Prevalence of malnutrition in hospitalized patients in Taleghani hospital in Tehran
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Hosseinpour-Niazi S (MSc)1 , Naderi Z (MSc)2 , Hosseinpour-Niazi N (BS)3 , Delshad M (MSc)4 , Mirmiran P (PhD) * 5, Azizi F (MD)6 |
1- MSc in Nutrition, Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2- MSc Student in Nutrition, Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran 3- BS in Nutrition, Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran 4- MSc Student in Physiology, Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran 5- Associate Professor, Department of Clinical Nutrition and Dietetics, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute; Shahid Beheshti University of Medical Sciences, Tehran, Iran , mirmiran@endocrine.ac.ir 6- Professor, Department of Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran |
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Abstract: (17949 Views) |
Background and Objective: Malnutrition in hospital increases the mortality of patients. The aim of this study was to investigate the prevalence of malnutrition and related risk factors in hospitalized patients. Materials and Methods: This descriptive study was carried out on 446 patients (217 males, 229 females) during 6 months, admitted to the Taleghani hospital in Tehran, Iran during 2005. Anthropometric measurements and previous admission to hospital in previous 6 months for each patient was recorded. Mild, moderate and severe malnutrition were considered as BMI=18-20 kg/m2 and TSF, or MAMC<10th, or weight loss<5% as BMI=16-18kg/m2 and TSF, or MAMC<5th, or weight loss 5-10% and severe as BMI<16kg/m2 and TSF, or MAMC<5th or weight loss>10% in previous 6 months respectively. Results: The prevalence rate of malnutrition as a general was 52% with following subdivision: 14%, 10% and 28% in mild, moderate and severe, respectively. The highest prevalence of malnutrition observed in gastrointestinal ward, males, those aged 18-29 year and patients with secondary and high school education. In malnourished patients, the prevalence of TSF, MAC and MAMC <5th were significantly more than of well-nourished subjects (P<0.05). Increase BMI per unit decreased the risk of malnutrition by 17% (OR: 0.83 CI: 0.79-0.87). Malnutrition was 64% higher in patients with 1≥ gastrointestinal disturbances, compared with those without it and 2.1 higher in patients with 2≥-hospitalized readmission, compared with subjects without readmission in previous 6 month. Odds ratio of at least one hospitalized admission in previous 6 month was 1.64 in patients with MAC <5th, compared with those with MAC 50-75th (P<0.017). Conclusion: This study showed that Malnutrition upon hospitalization is common in Tehran. BMI, gastrointestinal disturbances, and readmission were associated with malnutrition. |
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Keywords: Prevalence, Malnutrition, BMI, triceps skinfold thickness, Mid-arm muscle circumference, Hospitalized patient |
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[English Abstract]
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Type of Study: Original Articles |
Subject:
Nutrition
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Hosseinpour-Niazi S (MSc), Naderi Z (MSc), Hosseinpour-Niazi N (BS), Delshad M (MSc), Mirmiran P (PhD), Azizi F (MD). Prevalence of malnutrition in hospitalized patients in Taleghani hospital in Tehran. J Gorgan Univ Med Sci 2011; 13 (4) :97-106 URL: http://goums.ac.ir/journal/article-1-1201-en.html
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