth Affairs, King Abdulaziz Med City, Pharmaceut Care Serv, Riyadh 11426, Saudi Arabia
[2] King Abdullah Int Med Res Ctr, Riyadh 11481, Saudi Arabia
[3] King Saud Bin Abdulaziz Univ Hlth Sci, Coll Pharm, Dept Pharm Practice, Riyadh 11481, Saudi Arabia
[4] Qassim Univ, Coll Pharm, Dept Pharm Practice, Buraydah 51452, Saudi Arabia
[5] Minist Natl Guard Hlth Affairs, Clin Nutr Serv, Riyadh 11426, Saudi Arabia
来源：
HEALTHCARE | 2025年 / 13卷 / 04期
关键词：
nutritional assessment; malnutrition; prevalence of malnutrition; GLIM; MUST; MNA-SF; ENHANCED RECOVERY; NUTRITION;
D O I：
10.3390/healthcare13040380
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Background/Objectives: Malnutrition poses a significant challenge to public health, affecting millions worldwide, particularly among people in hospital, notably among surgical cases that require adequate nutritional support for effective recovery. Factors contributing to malnutrition include chronic illnesses that hinder nutritional intake and socioeconomic barriers limiting food access. This study aimed to assess malnutrition in surgical patients at admission to enhance recovery, minimize complications, and improve clinical outcomes. Methods: This prospective observational cross-sectional study involved 282 adults hospitalized for over 48 h for surgery. This study utilized the MUST and MNA-SF assessments to evaluate malnutrition risk, confirming diagnoses via the GLIM criteria. Statistical analysis, including the Pearson chi-square test and univariate and multivariate logistic regression, identified significant malnutrition risk factors. Results: This study found an 18.1% malnutrition prevalence among these patients, with Stage 1 malnutrition being the most common at 9.6%. Additionally, a notable proportion of patients were classified as obese (46.5%) or overweight (27.7%). Men had higher malnutrition rates (12.8%) than women (5.3%). Age disparities were also significant, with higher rates among older (7.4%) and younger adults (7.1%) compared to middle-aged individuals (2.5%). Patients undergoing elective surgeries (9.9%) and emergency surgeries (6.7%) had higher malnutrition rates than those admitted for surgical complications. Furthermore, malnutrition was observed in 12% of patients undergoing orthopedic or general surgeries. Conclusions: Among adult patients admitted to surgical wards, malnutrition prevalence during admission was 18%, underscoring the need for comprehensive preoperative nutritional assessments and targeted interventions for patients undergoing surgery.
引用
收藏
页数：12
相关论文
共 39 条
  • [21] Cederholm T., Bosaeus I., Barazzoni R., Bauer J., Van Gossum A., Klek S., Muscaritoli M., Nyulasi I., Ockenga J., Schneider S.M., Et al., Diagnostic criteria for malnutrition—An ESPEN Consensus Statement, Clin. Nutr, 34, pp. 335-340, (2015)
  • [22] Dent E., Wright O.R.L., Woo J., Hoogendijk E.O., Malnutrition in older adults, Lancet, 401, pp. 951-966, (2023)
  • [23] Pirlich M., Schutz T., Norman K., Gastell S., Lubke H.J., Bischoff S.C., Bolder U., Frieling T., Guldenzoph H., Hahn K., Et al., The German hospital malnutrition study, Clin. Nutr, 25, pp. 563-572, (2006)
  • [24] Lee H., Kang J.H., Kim E., Kim W.G., Prevalence of malnutrition in hospitalized elderly Korean patients based on mini nutritional assessment-short form, J. Clin. Nutr, 6, pp. 24-29, (2014)
  • [25] Lin H., Zhang H., Lin Z., Li X., Kong X., Sun G., Review of nutritional screening and assessment tools and clinical outcomes in heart failure, Heart Fail Rev, 21, pp. 549-565, (2016)
  • [26] Castel H., Shahar D., Harman-Boehm I., Gender differences in factors associated with nutritional status of older medical patients, J. Am. Coll. Nutr, 25, pp. 128-134, (2006)
  • [27] Ahmed I., Kaifi H.M., Tahir H., Javed A., Malnutrition among patients with Type-2 Diabetes Mellitus, Pak. J. Med. Sci, 39, pp. 64-69, (2023)
  • [28] Yildirim Z., Uzunlulu M., Telci Caklili O., Mutlu H., Oguz A., Malnutrition rate among hospitalized patients with type 2 diabetes mellitus, Prog. Nutr, 20, pp. 183-188, (2018)
  • [29] Wintermeyer E., Ihle C., Ehnert S., Schreiner A.J., Stollhof L., Stockle U., Nussler A., Fritsche A., Pscherer S., Assessment of the Influence of Diabetes mellitus and Malnutrition on the Postoperative Complication Rate and Quality of Life of Patients in a Clinic Focused on Trauma Surgery, Z. Orthopädie Unfallchirurgie, 157, pp. 173-182, (2019)
  • [30] Lai A.R., Warrier M., Ng E.Z., Lin C., Chin Y.H., Kong G., Anand V.V., Lee E.C., Lai H., Ng H.W., Et al., Cardiovascular Outcomes in Acute Coronary Syndrome and Malnutrition: A Meta-Analysis of Nutritional Assessment Tools, JACC Adv, 2, (2023)
1234