Dzieniszewski Jan, Jarosz Mirosław, Szczygieł Bruno, Długosz Jan, Marlicz Krzystof, Linke Krzysztof, Nekanda-Trepka Anita, Jaroszewicz-Heigelmann Halina, Grzymisławski Marian, Pawłowski Waldemar, Majewska Krystyna, Lachowicz Anna, Bochenek Anna, Ryzko-Skiba Małgorzata
Klinika Chorób Metabolicznych i Gastroenterologii Instytutu Zywności i Zywienia w Warszawie.
Pol Merkur Lekarski. 2003 Aug;15(86):144-50.
The aim of the study was a screening assessment of the nutritional status of patients admitted to hospitals and discharged from hospitals. The study was carried out in 4 university hospitals, 4 woivodeship hospitals and 4 district hospitals. In randomly selected 3310 patients (every 10th patient admitted to hospital) anthropometric parameters were assessed: body height, body mass, body mass index (BMI), waist-hip ratio (WHR), arm circumference, blood morphological and biochemical parameters were determined (erythrocyte, white blood cell and lymphocyte count in blood, albumin and haemoglobin concentration in serum). The mean values of the assessed parameters in the whole studied population of patients admitted to various types of hospitals were not different from the normative values for adults, however, a gradual decrease of the values of certain parameters in the over 70 years age group was observed. Although, the mean values of the studied parameters of the nutritional status were within the accepted normal range, 10.43% of the studied patients had BMI below 20 kg/m2, and 20.7% of the patients the serum albumin level was below 3.5 g/dl on admission, which could suggest protein-energy malnutrition. In a yet higher proportion of patients (21%) lymphocyte count was below 1500/mm3. During hospital stay tendency became even more pronounced. On discharge from hospital the proportion of patients with BMI below 20 kg/m2 rose to 11.21%, and with serum albumin level below 3.5 g/dl rose to 28.6%. Only the proportion of patients with low lymphocyte count remained unchanged during hospital stay and was 21.1% on discharge. In the studied population 42.29% of the patients reported receiving of additional food beyond hospital diet.
该研究的目的是对入院和出院患者的营养状况进行筛查评估。该研究在4所大学医院、4所省医院和4所地区医院开展。在随机选取的3310名患者（每第10名入院患者）中评估了人体测量参数：身高、体重、体重指数（BMI）、腰臀比（WHR）、臂围，并测定了血液形态学和生化参数（血液中的红细胞、白细胞和淋巴细胞计数，血清中的白蛋白和血红蛋白浓度）。各类医院入院患者的整个研究人群中评估参数的平均值与成年人的标准值并无差异，然而，观察到70岁以上年龄组某些参数的值逐渐下降。尽管营养状况研究参数的平均值在公认的正常范围内，但10.43%的研究患者BMI低于20kg/m²，且20.7%的患者入院时血清白蛋白水平低于3.5g/dl，这可能提示蛋白质能量营养不良。淋巴细胞计数低于1500/mm³的患者比例更高（21%）。在住院期间，这种趋势变得更加明显。出院时，BMI低于20kg/m²的患者比例升至11.21%，血清白蛋白水平低于3.5g/dl的患者比例升至28.6%。只有淋巴细胞计数低的患者比例在住院期间保持不变，出院时为21.1%。在研究人群中，42.29%的患者报告除医院饮食外还接受了额外食物。
