Influence of the Results of Control of Intakes, Proteins and Anthropometry Nutritional Screening, Sarcopenia and Body Composition on the Clinical Evolution of Hospitalized Patients
(1) Background: Hospital malnutrition and sarcopenia are common in inpatients and are associated with worse prognosis. Our objective is to determine the association of the positivity of CIPA (Control of Intakes, Proteins and Anthropometry) nutrition screening tool and sarcopenia and evaluate its pro...
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| Veröffentlicht in: | Nutrients 2023-12, Vol.16 (1), p.14 |
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| creator | Márquez Mesa, Elena Suárez Llanos, José Pablo Afonso Martín, Patricia Mercedes Negrín, Carla Brito García Ascanio, María González González, Samuel Llorente Gómez de Segura, Ignacio |
| description | (1) Background: Hospital malnutrition and sarcopenia are common in inpatients and are associated with worse prognosis. Our objective is to determine the association of the positivity of CIPA (Control of Intakes, Proteins and Anthropometry) nutrition screening tool and sarcopenia and evaluate its prognostic implications (length of stay, readmissions and mortality) as well as different components of body composition. (2) Methodology: Cross-sectional single-center study and prospective six months follow-up for prognostic variables. On admission, CIPA and EWGSOP2 criteria were assessed. (3) Results: Four hundred inpatients, a median of 65.71 years old and 83.6% with high comorbidity, were evaluated. In total, 34.8% had positive CIPA and 19.3% sarcopenia. Positive CIPA and sarcopenia had worse results in body composition (fat mass (FM), fat-free mass (FFM) and appendicular skeletal muscle mass index (ASMI)) and dynamometry. Positive CIPA is significantly associated with worse prognosis (mortality (OR = 1.99), readmissions (OR = 1.86) and length of stay (B = 0.19)). Positive CIPA and sarcopenia combined are associated with a tendency to higher mortality (OR = 2.1,
= 0.088). Low hand grip strength (HGS) is significantly related to a higher length of stay (B = -0.12). (4) Conclusions: In hospitalized patients, malnutrition independently and combined with sarcopenia is associated with a worse prognosis but not body composition. Low HGS is related to a higher length of stay. |
| doi_str_mv | 10.3390/nu16010014 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10780303</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A779346731</galeid><sourcerecordid>A779346731</sourcerecordid><originalsourceid>FETCH-LOGICAL-c433t-59606b94f7983b55fb322e45376f29691e51eeed6ec87b47bc3c792ddcd6c1c73</originalsourceid><addsrcrecordid>eNptkt9vFCEQxzdGY5vaF_8AQ-KLMb0KCwu7T-a8VHtJo43VZ8Kys3dUDlZgm5x_l3-g7F3tDyOQMMN85jthMkXxkuBTShv8zo2EY4IxYU-KwxKLcsY5o08f2AfFcYzXeFoCC06fFwe0LjGpGTssfi9db0dwGpDvUVoD-gpxtClO7sK7FLydzKVL6gfEE3QZfALjIlKuQ3OX1sEPfgMpbNHnMQWTjHfKoisdAJxxqxN0pYL2Q3bULueD77ZZeTP4uINRPlPdhTXO6Jx6duPtuI_06NzHwSRlzS_o0KVKBlyKL4pnvbIRjm_vo-L7x7Nvi_PZxZdPy8X8YqYZpWlWNRzztmG9aGraVlXf0rIEVlHB-7LhDYGKAEDHQdeiZaLVVIum7DrdcU20oEfF-73uMLYb6HSuHZSVQzAbFbbSKyMfR5xZy5W_kQSLGlNMs8KbW4Xgf44Qk9yYqMFa5cCPUZYNoYxVhPKMvv4HvfZjyL3cUSUntcD4nlopC9K43ufCehKVcyEayrigJFOn_6Hy7mBjtHfQm_z-KOHtPkEHH2OA_u6TBMtpzuT9nGX41cO23KF_p4r-AaOFz6o</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2912618700</pqid></control><display><type>article</type><title>Influence of the Results of Control of Intakes, Proteins and Anthropometry Nutritional Screening, Sarcopenia and Body Composition on the Clinical Evolution of Hospitalized Patients</title><source>MEDLINE</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Márquez Mesa, Elena ; Suárez Llanos, José Pablo ; Afonso Martín, Patricia Mercedes ; Negrín, Carla Brito ; García Ascanio, María ; González González, Samuel ; Llorente Gómez de Segura, Ignacio</creator><creatorcontrib>Márquez Mesa, Elena ; Suárez Llanos, José Pablo ; Afonso Martín, Patricia Mercedes ; Negrín, Carla Brito ; García Ascanio, María ; González González, Samuel ; Llorente Gómez de Segura, Ignacio</creatorcontrib><description>(1) Background: Hospital malnutrition and sarcopenia are common in inpatients and are associated with worse prognosis. Our objective is to determine the association of the positivity of CIPA (Control of Intakes, Proteins and Anthropometry) nutrition screening tool and sarcopenia and evaluate its prognostic implications (length of stay, readmissions and mortality) as well as different components of body composition. (2) Methodology: Cross-sectional single-center study and prospective six months follow-up for prognostic variables. On admission, CIPA and EWGSOP2 criteria were assessed. (3) Results: Four hundred inpatients, a median of 65.71 years old and 83.6% with high comorbidity, were evaluated. In total, 34.8% had positive CIPA and 19.3% sarcopenia. Positive CIPA and sarcopenia had worse results in body composition (fat mass (FM), fat-free mass (FFM) and appendicular skeletal muscle mass index (ASMI)) and dynamometry. Positive CIPA is significantly associated with worse prognosis (mortality (OR = 1.99), readmissions (OR = 1.86) and length of stay (B = 0.19)). Positive CIPA and sarcopenia combined are associated with a tendency to higher mortality (OR = 2.1,
= 0.088). Low hand grip strength (HGS) is significantly related to a higher length of stay (B = -0.12). (4) Conclusions: In hospitalized patients, malnutrition independently and combined with sarcopenia is associated with a worse prognosis but not body composition. Low HGS is related to a higher length of stay.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu16010014</identifier><identifier>PMID: 38201844</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Aged ; Anthropometry ; Body Composition ; Clinical medicine ; Comorbidity ; Consent ; Cross-Sectional Studies ; Data collection ; Hand Strength ; Health aspects ; Hospital patients ; Hospitalization ; Humans ; Indoles ; Length of stay ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - epidemiology ; Medical prognosis ; Mortality ; Muscle function ; Muscle strength ; Muscles ; Nutrition ; Nutrition Assessment ; Nutritional Status ; Patients ; Physiological aspects ; Product/Service Evaluations ; Prognosis ; Propionates ; Prospective Studies ; Proteins ; Quality of life ; Sarcopenia ; Sarcopenia - diagnosis ; Sarcopenia - epidemiology ; Variables</subject><ispartof>Nutrients, 2023-12, Vol.16 (1), p.14</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c433t-59606b94f7983b55fb322e45376f29691e51eeed6ec87b47bc3c792ddcd6c1c73</cites><orcidid>0000-0002-7409-3196</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10780303/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10780303/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38201844$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Márquez Mesa, Elena</creatorcontrib><creatorcontrib>Suárez Llanos, José Pablo</creatorcontrib><creatorcontrib>Afonso Martín, Patricia Mercedes</creatorcontrib><creatorcontrib>Negrín, Carla Brito</creatorcontrib><creatorcontrib>García Ascanio, María</creatorcontrib><creatorcontrib>González González, Samuel</creatorcontrib><creatorcontrib>Llorente Gómez de Segura, Ignacio</creatorcontrib><title>Influence of the Results of Control of Intakes, Proteins and Anthropometry Nutritional Screening, Sarcopenia and Body Composition on the Clinical Evolution of Hospitalized Patients</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>(1) Background: Hospital malnutrition and sarcopenia are common in inpatients and are associated with worse prognosis. Our objective is to determine the association of the positivity of CIPA (Control of Intakes, Proteins and Anthropometry) nutrition screening tool and sarcopenia and evaluate its prognostic implications (length of stay, readmissions and mortality) as well as different components of body composition. (2) Methodology: Cross-sectional single-center study and prospective six months follow-up for prognostic variables. On admission, CIPA and EWGSOP2 criteria were assessed. (3) Results: Four hundred inpatients, a median of 65.71 years old and 83.6% with high comorbidity, were evaluated. In total, 34.8% had positive CIPA and 19.3% sarcopenia. Positive CIPA and sarcopenia had worse results in body composition (fat mass (FM), fat-free mass (FFM) and appendicular skeletal muscle mass index (ASMI)) and dynamometry. Positive CIPA is significantly associated with worse prognosis (mortality (OR = 1.99), readmissions (OR = 1.86) and length of stay (B = 0.19)). Positive CIPA and sarcopenia combined are associated with a tendency to higher mortality (OR = 2.1,
= 0.088). Low hand grip strength (HGS) is significantly related to a higher length of stay (B = -0.12). (4) Conclusions: In hospitalized patients, malnutrition independently and combined with sarcopenia is associated with a worse prognosis but not body composition. Low HGS is related to a higher length of stay.</description><subject>Aged</subject><subject>Anthropometry</subject><subject>Body Composition</subject><subject>Clinical medicine</subject><subject>Comorbidity</subject><subject>Consent</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Hand Strength</subject><subject>Health aspects</subject><subject>Hospital patients</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Indoles</subject><subject>Length of stay</subject><subject>Malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - epidemiology</subject><subject>Medical prognosis</subject><subject>Mortality</subject><subject>Muscle function</subject><subject>Muscle strength</subject><subject>Muscles</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Patients</subject><subject>Physiological aspects</subject><subject>Product/Service Evaluations</subject><subject>Prognosis</subject><subject>Propionates</subject><subject>Prospective Studies</subject><subject>Proteins</subject><subject>Quality of life</subject><subject>Sarcopenia</subject><subject>Sarcopenia - diagnosis</subject><subject>Sarcopenia - epidemiology</subject><subject>Variables</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkt9vFCEQxzdGY5vaF_8AQ-KLMb0KCwu7T-a8VHtJo43VZ8Kys3dUDlZgm5x_l3-g7F3tDyOQMMN85jthMkXxkuBTShv8zo2EY4IxYU-KwxKLcsY5o08f2AfFcYzXeFoCC06fFwe0LjGpGTssfi9db0dwGpDvUVoD-gpxtClO7sK7FLydzKVL6gfEE3QZfALjIlKuQ3OX1sEPfgMpbNHnMQWTjHfKoisdAJxxqxN0pYL2Q3bULueD77ZZeTP4uINRPlPdhTXO6Jx6duPtuI_06NzHwSRlzS_o0KVKBlyKL4pnvbIRjm_vo-L7x7Nvi_PZxZdPy8X8YqYZpWlWNRzztmG9aGraVlXf0rIEVlHB-7LhDYGKAEDHQdeiZaLVVIum7DrdcU20oEfF-73uMLYb6HSuHZSVQzAbFbbSKyMfR5xZy5W_kQSLGlNMs8KbW4Xgf44Qk9yYqMFa5cCPUZYNoYxVhPKMvv4HvfZjyL3cUSUntcD4nlopC9K43ufCehKVcyEayrigJFOn_6Hy7mBjtHfQm_z-KOHtPkEHH2OA_u6TBMtpzuT9nGX41cO23KF_p4r-AaOFz6o</recordid><startdate>20231220</startdate><enddate>20231220</enddate><creator>Márquez Mesa, Elena</creator><creator>Suárez Llanos, José Pablo</creator><creator>Afonso Martín, Patricia Mercedes</creator><creator>Negrín, Carla Brito</creator><creator>García Ascanio, María</creator><creator>González González, Samuel</creator><creator>Llorente Gómez de Segura, Ignacio</creator><general>MDPI AG</general><general>MDPI</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>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7409-3196</orcidid></search><sort><creationdate>20231220</creationdate><title>Influence of the Results of Control of Intakes, Proteins and Anthropometry Nutritional Screening, Sarcopenia and Body Composition on the Clinical Evolution of Hospitalized Patients</title><author>Márquez Mesa, Elena ; Suárez Llanos, José Pablo ; Afonso Martín, Patricia Mercedes ; Negrín, Carla Brito ; García Ascanio, María ; González González, Samuel ; Llorente Gómez de Segura, Ignacio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-59606b94f7983b55fb322e45376f29691e51eeed6ec87b47bc3c792ddcd6c1c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Anthropometry</topic><topic>Body Composition</topic><topic>Clinical medicine</topic><topic>Comorbidity</topic><topic>Consent</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Hand Strength</topic><topic>Health aspects</topic><topic>Hospital patients</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Indoles</topic><topic>Length of stay</topic><topic>Malnutrition</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - epidemiology</topic><topic>Medical prognosis</topic><topic>Mortality</topic><topic>Muscle function</topic><topic>Muscle strength</topic><topic>Muscles</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Patients</topic><topic>Physiological aspects</topic><topic>Product/Service Evaluations</topic><topic>Prognosis</topic><topic>Propionates</topic><topic>Prospective Studies</topic><topic>Proteins</topic><topic>Quality of life</topic><topic>Sarcopenia</topic><topic>Sarcopenia - diagnosis</topic><topic>Sarcopenia - epidemiology</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Márquez Mesa, Elena</creatorcontrib><creatorcontrib>Suárez Llanos, José Pablo</creatorcontrib><creatorcontrib>Afonso Martín, Patricia Mercedes</creatorcontrib><creatorcontrib>Negrín, Carla Brito</creatorcontrib><creatorcontrib>García Ascanio, María</creatorcontrib><creatorcontrib>González González, Samuel</creatorcontrib><creatorcontrib>Llorente Gómez de Segura, Ignacio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Márquez Mesa, Elena</au><au>Suárez Llanos, José Pablo</au><au>Afonso Martín, Patricia Mercedes</au><au>Negrín, Carla Brito</au><au>García Ascanio, María</au><au>González González, Samuel</au><au>Llorente Gómez de Segura, Ignacio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of the Results of Control of Intakes, Proteins and Anthropometry Nutritional Screening, Sarcopenia and Body Composition on the Clinical Evolution of Hospitalized Patients</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2023-12-20</date><risdate>2023</risdate><volume>16</volume><issue>1</issue><spage>14</spage><pages>14-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>(1) Background: Hospital malnutrition and sarcopenia are common in inpatients and are associated with worse prognosis. Our objective is to determine the association of the positivity of CIPA (Control of Intakes, Proteins and Anthropometry) nutrition screening tool and sarcopenia and evaluate its prognostic implications (length of stay, readmissions and mortality) as well as different components of body composition. (2) Methodology: Cross-sectional single-center study and prospective six months follow-up for prognostic variables. On admission, CIPA and EWGSOP2 criteria were assessed. (3) Results: Four hundred inpatients, a median of 65.71 years old and 83.6% with high comorbidity, were evaluated. In total, 34.8% had positive CIPA and 19.3% sarcopenia. Positive CIPA and sarcopenia had worse results in body composition (fat mass (FM), fat-free mass (FFM) and appendicular skeletal muscle mass index (ASMI)) and dynamometry. Positive CIPA is significantly associated with worse prognosis (mortality (OR = 1.99), readmissions (OR = 1.86) and length of stay (B = 0.19)). Positive CIPA and sarcopenia combined are associated with a tendency to higher mortality (OR = 2.1,
= 0.088). Low hand grip strength (HGS) is significantly related to a higher length of stay (B = -0.12). (4) Conclusions: In hospitalized patients, malnutrition independently and combined with sarcopenia is associated with a worse prognosis but not body composition. Low HGS is related to a higher length of stay.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38201844</pmid><doi>10.3390/nu16010014</doi><orcidid>https://orcid.org/0000-0002-7409-3196</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anthropometry Body Composition Clinical medicine Comorbidity Consent Cross-Sectional Studies Data collection Hand Strength Health aspects Hospital patients Hospitalization Humans Indoles Length of stay Malnutrition Malnutrition - diagnosis Malnutrition - epidemiology Medical prognosis Mortality Muscle function Muscle strength Muscles Nutrition Nutrition Assessment Nutritional Status Patients Physiological aspects Product/Service Evaluations Prognosis Propionates Prospective Studies Proteins Quality of life Sarcopenia Sarcopenia - diagnosis Sarcopenia - epidemiology Variables |
| title | Influence of the Results of Control of Intakes, Proteins and Anthropometry Nutritional Screening, Sarcopenia and Body Composition on the Clinical Evolution of Hospitalized Patients |
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