https://doi.org/10.4081/itjm.2024.1804

Morphometric and clinical analysis and nutritional and dietary management of malnourished adult patients in the Marrakech Tensift Al Haouz region, Morocco

Vol. 18 No. 3 (2024)
Published: 10 October 2024
Nutritional assessment, undernutrition, clinical evaluation, adults, Morocco
Abstract Views: 54
PDF: 57
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Hiba Belmoudden
https://orcid.org/0009-0007-9598-3626
Team of Nutritional Sciences, Food and Health, Laboratory of Biology and Health, Department of Biology, Faculty of Sciences, University Ibn Tofail, Kenitra, Morocco.
Btihaj Al Ibrahmi
ibtihaje2178@gmail.com
Team of Nutritional Sciences, Food and Health, Laboratory of Biology and Health, Department of Biology, Faculty of Sciences, University Ibn Tofail, Kenitra, Morocco.
Abdellatif Bour
Team of Nutritional Sciences, Food and Health, Laboratory of Biology and Health, Department of Biology, Faculty of Sciences, University Ibn Tofail, Kenitra, Morocco.

This study examined the morphometric and clinical aspects as well as the nutritional and dietary management of undernourished adult patients in the Marrakech Tensift Al Haouz region, Morocco. It highlighted the specific challenges faced by these patients, in particular the significant differences in nutritional requirements and management strategies. Our results showed a significant increase in caloric intake from 19.97±0.64 kcal/kg/d to 27.23±0.12 kcal/kg/d for all patients. Muscle mass increased from 16.71±4.76 kg to 18.75±3.58 kg. The mean albumin increased to 35.9 g/L, indicating an improved protein reserve. Similarly, pre-albumin increased to 186.3 mg/dL, suggesting a rapid response to nutritional intake. At the same time, C-reactive protein levels fell, indicating a reduction in systemic inflammation. In addition, it is important to note that body mass index differed between the sexes, with women tending to gain muscle mass more slowly than men. The results highlight the urgent need to adopt a personalized approach to improving the health and well-being of undernourished patients by adjusting nutritional and dietary interventions to the specific needs of each individual.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

PlumX Metrics

PlumX Metrics  provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Gassull MA, Cabré E, Vilar L, et al. Protein-energy malnutrition: an integral approach and a simple new classification. Hum Nutr Clin Nutr 1984;38:419-31.
Hiura G, Lebwohl B, Seres DS. Malnutrition diagnosis in critically ill patients using 2012 Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition standardized diagnostic characteristics is associated with longer hospital and intensive care unit length of stay and increased in-hospital mortality. JPEN J Parenter Enteral Nutr 2020;44:256-64. DOI: https://doi.org/10.1002/jpen.1599
Elmighrabi NF, Fleming CAK, Dhami MV, et al. A systematic review and meta-analysis of the prevalence of childhood undernutrition in North Africa. PLoS One 2023;18:e0283685. DOI: https://doi.org/10.1371/journal.pone.0283685
Tsai AC, Hsu HY, Chang TL. The mini nutritional assessment (MNA) is useful for assessing the risk of malnutrition in adults with intellectual disabilities. J Clin Nurs 2011;20:3295-303. DOI: https://doi.org/10.1111/j.1365-2702.2011.03877.x
Newman CS, Cornwell PL, Young AM, et al. Accuracy and confidence of allied health assistants administering the subjective global assessment on inpatients in a rural setting: a preliminary feasibility study. Nutr Diet 2018;75:129-36. DOI: https://doi.org/10.1111/1747-0080.12370
Steenson J, Vivianti A, Isenring E. New clinicians require ongoing training to ensure high inter-rater reliability of the subjective global assessment. Nutrition 2013;29:361-2. DOI: https://doi.org/10.1016/j.nut.2012.03.005
Tey SL, Huynh DTT, Kong ST, et al. Effects of oral nutritional supplement with β-hydroxy-β-methylbutyrate (HMB) on biochemical and hematological indices in community-dwelling older adults at risk of malnutrition: findings from the SHIELD study. Nutrients 2024;16:2495. DOI: https://doi.org/10.3390/nu16152495
Guigoz Y, Vellas B, Garry PJ. Mini nutritional assessment: a practical assessment tool for grading the nutritional state of elderly patients.1997.
Cederholm T, Bosaeus I. Malnutrition in Adults. N Engl J Med 2024;391:155-65. DOI: https://doi.org/10.1056/NEJMra2212159
Benković V, Kolčić I, Ivičević Uhernik A, et al. The economic burden of disease-related undernutrition in selected chronic diseases. Clin Nutr 2014;33:689-93. DOI: https://doi.org/10.1016/j.clnu.2013.09.006
Malone A, Mogensen KM. Key approaches to diagnosing malnutrition in adults. Nutr Clin Pract 2022;37: 23-34. DOI: https://doi.org/10.1002/ncp.10810
Baker JP, Detsky AS, Wesson DE, et al. Évaluation nutritionnelle: une comparaison du jugement clinique et des mesures objectives. N Engl J Med 1982;306:969-72. DOI: https://doi.org/10.1056/NEJM198204223061606
da Silva Fink J, Daniel de Mello P, Daniel de Mello E. Subjective global assessment of nutritional status – a systematic review of the literature. Clin Nutr 2015;34:785-92. DOI: https://doi.org/10.1016/j.clnu.2014.12.014
Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr 1987;11:8-13. DOI: https://doi.org/10.1177/014860718701100108
Steenson J, Vivanti A, Isenring E. Inter-rater reliability of the subjective global assessment: a systematic literature review. Nutrition 2013;29:350-2. DOI: https://doi.org/10.1016/j.nut.2012.05.006

How to Cite

Belmoudden, H., Al Ibrahmi, B., & Bour, A. (2024). Morphometric and clinical analysis and nutritional and dietary management of malnourished adult patients in the Marrakech Tensift Al Haouz region, Morocco. Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1804
Copyright (c) 2024 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.