TY - JOUR
T1 - Prevalence of Disease-Related Undernutrition on Hospital Admission and Its Association with Functionality and Length of Hospital Stay in Multiethnic Suriname
AU - van der Held-Horinga, Geertrui A.
AU - Stuber, Josine M.
AU - MacDonald-Ottevanger, Meerte-Sigrid
AU - van Kanten, Armand R.
AU - Nahar-van Venrooij, Lenny M. W.
N1 - Publisher Copyright: © 2021 Lippincott Williams and Wilkins. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Our aim was to describe the prevalence of disease-related undernutrition (DRU) on admission to a department of surgery in Suriname and to explore its association with ethnicity and adverse outcomes. All patients 18 years or older who were not pregnant were invited to participate. Data were collected on weight (history), length, fat-free mass index (FFMI) using bioimpedance analysis, and ethnicity. Age, sex, and diagnosis data were extracted from the medical files. Associations between DRU and ethnicity, functionality, and length of hospital stay were assessed using logistic and Cox regression analyses adjusting for age, sex, diagnosis, and disease severity. The study population of 351 participants revealed 46% were undernourished, 31% had unintended weight loss (UWL), and 27% had a low FFMI. DRU and low FFMI were associated with low handgrip strength, but UWL was not. DRU, UWL, and low FFMI were associated with length of stay. Determinants of DRU seemed to vary between ethnic groups. The prevalence of DRU was high, and nutrition protocols should be implemented to increase awareness and limit adverse outcomes. Further research is needed to reveal whether ethnicity should be part of the DRU risk assessment.
AB - Our aim was to describe the prevalence of disease-related undernutrition (DRU) on admission to a department of surgery in Suriname and to explore its association with ethnicity and adverse outcomes. All patients 18 years or older who were not pregnant were invited to participate. Data were collected on weight (history), length, fat-free mass index (FFMI) using bioimpedance analysis, and ethnicity. Age, sex, and diagnosis data were extracted from the medical files. Associations between DRU and ethnicity, functionality, and length of hospital stay were assessed using logistic and Cox regression analyses adjusting for age, sex, diagnosis, and disease severity. The study population of 351 participants revealed 46% were undernourished, 31% had unintended weight loss (UWL), and 27% had a low FFMI. DRU and low FFMI were associated with low handgrip strength, but UWL was not. DRU, UWL, and low FFMI were associated with length of stay. Determinants of DRU seemed to vary between ethnic groups. The prevalence of DRU was high, and nutrition protocols should be implemented to increase awareness and limit adverse outcomes. Further research is needed to reveal whether ethnicity should be part of the DRU risk assessment.
KW - disease-related undernutrition
KW - ethnicity
KW - fat-free mass index
KW - functionality
KW - length of hospital stay
KW - unintended weight loss
UR - http://www.scopus.com/inward/record.url?scp=85098681840&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/TIN.0000000000000232
DO - https://doi.org/10.1097/TIN.0000000000000232
M3 - Article
SN - 0883-5691
VL - 36
SP - 23
EP - 35
JO - Topics in Clinical Nutrition
JF - Topics in Clinical Nutrition
IS - 1
ER -