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Severity of Inflamm...
Severity of Inflammation Is Associated with Food Intake in Hospitalized Geriatric Patients-A Merged Data Analysis
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- Pourhassan, Maryam (author)
- Ruhr Univ Bochum, Marien Hosp Herne, Dept Geriatr Med, D-44625 Herne, Germany.
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- Cederholm, Tommy (author)
- Uppsala universitet,Klinisk nutrition och metabolism,Karolinska Univ Hosp, Theme Inflammat & Aging, S-14186 Stockholm, Sweden.
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- Donini, Lorenzo M. (author)
- Univ Rome Sapienza, Dept Expt Med, I-00185 Rome, Italy.
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- Poggiogalle, Eleonora (author)
- Univ Rome Sapienza, Dept Expt Med, I-00185 Rome, Italy.
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- Schwab, Ursula (author)
- Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Sch Med, Kuopio 70210, Finland.
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- Nielsen, Rikke Lundsgaard (author)
- Copenhagen Univ Hosp, Dept Clin Res, ACUTE CAG, DK-2650 Hvidovre, Denmark.
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- Andersen, Aino Leegaard (author)
- Copenhagen Univ Hosp, Dept Clin Res, ACUTE CAG, DK-2650 Hvidovre, Denmark.
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- Malgorzewicz, Sylwia (author)
- Med Univ Gdansk, Dept Clin Nutr, PL-80210 Gdansk, Poland.
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- Volkert, Dorothee (author)
- Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90403 Nurnberg, Germany.
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- Wirth, Rainer (author)
- Ruhr Univ Bochum, Marien Hosp Herne, Dept Geriatr Med, D-44625 Herne, Germany.
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Ruhr Univ Bochum, Marien Hosp Herne, Dept Geriatr Med, D-44625 Herne, Germany Klinisk nutrition och metabolism (creator_code:org_t)
- MDPI AG, 2023
- 2023
- English.
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In: Nutrients. - : MDPI AG. - 2072-6643. ; 15:14
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Abstract
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- The extent to which inflammation impacts food intake remains unclear, serving as a key risk factor for malnutrition as defined by the Global Leadership Initiative on Malnutrition (GLIM). To address this, we analyzed a large, merged dataset of geriatric hospitalized patients across Europe. The study included 1650 consecutive patients aged & GE;65 year from Germany, Italy, Finland, Denmark, and Poland. Nutritional intake was assessed using the first item of the Mini Nutritional Assessment Short Form; C-reactive protein (CRP) levels were measured using standard procedures. In total (age 79.6 & PLUSMN; 7.4 year, 1047 females), 23% exhibited moderate to severe inflammation, and 12% showed severe inflammation; 35% showed moderate reductions in food intake, and 28% were considered malnourished. Median CRP levels differed significantly between patients with severe, moderate, and no decrease in food intake. Among patients with a CRP level of 3.0-4.99 mg/dL, 19% experienced a severe decrease in food intake, while 66% experienced moderate to severe decreases. Regression analysis revealed that inflammation was the most prominent risk factor for low food intake and malnutrition, surpassing other factors such as age, gender, infection, and comorbidity. A CRP level of & GE;3.0 mg/dL is associated with reduced food intake during last 3 months in two thirds of hospitalized geriatric patients and therefore indicative for a high risk of malnutrition.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Keyword
- food intake
- inflammation
- C-reactive protein
- older persons
- GLIM criteria
Publication and Content Type
- ref (subject category)
- art (subject category)
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Pourhassan, Mary ...
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Cederholm, Tommy
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Donini, Lorenzo ...
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Poggiogalle, Ele ...
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Schwab, Ursula
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Nielsen, Rikke L ...
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Andersen, Aino L ...
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Malgorzewicz, Sy ...
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Volkert, Dorothe ...
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Wirth, Rainer
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Nutrients
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Uppsala University