TY - JOUR
T1 - Rehabilitation patients
T2 - undernourished and obese?
AU - Hertroijs, Dorijn
AU - Wijnen, Coby
AU - Leistra, Eva
AU - Visser, Marjolein
AU - van der Heijden, Ellen
AU - Kruizenga, Hinke
PY - 2012/7
Y1 - 2012/7
N2 - BACKGROUND: The aim of this study was to assess the prevalence of undernutrition in patients in Dutch rehabilitation centres and to measure the diagnostic accuracy of available screening tools.METHODS: This cross-sectional multicentre study was conducted in 11 rehabilitation centres in The Netherlands. Patient's nutritional status was determined by the amount of weight loss during the last 1, 3 and 6 months and body mass index (BMI). Diagnostic accuracy was assessed for 5 screening tools: Short Nutritional Assessment Questionnaire (SNAQ), Short Nutritional Assessment Questionnaire Residential Care (SNAQRC), SNAQ65+, Malnutrition Universal Screening Tool and Mini nutrition Assessment-short form.RESULTS: Twenty-eight percent of the patients were severely undernourished and 10% were moderately undernourished. In the undernourished group, 28% were overweight (BMI 25-30) and 19% were obese (BMI > 30). The SNAQ65+ is the recommended screening tool due to its high diagnostic accuracy (sensitivity 96%, specificity 77%, positive predictive value 62%, negative predictive value 90%) and quick and easy use. The MNA had the worst diagnostic accuracy, with a sensitivity of 44%.CONCLUSION: The prevalence of undernutrition in patients in Dutch rehabilitation centres is high. Almost half of the undernourished patients were overweight or obese. Therefore, it is important not only to screen for undernutrition, but also carefully to assess possible overweight/obesity in every undernourished rehabilitation patient.
AB - BACKGROUND: The aim of this study was to assess the prevalence of undernutrition in patients in Dutch rehabilitation centres and to measure the diagnostic accuracy of available screening tools.METHODS: This cross-sectional multicentre study was conducted in 11 rehabilitation centres in The Netherlands. Patient's nutritional status was determined by the amount of weight loss during the last 1, 3 and 6 months and body mass index (BMI). Diagnostic accuracy was assessed for 5 screening tools: Short Nutritional Assessment Questionnaire (SNAQ), Short Nutritional Assessment Questionnaire Residential Care (SNAQRC), SNAQ65+, Malnutrition Universal Screening Tool and Mini nutrition Assessment-short form.RESULTS: Twenty-eight percent of the patients were severely undernourished and 10% were moderately undernourished. In the undernourished group, 28% were overweight (BMI 25-30) and 19% were obese (BMI > 30). The SNAQ65+ is the recommended screening tool due to its high diagnostic accuracy (sensitivity 96%, specificity 77%, positive predictive value 62%, negative predictive value 90%) and quick and easy use. The MNA had the worst diagnostic accuracy, with a sensitivity of 44%.CONCLUSION: The prevalence of undernutrition in patients in Dutch rehabilitation centres is high. Almost half of the undernourished patients were overweight or obese. Therefore, it is important not only to screen for undernutrition, but also carefully to assess possible overweight/obesity in every undernourished rehabilitation patient.
KW - Aged
KW - Body Mass Index
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Malnutrition
KW - Middle Aged
KW - Netherlands
KW - Nutritional Status
KW - Obesity
KW - Prevalence
KW - Rehabilitation Centers
KW - Journal Article
KW - Multicenter Study
UR - https://www.scopus.com/pages/publications/84865989858
UR - https://www.scopus.com/inward/citedby.url?scp=84865989858&partnerID=8YFLogxK
U2 - 10.2340/16501977-0993
DO - 10.2340/16501977-0993
M3 - Article
C2 - 22729799
SN - 1650-1977
VL - 44
SP - 696
EP - 701
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 8
ER -
