High prevalence of malnutrition in an internal medicine department: results from the AMIDO study

Published: 7 August 2024
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The prevalence of malnutrition in patients is very high in Europe (>70%). An Italian FADOI-SINPE survey revealed that malnutrition is an underestimated problem by internists. The AMIDO study examines malnutrition in Acqui Terme Hospital (Alessandria, Italy) Internal Medicine Department patients. Patients were screened for malnutrition using the Malnutrition Universal Screening Tool (MUST) upon admission. 268 patients (49.63% male) were enrolled, with a median age of 83 years. At admission, the prevalence of malnutrition risk was 48.88%. The proportion of patients who came from home resulted to have a slight decreasing trend among the three subgroups according to MUST (84.67%, 82.76%, and 73.53% in increasing order of MUST score respectively), but was not statistically significant (P=0.10). Dementia [odds ratio (OR): 6.36; 95% confidence interval (CI): 2.52-18.63], heart failure (OR: 2.45; 95% CI: 1.33-4.57), neoplasm (OR: 2.24; 95% CI: 1.08-4.77) and infectious diseases (OR: 2.27; 95% CI: 1.226-4.274) increase malnutrition odds. Increasing attention to malnutrition risk is crucial for patients with dementia, neoplasm, heart failure, and infectious diseases, which raise malnutrition risk probability.

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Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr 2008;27:5-15. DOI: https://doi.org/10.1016/j.clnu.2007.10.007
Poggiano MR, Ciarla S, Gnerre P, et al. The management of the patient with malnutrition: from evidence to clinical practice. Ital J Med 2017;11:745. DOI: https://doi.org/10.4081/itjm.2017.745
van Vliet IMY, Gomes-Neto AW, de Jong MFC, et al. High prevalence of malnutrition both on hospital admission and predischarge. Nutrition 2020;77:110814. DOI: https://doi.org/10.1016/j.nut.2020.110814
Marinho R, Pessoa A, Lopes M, et al. High prevalence of malnutrition in Internal Medicine wards - a multicentre ANUMEDI study. Eur J Intern Med 2020;76:82-8. DOI: https://doi.org/10.1016/j.ejim.2020.02.031
Siddique SM, Tipton K, Leas B, et al. Interventions to reduce hospital length of stay in high-risk populations: a systematic review. JAMA Netw Open 2021;4:e2125846. DOI: https://doi.org/10.1001/jamanetworkopen.2021.25846
Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr 2003;22:235-9. DOI: https://doi.org/10.1016/S0261-5614(02)00215-7
Carretero Gómez J, Galeano Fernández TF, Vidal Ríos AS, et al. Malnutrition and sarcopenia worsen short- and long-term outcomes in internal medicine inpatients. Postgrad Med J 2023;99:56-62. DOI: https://doi.org/10.1093/postmj/qgad006
Riso S, Para O, Collo A, et al; FADOI and SINPE. Clinical nutrition in internal medicine: An Italian survey by the scientific societies FADOI and SINPE. Nutrition 2022;98:111623. DOI: https://doi.org/10.1016/j.nut.2022.111623
Lobo DN, Gianotti L, Adiamah A, et al. Perioperative nutrition: Recommendations from the ESPEN expert group. Clin Nutr 2020;39:3211-27. DOI: https://doi.org/10.1016/j.clnu.2020.03.038
Cederholm T, Jensen GL, Correia MITD, et al; GLIM Core Leadership Committee; GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clin Nutr 2019;38:1-9. DOI: https://doi.org/10.1016/j.clnu.2019.02.033
Todorovic V, Russell C, Marinos E. Malnutrition Universal Screening Tool – Italian Edition. Malnutrition Action Group (MAG), a Standing Committee of BAPEN. 2011. Available from: https://www.bapen.org.uk/images/pdfs/must/italian/must-toolkit.pdf
Tsai AC, Lai MY. Mini nutritional assessment and short-form mini nutritional assessment can predict the future risk of falling in older adults - results of a national cohort study. Clin Nutr 2014;33:844-9. DOI: https://doi.org/10.1016/j.clnu.2013.10.010
Marinos E, Russell CA. Combating malnutrition: recommendations for action. Report from the Advisory Group on Malnutrition, led by BAPEN. 2009. Available from: https://www.bapen.org.uk/pdfs/reports/advisory_group_report.pdf
Wunderle C, Gomes F, Schuetz P, et al. ESPEN guideline on nutritional support for polymorbid medical inpatients. Clin Nutr 2023;42:1545-68. DOI: https://doi.org/10.1016/j.clnu.2023.06.023
Lv S, Ru S. The prevalence of malnutrition and its effects on the all-cause mortality among patients with heart failure: A systematic review and meta-analysis. PLoS One 2021;16:e0259300. DOI: https://doi.org/10.1371/journal.pone.0259300
Milne AC, Potter J, Vivanti A, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev 2009;2009:CD003288. DOI: https://doi.org/10.1002/14651858.CD003288.pub3
van den Berg GH, Huisman-de Waal GGJ, Vermeulen H, de van der Schueren MAE. Effects of nursing nutrition interventions on outcomes in malnourished hospital inpatients and nursing home residents: A systematic review. Int J Nurs Stud 2021;117:103888. DOI: https://doi.org/10.1016/j.ijnurstu.2021.103888
Malafarina V, Serra Rexach JA, Masanes F, Cruz-Jentoft AJ. Effects of high-protein, high-calorie oral nutritional supplementation in malnourished older people in nursing homes: An observational, multi-center, prospective study (PROT-e-GER). Protocol and baseline population characteristics. Maturitas 2019;126:73-79. DOI: https://doi.org/10.1016/j.maturitas.2019.05.009
Lucyna Ś, Elżbieta W, Anna KK, Judyta P. Nutritional status of the elderly residing in a 24-hour medical care facility after nutritional intervention. Gerontol Geriatr Med 2024;10:23337214231224574. DOI: https://doi.org/10.1177/23337214231224574
Abbott RA, Whear R, Thompson-Coon J, et al. Effectiveness of mealtime interventions on nutritional outcomes for the elderly living in residential care: a systematic review and meta-analysis. Ageing Res Rev 2013;12:967-81. DOI: https://doi.org/10.1016/j.arr.2013.06.002
Leij-Halfwerk S, Verwijs MH, van Houdt S, et al; MaNuEL Consortium. Prevalence of protein-energy malnutrition risk in European older adults in community, residential and hospital settings, according to 22 malnutrition screening tools validated for use in adults ≥65 years: a systematic review and meta-analysis. Maturitas 2019;126:80-9. DOI: https://doi.org/10.1016/j.maturitas.2019.05.006

How to Cite

Gnerre, P., Lingua, S., Farotto, M., Mazzucco, R., Crivellari, S., Bertolina, C., Giacchero, F., Cerutti, P., Seksich, E., Bertolotti, M., & Maconi, A. (2024). High prevalence of malnutrition in an internal medicine department: results from the AMIDO study. Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1775

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