Glucocorticoid treatment, immobility, and constipation are associated with nutritional risk
Open accessAbstract
Purpose The hypothesis of this clinical study was to determine whether glucocorticoid use and immobility were associated with in-hospital nutritional risk. Methods One hundred and one patients consecutively admitted to the medical wards were enrolled. Current medical conditions, symptoms, medical history, eating and drinking habits, diagnosis, laboratory findings, medications, and anthropometrics were recorded. The Nutrition Risk Score 2002 (NRS-2002) was used as a screening instrument to identify nutritional risk. Results The results confirmed that glucocorticoid use and immobility are independently associated with nutritional risk determined by the NRS-2002. Constipation could be determined as an additional cofactor independently associated with nutritional risk. Conclusions Glucocorticoid treatment, immobility, and constipation are associated with nutritional risk in a mixed hospitalized population. The presence of long-time glucocorticoid use, immobility, or constipation should alert the clinician to check for nutritional status, which is an important factor in mortality and morbidity.
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Several prospective cohort studies showed a prevalence of malnutrition risk of approximately 40-50% in a hospitalized population of tertiary centers.
“Several prospective cohort studies showed a prevalence of approximately 40e50% in a hospitalized population of tertiary centers [16,17].”
From ESPEN guideline on nutritional support for polymorbid medical inpatients (2023) · cites this paper as [16]
Polymorbid medical inpatients are at high risk of malnutrition.
“Polymorbid medical inpatients are at high risk of malnutrition.”
From ESPEN guideline on nutritional support for polymorbid medical inpatients (2023) · cites this paper as [16]
Cites
The Harris Benedict equation reevaluated: resting energy requirements and the body cell mass
Roza, A. M., & Shizgal, H. M. (1984) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/40.1.168 · Cited by 824 · see citing works
Sorensen, J., Kondrup, J., Prokopowicz, J., Schiesser, M., Krähenbühl, L., Meier, R., & Liberda, M. (2008) · Clinical Nutrition · doi:10.1016/j.clnu.2008.03.012 · Cited by 607 · cited 1× · see citing works
“As malnutrition is a largely treatable co-morbidity, rapid and simple identification and effective management of this condition are essential [7].”
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ESPEN guidelines on nutritional support for polymorbid internal medicine patients
Gomes, F., Schuetz, P., Bounoure, L., Austin, P., Ballesteros-Pomar, M., Cederholm, T., Fletcher, J., Laviano, A., Norman, K., Poulia, K.-A., et al. (2018) · Clinical Nutrition · doi:10.1016/j.clnu.2017.06.025 · Cited by 363 · see citing works
Self-citationESPEN guideline on nutritional support for polymorbid medical inpatients
Wunderle, C., Gomes, F., Schuetz, P., Stumpf, F., Austin, P., Ballesteros-Pomar, M. D., Cederholm, T., Fletcher, J., Laviano, A., Norman, K., et al. (2023) · Clinical Nutrition · doi:10.1016/j.clnu.2023.06.023 · Cited by 105 · see citing works
“Several prospective cohort studies showed a prevalence of approximately 40 e 50% in a hospitalized population of tertiary centers [16,17].”
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- Authors
- Gutzwiller, J.-P., Aschwanden, J., Iff, S., Leuenberger, M., Perrig, M., & Stanga, Z.
- Affiliations
- University of Bern (CH)
- Corresponding author
- Gutzwiller, Jean-Pierre
- Venue
- European Journal of Nutrition
- Published
- 2011-03-03
- Volume
- 50
- Issue
- 8
- Pages
- 665-671
- ISSN
- 1436-6207 (ISSN-L)
- 1436-6215
- OpenAlex
- W2029252358
- Cited by
- 17
- References
- 2
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2020: 2 · 2019: 1 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 1
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- green
- boris.unibe.ch
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- reroDoc Digital Library (submittedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion, other-oa)
- Open Access CRIS of the University of Bern
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- glucocorticoid therapy, immobility, constipation, nutritional risk, NRS-2002, hospitalized patients, nutritional status, risk factors
- MeSH terms
- Adult, Aged, Aged, 80 and over, Bed Rest, Constipation, Cross-Sectional Studies, Female, Glucocorticoids, Hospitalization, Humans, Male, Middle Aged, Nutritional Status, Risk Factors, Logistic Models, Malnutrition
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