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Nutritional status of patients hospitalised in Poland

European Journal of Clinical Nutrition volume 59, pages 552–560 (2005)Cite this article

Abstract

Aim:

Screening and extended assessment of the nutritional status of patients on admission and on discharge from hospital were carried out.

Description:

The studies were carried out in four teaching hospitals, four provincial hospitals and four county hospitals in Poland.

Subjects:

Screening examinations were carried out for 3310 randomly selected patients (every 10th patient admitted to hospital, including 1916 female cases aged from 16 to 92 y and 1394 male patients aged from 16 to 100 y). Extended examinations were carried out on 210 patients aged from 16 to 87 y (including 122 female and 88 male).

Main assessment parameters:

Anthropometric (height, weight, body mass index (BMI), waist-to-hip ratio (WHR), arm circumference) and biochemical indices (erythrocyte count, haemoglobin concentration, white blood cell count, blood lymphocyte count and serum albumin serum concentration). The extended examinations included determination of antioxidant vitamins (A, C, E), vitamin B12 and folic acid.

Results:

On admission to hospital, 10.43% of the patients surveyed had a BMI below 20 kg/m2, in 20.74% of patients serum albumin concentration was below 3.5 g/dl, indicating possible protein energy malnutrition. In addition, 21.02% had lymphocyte count below 1.5 × 103/mm3. During hospitalisation, deterioration in the nutritional status of the patient population occurred. On discharge from hospital, the percentage of patients with BMI<20 kg/m2 increased to 11.21% and the percentage with low blood albumin (<3.5 g/dl) increased to 28.57%. On admission, vitamin C deficiency was present in 51.8% of patients, folic acid deficiency in 32%, vitamin E deficiency in 10%, vitamin B12 deficiency in 6.8% and vitamin A deficiency in 1.4%. Vitamin deficiencies were present equally in malnourished, overweight and obese patients.

Conclusions:

In patients admitted to hospitals in Poland, malnutrition risk demonstrated by BMI was observed in 10.43% of patients. On the basis of biochemical indices, increased nutritional risk was demonstrated in 21% of patients. Vitamin malnutrition was seen in the majority of patients. A significant correlation between weight, BMI, arm circumference, blood lymphocyte count and the number of days spent in hospital was observed.

Sponsorship:

The Committee of Scientific Research and the Ministry of Health—PBZ 012-14.

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Authors and Affiliations

  1. Department of Dietetic and Nutrition in Hospital with Clinic of Metabolic Diseases and Gastroenterology, National Food and Nutrition Institute, Warsaw, Poland

    J Dzieniszewski, M Jarosz, A Lachowicz, M Ryżko-Skiba & M Orzeszko

  2. Clinic of Gastroenterological Surgery and Nutrition, Medical University of Warsaw, Warsaw, Poland

    B Szczygieł

  3. Clinic of Gastroenterology, Medical Academy, Białystok, Poland

    J Długosz

  4. Clinic of Gastroenterology, Pomeranian Academy of Medicine, Szczecin, Poland

    K Marlicz

  5. Clinic of Gastroenterology and Nutrition, Medical Academy, Poznan, Poland

    K Linke

Authors
  1. J Dzieniszewski
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  2. M Jarosz
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  3. B Szczygieł
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  4. J Długosz
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  5. K Marlicz
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  6. K Linke
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  7. A Lachowicz
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  8. M Ryżko-Skiba
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  9. M Orzeszko
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Corresponding author

Correspondence to J Dzieniszewski.

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Guarantor: J Dzieniszewski.

Contributors: M Jarosz and B Szczygiel.

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Dzieniszewski, J., Jarosz, M., Szczygieł, B. et al. Nutritional status of patients hospitalised in Poland. Eur J Clin Nutr 59, 552–560 (2005). https://doi.org/10.1038/sj.ejcn.1602117

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602117

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