Screening method evaluated by nutritional status measurements can be used to detect malnourishment in chronic obstructive pulmonary disease

2.50
Hdl Handle:
http://hdl.handle.net/2336/33533
Title:
Screening method evaluated by nutritional status measurements can be used to detect malnourishment in chronic obstructive pulmonary disease
Authors:
Thorsdottir, I; Gunnarsdottir, I; Eriksen, B
Citation:
J Am Diet Assoc. 2001, 101(6):648-54
Issue Date:
1-Jun-2001
Abstract:
OBJECTIVE: To evaluate and develop a screening method for malnutrition among patients with chronic obstructive pulmonary disease (COPD). DESIGN: Findings from a screening sheet for malnutrition were compared with results from full nutritional assessment. The screening sheet included 7 questions regarding body mass index, anorexia, loss of weight, and other variables possibly affecting nutritional status. Each answer was assigned a point value, and a total of 4 and 5 points were tested as criterion for malnutrition. Full nutrition assessment included measurements of weight and height (body mass index), serum albumin and prealbumin, total lymphocyte count, triceps skinfold thickness, mid-arm muscle circumference or area, and information on unintentional weight loss. Malnutrition was defined by 3 or more values below reference values. SUBJECTS: Randomly selected patients (n = 34) with a clinical diagnosis of COPD, 15% of eligible patients admitted to the Department of Lung Medicine at National University Hospital, Reykjavik, Iceland, during the time of the study. STATISTICAL ANALYSIS: Sensitivity, specificity, and predictive values were calculated to evaluate the screening sheet. Each of the 7 parameters used in a full nutrition assessment was similarly evaluated as an indicator to predict malnutrition. RESULTS: Full nutrition assessment identified 13 of 34 patients (38%) as malnourished. Using 4 points as a criterion for malnutrition, the screening sheet to be used for patients with COPD resulted in sensitivity of 0.69 and specificity of 0.90. CONCLUSION: The results confirm the frequent finding of malnutrition among patients with COPD and show that a simple screening sheet can be used to identify which patients need further nutrition assessment and treatment.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.sciencedirect.com/science/article/B758G-483YFBD-2J/1/d50e137e2ca7c6cf433dd68823698576

Full metadata record

DC FieldValue Language
dc.contributor.authorThorsdottir, I-
dc.contributor.authorGunnarsdottir, I-
dc.contributor.authorEriksen, B-
dc.date.accessioned2008-07-29T09:18:40Z-
dc.date.available2008-07-29T09:18:40Z-
dc.date.issued2001-06-01-
dc.date.submitted2008-07-29-
dc.identifier.citationJ Am Diet Assoc. 2001, 101(6):648-54en
dc.identifier.issn0002-8223-
dc.identifier.pmid11424543-
dc.identifier.doi10.1016/S0002-8223(01)00163-8-
dc.identifier.urihttp://hdl.handle.net/2336/33533-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractOBJECTIVE: To evaluate and develop a screening method for malnutrition among patients with chronic obstructive pulmonary disease (COPD). DESIGN: Findings from a screening sheet for malnutrition were compared with results from full nutritional assessment. The screening sheet included 7 questions regarding body mass index, anorexia, loss of weight, and other variables possibly affecting nutritional status. Each answer was assigned a point value, and a total of 4 and 5 points were tested as criterion for malnutrition. Full nutrition assessment included measurements of weight and height (body mass index), serum albumin and prealbumin, total lymphocyte count, triceps skinfold thickness, mid-arm muscle circumference or area, and information on unintentional weight loss. Malnutrition was defined by 3 or more values below reference values. SUBJECTS: Randomly selected patients (n = 34) with a clinical diagnosis of COPD, 15% of eligible patients admitted to the Department of Lung Medicine at National University Hospital, Reykjavik, Iceland, during the time of the study. STATISTICAL ANALYSIS: Sensitivity, specificity, and predictive values were calculated to evaluate the screening sheet. Each of the 7 parameters used in a full nutrition assessment was similarly evaluated as an indicator to predict malnutrition. RESULTS: Full nutrition assessment identified 13 of 34 patients (38%) as malnourished. Using 4 points as a criterion for malnutrition, the screening sheet to be used for patients with COPD resulted in sensitivity of 0.69 and specificity of 0.90. CONCLUSION: The results confirm the frequent finding of malnutrition among patients with COPD and show that a simple screening sheet can be used to identify which patients need further nutrition assessment and treatment.en
dc.language.isoenen
dc.publisherAmerican Dietetic Associationen
dc.relation.urlhttp://www.sciencedirect.com/science/article/B758G-483YFBD-2J/1/d50e137e2ca7c6cf433dd68823698576en
dc.subject.meshAgeden
dc.subject.meshBody Heighten
dc.subject.meshBody Mass Indexen
dc.subject.meshBody Weighten
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshLung Diseases, Obstructiveen
dc.subject.meshLymphocyte Counten
dc.subject.meshMaleen
dc.subject.meshMass Screeningen
dc.subject.meshNutrition Assessmenten
dc.subject.meshNutrition Disordersen
dc.subject.meshNutritional Statusen
dc.subject.meshPrealbuminen
dc.subject.meshPredictive Value of Testsen
dc.subject.meshSensitivity and Specificityen
dc.subject.meshSerum Albuminen
dc.subject.meshSkinfold Thicknessen
dc.subject.meshWeight Lossen
dc.titleScreening method evaluated by nutritional status measurements can be used to detect malnourishment in chronic obstructive pulmonary diseaseen
dc.typeArticleen
dc.contributor.departmentUnit of Nutrition Research, National University Hospital, PO Box 10, IS-121 Reykjavik, Iceland. ingathor@rsp.isen
dc.identifier.journalJournal of the American Dietetic Associationen

Related articles on PubMed

All Items in Hirsla are protected by copyright, with all rights reserved, unless otherwise indicated.