Nutritional status and the performance of multiple bedside tools for nutrition assessment among patients waiting for liver transplantation: A Canadian experience
Summary Background Malnutrition is an important predictor of morbidity and mortality among cirrhotic patients. Our objectives were to assess protein-calorie malnutrition (PCM) in cirrhotic pre-liver transplant patients and to study the correlation between subjective global assessment (SGA) and other...
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| Veröffentlicht in: | Clinical nutrition ESPEN 2017-02, Vol.17, p.68-74 |
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| description | Summary Background Malnutrition is an important predictor of morbidity and mortality among cirrhotic patients. Our objectives were to assess protein-calorie malnutrition (PCM) in cirrhotic pre-liver transplant patients and to study the correlation between subjective global assessment (SGA) and other objective measures of malnutrition. Methods We recruited pre-liver transplant adult patients at our center between October 2012 and Oct 2015. Nutrition status was assessed via SGA. PCM was assessed by comparing recommended to actual protein and calorie intake. SGA was correlated with body mass index (BMI), dry BMI, handgrip strength by calibrated dynometer (HGS), and mid-arm circumference (MAC). We used non-parametric statistical methods in our analysis. Results Seventy patients were included in this study. Majority were males (n = 46, 66%) with a median age of 58 years (IQR: 50-61). Moderate to severe malnutrition was prevalent in our cohort (SGA-A: n = 15 (21.4%), SGA-B: n = 30 (42.9%) and SGA-C: n = 25 (35.7%). There was a significant difference in the recommended calories consumed between SGA groups (A 98.5% vs. C 79.2%, P = 0.03). A similar trend was observed for the recommended protein consumed (A 85.4%, C 62.5%; P = 0.09). SGA correlated with BMI (A = 26.4, C = 22.4; P |
| doi_str_mv | 10.1016/j.clnesp.2016.10.003 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1883181982</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S2405457716303114</els_id><sourcerecordid>1883181982</sourcerecordid><originalsourceid>FETCH-LOGICAL-c483t-a144bb252b2575c4186e0ae3dfe30f61604b8716e0afd26d121f62f12652a4803</originalsourceid><addsrcrecordid>eNqFUstuFDEQHCEQiUL-ACEfuezi1zyWA1K0goAUwQE4Wx5PD3jx2IPbE8jn8KfpYROEuHCw7C5Vdbldrqqngm8FF82Lw9aFCDhvJVUEbTlXD6pTqXm90XXbPvzrfFKdIx44J-ZupwV_XJ3ITjWirflp9ev9UrIvPkUbGBZbFmQ2Dqx8BTZDHlOebHTA0simJRQ_B2A9DOgHYCWlgIwoLN43YRYRECeIhdkpxS9stsVTheyHJQYBKz_4a8isZBtxDjaSLWlfsgu2t9EO3kYGP8mdhA6eVI9GGxDO7_az6vOb15_2bzdXHy7f7S-uNk53qmys0LrvZS1ptbXTomuAW1DDCIqPjWi47rtWrOA4yGYQUoyNHIVsaml1x9VZ9fzYd87p-wJYzOTRQaD7QVrQiK5TohO7ThJVH6kuJ8QMo5mzn2y-MYKbNR9zMMd8zJrPilI-JHt257D0Ewx_RPdpEOHVkQA057WHbND9foPBZ3DFDMn_z-HfBi746J0N3-AG8JCWTDnTLAal4ebj-kfWLyIaxZUQWt0CUFG7jw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1883181982</pqid></control><display><type>article</type><title>Nutritional status and the performance of multiple bedside tools for nutrition assessment among patients waiting for liver transplantation: A Canadian experience</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Marr, Kaleb J ; Shaheen, Abdel-Aziz ; Lam, Louisa ; Stapleton, Melanie ; Burak, Kelly ; Raman, Maitreyi</creator><creatorcontrib>Marr, Kaleb J ; Shaheen, Abdel-Aziz ; Lam, Louisa ; Stapleton, Melanie ; Burak, Kelly ; Raman, Maitreyi</creatorcontrib><description>Summary Background Malnutrition is an important predictor of morbidity and mortality among cirrhotic patients. Our objectives were to assess protein-calorie malnutrition (PCM) in cirrhotic pre-liver transplant patients and to study the correlation between subjective global assessment (SGA) and other objective measures of malnutrition. Methods We recruited pre-liver transplant adult patients at our center between October 2012 and Oct 2015. Nutrition status was assessed via SGA. PCM was assessed by comparing recommended to actual protein and calorie intake. SGA was correlated with body mass index (BMI), dry BMI, handgrip strength by calibrated dynometer (HGS), and mid-arm circumference (MAC). We used non-parametric statistical methods in our analysis. Results Seventy patients were included in this study. Majority were males (n = 46, 66%) with a median age of 58 years (IQR: 50-61). Moderate to severe malnutrition was prevalent in our cohort (SGA-A: n = 15 (21.4%), SGA-B: n = 30 (42.9%) and SGA-C: n = 25 (35.7%). There was a significant difference in the recommended calories consumed between SGA groups (A 98.5% vs. C 79.2%, P = 0.03). A similar trend was observed for the recommended protein consumed (A 85.4%, C 62.5%; P = 0.09). SGA correlated with BMI (A = 26.4, C = 22.4; P<0.01), Dry BMI (A = 25.9, C = 20.4; P<0.01), HGS (A = 67.0, C = 47.0 PSI; P = 0.03), and MAC (A = 29.5 cm, C = 22.0 cm; P<0.01). HGS and MAC were strongly correlated (Spearman correlation 0.49, P<0.01). Conclusions Cirrhotic patients have significant protein-calorie malnutrition. Multiple malnutrition tools including BMI, dry BMI, HGS and MAC were precisely able to assess malnutrition.</description><identifier>ISSN: 2405-4577</identifier><identifier>EISSN: 2405-4577</identifier><identifier>DOI: 10.1016/j.clnesp.2016.10.003</identifier><identifier>PMID: 28361750</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Alberta ; Anthropometry ; Body Mass Index ; Cirrhosis ; Dietary Proteins - administration & dosage ; Energy Intake ; Female ; Gastroenterology and Hepatology ; Hand Strength ; Humans ; Liver Cirrhosis - complications ; Liver Cirrhosis - diagnosis ; Liver Cirrhosis - surgery ; Liver Transplantation ; Male ; Malnutrition ; Middle Aged ; Muscle Strength Dynamometer ; Nutrition Assessment ; Nutritional Status ; Point-of-Care Testing ; Predictive Value of Tests ; Prospective Studies ; Protein-Energy Malnutrition - complications ; Protein-Energy Malnutrition - diagnosis ; Protein-Energy Malnutrition - physiopathology ; Recommended Dietary Allowances ; Risk Factors ; Waiting Lists</subject><ispartof>Clinical nutrition ESPEN, 2017-02, Vol.17, p.68-74</ispartof><rights>European Society for Clinical Nutrition and Metabolism</rights><rights>2016 European Society for Clinical Nutrition and Metabolism</rights><rights>Copyright © 2016 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-a144bb252b2575c4186e0ae3dfe30f61604b8716e0afd26d121f62f12652a4803</citedby><cites>FETCH-LOGICAL-c483t-a144bb252b2575c4186e0ae3dfe30f61604b8716e0afd26d121f62f12652a4803</cites><orcidid>0000-0002-9129-3632</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28361750$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marr, Kaleb J</creatorcontrib><creatorcontrib>Shaheen, Abdel-Aziz</creatorcontrib><creatorcontrib>Lam, Louisa</creatorcontrib><creatorcontrib>Stapleton, Melanie</creatorcontrib><creatorcontrib>Burak, Kelly</creatorcontrib><creatorcontrib>Raman, Maitreyi</creatorcontrib><title>Nutritional status and the performance of multiple bedside tools for nutrition assessment among patients waiting for liver transplantation: A Canadian experience</title><title>Clinical nutrition ESPEN</title><addtitle>Clin Nutr ESPEN</addtitle><description>Summary Background Malnutrition is an important predictor of morbidity and mortality among cirrhotic patients. Our objectives were to assess protein-calorie malnutrition (PCM) in cirrhotic pre-liver transplant patients and to study the correlation between subjective global assessment (SGA) and other objective measures of malnutrition. Methods We recruited pre-liver transplant adult patients at our center between October 2012 and Oct 2015. Nutrition status was assessed via SGA. PCM was assessed by comparing recommended to actual protein and calorie intake. SGA was correlated with body mass index (BMI), dry BMI, handgrip strength by calibrated dynometer (HGS), and mid-arm circumference (MAC). We used non-parametric statistical methods in our analysis. Results Seventy patients were included in this study. Majority were males (n = 46, 66%) with a median age of 58 years (IQR: 50-61). Moderate to severe malnutrition was prevalent in our cohort (SGA-A: n = 15 (21.4%), SGA-B: n = 30 (42.9%) and SGA-C: n = 25 (35.7%). There was a significant difference in the recommended calories consumed between SGA groups (A 98.5% vs. C 79.2%, P = 0.03). A similar trend was observed for the recommended protein consumed (A 85.4%, C 62.5%; P = 0.09). SGA correlated with BMI (A = 26.4, C = 22.4; P<0.01), Dry BMI (A = 25.9, C = 20.4; P<0.01), HGS (A = 67.0, C = 47.0 PSI; P = 0.03), and MAC (A = 29.5 cm, C = 22.0 cm; P<0.01). HGS and MAC were strongly correlated (Spearman correlation 0.49, P<0.01). Conclusions Cirrhotic patients have significant protein-calorie malnutrition. Multiple malnutrition tools including BMI, dry BMI, HGS and MAC were precisely able to assess malnutrition.</description><subject>Adult</subject><subject>Alberta</subject><subject>Anthropometry</subject><subject>Body Mass Index</subject><subject>Cirrhosis</subject><subject>Dietary Proteins - administration & dosage</subject><subject>Energy Intake</subject><subject>Female</subject><subject>Gastroenterology and Hepatology</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Liver Cirrhosis - complications</subject><subject>Liver Cirrhosis - diagnosis</subject><subject>Liver Cirrhosis - surgery</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Middle Aged</subject><subject>Muscle Strength Dynamometer</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Point-of-Care Testing</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Protein-Energy Malnutrition - complications</subject><subject>Protein-Energy Malnutrition - diagnosis</subject><subject>Protein-Energy Malnutrition - physiopathology</subject><subject>Recommended Dietary Allowances</subject><subject>Risk Factors</subject><subject>Waiting Lists</subject><issn>2405-4577</issn><issn>2405-4577</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUstuFDEQHCEQiUL-ACEfuezi1zyWA1K0goAUwQE4Wx5PD3jx2IPbE8jn8KfpYROEuHCw7C5Vdbldrqqngm8FF82Lw9aFCDhvJVUEbTlXD6pTqXm90XXbPvzrfFKdIx44J-ZupwV_XJ3ITjWirflp9ev9UrIvPkUbGBZbFmQ2Dqx8BTZDHlOebHTA0simJRQ_B2A9DOgHYCWlgIwoLN43YRYRECeIhdkpxS9stsVTheyHJQYBKz_4a8isZBtxDjaSLWlfsgu2t9EO3kYGP8mdhA6eVI9GGxDO7_az6vOb15_2bzdXHy7f7S-uNk53qmys0LrvZS1ptbXTomuAW1DDCIqPjWi47rtWrOA4yGYQUoyNHIVsaml1x9VZ9fzYd87p-wJYzOTRQaD7QVrQiK5TohO7ThJVH6kuJ8QMo5mzn2y-MYKbNR9zMMd8zJrPilI-JHt257D0Ewx_RPdpEOHVkQA057WHbND9foPBZ3DFDMn_z-HfBi746J0N3-AG8JCWTDnTLAal4ebj-kfWLyIaxZUQWt0CUFG7jw</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Marr, Kaleb J</creator><creator>Shaheen, Abdel-Aziz</creator><creator>Lam, Louisa</creator><creator>Stapleton, Melanie</creator><creator>Burak, Kelly</creator><creator>Raman, Maitreyi</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9129-3632</orcidid></search><sort><creationdate>20170201</creationdate><title>Nutritional status and the performance of multiple bedside tools for nutrition assessment among patients waiting for liver transplantation: A Canadian experience</title><author>Marr, Kaleb J ; Shaheen, Abdel-Aziz ; Lam, Louisa ; Stapleton, Melanie ; Burak, Kelly ; Raman, Maitreyi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-a144bb252b2575c4186e0ae3dfe30f61604b8716e0afd26d121f62f12652a4803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Alberta</topic><topic>Anthropometry</topic><topic>Body Mass Index</topic><topic>Cirrhosis</topic><topic>Dietary Proteins - administration & dosage</topic><topic>Energy Intake</topic><topic>Female</topic><topic>Gastroenterology and Hepatology</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Liver Cirrhosis - complications</topic><topic>Liver Cirrhosis - diagnosis</topic><topic>Liver Cirrhosis - surgery</topic><topic>Liver Transplantation</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Middle Aged</topic><topic>Muscle Strength Dynamometer</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Point-of-Care Testing</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Protein-Energy Malnutrition - complications</topic><topic>Protein-Energy Malnutrition - diagnosis</topic><topic>Protein-Energy Malnutrition - physiopathology</topic><topic>Recommended Dietary Allowances</topic><topic>Risk Factors</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marr, Kaleb J</creatorcontrib><creatorcontrib>Shaheen, Abdel-Aziz</creatorcontrib><creatorcontrib>Lam, Louisa</creatorcontrib><creatorcontrib>Stapleton, Melanie</creatorcontrib><creatorcontrib>Burak, Kelly</creatorcontrib><creatorcontrib>Raman, Maitreyi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition ESPEN</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marr, Kaleb J</au><au>Shaheen, Abdel-Aziz</au><au>Lam, Louisa</au><au>Stapleton, Melanie</au><au>Burak, Kelly</au><au>Raman, Maitreyi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional status and the performance of multiple bedside tools for nutrition assessment among patients waiting for liver transplantation: A Canadian experience</atitle><jtitle>Clinical nutrition ESPEN</jtitle><addtitle>Clin Nutr ESPEN</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>17</volume><spage>68</spage><epage>74</epage><pages>68-74</pages><issn>2405-4577</issn><eissn>2405-4577</eissn><abstract>Summary Background Malnutrition is an important predictor of morbidity and mortality among cirrhotic patients. Our objectives were to assess protein-calorie malnutrition (PCM) in cirrhotic pre-liver transplant patients and to study the correlation between subjective global assessment (SGA) and other objective measures of malnutrition. Methods We recruited pre-liver transplant adult patients at our center between October 2012 and Oct 2015. Nutrition status was assessed via SGA. PCM was assessed by comparing recommended to actual protein and calorie intake. SGA was correlated with body mass index (BMI), dry BMI, handgrip strength by calibrated dynometer (HGS), and mid-arm circumference (MAC). We used non-parametric statistical methods in our analysis. Results Seventy patients were included in this study. Majority were males (n = 46, 66%) with a median age of 58 years (IQR: 50-61). Moderate to severe malnutrition was prevalent in our cohort (SGA-A: n = 15 (21.4%), SGA-B: n = 30 (42.9%) and SGA-C: n = 25 (35.7%). There was a significant difference in the recommended calories consumed between SGA groups (A 98.5% vs. C 79.2%, P = 0.03). A similar trend was observed for the recommended protein consumed (A 85.4%, C 62.5%; P = 0.09). SGA correlated with BMI (A = 26.4, C = 22.4; P<0.01), Dry BMI (A = 25.9, C = 20.4; P<0.01), HGS (A = 67.0, C = 47.0 PSI; P = 0.03), and MAC (A = 29.5 cm, C = 22.0 cm; P<0.01). HGS and MAC were strongly correlated (Spearman correlation 0.49, P<0.01). Conclusions Cirrhotic patients have significant protein-calorie malnutrition. Multiple malnutrition tools including BMI, dry BMI, HGS and MAC were precisely able to assess malnutrition.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28361750</pmid><doi>10.1016/j.clnesp.2016.10.003</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9129-3632</orcidid></addata></record> |
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| subjects | Adult Alberta Anthropometry Body Mass Index Cirrhosis Dietary Proteins - administration & dosage Energy Intake Female Gastroenterology and Hepatology Hand Strength Humans Liver Cirrhosis - complications Liver Cirrhosis - diagnosis Liver Cirrhosis - surgery Liver Transplantation Male Malnutrition Middle Aged Muscle Strength Dynamometer Nutrition Assessment Nutritional Status Point-of-Care Testing Predictive Value of Tests Prospective Studies Protein-Energy Malnutrition - complications Protein-Energy Malnutrition - diagnosis Protein-Energy Malnutrition - physiopathology Recommended Dietary Allowances Risk Factors Waiting Lists |
| title | Nutritional status and the performance of multiple bedside tools for nutrition assessment among patients waiting for liver transplantation: A Canadian experience |
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