Assessment of food intake in hospitalised patients: A 10-year comparative study of a prospective hospital survey
Open accessAbstract
Background & aims A food quality control and improvement permanent process was initiated in 1999. To evaluate the food service evolution, protein-energy needs coverage were compared in 1999 and 2008 with the same structure survey in all hospitalized patients receiving 3 meals/day. Methods Nutritional values of food provided, consumed and wasted over 24h including non-exclusive nutritional support were calculated individually. Nutritional needs were estimated as 110% of Harris-Benedict formula for energy and 1.2 or 1.0 g protein/kg/day for patients Results Out of 1677 patients, 1291 were included. Mean BMI was higher in 2008 than 1999 (P Conclusion The nutritional needs coverage could have improved in 2008 if BMI was similar to 1999's. ONS consumption is associated with a lower risk of underfeeding in hospitalized patients.
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Therapeutic diets such as low salt, gluten-free, or texture and consistency modified diets are associated with an increased risk of malnutrition.
“Hospital surveys on practices 65 regarding hospital diets revealed that therapeutic diets such as low salt or gluten-free diet, or 66 texture and consistency modified diets, are associated with decreased energy delivery and thus 67 associated with an increased risk of malnutrition [1, 2].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [1]
Diets based on food restriction without medical evidence (e.g. anticancer starvation) increase the risk of malnutrition.
“These diets can increase the risk of being underfed [1] and finally the risk 362 of malnutrition.”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [1]
Therapeutic diets such as low salt, gluten-free, or texture and consistency modified diets are associated with decreased energy delivery.
“Hospital surveys on practices 65 regarding hospital diets revealed that therapeutic diets such as low salt or gluten-free diet, or 66 texture and consistency modified diets, are associated with decreased energy delivery and thus 67 associated with an increased risk of malnutrition [1, 2].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [1]
Cites
Negative impact of hypocaloric feeding and energy balance on clinical outcome in ICU patients
Villet, S., Chiolero, R. L., Bollmann, M. D., Revelly, J.-P., Cayeux RN, M.-C., Delarue, J., & Berger, M. M. (2005) · Clinical Nutrition · doi:10.1016/j.clnu.2005.03.006 · Cited by 995 · see citing works
Pichard, C., Kyle, U. G., Morabia, A., Perrier, A., Vermeulen, B., & Unger, P. (2004) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.4.613 · Cited by 392 · see citing works
Self-citationThe economic impact of disease-related malnutrition at hospital admission
Amaral, T. F., Matos, L. C., Tavares, M. M., Subtil, A., Martins, R., Nazaré, M., & Sousa Pereira, N. (2007) · Clinical Nutrition · doi:10.1016/j.clnu.2007.08.002 · Cited by 220 · see citing works
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ESPEN guideline on hospital nutrition
Thibault, R., Abbasoglu, O., Ioannou, E., Meija, L., Ottens-Oussoren, K., Pichard, C., Rothenberg, E., Rubin, D., Siljamäki-Ojansuu, U., Vaillant, M.-F., et al. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.09.039 · Cited by 259 · see citing works
Self-citationOfei, K. T., Holst, M., Rasmussen, H. H., & Mikkelsen, B. E. (2015) · Appetite · doi:10.1016/j.appet.2015.04.043 · Cited by 44 · see citing works
- Authors
- Thibault, R., Chikhi, M., Clerc, A., Darmon, P., Chopard, P., Genton, L., Kossovsky, M. P., & Pichard, C.
- Affiliations
- University Hospital of Geneva (CH)
- University of Geneva (CH)
- Corresponding author
- Pichard, Claude
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2011-06
- Volume
- 30
- Issue
- 3
- Pages
- 289-296
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2031892347
- Cited by
- 157
- References
- 3
- Citations by year
- 2025: 8 · 2024: 5 · 2023: 8 · 2022: 7 · 2021: 11 · 2020: 15 · 2019: 10 · 2018: 13 · 2017: 15 · 2016: 16 · 2015: 12 · 2014: 11 · 2013: 9 · 2012: 11
- FWCI
- 7.58
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- 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
- dietary intake, hospitalized patients, malnutrition, oral nutritional supplements, food service quality, body mass index, meal quality, nutritional support, Harris-Benedict equation, older adults
- MeSH terms
- Adult, Aged, Aged, 80 and over, Energy Intake, Diet, Dietary Proteins, Eating, Female, Food Preferences, Food Service, Hospital, Food, Formulated, Hospitals, University, Humans, Male, Middle Aged, Nutrition Surveys, Prospective Studies, Quality Control, Risk Factors, Switzerland, Body Mass Index, Outcome Assessment, Health Care, Malnutrition
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