Assessment of nutritional status of gastroenterology patients in Croatia [Procjena nutritivnog statusa gastroenteroloških bolesnika u Republici Hrvatskoj]

Vranešić Bender, Darija and Krznarić, Željko and Colić Barić, Irena (2010) Assessment of nutritional status of gastroenterology patients in Croatia [Procjena nutritivnog statusa gastroenteroloških bolesnika u Republici Hrvatskoj]. Collegium Antropologicum, 34 (4). pp. 1329-1334. ISSN 0350-6134

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Abstract

Malnutrition is a common feature of gastroenterological diseases. In this study, nutritional status of the patients admitted to Department of Gastroenterology at University Hospital Center Zagreb was assessed. Anthropometric, dietetic, biochemical methods and method of Subjective Global Assessment (SGA) was used. The study group included 284 patients admitted to the Hospital. Malnutrition, as defined by SGA, was found in 61.1% of the patients, of whom 75% were moderately and 25% severely malnourished. Those patients classified as moderately and extremely malnourished by SGA were found to have statistically lower values of BMI, albumin, total proteins, calcium, iron, triglycerides, cholesterol, vitamin A and lymphocytes as compared to those who were adequately nourished. The prevalence of malnutrition in hospitalized patients treated at the Department of Gastroenterology is high. The use of nutritional screening with multiple measures would be important in the early identification and treatment of these patients and would help decrease this high prevalence.

Abstract in Croatian

Malnutricija je često obilježje gastrointestinalnih bolesti. Cilj istraživanja bio je, po prvi puta u nas, odrediti nutritivni status i učestalost malnutricije na populaciji gastroenteroloških bolesnika antropometrijskim, dijetetičkim, biokemijskim metodama i metodom subjektivne općenite procjene (SGA) kako bi bilo moguće odabrati adekvatnu nutritivnu potporu važnu za liječenje bolesti probavnog sustava. Ispitanici su bili 284 hospitalizirana gastroenterološka bolesnika zaprimljena na Odjel gastroenterologije Kliničkog bolničkog centra u Zagrebu, oba spola dobi od 16 do 88 godina. Prema metodi subjektivne općenite procjene 61,1% bolesnika ocijenjeno je kao neadekvatno uhranjeno, 46,1% bilo je blago pothranjeno i 15% izrazito pothranjeno. U skupinama blago i izrazito pothranjenih bolesnika izmjerene su niže statistički značajno niže vrijednosti BMI, albumina, ukupnih proteina, kalcija, željeza, triglicerida, kolesterola, vitamina A i limfocita nego u skupini adekvatno uhranjenih. Učestalost malnutricije bila je najviša u skupinama oboljelih od upalnih bolesti crijeva i malignih bolesti. Učestalost malnutricije na Odjelu gastroenterologije izrazito je visoka, a svijest stručnjaka o ovome problemu je nedovoljna, što ukazuje na neminovnu potrebu za rutinskim provođenjem procjene nutritivnog statusa u bolnicama u cilju boljeg prepoznavanja nutritivnih potreba bolesnika i smanjenja učestalosti malnutricije.

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