Incidence and recognition of malnutrition in hospital
Open accessAbstract
Objectives To determine incidence of malnutrition among patients on admission to hospital, to monitor their changes in nutritional status during stay, and to determine awareness of nutrition in different clinical units. Design Prospective study of consecutive admissions. Setting Acute teaching hospital. Subjects 500 patients admitted to hospital: 100 each from general surgery, general medicine, respiratory medicine, orthopaedic surgery, and medicine for the elderly. Main outcome measures Nutritional status of patients on admission and reassessment on discharge, review of case notes for information about nutritional status. Results On admission, 200 of the 500 patients were undernourished (body mass index less than 20) and 34% were overweight (body mass index > 25). The 112 patients reassessed on discharge had mean weight loss of 5.4%, with greatest weight loss in those initially most undernourished. But the 10 patients referred for nutritional support showed mean weight gain of 7.9%. Review of case notes revealed that, of the 200 undernourished patients, only 96 had any nutritional information documented. Conclusion Malnutrition remains a largely unrecognised problem in hospital and highlights the need for education on clinical nutrition.
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This food offer often provides reduced food choices to patients.
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From ESPEN guideline on hospital nutrition (2021) · cites this paper as [232]
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- Authors
- McWhirter, J. P., & Pennington, C. R.
- Affiliations
- Ninewells Hospital (GB)
- Corresponding author
- McWhirter, J P
- ORCID
- Pennington, C R
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1994-04-09
- Volume
- 308
- Issue
- 6934
- Pages
- 945-948
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC2539799
- OpenAlex
- W2051933815
- Cited by
- 1,504
- References
- 2
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 14 · 2023: 21 · 2022: 17 · 2021: 26 · 2020: 28 · 2019: 38 · 2018: 29 · 2017: 40 · 2016: 44 · 2015: 62 · 2014: 71 · 2013: 58 · 2012: 77
- FWCI
- 16.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- malnutrition, hospitalization, nutritional status, overweight, weight loss, nutritional support, clinical nutrition education, case note review
- MeSH terms
- Adolescent, Adult, Aged, Female, Hospitals, Teaching, Humans, Male, Middle Aged, Nutrition Disorders, Patient Admission, Prospective Studies, Scotland, Weight Loss, Nutrition Assessment, Body Mass Index, Incidence
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