Nutrition Screening, Reported Dietary Intake, Hospital Foods, and Malnutrition in Critical Care Patients in Malawi
- PMID: 33916149
- PMCID: PMC8066941
- DOI: 10.3390/nu13041170
Nutrition Screening, Reported Dietary Intake, Hospital Foods, and Malnutrition in Critical Care Patients in Malawi
Abstract
In low-income countries there are few data on hospital malnutrition. Reduced food intake combined with nutrient-poor foods served in hospitals contribute to nutritional risk. This study investigated whether reported dietary intake and disease state of hospitalized adults in critical care units was related to malnutrition determined by mid-upper arm circumference (MUAC). Adult in-patients (n = 126) in tuberculosis, burn, oncology, and intensive care units in two public tertiary hospitals in Malawi were screened for nutritional status using MUAC and a question on current dietary intake. The hospital menu was reviewed; portion sizes were weighed. The prevalence of moderate and severe malnutrition was 62%. Patients with organ-related diseases and infectious diseases had the highest rates of reduced reported dietary intake, 71.4% and 57.9%, respectively; however, there was no association between reported dietary intake and MUAC. In those unable to eat, however, the rate of severe malnutrition was 50%. The menu consisted of porridge and thickened corn-based starch with fried cabbage; protein foods were provided twice weekly. There was a nutrient gap of 250 calories and 13 gm protein daily. The findings support the need for increasing dietetic/nutrition services to prevent and treat malnutrition in hospitals using simple screening tools.
Keywords: MUAC; hospital malnutrition; nutrition screening; reported reduced dietary intake.
Conflict of interest statement
The authors declare no conflict of interest.
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References
-
- Van Tonder E., Gardner L., Cressey S., Tydeman-Edwards R., Gerber K. Adult malnutrition: Prevalence and use of nutrition-related quality indicators in South African public-sector hospitals. S. Afr. J. Clin. Nutr. 2018;32:1–7. doi: 10.1080/16070658.2017.1410003. - DOI
-
- Miyoba N., Musowoya J., Mwanza E., Malama A., Murambiwa N., Ogada I., Njobvu M., Liswaniso D. Nutritional risk and associated factors of adult in-patients at a teaching hospital in the Copperbelt province in Zambia; a hospital-based cross-sectional study. BMC Nutr. 2018;4:40. doi: 10.1186/s40795-018-0249-4. - DOI - PMC - PubMed
-
- Jensen G.L., Cederholm T., Correia M., Gonzalez M.C., Fukushima R., Higashiguchi T., de Baptista G.A., Barazzoni R., Blaauw R., Coats A.J.S., et al. GLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community. JPEN J. Parenter Enter. Nutr. 2019;43:32–40. doi: 10.1002/jpen.1440. - DOI - PubMed
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