Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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Changes in Nutrient Intake in Patients at Nutritional Risk

영양 불량 입원 환자에서 영양소 섭취 변화 분석

  • Lee, Ho Sun (Dept. of Nutrition and Dietetics, Severance Hospital, Yonsei University Health System) ;
  • Shin, Kyung Hun (Dept. of Nutrition and Dietetics, Severance Hospital, Yonsei University Health System) ;
  • Rha, Sun Young (Dept. of Internal Medicine, Yonsei University College of Medicine) ;
  • Chung, Moon Jae (Dept. of Internal Medicine, Yonsei University College of Medicine) ;
  • Song, Si Young (Dept. of Internal Medicine, Yonsei University College of Medicine) ;
  • Song, Seung Eun (Dept. of Nutrition and Dietetics, Severance Hospital, Yonsei University Health System) ;
  • Ham, Hye Jin (Dept. of Nutrition and Dietetics, Severance Hospital, Yonsei University Health System) ;
  • Kim, Hyung Mi (Dept. of Nutrition and Dietetics, Severance Hospital, Yonsei University Health System)
  • 이호선 (세브란스병원 영양팀) ;
  • 신경훈 (세브란스병원 영양팀) ;
  • 라선영 (세브란스의과대학 내과학교실) ;
  • 정문재 (세브란스의과대학 내과학교실) ;
  • 송시영 (세브란스의과대학 내과학교실) ;
  • 송승은 (세브란스병원 영양팀) ;
  • 함혜진 (세브란스병원 영양팀) ;
  • 김형미 (세브란스병원 영양팀)
  • Received : 2014.10.01
  • Accepted : 2014.10.24
  • Published : 2014.11.02
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Abstract

The purpose of this study was to examine changes in nutrient intake in patients at nutritional risk. We included 106 malnourished patients who were admitted to Severance Hospital from March to September 2014. The average age was $59.0{\pm}11.6$ years old and 59 patients were male (59.7%). The majority of diagnosis was cancer (94.3%). We evaluated patients' nutritional status by scored patient-generated subjective global assessment (PG-SGA), anthropometric measurement (height, weight, body composition by Bioelectrical impedance analysis), hand grip strength, biochemical and dietary assessment. The patients' daily intakes of energy and protein ($1,019.5{\pm}706.4kcal$, $40.4{\pm}27.7g$) during hospitalization were significantly lower than their usual intakes ($1,382.0{\pm}499.8kcal$, $54.4{\pm}25.1g$, P<0.001). Serum levels of albumin, cholesterol, and total lymphocytes were significantly reduced during hospital stay. The negatively influencing factors for reduced dietary intake were anorexia (42.5%), abdominal distention (14.2%), pain (13.2%), and others. The results of this study could be used to establish baseline data for developing new strategies for nutritional intervention in malnourished patients.

Keywords

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