To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006-2014 in 56 countries worldwide: a descriptive analysis

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To eat or not to eat? Indicators for reduced food intake in 91,245 patients hospitalized on nutritionDays 2006-2014 in 56 countries worldwide : a descriptive analysis

Schindler, Karin (author): Medical University of Vienna, Vienna, Austria

Themessl-Huber, Michael (author): Medical University of Vienna, Vienna, Austria

Hiesmayr, Michael (author): Medical University of Vienna, Vienna, Austria

Kosak, Sigrid (author): Medical University of Vienna, Vienna, Austria

Lainscak, Mitja (author): General Hospital Celje, Celje, Slovenia

Laviano, Alessandro (author): University La Sapienza, Rome, Italy

Ljungqvist, Olle, 1954- (author): Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper

Mouhieddine, Mohamed (author): Medical University of Vienna, Vienna, Austria

Schneider, Stéphane (author): Archet University Hospital, Nice, France

de van der Schueren, Marian (author): Medical Center, Vrije Universiteit, Amsterdam, Netherlands

Schütz, Tatjana (author): University of Leipzig, Leipzig, Germany

Schuh, Christian (author): Medical University of Vienna, Vienna, Austria

Singer, Pierre (author): Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Bauer, Peter (author): Medical University of Vienna, Vienna, Austria

Pichard, Claude (author): Geneva University Hospital, Geneva, Switzerland

Singer, R (author)

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Bethesda, USA : American Society for Nutrition, 2016
2016
English.
In: American Journal of Clinical Nutrition. - Bethesda, USA : American Society for Nutrition. - 0002-9165 .- 1938-3207. ; 104:5, s. 1393-1402

Related links:: https://academic.oup...; show more...; https://urn.kb.se/re...; https://doi.org/10.3...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: Inadequate nutrition during hospitalization is strongly associated with poor patient outcome, but ensuring adequate food intake is not a priority in clinical routine worldwide. This lack of priority results in inadequate and unbalanced food intake in patients and huge amounts of wasted food.Objectives: We evaluate the main factors that are associated with reduced meal intake in hospitalized patients and the differences between geographical regions.Design: We conducted a descriptive analysis of data from 9 consecutive, annual, and cross-sectional nutritionDay samples (2006-2014) in a total of 91,245 adult patients in 6668 wards in 2584 hospitals in 56 countries. A general estimation equation methodology was used to develop a model for meal intake, and P-value thresholding was used for model selection.Results: The proportion of patients who ate a full meal varied widely (24.7-61.5%) across world regions. The factors that were most strongly associated with reduced food intake on nutritionDay were reduced intake during the previous week (OR: 0.20; 95% CI: 0.17, 0.22), confinement to bed (OR: 0.49; 95% CI: 0.44, 0.55), female sex (OR: 0.53; 95% CI: 0.5, 0.56), younger age (OR: 0.74; 95% CI: 0.64, 0.85) and older age (OR: 0.80; 95% CI: 0.74; 0.88), and low body mass index (OR: 0.84; 95% CI: 0.79, 0.90). The pattern of associated factors was homogenous across world regions.Conclusions: A set of factors that are associated with full meal intake was identified and is applicable to patients hospitalized in any region of the world. Thus, the likelihood for reduced food intake is easily estimated through access to patient characteristics, independent of world regions, and enables the easy personalization of food provision. This trial was registered at clinicaltrials.gov as NCT02820246.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)

Keyword

Disease-related malnutrition
food intake
hospital
mobility
patient sex
undernutrition

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By the author/editor: Schindler, Karin; Themessl-Huber, ...; Hiesmayr, Michae ...; Kosak, Sigrid; Lainscak, Mitja; Laviano, Alessan ...; show more...; Ljungqvist, Olle ...; Mouhieddine, Moh ...; Schneider, Stéph ...; de van der Schue ...; Schütz, Tatjana; Schuh, Christian; Singer, Pierre; Bauer, Peter; Pichard, Claude; Singer, R; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

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By the university: Örebro University; Karolinska Institutet

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