Haider M, Haider S Q
Clin Chem. 1984 Aug;30(8):1286-99.
We critically review the various methods for assessing protein--calorie malnutrition. These tests are lacking in sensitivity and specificity, and currently no single one can be used as a reliable indicator of malnutrition. However, a combination of several of them can be used as prognostic indicators and are of help in selecting patients who may benefit from nutritional support. Body-composition analyses and functional tests hold the promise of greater applicability in the future. Newer and more nearly accurate tests for use in diagnosis of protein-calorie malnutrition as well as for objectively monitoring short-term changes in response to nutritional repletion are badly needed. Despite a lack of consensus on the desirability of objective nutritional assessment, we expect the use of these procedures in hospitals to increase.
我们严格审查了评估蛋白质 - 热量营养不良的各种方法。这些测试缺乏敏感性和特异性，目前没有一种测试可以用作营养不良的可靠指标。然而，其中几种测试的组合可以用作预后指标，有助于选择可能从营养支持中受益的患者。身体成分分析和功能测试有望在未来得到更广泛的应用。迫切需要更新、更准确的测试方法，用于诊断蛋白质 - 热量营养不良以及客观监测营养补充后短期内的变化。尽管在客观营养评估的必要性上缺乏共识，但我们预计这些程序在医院中的使用将会增加。
