Decreased food intake is a risk factor for mortality in hospitalised patients: The NutritionDay survey 2006
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Background & aims Malnutrition is a known risk factor for the development of complications in hospitalised patients. We determined whether eating only fractions of the meals served is an independent risk factor for mortality. Methods The NutritionDay is a multinational one-day cross-sectional survey of nutritional factors and food intake in 16,290 adult hospitalised patients on January 19th 2006. The effect of food intake and nutritional factors on death in hospital within 30 days was assessed in a competing risk analysis. Results More than half of the patients did not eat their full meal provided by the hospital. Decreased food intake on NutritionDay or during the previous week was associated with an increased risk of dying, even after adjustment for various patient and disease related factors. Adjusted hazard ratio for dying when eating about a quarter of the meal on NutritionDay was 2.10 (1.53-2.89); when eating nothing 3.02 (2.11-4.32). More than half of the patients who ate less than a quarter of their meal did not receive artificial nutrition support. Only 25% patients eating nothing at lunch receive artificial nutrition support. Conclusion Many hospitalised patients in European hospitals eat less food than provided as regular meal. This decreased food intake represents an independent risk factor for hospital mortality.
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Hiesmayr performed a large one-day cross-sectional survey on food intake in hospitalized patients (N=16,290), which showed that eating 1⁄4 meal gave an adjusted hazard ratio of 2.10 of dying; eating nothing has a HR of 3.20.
“Hiesmayr performed a large one-day cross-sectional survey on food 557 intake in hospitalized patients (N=16,290), which showed that eating ¼ meal gave an adjusted 558 hazard ratio of 2.10 of dying [39]. Eating nothing has a HR of 3.20.”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [39]
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Experimental — accuracy not yet measuredThe former definition is based on results of the European multicenter NutritionDay survey showing that food consumption ≤50% of offered portions at lunch or dinner was independently associated with increased (by a factor of two to eight) mortality in 16,290 adult hospitalized patients worldwide.
“The former definition is based 1747 on the results of the European multicenter NutritionDay® survey showing that food 1748 consumption ≤50% of offered portions at lunch or dinner was independently associated with an 1749 increased (by a factor of two to eight) mortality in 16,290 adult hospitalized patients worldwide 1750 [39]”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [39]
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- Authors
- Hiesmayr, M., Schindler, K., Pernicka, E., Schuh, C., Schoeniger-Hekele, A., Bauer, P., Laviano, A., Lovell, A. D., Mouhieddine, M., Schuetz, T., Schneider, S. M., Singer, P., Pichard, C., Howard, P., Jonkers, C., Grecu, I., & Ljungqvist, O.
- Affiliations
- Medical University of Vienna (AT)
- Sapienza University of Rome (IT)
- Charité – Universitätsmedizin Berlin (DE)
- Inserm (FR)
- Rabin Medical Center (IL)
- University Hospital of Geneva (CH)
- Clinical Emergency Hospital Bucharest (RO)
- Karolinska University Hospital (SE)
- Corresponding author
- Hiesmayr, M.
- ORCID
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 28
- Issue
- 5
- Pages
- 484-491
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2168569587
- Cited by
- 453
- References
- 3
- Citations by year
- 2026: 15 · 2025: 16 · 2024: 20 · 2023: 30 · 2022: 25 · 2021: 37 · 2020: 29 · 2019: 27 · 2018: 30 · 2017: 31 · 2016: 29 · 2015: 43 · 2014: 21 · 2013: 29 · 2012: 24
- FWCI
- 22.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- 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
- in-hospital mortality, hospitalized patients, malnutrition, meal skipping, competing risk analysis, nutritional risk factors
- MeSH terms
- Aged, Cross-Sectional Studies, Diet, Diet Surveys, Europe, Female, Food Service, Hospital, Humans, Inpatients, Length of Stay, Male, Middle Aged, Nutritional Status, Risk Factors, Weight Loss, Body Mass Index, Odds Ratio, Survival Analysis, Hospital Mortality, Nutritional Support
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