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PP226-SUN POSITIVE CORRELATION BETWEEN SUBJECTIVE GLOBAL ASSESSMENT AND NUTRITIONAL RISK INDEX IN ONCOLOGIC PATIENTS
114 Conclusion: The rate of patients at risk of malnutrition in our study was determined to be very high. Mortality rate in patients with malnutrition risk is higher. It is very important to routinely screen all patients admitted to the hospital for risk of malnutrition which may influence nutritional and other medical treatments given to the patients. Disclosure of Interest: None Declared.
PP225-SUN NUTRITIONAL STATUS AND RISK OF MALNUTRITION AMONG ADULT PATIENTS ADMITTED TO A TERTIARY HOSPITAL IN GREECE E. Paxlevanidou1 , H. Paxlevanidou1 , M. Bitzani2 . 1 1Technological Education Institute of Crete Nutrition & Dietics Department, Crete, 2 ICU, G. Papanikolaou Hosp, Thessaloniki, Greece Rationale: To screen the nutritional status of patients admitted to hospital and to evaluate the risk of malnutrition among them. Methods: Prospective investigation carried out during a 4 month period at a tertiary hospital. Sample population included consecutive patients admitted to medical and surgical departments. Nutritional screening was computed by a single dietician within 48 hours of admission. Nutritional status was examined by anthropometric variables: Body Weight (BW) and Body Mass Index (BMI). The risk of malnutrition (ROM) was evaluated using MUST. Critically ill patients were excluded. Results: A total of 709 consecutive patients were enrolled (mean age 67±17 y, 393m, 316w). Patients were classified according the ward of admission. There was observed a great prevalence of overnutrition. In the overall population 37% of patients were overweight (BMI 25 30) and 25% were obese (BMI > 30). Undernutrition (BMI < 18.5) was detected in 4% of patients. Frequency of obesity was higher (42%) in Cardiology (p < 0.005). Screening patients with MUST revealed that 31% of them were in high (MUST >2) and 8% in medium (MUST=1) ROM. Risk of malnutrition was higher in undernourished patients (87%), while was 39% in normal weight and 24% in overweight/obese patients. The greater incidence of severe ROM (69%) was in Gastenterology. There was negative correlation between ROM and BMI, while there was significant correlation between ROM and age (p = 0.01). No significant difference was seen between sexes (p > 0.05). Conclusion: On admission to hospital, 31% of patients are at high risk of malnutrition. If not purposely screened, most the cases are usually misdiagnosed. A striking finding of the study was the great prevalence of overnutrition among hospitalized patients and mainly in cardiology. Disclosure of Interest: None Declared.
Poster presentations PP226-SUN POSITIVE CORRELATION BETWEEN SUBJECTIVE GLOBAL ASSESSMENT AND NUTRITIONAL RISK INDEX IN ONCOLOGIC PATIENTS H.B. Abreu1,2 , G.D. Ceniccola3 , M.S. Coelho3 , B.A. Toscano3 , M.H.G. Lougrado4 , R.C. Fortes4 , P. Kanno1 , J. Trindade5 . 1 Clinical Nutrition, HRSM, 2 Clinical Nutrition, SES DF, 3 Clinical Nutrition, HBDF, 4 Clinical Nutrition, HRAN, 5 Critical Care Unit, SES DF, Brasilia, Brazil Rationale: Malnutrition in hospitalized patients results in increased morbimortality. Cancer patients are more prone to malnutrition due to metabolic changes induced by disease. Thus nutritional assessment should be performed early and nutritional intervention initiated when deficits are detected. The aim of this study was to investigate the correlation between Subjective Global Assessment (SGA) and the Nutritional Risk Index (NRI) in cancer patients. Methods: All possible cancer‘s patient, at least 18 years old, were evaluated at hospital admission. Patients who have had diagnosis confirmed during hospitalization were included in the study. A trained dietitian performed assessments of nutritional status within 72h of admission withASG and NRI methods. Statistical analyses were performed with SPSS version 10. Was utilized Spearman’s coefficient of correlation, attaching p < 0.05. Results: We assessed 73, these was enrolled 57 patients, 31 (54%) women, and total mean of age 58 years (±17). The frequency of cancer was 54. 4% in the gastrointestinal tract, 21.1% gynecological, 10.5% blood related cancers; 8.8% urological; and 5.3% others. Malnutrition rate with ASG was 87.7%, Severe malnutrition was recognized in 29.8%. The NRI assessment presented 91.2% of prevalence for malnutrition and 43.9% for severe malnutrition. Was observed correlation between ASG and NRI (r = 0.387; p = 0.003). Conclusion: Malnutrition rates at admission were considered high maybe because retarding in the diagnoses what implies in deterioration of the nutritional status. The NRI has a positive correlation with the ASG, and may be another important assessment tool applied to oncologic hospitalized population. References Arends J, Bodoky G, Bozzetti F, Fearon K, Muscaritoli M, Selga G, et al. ESPEN guidelines on enteral nutrition: non-surgical oncology. Clinical Nutrition, 2006; 25: 245 59. Disclosure of Interest: None Declared.
PP227-SUN THE EFFECTS OF THE LACTO-OVO-VEGETARIAN DIET ON SOME CHILDREN 15 YEARS FOLLOWED-UP D. Dubau1,2 , S. Cheregi1,2 , R. Spineanu1 . 1 University of Oradea, Faculty of Medicine and Pharmacy, 2 County Clinical Hospital of Oradea, Oradea, Romania Rationale: In our community, parents require the lactoovo-vegetarian diet only from tradition, customs or religious believes. Our purpose was the detection of some possible side effects of this diet on the children during a long period.
PP225-SUN NUTRITIONAL STATUS AND RISK OF MALNUTRITION AMONG ADULT PATIENTS ADMITTED TO A TERTIARY HOSPITAL IN GREECE E. Paxlevanidou1 , H. Paxlevanidou1 , M. Bitzani2 . 1 1Technological Education Institute of Crete Nutrition & Dietics Department, Crete, 2 ICU, G. Papanikolaou Hosp, Thessaloniki, Greece Rationale: To screen the nutritional status of patients admitted to hospital and to evaluate the risk of malnutrition among them. Methods: Prospective investigation carried out during a 4 month period at a tertiary hospital. Sample population included consecutive patients admitted to medical and surgical departments. Nutritional screening was computed by a single dietician within 48 hours of admission. Nutritional status was examined by anthropometric variables: Body Weight (BW) and Body Mass Index (BMI). The risk of malnutrition (ROM) was evaluated using MUST. Critically ill patients were excluded. Results: A total of 709 consecutive patients were enrolled (mean age 67±17 y, 393m, 316w). Patients were classified according the ward of admission. There was observed a great prevalence of overnutrition. In the overall population 37% of patients were overweight (BMI 25 30) and 25% were obese (BMI > 30). Undernutrition (BMI < 18.5) was detected in 4% of patients. Frequency of obesity was higher (42%) in Cardiology (p < 0.005). Screening patients with MUST revealed that 31% of them were in high (MUST >2) and 8% in medium (MUST=1) ROM. Risk of malnutrition was higher in undernourished patients (87%), while was 39% in normal weight and 24% in overweight/obese patients. The greater incidence of severe ROM (69%) was in Gastenterology. There was negative correlation between ROM and BMI, while there was significant correlation between ROM and age (p = 0.01). No significant difference was seen between sexes (p > 0.05). Conclusion: On admission to hospital, 31% of patients are at high risk of malnutrition. If not purposely screened, most the cases are usually misdiagnosed. A striking finding of the study was the great prevalence of overnutrition among hospitalized patients and mainly in cardiology. Disclosure of Interest: None Declared.
Poster presentations PP226-SUN POSITIVE CORRELATION BETWEEN SUBJECTIVE GLOBAL ASSESSMENT AND NUTRITIONAL RISK INDEX IN ONCOLOGIC PATIENTS H.B. Abreu1,2 , G.D. Ceniccola3 , M.S. Coelho3 , B.A. Toscano3 , M.H.G. Lougrado4 , R.C. Fortes4 , P. Kanno1 , J. Trindade5 . 1 Clinical Nutrition, HRSM, 2 Clinical Nutrition, SES DF, 3 Clinical Nutrition, HBDF, 4 Clinical Nutrition, HRAN, 5 Critical Care Unit, SES DF, Brasilia, Brazil Rationale: Malnutrition in hospitalized patients results in increased morbimortality. Cancer patients are more prone to malnutrition due to metabolic changes induced by disease. Thus nutritional assessment should be performed early and nutritional intervention initiated when deficits are detected. The aim of this study was to investigate the correlation between Subjective Global Assessment (SGA) and the Nutritional Risk Index (NRI) in cancer patients. Methods: All possible cancer‘s patient, at least 18 years old, were evaluated at hospital admission. Patients who have had diagnosis confirmed during hospitalization were included in the study. A trained dietitian performed assessments of nutritional status within 72h of admission withASG and NRI methods. Statistical analyses were performed with SPSS version 10. Was utilized Spearman’s coefficient of correlation, attaching p < 0.05. Results: We assessed 73, these was enrolled 57 patients, 31 (54%) women, and total mean of age 58 years (±17). The frequency of cancer was 54. 4% in the gastrointestinal tract, 21.1% gynecological, 10.5% blood related cancers; 8.8% urological; and 5.3% others. Malnutrition rate with ASG was 87.7%, Severe malnutrition was recognized in 29.8%. The NRI assessment presented 91.2% of prevalence for malnutrition and 43.9% for severe malnutrition. Was observed correlation between ASG and NRI (r = 0.387; p = 0.003). Conclusion: Malnutrition rates at admission were considered high maybe because retarding in the diagnoses what implies in deterioration of the nutritional status. The NRI has a positive correlation with the ASG, and may be another important assessment tool applied to oncologic hospitalized population. References Arends J, Bodoky G, Bozzetti F, Fearon K, Muscaritoli M, Selga G, et al. ESPEN guidelines on enteral nutrition: non-surgical oncology. Clinical Nutrition, 2006; 25: 245 59. Disclosure of Interest: None Declared.
PP227-SUN THE EFFECTS OF THE LACTO-OVO-VEGETARIAN DIET ON SOME CHILDREN 15 YEARS FOLLOWED-UP D. Dubau1,2 , S. Cheregi1,2 , R. Spineanu1 . 1 University of Oradea, Faculty of Medicine and Pharmacy, 2 County Clinical Hospital of Oradea, Oradea, Romania Rationale: In our community, parents require the lactoovo-vegetarian diet only from tradition, customs or religious believes. Our purpose was the detection of some possible side effects of this diet on the children during a long period.