scholarly journals The Relationship Between Nutritional Status Based on Subjective Global Assessment and Dialysis Adequacy

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Effat Afaghi ◽  
Ali Tayebi ◽  
Seyedeh Azam Sajadi ◽  
Abbas Ebadi
Keyword(s):  
Global Assessment ◽  
Binding Capacity ◽  
Nutrition Status ◽  
Severe Malnutrition ◽  
Cluster Sampling ◽  
Dialysis Session ◽  
Subjective Global Assessment ◽  
Dialysis Adequacy ◽  
Cross Sectional ◽  
The Relationship

Background: Malnutrition is common in patients undergoing hemodialysis and leads to a decrease in dialysis adequacy. The evaluation of dialysis adequacy is very important. Objectives: This study was done to investigate the relationship between patients’ nutrition status based on Subjective Global Assessment (SGA) and their dialysis adequacy. Methods: This cross-sectional descriptive study was conducted in Tehran, Iran, in 2019. Three hundred qualified patients were selected by cluster sampling. Before the dialysis session, measurement of height and weight and blood sampling for albumin, total iron-binding capacity (TIBC), blood urea nitrogen (BUN), and creatinine (Cr) assessment were performed. After the dialysis session, measurement of weight and second sampling for BUN were done. SGA forms were filled by patients. Patients’ dialysis adequacy was calculated based on the DaugirdasII formula, and data were analyzed using SPSS 21. Results: From 300 patients, 128 cases (42.7%) had normal nutrition status, while 148 cases (49.3%) had mild to moderate malnutrition and 24 cases (8%) had severe malnutrition with mean dialysis adequacy of 1.07. The present study showed a significant statistical relationship between malnutrition and education (P < 0.001), body mass index (BMI) (P = 0.03), albumin (P < 0.001), TIBC (P < 0.001), and dialysis adequacy (P < 0.001). Gender, age, and dialysis duration showed no significant relationship with nutrition status based on the SGA index. Conclusions: The findings showed a high relative frequency of malnutrition and a decrease in patients’ dialysis adequacy, which emphasize the patient’s educational level, proper management of nutrition along with regular consultations by nutritionists, better implementation of the dialysis procedure, and regular follow-up of dialysis adequacy.

scholarly journals The Relationship of Obesity, Nutritional Status and Muscle Wasting in Patients Assessed for Liver Transplantation

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2097 ◽  
Author(s):  
Helen Vidot ◽  
Katharine Kline ◽  
Robert Cheng ◽  
Liam Finegan ◽  
Amelia Lin ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Nutritional Status ◽  
Global Assessment ◽  
Muscle Wasting ◽  
Psoas Muscle ◽  
Meld Score ◽  
Subjective Global Assessment ◽  
Muscle Area ◽  
Cross Sectional ◽  
The Relationship

Introduction: Obesity co-exists with malnutrition and muscle atrophy in patients with cirrhosis. Muscle wasting is a feature of sarcopenia, a known determinant of patient outcomes. This is the first description of a relationship between obesity, subjective global assessment (SGA) of nutritional status and muscle wasting in patients with cirrhosis. Methods: The relationship between body mass index (BMI with obesity defined as ≥ 30 kg/m2), nutritional status (assessed by liver-specific subjective global assessment—SGA) and muscle wasting (assessed by corrected total cross-sectional psoas muscle area—cTPA) was analysed in patients with cirrhosis considered for liver transplantation between 1 January 2012 and 31 December 2014. Results: There were 205 patients, of whom 70% were males. The mean age was 52 ± 0.7 years and the Model for End-Stage Liver Disease (MELD) score was 16.8 ± 0.5. Overall, 31% of patients were obese and 56% of well-nourished (SGA A) individuals were obese. Muscle wasting was identified in 86% of all patients, irrespective of their nutritional status (A, B, C). All obese males classified as well-nourished (SGA A) were sarcopenic and 62% of obese females classified as SGA A were sarcopenic. Muscle wasting was worse in obese individuals (cTPA 230.9 mm2/m2 ± 12.9, p < 0.0001) and more likely to be associated with hepatic encephalopathy (p = 0.03). Univariate and multivariate analysis demonstrated testosterone deficiency was significantly associated with muscle wasting (p = 0.007) but not obesity (p = 0.8). Conclusion: Obesity combined with muscle wasting is common in patients with cirrhosis. Muscle wasting is common in well-nourished (SGA A) obese patients. Consequently, all patients assessed for liver transplantation should undergo additional screening for malnutrition and muscle wasting irrespective of BMI.

scholarly journals Scored patient-generated Subjective Global Assessment: Length of hospital stay and mortality in cancer patients

2017 ◽  
Vol 30 (5) ◽  
pp. 545-553
Author(s):  
Alexsandro Ferreira dos SANTOS ◽  
Antonio Aragão RABELO JUNIOR ◽  
Fernanda Larissa Brito CAMPOS ◽  
Rosângela Maria Lopes de SOUSA ◽  
Helma Jane Ferreira VELOSO ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Cancer Patients ◽  
Global Assessment ◽  
Length Of Hospital Stay ◽  
The Body ◽  
Severe Malnutrition ◽  
Cancer Center ◽  
Subjective Global Assessment ◽  
Cross Sectional ◽  
Prolonged Hospitalization

ABSTRACT Objective To determine the association of a scored patient-generated Subjective Global Assessment with mortality and length of hospital stay in cancer patients. Methods Cross-sectional study carried out between July and September 2014 using secondary data collection using data from 366 medical records of patients admitted to a hospital recognized as a cancer center of excellence. The present study included patients with hospital stay over than or equal three days and minimum age of 20 years. The patient-generated Subjective Global Assessment scores were calculated and compared with the patients’ clinical and anthropometric characteristics and outcomes (death and long length of stay in hospital). Results Of the 366 patients evaluated, 36.0% were malnourished. The presence of malnutrition, according to the scored patient-generated Subjective Global Assessment, was statistically associated with the presence of metastasis (52.4%). On the other hand, malnutrition, according to the body mass index in adults (55.8%) and in older elderly patients (54.2%), was associated with death (55.0%). The adjusted logistic regression model showed that the following factors were associated with prolonged hospitalization: early nutritional screening, presence of severe malnutrition, radiotherapy and chemotherapy, and surgical procedures. As for mortality, the associated factors were: male reproductive system tumor, presence of metastasis, clinical treatment, prolonged hospitalization, and the presence of some degree of malnutrition. Conclusion The patient-generated Subjective Global Assessment score is an important risk marker of prolonged hospitalization and mortality rates. It is a useful tool capable of circumventing significant biases in the nutritional evaluation of cancer patients.

scholarly journals Clinical assessment of nutritional status using the modified quantified subjective global assessment and anthropometric and biochemical parameters in patients undergoing hemodialysis in Macao

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110455
Author(s):  
Hongquan Peng ◽  
Chiwa Aoieong ◽  
Tou Tou ◽  
Tsungyang Tsai ◽  
Jianxun Wu
Keyword(s):  
Nutritional Status ◽  
Serum Albumin ◽  
Global Assessment ◽  
Severe Malnutrition ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Subjective Global Assessment ◽  
Creatinine Concentration ◽  
Cross Sectional ◽  
Skin Fold Thickness

Objective Malnutrition is widespread among patients undergoing hemodialysis and is linked to high morbidity and mortality rates. We evaluated the nutritional status and malnutrition markers in patients undergoing hemodialysis in Macao. Methods We performed a cross-sectional analysis of 360 patients in a hemodialysis center. The modified quantitative subjective global assessment (MQSGA), anthropometric indices and related biochemical test data were used to evaluate nutritional status. Results The sample's mean age was 63.47 ± 13.95 years. There were 210 well-nourished (58.3%), 139 mild-to-moderately malnourished (38.6%) and 11 severely malnourished (3.1%) patients. Older patients had a higher incidence of severe malnutrition, but there were no significant differences between diabetic and non-diabetic patients. Mid-arm circumference (MAC); mid-arm muscle circumference; body mass index; triceps skin fold thickness; serum albumin, creatinine and urea; and hemoglobin were all valid for assessing nutritional status. MAC and the serum albumin and creatinine concentrations significantly negatively correlated with MQSGA. Conclusions Malnutrition is commonplace in patients undergoing hemodialysis in Macao, but their nutritional status is not affected by diabetes. Serum creatinine, serum albumin and MAC, and especially pre-dialysis creatinine concentration, represent effective, readily available, and easily remembered screening measures of nutritional status for patients undergoing maintenance dialysis.

scholarly journals Child Nutrition Among Circular Migrant Families Working in the Brick Kilns of Bihar, India (P10-052-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Reshma Roshania ◽  
Rakesh Giri ◽  
Melissa Fox Young ◽  
G Sai Mala ◽  
Amy Webb Girard ◽  
...  
Keyword(s):  
Immunization Coverage ◽  
Wealth Index ◽  
Household Wealth ◽  
Nutrition Status ◽  
Cluster Sampling ◽  
Z Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Brick Kilns ◽  
Migrant Families

Abstract Objectives The objective of this study was to estimate the prevalence of child malnutrition and the determinants of nutrition status among circular migrant families working in the brick industry in Bihar, India, focusing on differences by origin. Methods We used a stratified, cluster sampling design consisting of a cross-sectional survey in 552 randomly selected brick kilns (clusters) throughout Bihar. Circular migration was defined as residence outside the home block for at least 60 days for employment plus at least one home return in the previous year. Per kiln, three circular migrant households with children 0–35 months of age were randomly selected. We collected kiln, household and child-level data including anthropometric measurements for each selected child (n = 1198). Descriptive, bivariate and logistic regression analyses were conducted in SAS. The primary outcomes were stunting (<-2 SD height-for-age z score) and wasting (<-2 SD weight-for-height z score). The primary exposure of interest was intrastate vs. interstate origin; covariates included household wealth index, parity of the mother, and child age and gender. Results Prevalence of stunting was lower among interstate migrants (47%) compared to intrastate migrants (55%, aOR: 0.66, 95%CI: 0.50–0.88). Wasting was higher among interstate migrants (43%) compared to intrastate migrants (34%, aOR:1.51, 95%CI: 1.17–1.94). Among children 6–23 months, 13% had a minimum acceptable diet; MAD was higher among interstate migrants (17%), compared to intrastate migrants (10%) (P = 0.014). Full immunization coverage among circular migrants was 39%, lower than the overall state (62%, NFHS IV). Open defecation was reported by over 90% of circular migrants. Conclusions Our results are likely to inform the ongoing policy discourse on circular migrants’ access to health and nutrition benefits. State of origin emerged as an important predictor of nutrition status, operating differently for acute and chronic malnutrition; we will further explore pathways of nutrition by origin in future analyses. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals The importance of dysphagia screening and nutritional assessment in hospitalized patients

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Patrícia Amaro Andrade ◽  
Carolina Araújo dos Santos ◽  
Heloísa Helena Firmino ◽  
Carla de Oliveira Barbosa Rosa
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
The Body ◽  
Subjective Global Assessment ◽  
Cross Sectional ◽  
Knee Height

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

Assessment of nutritional status of hemodialysis patients by subjective global assessment score: a single centre study from Karachi, Pakistan

2022 ◽  
Vol 71 (12) ◽  
pp. 2761-2765
Author(s):  
Lubna Ghazi ◽  
Murtaza Dhrolia ◽  
Aamna Hamid ◽  
Ruqaya Qureshi ◽  
Kiran Nasir ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Practical Method ◽  
Hemodialysis Patients ◽  
Normal Weight ◽  
Maintenance Hemodialysis ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
Subjective Global Assessment ◽  
Cross Sectional

Objective: Despite being an important predictor of morbidity and mortality, routine screening for malnutrition in dialysis patients is not a common practice in Pakistan. Modified Subjective Global Assessment (SGA) is a convenient, inexpensive and practical method to assess nutritional status particularly in resource limited setup. Methods: This cross sectional study was conducted in The Kidney Center Post Graduate Training institute (TKC-PGTI). Patients on maintenance hemodialysis (MHD) were included through non-probability consecutive sampling. A one-time SGA score was calculated based on the history and physical examinations using modified SGA or Dialysis Malnutrition Score (DMS). Chi square test was applied to find association between variables, while to observe the amount of effect of factors on SGA score; binary logistic regression analysis was run. P value of ? 0.05 considered significant. Results: Mild-Moderately malnourished patients were the most frequent in our study 96(64%).None of patient had severe malnourishment. Females were 2.6 times more prone for malnourishment (p value=0.009). More than 5- years on hemodialysis also increased the risk of malnourishment by 12.5 times (p value <0.001). Overweight patients had 85 % less chance of being malnourished as compare to patients with normal weight (p value=0.004). Conclusion: Malnutrition is quite common in hemodialysis patients, which necessitates its regular assessment and monitoring. There is a need to assess the reasons of more malnourishment in female as compared to male. Similarly, the longer duration (> 5 years) on hemodialysis also need attention for prevention and cure of malnourishment.  Continuous...

scholarly journals HUBUNGAN ANTARA ASUPAN ENERGI DENGAN STATUS GIZI MAHASISWA PROGRAM STUDI PENDIDIKAN DOKTER ANGKATAN 2013 FAKULTAS KEDOKTERAN UNIVERSITAS SAM RATULANGI

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Irene Ubro
Keyword(s):  
Energy Intake ◽  
Significant Relationship ◽  
Nutrient Intake ◽  
The Body ◽  
Nutrition Status ◽  
Rank Test ◽  
P Value ◽  
Cross Sectional ◽  
Spearman Rank ◽  
The Relationship

Abstract: Humans need a certain amount of energy in order to support the growth and activity. Energy can arise due to combustion derived from carbohydrates, fats and proteins in foods consumed by the body, therefore to have enough energy one should consume enough and balanced food.Nutritional status is a state of the body that is the final result of a balance between the nutrients into the body and its utilization. Adolescence (10-19 years) is a period that is often prone to nutritional problems, because in this period there is less and over nutrient intake. This study aims to determine the relationship between energy intake and Student’s Nutrition Status of  Faculty of Medical Education, University of Sam Ratulangi Manado Year 2013. This study was an observational analytic using cross - sectional approach. Results of statistical analysis using the Spearman rank test shows that, the value of the correlation coefficient (r) of - 0.234 on IMT and 0.077 on WHR and p value of < α = 0.05 on IMT and 0.514 > α = 0.05 on WHR. From the results it is concluded that there is a significant relationship between energy intake with BMI, while the relationship between energy intake with WHR there is no significant relationship. Keywords : Energy Intake, Nutritional Status    Abstrak: Manusia membutuhkan energi dalam jumlah tertentu guna untuk menunjang proses pertumbuhan dan melakukan aktifitas. Energi dapat timbul karena adanya pembakaran yang diperoleh dari karbohidrat, lemak dan protein dalam makanan yang di konsumsi oleh tubuh, karena itu agar energi tercukupi perlu  mengkonsumsi makanan yang cukup dan seimbang. Status gizi adalah keadaan tubuh yang merupakan hasil akhir dari keseimbangan antara zat gizi yang masuk ke dalam tubuh dan utilisasinya.Masa remaja (10-19 tahun) merupakan masa yang sering rentan terhadap masalah gizi, dikarenakan pada masa ini terjadi asupan gizi kurang dan asupan gizi lebih. Penelitian ini bertujuan untuk mengetahui hubungan asupan energi dengan status gizi pada mahasiswa Program Studi Pendidikan Dokter Angkatan 2013 Fakultas Kedokteran Universitas Sam Ratulangi Manado. Penelitian ini bersifat observasional analitik dengan menggunakan pendekatan cross-sectional (potong lintang). Kesimpulan: Hasil analisis statistik dengan menggunakan uji spearman rank menunjukkan bahwa, nilai koefisien korelasi (r) sebesar -0,234 pada IMT dan 0,077 pada WHR serta nilai p sebesar < α = 0,05 pada IMT dan 0,514 > α = 0,05 pada WHR. Dari hasil tersbut disimpulkan bahwa ada hubungan bermakna antara asupan energi dengan IMT sedangkan hubungan antara asupan energi dengan WHR tidak terdapat hubungan yang bermakna. Kata Kunci : Asupan Energi, Status Gizi

scholarly journals The Relationship between Dietary Patterns and Irritable Bowel Syndrome in Adolescent Girls

2020 ◽  
Author(s):  
Vahideh Banazadeh ◽  
Najmeh Jaberi ◽  
Fatemeh Hoseinkhani ◽  
Mohammad Bagherniya ◽  
Sayyed Saeid Khayyatzadeh ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Adolescent Girls ◽  
Dietary Patterns ◽  
Demographic Data ◽  
Dietary Factors ◽  
Cluster Sampling ◽  
Dietary Intakes ◽  
Cross Sectional ◽  
Irritable Bowel ◽  
The Relationship

Background: Dietary factors are associated with the development of irritable bowel syndrome (IBS) in adults, but no studies have ever investigated the relationship between dietary patterns and the risk of IBS among adolescents. Methods: In this cross-sectional study a total of 750 adolescent girls aged 12 to 18 years old were recruited using a random cluster sampling method from several schools in different areas of Mashhad city, Iran. A validated food frequency questionnaire (FFQ) and the modified version of Rome III questionnaire were administered to assess the participants' dietary intakes and IBS, respectively. Socio-demographic data and anthropometric variables were also obtained. Factor analysis was performed to identify major dietary patterns. Results: The dietary patterns of healthy, mix, and western were identified in this study. An inverse non-significant association was also observed between the healthy dietary pattern and IBS (OR: 0.83; 95% CI: 0.47-1.48). The relationship of IBS prevalence with mix and western dietary patterns was also non-significant. Conclusions: No statistically significant associations were found between dietary patterns and IBS among Iranian girl adolescents. Further studies, particularly longitudinal intervention studies with a larger sample size are required in this area.

The Relationship Between eHealth Literacy, Social Media Self-Efficacy and Health Communication Intention Among Chinese Nursing Undergraduates: A Cross-Sectional Study (Preprint)

2021 ◽  
Author(s):  
Huiping Sun ◽  
Lin Qian ◽  
Mengxin Xue ◽  
Ting Zhou ◽  
Jiling Qu ◽  
...  
Keyword(s):  
Social Media ◽  
Health Communication ◽  
Health Information ◽  
Self Efficacy ◽  
Mediating Effect ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Ehealth Literacy ◽  
Mediating Role ◽  
The Relationship

BACKGROUND With the popularization of the Internet, it has become possible to widely disseminate health information via social media. Medical staff’s health communication through social media can improve the public’s health literacy, and improving the intention of health communication among nursing undergraduates is of great significance for them to actively carry out health communication after entering clinical practice. OBJECTIVE To explore the relationship among eHealth literacy, social media self-efficacy, and health communication intention and to determine the mediating role of social media self-efficacy in the relationship between eHealth literacy and health communication intention. METHODS A cross-sectional descriptive correlation design was used in this study.Stratified cluster sampling was used to select 958 nursing students from four nursing colleges in Jiangsu Province, China, from June to July 2021.Data were collected using the eHealth Literacy Scale, the Social Media Self-efficacy Scale, and the Health Communication Intention Questionnaire. Sociodemographic data were also collected. Correlation analysis and regression analysis were used to determine the relationship between eHealth literacy, social media self-efficacy, and health communication intention. RESULTS Health communication intention is positively correlated with eHealth literacy and social media self-efficacy. eHealth literacy directly affects the intention of health communication significantly (p < 0.001), and social media self-efficacy played a mediating role in the influence of eHealth literacy on health communication intention (the mediating effect accounted for 37.2% of the total effect). CONCLUSIONS Improving the eHealth literacy of nursing undergraduates can directly affect or promote health communication intention and can also indirectly improve health communication intention through improving social media self-efficacy. In view of these results, targeted educational programs must be developed to improve eHealth literacy and social media self-efficacy among nursing undergraduates, thereby promoting their health information transmission.

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