Self-screening as a tool for assessing the nutritional risk in hospitalized adults

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.32541

Keywords:

Nutrition Assessment; Nutritional Status; Malnutrition.

Abstract

The present study aimed to assess the applicability of a nutritional self-screening tool in adults. This is a cross-sectional study, with male and females, admitted to a public hospital in Pernambuco. Nutritional self-screening was performed by eligible patients and by the researcher. The differences between the self-reported and measured weight and height were assessed by Wilcoxon’s test, with subsequent construction of the Bland & Altman graph. The chi-square test measured whether clinical and sociodemographic variables were associated with nutritional risk diagnosed by the researcher. The study included 171 patients, of which 59.1% were females, and mean age 51.7 ± 15.3 years. A considerable percentage (47.9%, n=82) could not screen themselves, mainly because of low education level and and advanced stage of the disease. The mean self-reported weight (68.4 ± 15.0 Kg) was similar to the weight measured (68.2 ± 15.1 kg). According to the Kappa coefficient, the two diagnoses had moderate agreement (k=0.62; p=0.001). The agreements between self-reported and measured weight and height were good, with a bias close to zero. It is concluded that the applicability of the self-screening instrument was not satisfactory, due to the low level of education and lack of understanding by the population studied.

References

Battaglia, S., Spatafora, M., Paglino, G., Pedone, C., Corsonello, A., Scichilone, N., Antonelli-Incalzi, R. & Bellia, V. (2011). Ageing and COPD affect different domains of nutritional status: the ECCE study. Eur Respir J., 37(6), 1340-5.

Beghetto, M. G., Manna, B., Candal, A., Mello, E. D. & Polanczyk, C. A. (2008). Triagem nutricional em adultos hospitalizados. Rev Nutr., 21, 589-601.

Bezerra, J. D., Dantas, M. A., Vale, S. H., Dantas, M. M. G. & Leite, L. D. (2012). Aplicação de instrumentos de triagem nutricional em hospital geral: um estudo comparativo. Rev. Cien. & Sal., 5, 9-15.

Bicudo-Salomão, A., Aguilar-Nascimento J. E, Caporossi C. (2006). Risco nutricional em cirurgia avaliado pelo índice de massa corporal ajustado ou não para pacientes idosos. Arq Gastroenterol., 43(3):219-23.

British Association for Enteral and Parenteral Nutrition (BAPEN). (2003). The ‘MUST’ explanatory booklet. A guide to ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. Available at: www.bapen.org.uk/pdfs/must/must_explan.pdf.

Cawood, A., Elia, M., Sharp, S. K. E. & Stratton, R. J. (2012). Malnutrition “self-screening” using "MUST" in hospital outpatients: validity, reliability and ease of use. Am J Clin Nutr., 96, 1000-7.

Frew, E., Cant, R. & Sequeira, J. (2010). Capturing the data: nutrition risk screening of adults in hospital. Nutrients, 2:438448.

Guigoz, Y. (2006). The Mini Nutritional Assessment (MNA) review of the literature - what does it tell us?. J Nutr Health Aging, 10:466-87.

Jensen, G.L., Mirtallo, J., Compher, C., Dhaliwal, R., Forbes, A., Grijalba, R.F., Hardy, G., Kondrup, J., Labadarios, D., Nyulasi, I., Castillo-Pineda, J.C. & Waitzberg, D. (2010). Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee. JPEN J Parenter Enteral Nutr., 34:156-159.

Kondrup, J., Johansen, N. & Plum, L. M. (2002). Incidence of nutritional risk and causes of inadequate nutritional care in hospitals. Clin Nutr., 21(6), 461-8.

Kyle, U. G., Kossovsky, M. P., Karsegard, V. L. & Pichard, C. (2006). Comparison of tools for nutritional assessment and screening at hospital admission: A population study. Clin Nutr. 25, 409-17.

Middleton, M. H., Nazarenko, G., Nivison-Smith, I. & Smerdely, P. (2001). Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals. Intern Med J., 31(8), 455-61.

Perroca, M. G., Gaidzinski, R. R. (2003). Avaliando a confiabilidade interavaliadores de um instrumento para classificação de pacientes: coeficiente Kappa. Rev Esc Enferm -USP. São Paulo. 37(1), 72-80.

Prieto, D. B., Leandro-Merhi, V. A., Mônaco, D. V. & Lazarini, A. L. G. (2008). Intervenção nutricional de rotina em pacientes de um hospital privado. Rev Bras Nutr Clín. 21, 181-7.

Raslan, M., Gonzalez, M. C., Waitzberg, D. L., Ceconello, I., Paes-Barbosa, F. C. & Dias, M. C. G. (2008). Aplicabilidade dos métodos de triagem nutricional no paciente hospitalizado. Rev Nut., 21, 553-61.

Shah, M. & Faimali, M. (2012). Malnutrition in hospitalised patients: do we address the problem? Gut, 61, A88.

Silva, D. L., Santos, P. A., Cabral, P. C. & Burgos, M. G. P. A. (2012). Nutritional screening in clinical patients at a University Hospital in Northeastern Brazil. Nutr Hosp., 27(6), 2015-2019.

Soares, B. L. M. & Burgos, M. G. P. A. (2014). Nutritional risk among surgery patients and associations with hospital stay and postoperative complications. Nutr Hosp., 30(3), 636-642.

Stratton, R. J., Hackston, A. & Longmore, D. (2004). Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the “malnutrition universal screening tool” (MUST) for adults. Br J Nutr., 92:799-808.

Sugaya, M. C., Maio, R., Soares, B. L. M., Calado, C. K. M., Morais, G. Q., Arruda, I. K. G. & Burgos, M. G. P. A. (2020). Discriminative power of an adapted version of Nutritional Risk Screening 2002 applied to Brazilian older adults. Einstein (São Paulo) [online], 18:1-6.

Waitzberg, D. L., Caiaffa, W. T. & Correia, M. I. (2001). Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutr., 17, 573-80.

White, J. V., Guenter, P., Jensen, G., Malone, A. & Schofield, M. (2012). Academy Malnutrition Work Group; A.S.P.E.N. Malnutrition Task Force; A.S.P.E.N. Board of Directors. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN. 36, 275-83.

World Health Organization. (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. World Health Organ Tech Rep Rev., XII:1-255.

Published

26/07/2022

How to Cite

MORAIS, G. Q. .; CALADO, C. K. M.; BURGOS, M. G. P. de A. .; ARAÚJO, M. L. D. .; CABRAL, P. C. Self-screening as a tool for assessing the nutritional risk in hospitalized adults . Research, Society and Development, [S. l.], v. 11, n. 10, p. e154111032541, 2022. DOI: 10.33448/rsd-v11i10.32541. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32541. Acesso em: 13 nov. 2024.

Issue

Section

Health Sciences