{"id":5500,"date":"2019-02-26T15:18:01","date_gmt":"2019-02-26T14:18:01","guid":{"rendered":"https:\/\/www.nutrisens.com\/vitalites\/malnutrition-diagnosis-screening-and-consequences\/"},"modified":"2024-03-05T15:19:36","modified_gmt":"2024-03-05T14:19:36","slug":"malnutrition-diagnosis-screening-and-consequences","status":"publish","type":"vitalites","link":"https:\/\/www.nutrisens.com\/en\/vitalites\/malnutrition-diagnosis-screening-and-consequences\/","title":{"rendered":"Malnutrition: diagnosis, screening and consequences"},"content":{"rendered":"

In his work entitled Nutrition Clinique Pratique, St\u00e9phane Schneider examines malnutrition. The book gives us the opportunity to issue a reminder of the key issues relating to the condition.<\/em><\/p>\n

Overview<\/em><\/p>\n

\u25a0\u00a0\u00a0Malnutrition<\/a>\u00a0<\/a><\/b>is defined as a deficiency in energy, protein or any other macro or micronutrient that affects bodily functions and\/or body composition and worsens conditions. Muscles are the part of the body most affected by malnutrition.<\/p>\n

Consequences of malnutrition\u00a0<\/strong><\/h2>\n

\u25a0 Increase in morbidity and mortality rates of chronic and acute diseases
\n\u25a0 Increase in the likelihood of:
\n– infection, particularly hospital-acquired and pulmonary
\n– osteopenia\/osteoporosis
\n– dependence, falling and handicap
\n– bedsores and thromboembolic disorders
\n– fractures
\n– hypothermia
\n\u25a0 Delays cure
\n\u25a0 Reduces efficiency of treatments
\n\u25a0 Increases length of convalescence, number of prescriptions and hospital costs
\n\u25a0 Affects quality of life, well-being and social relations<\/p>\n

According to Stratton et al<\/em><\/p>\n

\u25a0\u00a0The\u00a0condition<\/strong>\u00a0can be caused by a lack of appropriate intake and\/or an increase in loss and\/or and increase in requirements. It is associated with certain chronic diseases.<\/strong><\/p>\n

Three types of malnutrition :<\/strong><\/p>\n

–\u00a0Malnutrition in conjunction with an inflammatory disease is defined as cachexia<\/p>\n

–\u00a0Malnutrition in conjunction with a non-inflammatory disease (e.g. increase in loss or increased requirements)<\/p>\n

–\u00a0Non disease-related malnutrition (insufficient intake)<\/p>\n

Principal chronic diseases associated with malnutrition\u00a0<\/strong><\/h2>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Disease\/Age<\/strong><\/td>\nConsequences of<\/b><\/td>\n<\/tr>\n
Cancers<\/td>\n39%<\/td>\n<\/tr>\n
AIDS<\/td>\n5 \u00e0 10%<\/td>\n<\/tr>\n
Kidney disease<\/a><\/td>\n25% (kidney disease) \u00e0 70% (dialysis)<\/td>\n<\/tr>\n
Respiratory disease<\/td>\n20 \u00e0 70%<\/td>\n<\/tr>\n
Chronic pancreatitis<\/td>\n67%<\/td>\n<\/tr>\n
Chronic liver conditions<\/td>\n30%<\/td>\n<\/tr>\n
IBD<\/td>\n15%<\/td>\n<\/tr>\n
Neuromuscular disorders<\/td>\n15-55%<\/td>\n<\/tr>\n
Neurological disorders with difficulty swallowing<\/a><\/td>\n100%\u00a0Swallowing difficulties as a result of a stroke<\/td>\n<\/tr>\n
Patients aged 70-80, at home<\/td>\n3-5%<\/td>\n<\/tr>\n
Patients aged over 80<\/td>\n10%<\/td>\n<\/tr>\n
Patients in care, aged over 60<\/td>\n20-30%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

According to Stratton et al<\/em><\/p>\n

\u25a0\u00a0A combination of symptoms<\/strong> indicate malnutrition<\/p>\n

Symptoms to watch out for<\/strong><\/h2>\n

\u25a0 Memory loss and lack of concentration<\/p>\n

\u25a0 Mid-day asthenia<\/p>\n

\u25a0 Loss of physical ability<\/p>\n

\u25a0 Apathy<\/p>\n

\u25a0 Digestive symptoms: anorexia, dysphagia and odynophagia, slow digestion, dyspepsia, diarrhoea and\/or constipation<\/p>\n

\u25a0\u00a0A number of concording clinical, biological and MNA or NRI elements lead to a diagnosis <\/strong>of malnutrition.<\/p>\n

Malnutrition is diagnosed in the presence of one or more of the following criteria:\u00a0<\/strong><\/h2>\n\n\n\n\n\n
Malnutrition<\/b><\/td>\nSevere Malnutrition\u00a0<\/b><\/td>\n<\/tr>\n
\u00a0<70 years<\/strong><\/p>\n

BMI: 16-18.5
\nLoss of over 5% body weight over 1 month
\nor loss of over 10% body weight over 6 months
\nAlbumin level <30g\/l
\nPrealbumin level <0.11g\/l<\/td>\n

<70 years<\/strong><\/p>\n

BMI <16
\nLoss of over 10% body weight over 1 month
\nor loss of over 15% body weight over 6 months
\nAlbumin level <20g\/l
\nPrealbumin level <0.05g\/l<\/td>\n<\/tr>\n

>70 years<\/strong><\/p>\n

BMI: 18-21
\nAlbumin level <35g\/l
\nMNA <17 or MNA-SF <8<\/td>\n

>70 years<\/strong><\/p>\n

BMI <18
\nAlbumin level <30g\/l<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Criteria issued by HAS, the French health authority<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

In his work entitled Nutrition Clinique Pratique, St\u00e9phane Schneider examines malnutrition. The book gives us the opportunity to issue a reminder of the key issues relating to the condition. Overview \u25a0\u00a0\u00a0Malnutrition\u00a0is defined as a deficiency in energy, protein or any other macro or micronutrient that affects bodily functions and\/or body composition and worsens conditions. Muscles […]<\/p>\n","protected":false},"featured_media":5501,"template":"","thematique_blog":[23],"tags_blog":[85],"class_list":["post-5500","vitalites","type-vitalites","status-publish","has-post-thumbnail","hentry","thematique_blog-bien-vieillir","tags_blog-ageing-well"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/vitalites\/5500","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/vitalites"}],"about":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/types\/vitalites"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/media\/5501"}],"wp:attachment":[{"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/media?parent=5500"}],"wp:term":[{"taxonomy":"thematique_blog","embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/thematique_blog?post=5500"},{"taxonomy":"tags_blog","embeddable":true,"href":"https:\/\/www.nutrisens.com\/en\/wp-json\/wp\/v2\/tags_blog?post=5500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}