Undernutrition, risk of malnutrition and obesity in gastroenterological patients: A multicenter study

作     者：Massimiliano Rizzi Silvia Mazzuoli Nunzia Regano Rosa Inguaggiato Margherita Bianco Gioacchino Leandro Elisabetta Bugianesi Donatella Noè Nicoletta Orzes Paolo Pallini Maria Letizia Petroni Gianni Testino Francesco William Guglielmi 

作者机构：Gastroenterology Unit San Nicola Pellegrino Hospital Gastroenterology Unit I Saverio De Bellis IRCCS UCL Department of Liver and Digestive Health Division of Gastro-Hepatogy Department of Medical Sciences University of Torino AIGOCommittee on Nutrition and Alcoholism Dietetics and Clinical Nutrition Unit S. Carlo Borromeo Hospital Gastroenterology Unit S. Giovanni di Dio Hospital Gastroenterology Unit Umberto I Hospital Nutritional and Gastroenterological Unit IRCCS Alcoholism and Related Conditions Unit IRCCS-AOU S. Martino-IST 

出 版 物：《World Journal of Gastrointestinal Oncology》 (世界胃肠肿瘤学杂志（英文版）（电子版）)

年 卷 期：2016年第8卷第7期

页      面：563-572页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Antonietta Maria Scarpitta Egiziano Peruzzi Elisabetta Riccio Giancarlo Spinzi Lorella Bordandini Marco Marino (Udine), Valerio Zorzetto Marco Rosanna Maria Cocco Michael Kob (Bolzano), Marion Schrei (Bolzano), Monika Staffler (Bolzano), ErnestinaCallegari (Bolzano), Lando Leila (Bolzano), Delia Tornifoglia (Bolzano), Fausto Chilovi (Bolzano), GiadaNatali Rodolfo De Rocca Rosa Maria Lucibello Simona Fregnan Stefania Maiero 

主　　题：Obesity Malnutrition Risk of Malnutrition NRS2002 Gastrointestinal disease 

摘      要：AIM: To investigate the prevalence of undernutrition, risk of malnutrition and obesity in the Italian gastroenterological population. METHODS: The Italian Hospital Gastroenterology Association conducted an observational, cross-sectional multicenter study. Weight, weight loss, and body mass index were evaluated. Undernutrition was defined as unintentional weight loss 10% in the last threesix months. Values of Malnutrition Universal Screening Tool(MUST) 2, NRS-2002 3, and Mini Nutritional Assessment(MNA) from 17 to 25 identified risk of malnutrition in outpatients, inpatients and elderly patients, respectively. A body mass index ≥ 30 indicated obesity. Gastrointestinal pathologies were categorized into acute, chronic and neoplastic diseases. RESULTS: A total of 513 patients participated in the study. The prevalence of undernutrition was 4.6% in outpatients and 19.6% in inpatients. Moreover, undernutrition was present in 4.3% of the gastrointestinal patients with chronic disease, 11.0% of those with acute disease, and 17.6% of those with cancer. The risk of malnutrition increased progressively and significantly in chronic, acute and neoplastic gastrointestinal diseases in inpatients and the elderly population. Logistical regression analysis confirmed that cancer was a risk factor for undernutrition(OR = 2.7; 95%CI: 1.2-6.44, P = 0.02). Obesity and overweight were more frequent in outpatients. CONCLUSION: More than 63% of outpatients and 80% of inpatients in gastroenterological centers suffered from significant changes in body composition and required specific nutritional competence and treatment.