Body mass index, age and in-hospital mortality: The NutritionDay multinational survey
Summary Background & aims Several large and long-term prospective studies have assessed the association of body-mass index (BMI) next to age with the risk of death in the general population, but few have examined the association with in-hospital mortality. We investigated the association between...
Gespeichert in:
| Veröffentlicht in: | Clinical nutrition (Edinburgh, Scotland) Scotland), 2017-06, Vol.36 (3), p.839-847 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 847 |
|---|---|
| container_issue | 3 |
| container_start_page | 839 |
| container_title | Clinical nutrition (Edinburgh, Scotland) |
| container_volume | 36 |
| creator | Cereda, Emanuele Klersy, Catherine Hiesmayr, Michael Schindler, Karin Singer, Pierre Laviano, Alessandro Caccialanza, Riccardo |
| description | Summary Background & aims Several large and long-term prospective studies have assessed the association of body-mass index (BMI) next to age with the risk of death in the general population, but few have examined the association with in-hospital mortality. We investigated the association between BMI, age and in-hospital mortality. Methods We used data collected during 9 consecutive one-day/year surveys (NutritionDay in hospital 2006–2014) conducted in non-critically ill adult patients from 2,183 hospitals across 51 nations from 4 continents. We examined the association of BMI and age with the risk of in-hospital (30-day) death using logistic regression analysis adjusted for multiple confounders. Results Crude mortality rates were 3.6% (95%CI, 3.5–3.7) and 2.1% (95%CI, 2.0–2.3) in the overall cohort (N = 97,344) and in those assessed within 72 hours since admission (N = 32,363), respectively. BMI and age were independently associated with the risk of death (no interaction observed), which decreased with BMI and increased with age. In the overall cohort, compared to normal weight status (BMI 18.5–24.9 kg/m2 ), death odds ratios for underweight (BMI |
| doi_str_mv | 10.1016/j.clnu.2016.05.001 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826693473</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0261561416300875</els_id><sourcerecordid>1826693473</sourcerecordid><originalsourceid>FETCH-LOGICAL-c477t-ac29bc42df612dec34faa5d8d16551501081ed0ad58c4f182ca0f0c269a27cc33</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhS0EopfCC7BAWbIgYWzHToIQEpRfqYIF7dpyxxPqSxLf2klF3h5Ht7BgwWpmpHOONN9h7CmHigPXL_cVDtNSibxXoCoAfo_tuJKi5F0r77MdCM1LpXl9wh6ltAcAJZv2ITsRjZBadd2OXb4Lbi1Gm1LhJ0e_XhT2BxV2cvksr0M6-NkOxRhiHn5eXxUX11R8XeboZx-m9zZ7l2H2k93OrExLvKX1MXvQ2yHRk7t5yi4_frg4-1yef_v05ezteYl108ylRdFdYS1cr7lwhLLurVWudVwrxRVwaDk5sE61WPe8FWihBxS6s6JBlPKUPT_mHmK4WSjNZvQJaRjsRGFJJlu07mTdbFJxlGIMKUXqzSH60cbVcDAbTrM3G06z4TSgTMaZTc_u8perkdxfyx9-WfD6KKD85a2naBJ6mpCcj4SzccH_P__NP3Yc_OTRDj9ppbQPS8xQ8x8mCQPm-1bo1ifXEqBtlPwNOwWb3w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1826693473</pqid></control><display><type>article</type><title>Body mass index, age and in-hospital mortality: The NutritionDay multinational survey</title><source>Elsevier ScienceDirect Journals</source><creator>Cereda, Emanuele ; Klersy, Catherine ; Hiesmayr, Michael ; Schindler, Karin ; Singer, Pierre ; Laviano, Alessandro ; Caccialanza, Riccardo</creator><creatorcontrib>Cereda, Emanuele ; Klersy, Catherine ; Hiesmayr, Michael ; Schindler, Karin ; Singer, Pierre ; Laviano, Alessandro ; Caccialanza, Riccardo ; the NutritionDay Survey Collaborators ; NutritionDay Survey Collaborators</creatorcontrib><description>Summary Background & aims Several large and long-term prospective studies have assessed the association of body-mass index (BMI) next to age with the risk of death in the general population, but few have examined the association with in-hospital mortality. We investigated the association between BMI, age and in-hospital mortality. Methods We used data collected during 9 consecutive one-day/year surveys (NutritionDay in hospital 2006–2014) conducted in non-critically ill adult patients from 2,183 hospitals across 51 nations from 4 continents. We examined the association of BMI and age with the risk of in-hospital (30-day) death using logistic regression analysis adjusted for multiple confounders. Results Crude mortality rates were 3.6% (95%CI, 3.5–3.7) and 2.1% (95%CI, 2.0–2.3) in the overall cohort (N = 97,344) and in those assessed within 72 hours since admission (N = 32,363), respectively. BMI and age were independently associated with the risk of death (no interaction observed), which decreased with BMI and increased with age. In the overall cohort, compared to normal weight status (BMI 18.5–24.9 kg/m2 ), death odds ratios for underweight (BMI < 18.5), overweight (BMI 25.0–29.9) and obesity (BMI ≥30) were 1.35 (95%CI, 1.20–1.53), 0.87 (95%CI, 0.77–0.97) and 0.73 (95%CI, 0.62–0.86), respectively. In patients assessed within 72 hours since admission, the associations were comparable: for underweight, 1.48 (95%CI, 1.11–1.96); for overweight, 0.80 (95%CI, 0.65–0.97); for obesity, 0.75 (95%CI, 0.58–0.96). Conclusion In adult hospitalized patients BMI and age are independent predictors of in-hospital mortality. Low body weight is confirmed being a risk factor for death as in the general population, while overweight and obesity appear protective conditions. In the hospital setting, the use of normal weight status as reference low-risk category could also be challenged.</description><identifier>ISSN: 0261-5614</identifier><identifier>EISSN: 1532-1983</identifier><identifier>DOI: 10.1016/j.clnu.2016.05.001</identifier><identifier>PMID: 27236599</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Age ; Body mass index ; Gastroenterology and Hepatology ; Hospital ; Malnutrition ; Mortality</subject><ispartof>Clinical nutrition (Edinburgh, Scotland), 2017-06, Vol.36 (3), p.839-847</ispartof><rights>Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>Copyright © 2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-ac29bc42df612dec34faa5d8d16551501081ed0ad58c4f182ca0f0c269a27cc33</citedby><cites>FETCH-LOGICAL-c477t-ac29bc42df612dec34faa5d8d16551501081ed0ad58c4f182ca0f0c269a27cc33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0261561416300875$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27236599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cereda, Emanuele</creatorcontrib><creatorcontrib>Klersy, Catherine</creatorcontrib><creatorcontrib>Hiesmayr, Michael</creatorcontrib><creatorcontrib>Schindler, Karin</creatorcontrib><creatorcontrib>Singer, Pierre</creatorcontrib><creatorcontrib>Laviano, Alessandro</creatorcontrib><creatorcontrib>Caccialanza, Riccardo</creatorcontrib><creatorcontrib>the NutritionDay Survey Collaborators</creatorcontrib><creatorcontrib>NutritionDay Survey Collaborators</creatorcontrib><title>Body mass index, age and in-hospital mortality: The NutritionDay multinational survey</title><title>Clinical nutrition (Edinburgh, Scotland)</title><addtitle>Clin Nutr</addtitle><description>Summary Background & aims Several large and long-term prospective studies have assessed the association of body-mass index (BMI) next to age with the risk of death in the general population, but few have examined the association with in-hospital mortality. We investigated the association between BMI, age and in-hospital mortality. Methods We used data collected during 9 consecutive one-day/year surveys (NutritionDay in hospital 2006–2014) conducted in non-critically ill adult patients from 2,183 hospitals across 51 nations from 4 continents. We examined the association of BMI and age with the risk of in-hospital (30-day) death using logistic regression analysis adjusted for multiple confounders. Results Crude mortality rates were 3.6% (95%CI, 3.5–3.7) and 2.1% (95%CI, 2.0–2.3) in the overall cohort (N = 97,344) and in those assessed within 72 hours since admission (N = 32,363), respectively. BMI and age were independently associated with the risk of death (no interaction observed), which decreased with BMI and increased with age. In the overall cohort, compared to normal weight status (BMI 18.5–24.9 kg/m2 ), death odds ratios for underweight (BMI < 18.5), overweight (BMI 25.0–29.9) and obesity (BMI ≥30) were 1.35 (95%CI, 1.20–1.53), 0.87 (95%CI, 0.77–0.97) and 0.73 (95%CI, 0.62–0.86), respectively. In patients assessed within 72 hours since admission, the associations were comparable: for underweight, 1.48 (95%CI, 1.11–1.96); for overweight, 0.80 (95%CI, 0.65–0.97); for obesity, 0.75 (95%CI, 0.58–0.96). Conclusion In adult hospitalized patients BMI and age are independent predictors of in-hospital mortality. Low body weight is confirmed being a risk factor for death as in the general population, while overweight and obesity appear protective conditions. In the hospital setting, the use of normal weight status as reference low-risk category could also be challenged.</description><subject>Age</subject><subject>Body mass index</subject><subject>Gastroenterology and Hepatology</subject><subject>Hospital</subject><subject>Malnutrition</subject><subject>Mortality</subject><issn>0261-5614</issn><issn>1532-1983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1TAQhS0EopfCC7BAWbIgYWzHToIQEpRfqYIF7dpyxxPqSxLf2klF3h5Ht7BgwWpmpHOONN9h7CmHigPXL_cVDtNSibxXoCoAfo_tuJKi5F0r77MdCM1LpXl9wh6ltAcAJZv2ITsRjZBadd2OXb4Lbi1Gm1LhJ0e_XhT2BxV2cvksr0M6-NkOxRhiHn5eXxUX11R8XeboZx-m9zZ7l2H2k93OrExLvKX1MXvQ2yHRk7t5yi4_frg4-1yef_v05ezteYl108ylRdFdYS1cr7lwhLLurVWudVwrxRVwaDk5sE61WPe8FWihBxS6s6JBlPKUPT_mHmK4WSjNZvQJaRjsRGFJJlu07mTdbFJxlGIMKUXqzSH60cbVcDAbTrM3G06z4TSgTMaZTc_u8perkdxfyx9-WfD6KKD85a2naBJ6mpCcj4SzccH_P__NP3Yc_OTRDj9ppbQPS8xQ8x8mCQPm-1bo1ifXEqBtlPwNOwWb3w</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Cereda, Emanuele</creator><creator>Klersy, Catherine</creator><creator>Hiesmayr, Michael</creator><creator>Schindler, Karin</creator><creator>Singer, Pierre</creator><creator>Laviano, Alessandro</creator><creator>Caccialanza, Riccardo</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Body mass index, age and in-hospital mortality: The NutritionDay multinational survey</title><author>Cereda, Emanuele ; Klersy, Catherine ; Hiesmayr, Michael ; Schindler, Karin ; Singer, Pierre ; Laviano, Alessandro ; Caccialanza, Riccardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-ac29bc42df612dec34faa5d8d16551501081ed0ad58c4f182ca0f0c269a27cc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Age</topic><topic>Body mass index</topic><topic>Gastroenterology and Hepatology</topic><topic>Hospital</topic><topic>Malnutrition</topic><topic>Mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cereda, Emanuele</creatorcontrib><creatorcontrib>Klersy, Catherine</creatorcontrib><creatorcontrib>Hiesmayr, Michael</creatorcontrib><creatorcontrib>Schindler, Karin</creatorcontrib><creatorcontrib>Singer, Pierre</creatorcontrib><creatorcontrib>Laviano, Alessandro</creatorcontrib><creatorcontrib>Caccialanza, Riccardo</creatorcontrib><creatorcontrib>the NutritionDay Survey Collaborators</creatorcontrib><creatorcontrib>NutritionDay Survey Collaborators</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cereda, Emanuele</au><au>Klersy, Catherine</au><au>Hiesmayr, Michael</au><au>Schindler, Karin</au><au>Singer, Pierre</au><au>Laviano, Alessandro</au><au>Caccialanza, Riccardo</au><aucorp>the NutritionDay Survey Collaborators</aucorp><aucorp>NutritionDay Survey Collaborators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body mass index, age and in-hospital mortality: The NutritionDay multinational survey</atitle><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle><addtitle>Clin Nutr</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>36</volume><issue>3</issue><spage>839</spage><epage>847</epage><pages>839-847</pages><issn>0261-5614</issn><eissn>1532-1983</eissn><abstract>Summary Background & aims Several large and long-term prospective studies have assessed the association of body-mass index (BMI) next to age with the risk of death in the general population, but few have examined the association with in-hospital mortality. We investigated the association between BMI, age and in-hospital mortality. Methods We used data collected during 9 consecutive one-day/year surveys (NutritionDay in hospital 2006–2014) conducted in non-critically ill adult patients from 2,183 hospitals across 51 nations from 4 continents. We examined the association of BMI and age with the risk of in-hospital (30-day) death using logistic regression analysis adjusted for multiple confounders. Results Crude mortality rates were 3.6% (95%CI, 3.5–3.7) and 2.1% (95%CI, 2.0–2.3) in the overall cohort (N = 97,344) and in those assessed within 72 hours since admission (N = 32,363), respectively. BMI and age were independently associated with the risk of death (no interaction observed), which decreased with BMI and increased with age. In the overall cohort, compared to normal weight status (BMI 18.5–24.9 kg/m2 ), death odds ratios for underweight (BMI < 18.5), overweight (BMI 25.0–29.9) and obesity (BMI ≥30) were 1.35 (95%CI, 1.20–1.53), 0.87 (95%CI, 0.77–0.97) and 0.73 (95%CI, 0.62–0.86), respectively. In patients assessed within 72 hours since admission, the associations were comparable: for underweight, 1.48 (95%CI, 1.11–1.96); for overweight, 0.80 (95%CI, 0.65–0.97); for obesity, 0.75 (95%CI, 0.58–0.96). Conclusion In adult hospitalized patients BMI and age are independent predictors of in-hospital mortality. Low body weight is confirmed being a risk factor for death as in the general population, while overweight and obesity appear protective conditions. In the hospital setting, the use of normal weight status as reference low-risk category could also be challenged.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>27236599</pmid><doi>10.1016/j.clnu.2016.05.001</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0261-5614 |
| ispartof | Clinical nutrition (Edinburgh, Scotland), 2017-06, Vol.36 (3), p.839-847 |
| issn | 0261-5614 1532-1983 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1826693473 |
| source | Elsevier ScienceDirect Journals |
| subjects | Age Body mass index Gastroenterology and Hepatology Hospital Malnutrition Mortality |
| title | Body mass index, age and in-hospital mortality: The NutritionDay multinational survey |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T00%3A58%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Body%20mass%20index,%20age%20and%20in-hospital%20mortality:%20The%20NutritionDay%20multinational%20survey&rft.jtitle=Clinical%20nutrition%20(Edinburgh,%20Scotland)&rft.au=Cereda,%20Emanuele&rft.aucorp=the%20NutritionDay%20Survey%20Collaborators&rft.date=2017-06-01&rft.volume=36&rft.issue=3&rft.spage=839&rft.epage=847&rft.pages=839-847&rft.issn=0261-5614&rft.eissn=1532-1983&rft_id=info:doi/10.1016/j.clnu.2016.05.001&rft_dat=%3Cproquest_cross%3E1826693473%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1826693473&rft_id=info:pmid/27236599&rft_els_id=1_s2_0_S0261561416300875&rfr_iscdi=true |