Nutritional Assessment: A Comparison of Clinical Judgment and Objective Measurements
Abstract
THE diagnosis of protein-calorie malnutrition is often based on objective measurements of nutritional status,1 including assessments of hepatic secretory proteins (serum albumin and serum transferrin), anthropometric evaluation, creatinine-height index, and determination of cell-mediated immunity. Although these indicators are epidemiologically useful and correlate with morbidity and mortality,2 3 4 5 6 no single measurement is of consistent value in individual patients.nutritional status may also be assessed by clinical examination. Although this method is used routinely, its validity and reproducibility do not appear to have been tested.To determine the reproducibility and validity of clinical assessment of nutritional status, we studied the nutritional status of . . .
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Hospital stay is a risk factor for malnutrition.
“and malnutrition [112, 233, 234].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [233]
Malnutrition affects 30-50% of adult patients admitted to hospitals.
“Malnutrition affects 30–50% of adult patients admitted to hospitals [233, 234].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [233]
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- Authors
- Baker, J. P., Detsky, A. S., Wesson, D. E., Wolman, S. L., Stewart, S., Whitewell, J., Langer, B., & Jeejeebhoy, K. N.
- Affiliations
- University of Toronto (CA)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1982-04-22
- Volume
- 306
- Issue
- 16
- Pages
- 969-972
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2073968460
- Cited by
- 1,019
- References
- 1
- Citations by year
- 2026: 10 · 2025: 24 · 2024: 25 · 2023: 22 · 2022: 17 · 2021: 17 · 2020: 29 · 2019: 18 · 2018: 20 · 2017: 21 · 2016: 28 · 2015: 36 · 2014: 24 · 2013: 28 · 2012: 26
- FWCI
- 16.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- protein-energy malnutrition, nutritional assessment, physical examination, reproducibility, validity, serum albumin, transferrin, anthropometry, creatinine height index, cell-mediated immunity
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Male, Medical History Taking, Methods, Middle Aged, Nutritional Physiological Phenomena, Physical Examination, Preoperative Care, Protein-Energy Malnutrition, Regression Analysis, Clinical Laboratory Techniques
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