Gołąbek Katarzyna, Mandecka An, Chachaj Angelika, Drożdż Katarzyna, Szuba Andrzej, Regulska- Ilow Bożena
Wroclaw Medical University, Faculty of Health Sciences, Department of Dietetics, Wroclaw, Poland
4th Military Hospital in Wroclaw, Department of Internal Medicine, Wroclaw, Poland
Rocz Panstw Zakl Hig. 2018;69(3):281-288.
The inadequate nutritional status of hospitalized patients leading to the malnutrition is one of the crucial clinical problems.
The aim of the study was to assess nutritional status of patients on the basis of the mini nutritional assessment (MNA) questionnaire.
The study group included 120 patients staying on the internal medicine ward. The average age for female and male was 65±9.7 and 63±8.4 years, respectively. To assess malnutrition the anthropometric measurements and the MNA questionnaire was conducted.
The average MIS (Malnutrition Indicator Score) value in female and male was 25.0 ± 3.0. Among 29% of women and 18.2% of men the risk of malnutrition occurrence was noted. The incorrect values of BMI (body mass index) were observed more frequently in male compared to female (84.0% vs. 67.0%). Incorrect values of the MAC (mid arm circumference) and CC (calf circumference) were found respectively in 6.6 % and 10.5% of female and in 2.3% of male. 55.3% of women and 75% of men declared taking more than 3 prescription drugs a day. In women were observed a significantly higher deficiency of dairy products, meat, fish, or poultry as well as meals containing legume plants or eggs per week compared to men (21.0% vs. 4.5%). An insufficient daily intake of vegetables was declared by 20.4% of men and 15.8% of women.
The occurrence of malnutrition or its risk was observed in about a quarter of studied hospitalized patients. The malnutrition was worsened by a reported loss of appetite, a significant number of drugs being taken, and inadequate nutrition among the patients.
住院患者营养状况不佳导致营养不良是关键的临床问题之一。
本研究旨在基于微型营养评定（MNA）问卷评估患者的营养状况。
研究组包括120名在内科病房住院的患者。女性和男性的平均年龄分别为65±9.7岁和63±8.4岁。通过人体测量和MNA问卷来评估营养不良情况。
女性和男性的平均营养不良指标评分（MIS）值为25.0±3.0。在29%的女性和18.2%的男性中发现存在营养不良发生风险。与女性相比，男性的体重指数（BMI）值异常更为常见（84.0%对67.0%）。分别在6.6%的女性和10.5%的女性以及2.3%的男性中发现上臂围（MAC）和小腿围（CC）值异常。55.3%的女性和75%的男性称每天服用超过3种处方药。与男性相比，女性每周明显缺乏乳制品、肉类、鱼类或家禽以及含有豆类植物或鸡蛋的餐食（21.0%对4.5%）。20.4%的男性和15.8%的女性称每日蔬菜摄入量不足。
在约四分之一的住院患者中观察到营养不良或其风险的发生。据报告，食欲不振、大量服药以及患者营养不足使营养不良情况恶化。
