Normal Nutritional Status Research Articles

The Profiles of Health Aging in Older Ethiopian Adults within the WHO Healthy Aging Framework

AbstractThe World Health Organisation’s (WHO) Healthy Aging framework describes healthy aging as the maintenance of functional capacity in older adults. However, aging is a heterogeneous process influenced by genetics, lifestyle, and environmental factors, leading to variations in experiences of functional capacity among adults. In this study, Latent Class Analysis (LCA) classified groups of individuals based on their health and functional capacities. Adults from Northwest Ethiopia (n = 845) aged ≥ 60 years old, were interviewed about their cognition, mental health, social support, independence, and sensory functioning. LCA identified three groups, reflecting “high-“ (47.5%); "moderate-" (37.3%); and "low-functioning" (15.2%) participants. Compared to low-functioning individuals, high-functioning individuals were less likely to be aged 80+ (RR = 0.61; 95% CI: 0.46, 0.80), lonely (RR = 2.34; 95% CI: 1.72, 3.18), but more likely to report normal nutritional status (RR = 2.05; 95% CI: 1.47, 2.86), no multimorbidity (RR = 1.18; 95% CI: 1.06, 1.32), living in an urban area (RR = 1.12; 95% CI: 1.03, 1.22), and financially independent (RR = 1.24; 95% CI: 1.03, 1.49). Notably, almost half of the sample was classified as high functioning, comparable to findings from other developing countries. Those individuals in the high-functioning group who did not meet the WHO criteria for functional capacity across all domains did not differ from those individuals who did meet all the WHO criteria. This positively demonstrates that older adults do not need to be functional across all dimensions to experience healthy aging.

Mini nutritional assessment short form as a predictor of mortality among older adults with dementia residing in group homes: A 5-year longitudinal study

Many people with dementia frequently experience various health-related problems and are known to have poor nutritional status. However, very few studies have examined the nutritional status of dementia residents in group homes, which play an important role in a society-wide system of support for people with dementia, or the relationship between nutritional status and long-term prognosis. This study was conducted to determine the nutritional status of group-home residents and to examine the relationship between nutritional status and the 5-year survival rate. Participant characteristic (e.g., age, sex, body mass index, and medical history) and Mini Nutritional Assessment-Short Form (MNA-SF), Barthel index (BI), and Clinical Dementia Rating (CDR) data were collected from 79 older people (12 men/67 women; mean age: 88.3±5.5 years) residing in 5 group homes as a baseline survey. Mortality data were obtained from medical records using an endline survey. The nutritional status of the participants using the MNA-SF was normal, at risk of malnutrition, and malnourished in 15.2% (n=12), 69.6% (n=55), and 15.2% (n=12) of participants, respectively. Following the survey, mortality data were collected for 5 years, and the 5-year survival rates were 64.3% in those with normal nutritional status, 30.4% in those at risk of malnutrition, and 9.1% in the malnourished group, with a significant difference observed in the Kaplan-Meier analysis (p<0.001). The hazard ratio for the MNA-SF scores and survival rates adjusted for sex, age, BI, and CDR were significant 0.80 [0.69-0.93, p=0.003]. This study showed that 84.8% of patients with dementia residing in group homes were malnourished or at risk of malnutrition and that low MNA-SF levels were an independent determinant of the 5-year survival rate.

Unlocking Insights: Using Machine Learning to Identify Wasting and Risk Factors in Egyptian Children Under 5

Introduction: Malnutrition, particularly wasting, continues to be a significant public health issue among children under five years in Egypt. Despite global advancements in child health, the prevalence of wasting remains a critical concern. This study employs machine learning techniques to identify and analyze the determinants of wasting in this population. Aim: To evaluate the prevalence of wasting among children under five years in Egypt and identify key factors associated with wasting using machine learning models.Methods: This study is based on secondary data sourced from the Demographic and Health Surveys (DHS), conducted in 2005, 2008, and 2014. Six machine learning classifiers (XGBoost, Logistic Regression, Random Forest, Gradient Boosting, K-Nearest Neighbor, and Decision Tree) were applied to the dataset. The study included children under five years of age, focusing on nutritional status, maternal health, and socio-economic factors. The dataset was cleaned, preprocessed, encoded using one-hot encoding, and split into training (70%) and test (30%) sets. Additionally, k-fold cross-validation and the StandardScaler function from Scikit-learn were used. Performance metrics such as accuracy, precision, recall, F1 score, and ROC-AUC were used to evaluate and compare the algorithms.Results: It was observed that 76.2% of the children in the dataset have normal nutritional status. Furthermore, 5.2% were found to be suffering from wasting (1.7% experiencing severe wasting and 3.5% moderate wasting), with notable regional disparities. The XGBoost model outperformed other models. Its efficiency metrics include an accuracy of 94.8%, precision of 94.7%, recall of 94.7%, F1 score of 94.7%, and an ROC-AUC of 99.4%. These results indicate that XGBoost was highly effective in predicting wasting.Conclusion: Machine learning techniques, particularly XGBoost, show significant potential for improving the classification of nutritional status and addressing wasting among children in Egypt. However, the limitations in simpler models highlight the need for further research to refine predictive tools and develop targeted interventions. Addressing the identified determinants of wasting can contribute to more effective public health strategies.

Determinants of nutrition status among adolescents in selected secondary schools in rural Kanungu district Uganda

Background: Adolescence, the time between childhood and adulthood, often considered relatively healthy stage of life remain highly vulnerable to malnutrition. One crucial first step in reducing teenage malnutrition may be to attend to their dietary needs. This study examined the determinants of nutrition status among secondary school adolescents in the Kanungu district, Uganda. Methods: A school-based cross-sectional analytical study was employed in this study where both qualitative and quantitative methods of data collection were used for triangulation purposes. A multi-stage random sampling method was applied to obtain the study respondents. The Cochran formula was utilized to obtain 340 study respondents. Results: More than a quarter (37.1%) of the study respondents had malnutrition. Households that were father-headed (OR=1.8,95%CI=1.03-3.20), having met the recommended number of meal frequency (OR=2, 95%CI=1.13-3.44), being aware of healthy dietary habits (OR=2.2, 95%CI=0.29-0.71), having a small household size of 1-4 members (OR=4.3, 95%CI=2.38-7.83) and being employed (OR=2.1, 95%CI=1.17-3.93) increased the odds of having a normal nutrition status while having a primary level of education (OR=3.6, 95%CI=0.11-0.68), having an inadequate dietary score (OR=2.1,95%CI=0.28-0.76) reduced the odds of having a normal nutrition status. Conclusions: From this study, malnutrition was a public health concern. Households that were father-headed, being aware of healthy dietary habits, having a small household size of 1-4 members, and being employed increased the odds of having a normal nutrition status while having a primary level of education, having an inadequate dietary score reduced the odds of having a normal nutrition status.

Analysis of Nutritional Status, Body Composition, and Creatinine Levels in Hemodialysis Patients at Ibnu Sina Yw-Umi Hospital Makassar

Hemodialysis is an essential therapy for managing chronic kidney failure, helping to maintain homeostasis by removing excess fluids, solutes, and toxins from the body. The global increase in the prevalence of chronic kidney disease (CKD) has led to a rising demand for hemodialysis. This study aims to analyze the relationship between nutritional status, body composition, and creatinine levels in hemodialysis patients at Ibnu Sina YW-UMI Makassar Hospital. Using an observational cross-sectional design, the study involved 16 patients whose body mass index (BMI), muscle mass, fat mass, total body fluid, and visceral fat were measured before and after dialysis. The results revealed significant changes in nutritional status, body composition, and creatinine levels pre- and post-hemodialysis, analyzed through paired T-tests at a 0.05 confidence level. Most patients were male, aged over 45, with normal nutritional status but abnormal creatinine levels. Body composition analysis showed significant differences in muscle mass, fat mass, total body fluid, and visceral fat before and after hemodialysis, with patients with higher muscle mass tending to have elevated creatinine levels. This study emphasizes the importance of monitoring body composition and creatinine levels to support the health of hemodialysis patients and highlights the need for personalized nutritional and therapeutic interventions in CKD care. Further research is needed to explore the long-term impacts of hemodialysis on nutritional status and kidney function.

Пути оптимизации антропометрических параметров у детей с фармакорезистентной эпилепсией, получающих кетогенную диетотерапию

Ketogenic diet (KD) whilst being an effective method of diet therapy for drug-resistant epilepsy (DRE) is nevertheless accompanied by a significant number of side effects that include the possibility for the delayed physical development in pediatric patients. The problem is multifactorial and is primarily associated with the non-physiological nature of the ketogenic diet itself. Foreign studies on the KD effect on the physical development in children are contradictory and there are none domestic ones. The purpose of this research was to study the dynamics of anthropometric parameters in children with DRE against the background of KD and to assess the possibilities of the alimentary factor in its improvement. Materials and methods used: single-center retrospective cohort study had been carried out on the basis of the Russian Federal Research Centre for Nutrition, Biotechnology and Food Safety (Moscow, Russia) in 2016-2024. The study included patients with an established diagnosis of DRE against the background of KD aged 1 to 18 y/o. Patients were monitored for 24 months as follows: quarterly during the first year and semiannually during the second year of observation, using anthropometric, clinical-laboratory and clinical-instrumental research methods. Results: by the 3rd month of KD, out of 174 pediatric patients, the diet was effective in 105 (60%); by 12th month, 100% control over attacks was achieved in 11 (6%). Analysis of anthropometric parameters made it possible to establish that at the initial point of observation, in accordance with the z-score of the body mass index (BMI), 108 (64%) had normal nutritional status, 22 (13%) had malnutrition and 40 (24%) were overweight/obese. When studying the dynamics of weight and height indicators of children who were on KD throughout the observation period, it was found that the median BMI z-score statistically significantly changed upward (p=0.047), which was largely due to growth retardation, with a decrease in the height/age z-score throughout the observation period (p&lt;0.001). It was found that the protein component of the diet, as well as the level of ketonemia, have a significant impact on the dynamics of the BMI z-score in KD patients. The amount of protein in the diet at 6% to 7% of the energy value contributed to the maintenance of optimal growth parameters in children within this research. Conclusion: the significance of the BMI indicator in assessing the nutritional status over KD decreases against the background of growth retardation. Taking into account the value of the protein/energy indicator when calculating nutrition helps in maintaining of the physical development rate in such patients.

Menumbuhkan Kesadaran Gizi Seimbang Melalui Edukasi dan Pengecekan Status Gizi pada Santriwati di Maahad Tahfiz Al-Qur’an Darul Falah, Selangor, Malaysia

Maahad Tahfiz Al-Qur’an Darul Falah, Selangor, Malaysia, is an institution focused on Qur’an memorization for female students. Due to their intense activities, including memorization requiring high concentration, balanced nutrition is essential for supporting their academic performance and health. However, their nutritional intake has not been fully optimized. Initial observations indicated that some students have limited knowledge of balanced nutrition, which may affect their health and nutritional status. This community service program aimed to raise awareness about the importance of balanced nutrition through education, nutritional status checks, and counseling. The program included three main activities: (1) Nutrition education through lectures and interactive sessions, covering basic concepts of balanced nutrition, the food pyramid, and guidelines from the Ministry of Health Malaysia; (2) Nutritional status checks through height and weight measurements to calculate Body Mass Index (BMI), identifying students' nutritional categories and related issues; and (3) Nutritional counseling, conducted after the status checks, teaching students how to achieve or maintain an ideal weight and offering advice on healthy eating and lifestyle habits. The program, which involved 40 students, found that 60% of them had a normal nutritional status, while some were underweight (12.5%), overweight (20%), and obese (7.5%). The education and counseling sessions helped improve the students' understanding of the importance of balanced nutrition and provided guidance on how to maintain or achieve a healthy weight, supporting their overall health and academic.

Occurrence of Malnutrition among Seniors in Poland Depending on the Place of Residence: An Analysis of Socioeconomic and Health Risk Factors.

The aging population in Poland poses significant socioeconomic and health challenges, particularly regarding malnutrition among seniors. This study examines the impact of place of residence on the nutritional status and related health outcomes of older adults. Data were collected from 338 community-dwelling seniors and those in long-term care facilities. The results indicate that long-term care residents exhibited significantly higher frailty and depression levels and poorer nutritional status, functional fitness, gait, and balance compared to those in communities. Self-reported quality of life did not differ significantly between groups. Regardless of residence, having a family correlated with better nutritional status, quality of life, and functional fitness and lower frailty and depression levels. Malnutrition was significantly associated with reduced functional fitness across all residences, and well-nourished individuals in care facilities had lower functional fitness than those who were at home. Community-dwelling residents had significantly lower frailty levels, with frailty negatively correlating with nutritional status. Normal nutritional status was linked to higher balance and gait scores, indicating a lower fall risk, with the risk further reduced for those living in community settings. Additionally, normal nutritional status correlated with lower depression levels and higher quality of life, with malnourished individuals experiencing better quality of life in community-dwelling settings. These findings underscore the critical role of residence and family support in elderly nutrition and health outcomes.

Prognostic value of three clinical nutrition scoring system (NRI, PNI, and CONUT) in elderly patients with prostate cancer.

Most of patients with prostate cancer (PCa) are elderly and have a long course of disease. Preoperative assessment of the patient's clinical nutritional status facilitates early intervention and improves patient prognosis. We assessed the nutritional status of PCa patients utilizing the Nutritional Risk Index (NRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT) scoring systems. Survival comparisons between groups were conducted using Kaplan-Meier curve analysis and log-rank tests, while Cox proportional hazards regression analysis was employed to identify independent prognostic factors. Furthermore, we implemented bootstrap-based optimism correction methods to validate the scoring systems and applied decision curve analysis to evaluate the non-inferiority of these three clinical nutrition scoring systems relative to the conventional American Joint Committee on Cancer (AJCC) staging. In this study, malnutrition was diagnosed in 31.51% of the patients using the NRI, 13.02% using the PNI, and 88.28% using the CONUT score. After adjusting for confounders, normal nutritional status as defined by NRI and PNI emerged as an independent prognostic factor for prostate-specific antigen progression-free survival (PSA-PFS). However, nutritional status assessed by CONUT inaccurately predicted PSA-PFS. Normal nutritional status, as determined by all three scoring systems, was found to be an independent prognostic factor for progression-free survival (PFS). Following adjustments for optimistic estimates, the C-index for NRI in predicting both PSA-PFS and PFS remained the highest among the three scoring systems. The results of the DCA indicated that the C-index of all three scoring systems was higher than that of AJCC stage. NRI, PNI, and CONUT are convenient and clinically applicable scoring systems. A clinical malnutrition intervention may improve the prognosis of prostate cancer patients.

A retrospective study to assess adolescent nutritional deficiencies and the association with post-COVID-19 status

ABSTRACT Introduction: Adolescents represent 16% of the world’s population and around 21% of the Indian population. A study was done to assess the double burden of malnutrition, the proportion of inadequate intake of some important macronutrients and micronutrients, and the impact of COVID-19 pandemic on nutrient intakes among adolescents. Methodology: Retrospective data analysis of the adolescents presented at the Adolescent Health Clinic at a teaching hospital (tertiary care level) in Andhra Pradesh, India, between September 2022 and December 2022 was done in the current study. Results: A total of 800 adolescents were studied with the mean age of the participants as 15.8 (±2.38) years of age. Among the participants, the majority (59%) were immunized with Td vaccination at 10 years and/or 16 years, 21% were not immunized, and the rest 20% did not remember the status. Only 17 participants had a history of COVID-19 infection in the past. The majority (62.75%) of the participants belong to normal nutrition status as per BMI for age WHO growth charts. There is a significant difference in the nutrition status between males and females belonging to overweight and obese subgroups. There is no significant difference in the intake with respect to past COVID-19 status. Almost all the participants take inadequate amounts of carbohydrates (calories), pyridoxine, folate, iron, calcium, vitamin D3, and retinol. Protein intake is inadequate in 63% of participants, and the deficient intake rises with the age with respect to both EAR and RDA guidelines. Conclusion: A large proportion of adolescents suffer from the double burden of malnutrition in South India, and almost all the adolescents do not get the recommended intake of most of the macro- and micronutrients in their diet following the lockdown and online schooling due to the COVID-19 pandemic.

The Glycemic Index of Gayam (Inocarpus fagifer Forst) Cookies as a High Dietary Fiber Food

The type 2 diabetes (T2D) is still one of the world's public health problems. It needs serious handling and prevention efforts in the nutritional aspect. The high prevalence of T2D is related to the low intake of dietary fiber. This type of food has a low glycemic index (GI). Gayam is a high-dietary fiber material that can be used for the manufacture of flour and as processed food material for the high-dietary fiber cookies. The objectives of this research were to study the GI evaluation of cookies from gayam flour. Cookies were tested for chemical composition, and glycemic index. The glycemic index evaluation test used 12 volunteers taken from the healthy group/nondiabetic, normal nutritional status (BMI: 18.5-22.9), and age 19-55 years. The results of this study indicate the dietary fiber content of gayam cookies was 4.57 g/100 g and included in the category of high dietary fiber food. The glycemic index of gayam cookies was 43 and the low glycemic index category. The obtained results show for the first time the potential of gayam cookies in hyperglycaemia management. The conclusion of this study was that gayam cookies has high dietary fiber content and low GI level. Gayam cookies can be used as an alternative snack to control blood glucose levels in the prevention of diabetes mellitus.

Body fat percentage, mid-upper arm circumference, and menstrual cycle in female students at x high school

&lt;p&gt;&lt;strong&gt;Background&lt;/strong&gt;: Irregular menstrual cycle in adolescent girls is an indicator of reproductive organ disorders. One of the risk factor for menstrual cycle disorders is nutritional status problem. Nutritional status can be measured using several anthropometric indicators such as body fat percentage and mid-upper arm circumference (MUAC).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives&lt;/strong&gt;: This study aimed to analyze the correlation between body fat percentage and MUAC with the menstrual cycle in girls of X High School Sidoarjo.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods&lt;/strong&gt;: The type of this research was cross-sectional. The sample used 66 students with stratified random sampling technique. Body fat percentage was obtained by using the Mi Body Composition Scale 2, mid-upper arm circumference (MUAC) was measured by using midline, and the menstrual cycle was obtained by using a menstrual cycle questionnaire for the last 3 months. Data were analyzed with Rank Spearman test.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; The results showed that average of body fat percentage was 26.8%, MUAC was 23.8 cm, and menstrual cycle was 35 days. Based on the test of the relationship between body fat percentage and the menstrual cycle, p-value 0.000 (r-value -0.875) were obtained, while MUAC and the menstrual cycle showed p-value 0.000 (r-value -0.916). The higher the body fat percentage, the shorter the menstrual cycle. The smaller the MUAC, the longer the menstrual cycle.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions&lt;/strong&gt;: There was a significant relationship between body fat percentage and MUAC with the menstrual cycle within girls in X High School Sidoarjo. Adolescent girls are expected to maintain normal nutritional status in order to maintain the regularity of their menstrual cycle, so as to minimize the risk of infertility in the future.&lt;/p&gt;

RELATIONSHIP BETWEEN STRESS LEVEL AND EMOTIONAL EATING WITH NUTRITIONAL STATUS IN HEALTH FACULTY STUDENTS AT MUHAMMADIYAH GRESIK UNIVERSITY

This study found that when a person experiences stress, it will cause a response in the form of emotional eating. Emotional eating is an eating urge that arises in response to negative emotions. This study aims to determine the relationship between stress levels, emotional eating and nutritional status in students of Universitas Muhammadiyah Gresik Faculty of Health. This research was conducted on 81 students of level I, II and III. The measuring instruments used in this study used the Perceived Sources Academy of Stress, the Dutch Eating Behavior Questionnaire (DEBQ) scale, anthropometric data and 2x24 hour Recall. Bivariate analysis was performed using the Spearman Rank test and multivariate analysis using multiple linear regression. Results: 93.8% of respondents experienced severe stress levels, 45.7% of respondents experienced moderate emotional eating and 61.7% of respondents had normal nutritional status. There is a significant relationship between stress levels and emotional eating (Sig. of 0.001 (0.001 &lt;0.05) and there is no significant relationship between stress levels, emotional eating and nutritional status (p = 0.700; p = 0.876). So, it can be concluded that respondents should be able to manage stress well and maintain the intake of food to be consumed.

The prognostic impact of malnutrition on the outcomes of patients with vertebrobasilar artery occlusion following endovascular treatment

Background and purposeMalnutrition is associated with poor outcomes in different diseases. Our aim was to investigate whether measures of malnutrition could be used to predict 90-day outcomes in patients with vertebrobasilar artery occlusion (VBAO) undergoing endovascular treatment (EVT). MethodsWe retrospectively analyzed patients with VBAO who received EVT at three comprehensive stroke centers. Malnutrition was assessed using the controlling nutritional status (CONUT) score, geriatric nutritional risk index (GNRI), and prognostic nutritional index (PNI). Primary outcome was good functional outcome defined as modified Rankin Scale (mRS) 0–3 measured at 90 days. ResultsA total of 285 patients were enrolled, of which 260 (91.22 %) met the requirements. According to the CONUT, GNRI, and PNI scores, the proportions of patients classified as moderately or severely malnourished were 7.3 %, 3.08 %, and 35 %, respectively. In the multivariate regression model after adjusting for potential confounders, malnutrition (severe risk versus normal nutritional status) was significantly associated with an increased risk of poor prognosis for CONUT scores (adjusted odds ratio [OR]14.91, 95 %CI, 1.69 - 131.71; P = 0.015), GNRI scores (adjusted [OR] 10.67, 1.17 - 96.93; P = 0.036) and PNI scores (adjusted [OR] 4.61, 2.28 - 9.31; P < 0.001). Similar results were obtained when malnutrition scores were analyzed as continuous variables. Adding the 3 malnutrition measures to the risk reclassification that included traditional risk factors significantly improved the predictive value of 3-month poor prognosis. ConclusionsOur study showed that malnutrition may be associated with poor prognosis within 3 months of EVT in patients with VBAO.

Malnutrition and other associated factors among the hospitalized elderly in Vietnam: A cross-sectional study.

Malnutrition is common among older inpatients and can lead to severe consequences such as disability, assisted living, increased mortality, and prolonged hospital stays. Given the rapidly aging population in Vietnam, limited data is available regarding the nutritional status of the geriatric. This research aimed to determine the prevalence of malnutrition and associated factors among the hospitalized elderly. A prospective observational study with a cross-sectional design was conducted on 108 older inpatients at University Medical Center in Ho Chi Minh City, Vietnam. Patients aged 60 years or older admitted to the hospital were recruited. Malnutrition was assessed using a validated Mini Nutritional Assessment Short Form. Sociodemographic characteristics were measured using interview-administered questionnaires. Data about patients' biochemical parameters were retrieved from records with the newest results. Among 108 hospitalized patients (mean age 74.6 ± 9.8 years; 50% female), 72.2% of patients had malnutrition (n = 78) while 27.8% had normal nutritional status (n = 30). Age group, education level, cohabitation, serum albumin, hand-drip strength, physical inactivity, and frailty were associated with malnutrition. The prevalence of malnutrition in the elderly accounts for a very high proportion. Nutritional status assessment is essential for the elderly; therefore, more attention should be paid to those risk factors in old age health care in order to improve medical outcomes.

Prognostic impact of CONUT score in older patients with chronic heart failure

BackgroundMalnutrition is common in older patients with chronic heart failure (HF) and often accompanies a deterioration of their condition. The Controlling Nutritional Status (CONUT) score is used as an objective indicator to evaluate nutritional status, but relevant research in this area is limited. This study aimed to report the prevalence, clinical correlates, and outcomes of malnutrition in elder patients hospitalized with chronic HF.MethodsA retrospective analysis was conducted on 165 eligible patients admitted to the Department of Cardiology at Huadong Hospital from January 2021 to December 2022. Patients were categorized based on their CONUT score into three groups: normal nutrition status, mild risk of malnutrition, and moderate to severe risk of malnutrition. The study examined the nutritional status of this population and its relationship with clinical outcomes.ResultsFindings revealed that malnutrition affected 82% of the older patients, with 28% experiencing moderate to severe risk. Poor nutritional scores were significantly associated with prolonged hospital stay, increased in-hospital mortality and all-cause mortality during readmissions within one year (P < 0.05). The multivariable analysis indicated that moderate to severe malnutrition (CONUT score of 5–12) was significantly associated with a heightened risk of prolonged hospitalization (aOR: 9.17, 95%CI: 2.02–41.7).ConclusionsMalnutrition, as determined by the CONUT score, is a common issue among HF patients. Utilizing the CONUT score upon admission can effectively predict the potential for prolonged hospital stays.

The relationship between nutritional status and thyroid function among adults in the USA: NHANES 2007-2012.

Controlled Nutritional Status (CONUT) scores have been developed as quantitative tools that can be employed to gauge the nutritional status of individual patients. However, there has been very little research investigating the association between these CONUT scores and the function of the thyroid. As such, the present study was designed to address this research gap through the evaluation of a representative cohort of American adults. National Health and Nutrition Examination Survey (NHANES) data were herein used to separate subjects into those with normal nutritional status (CONUT score: 0-1) from those who were malnourished (CONUT scores> 1). Associations between these CONUT scores and the function of the thyroid were investigated through linear regression modeling, employing weighted analytical strategies and subgroup analyses. Overall, 8082 individuals from the NHANES 2007-2012 cohort were enrolled in this analysis. The weighted mean CONUT score for these individuals was 0.72 (0.02), with 6661 participants (weighted proportion: 83.12%) falling within the normal nutritional status group and 1421 participants (weighted proportion: 16.88%) within the malnourished group. In adjusted analyses, subjects who were malnourished were found to present with an increase in FT4 levels (β = 0.033; p<0.001 together with reduced TT3 levels (β = -3.526; p=0.01). The present data offer evidence in support of higher CONUT scores, which correspond to malnutrition, being related to increases in FT4 levels together with reductions in TT3 levels. More studies will be crucial to further probe the mechanistic drivers of these results.

Description Of Nutritional Status In Students Mts Al-Amin Pakis

Adolescents are an age group that is vulnerable to experiencing malnutrition or excess nutrition problems. Teenagers generally carry out higher physical activity compared to other ages, so they require more nutritional fulfillment. However, the incidence of overnutrition in adolescents can also occur due to poor eating habits so that the amount of energy input is greater than the energy expended. The purpose of this study was to describe the nutritional status of students. This type of research is quantitative with an analytical descriptive design on 85 students of MTs Al-Amin Pakis. Data on nutritional status were obtained by measuring the height using a microtoise and the respondent's weight using a mechanical scale. Nutritional status is classified based on the value of the BMI/age z-score table for children aged 5-18 years from the 2011 Indonesian Ministry of Health guidelines. The results of the data analysis obtained the nutritional status category of junior high school students who were involved as the majority of respondents who were in the normal nutritional status category, namely 77 people (90.58%). However, there were still 8 students (9.41%) who were obese.

C-reactive protein/albumin ratio as a novel predictor for nutritional status of geriatric patients.

The C-reactive protein to albumin ratio (CAR) is a novel parameter that has been reported as a significant prognostic marker in some diseases. The purpose of the present research was to investigate the predictive value of this ratio with regard to nutritional status in geriatric patients. A total of 154 geriatric patients (age ≥65 years) who consecutively presented to the internal medicine outpatient clinic were included in this cross-sectional study. The Mini Nutritional Assessment (MNA) was used as a reference to determine the nutritional status of the patients. Based on the MNA results, the patients were divided into two groups: normal nutrition and malnourished or at risk of malnutrition. The median CAR of malnourished patients or those at risk of malnutrition was significantly higher than that of patients with normal nutritional status (p=.012). A significant negative correlation was also observed between the MNA score and the CAR (r=-0.196, p=.015). The receiver operating characteristic curve analysis indicated that the CAR was a significant predictor of malnourishment or the risk of malnutrition (p=.012). The CAR could predict which geriatric patients were malnourished or at risk of malnutrition. CAR may be used as a new tool in the nutritional screening of geriatric patients.

The relationship between nutritional status and the incidence of ARI In toddlers aged 1-5 years

Background: Acute Respiratory Infection (ARI) is a disease that causes the highest number of deaths (mortality) and morbidity (morbidity) in children under five in both developed and developing countries, including Indonesia. The prevalence of ARI cases in Indonesia increases every year, according to the Indonesian Ministry of Health, ARI pneumonia cases reached 386,724 (38.78%) in 2022 with 69.2% (267,733 cases) of them occurring in the 1-5 year age group. Objective: This study aims to analyze the relationship between nutritional status and the incidence of ARI in toddlers aged 1-5 years in the working area of ​​the Mulyorejo Community Health Center, Surabaya, Indonesia. Method: This research uses an analytical observational study with a cross sectional approach. The samples in this research were toddlers who visited the Mulyorejo Community Health Center, Surabaya for the period November 2023-April 2024. The sampling technique used non-probability sampling, namely the purposive sampling method. The sample size was 100 toddlers. The research instrument is medical records. Research data was analyzed using the Mann-Whitney U Test. Result: Most (76%) respondents had normal nutritional status. The results of the Mann-Whitney U test to analyze the relationship between the nutritional status of toddlers and the incidence of ARI in toddlers obtained P Value = 0.492. Conclusion: These data show that there is no relationship between nutritional status and the incidence of ARI in toddlers aged 1-5 years in the working area of ​​the Mulyorejo Community Health Center, Surabaya, Indonesia.