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KMID : 0664320140200040285
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Journal of the Korean Dietetic Association
2014 Volume.20 No. 4 p.285 ~ p.295
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Changes in Nutrient Intake in Patients at Nutritional Risk
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Lee Ho-Sun
Shin Kyung-Hun
Rha Sun-Young
Chung Moon-Jae
Song Si-Young
Song Seung-Eun
Ham Hye-Jin
Kim Hyung-Mi
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Abstract
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The purpose of this study was to examine changes in nutrient intake in patients at nutritional risk. We included106 malnourished patients who were admitted to Severance Hospital from March to September 2014. The average age was 59.0±11.6 years old and 59 patients were male (59.7%). The majority of diagnosis wascancer (94.3%). We evaluated patients` nutritional status by scored patient-generated subjective global assessment(PG-SGA), anthropometric measurement (height, weight, body composition by Bioelectrical impedanceanalysis), hand grip strength, biochemical and dietary assessment. The patients` daily intakes of energy andprotein (1,019.5±706.4 kcal, 40.4±27.7 g) during hospitalization were significantly lower than their usual intakes(1,382.0±499.8 kcal, 54.4±25.1 g, P＜0.001). Serum levels of albumin, cholesterol, and total lymphocyteswere significantly reduced during hospital stay. The negatively influencing factors for reduced dietary intake wereanorexia (42.5%), abdominal distention (14.2%), pain (13.2%), and others. The results of this study could beused to establish baseline data for developing new strategies for nutritional intervention in malnourished patients.
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KEYWORD
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malnutrition, patient, energy, protein, intervention
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