Risk Factors For Malnutrition Research Articles

Inpatient gastrostomy in Huntington's disease: Nationwide analysis of utilization and outcomes compared to amyotrophic lateral sclerosis

BackgroundHuntington's disease (HD) causes dysphagia and dementia, both of which are risk factors for malnutrition. Gastrostomy is used to sustain enteral intake in neurodegenerative diseases and specifically improves outcomes in ALS, but its indications and outcomes in HD are understudied. ObjectiveTo explore the indications and outcomes for gastrostomy for HD. MethodsWe performed a retrospective cross-sectional analysis of all HD admissions in the National Inpatient Sample. Logistic regression models compared the patient- and hospital-level characteristics associated with gastrostomy placement in HD and the prevalence of associated diagnoses in HD vs. ALS gastrostomy patients. We also examined in-hospital mortality, length of stay (LOS), and discharge status. ResultsBetween 2000 and 2010, 5.12% (n = 1614) of HD admissions included gastrostomy tube placement. Gastrostomy patients were more likely to be Black (adjusted odds ratio [AOR] 1.55, 95% CI: 1.09–2.21) and have Medicare coverage (AOR 1.43, 95% CI: 1.0–2.05). The most common comorbidities were aspiration pneumonia (34.1%), dementia (31.3%), malnutrition (30.3%), and dysphagia (29.5%). Dementia and delirium were associated with discharge type but not LOS. Aspiration pneumonia, sepsis, and Elixhauser comorbidity index were associated with LOS but not discharge type. Compared to 7908 ALS gastrostomy patients, those with HD more frequently had aspiration pneumonia (34.1% vs. 20.5%, p < 0.0001), sepsis (28.1% vs. 13.7%, p < 0.0001), prolonged LOS (OR 1.14, 95% CI: 1.02–1.28), and skilled nursing facility discharge (p < 0.0001, Wald chi square test). ConclusionsGastrostomy is frequently performed in HD patients with dementia and aspiration pneumonia who are at increased risk for negative hospitalization outcomes.

Critical comment on “An exploratory study to assess the prevalence and risk factors of malnutrition among under-five children residing in selected rural areas of district Sirmaur, Himachal Pradesh”

Critical comment on “An exploratory study to assess the prevalence and risk factors of malnutrition among under-five children residing in selected rural areas of district Sirmaur, Himachal Pradesh”

Building evidence for information surveillance of nutrition rehabilitation center to assess risk factors for severe acute malnutrition in a tertiary hospital of the northern state of India

Background: As community-based surveys require energy and time, information surveillance of nutrition rehabilitation centers (NRCs) can be used to assess the nature and degree of risk factors for children with severe acute malnutrition (SAM). Therefore, the current study was planned to assess the degree of association of known risk factors for SAM among children admitted in NRC of a tertiary hospital from the northern state of India. Materials and Methods: Case–control study design was adopted where 50 children with SAM (cases) were recruited from NRC and 50 without SAM (controls) were from an immunization clinic of a tertiary center. A pretested structured interviewer-administered questionnaire was used to collect data from cases and controls. Results: Type of house, status of water and sanitation, simple exponential smoothing, method of birth, birth order, initiation and frequency of breastfeeding, colostrum intake, and profile of diarrhea and acute respiratory infection were statistically similar among cases and controls. Logistic regression analysis observed SAM had significantly high odds for risk factors like mean age of mother at birth (1.4, 1.0–1.9), low birth weight (LBW) (8.7, 2.1–35.3), and bottle feeding (6.3, 1.2–14.2), whereas exclusive breastfeeding (0.2, 0.4–0.4) and fully immunization (0.07, 0.5–0.001) had significantly low odds. Conclusion: Advancing age of mother at the time of delivery, LBW, poor rate of exclusive breastfeeding, and high rate of bottle feeding are significant associated factors for SAM in the study area. Reasons for LBW and reasons for bottle feeding need to be targeted in the study area to reduce SAM among children <5 years of age.

Risk factors for severe acute malnutrition among children aged 6-59 months: A community-based case-control study from Vellore, Southern India.

Background:Malnutrition plays an important role in the economic burden of society as well as the country. This study aimed to identify the various risk factors and determinants of severe acute malnutrition (SAM) as defined by WHO growth reference standards in children aged 6 months to 59 months living in Vellore.Methods:A community-based case-control study matched for age (±2months), gender and location was done among the children of the age group 6- 59 months residing in both rural and urban Vellore. Children of age group 6-59 months with SAM according to WHO definition, i.e., weight for height of less than -3SD with or without nutritional oedema were classified as cases. Children with weight-for-height z-score more than -1 SD and MUAC ≥13.5cms were classified as controls. With 2 controls per case, the required sample size was 54 cases and 108 controls. A questionnaire used to identify the risk factors including dietary intake. Uni-variate and multivariate analysis was done to generate an odds ratio and 95% confidence interval for the risk factors.Results:Majority of the cases 64.8% and 50% of the controls belonged to low SES. After adjusting all confounders, Severe Acute Malnutrition was significantly associated with birth weight <2.499kg [AOR- 8.95 (95% CI: 2.98-26.85)], not exclusively breastfed for 6 months [AOR 4.67 (95% CI: 1.72-12.65)], inadequate calorie intake [AOR 8.09 (95% CI: 3.15-20.82)] and mother being underweight [AOR 6.87 (95% CI: 1.92-24.55)].Conclusion:Programs should be implemented to reduce the poor nutritional status of young girls and women in the reproductive age group. The importance of exclusive breastfeeding for the first six months, the time of weaning and appropriate feeding practice for the child should be emphasized to postnatal mothers during their hospital visits.

Quantile Regression for Identifying the Determinants of Child Malnutrition in Ethiopia

Child malnutrition is serious health, socioeconomic and demographic problems in Ethiopia. The objective of this study was to investigate the determinants for childhood malnutrition in Ethiopia. We used the 2016 Ethiopian Demographic and Health Survey data. Quantile regression model with particular emphasis on the 10th , 25th, 50th, 75th and 90th percentiles were used to identify the risk factors of malnutrition at a more comprehensive spectrum. The results show that the child's age, sex, preceding birth interval, birth order, breast feeding, mother's body mass index, use of internet mother's education level, types of toilet and region are all significant factors related with childhood malnutrition in Ethiopia

Determinants of Household Food Insecurity and Its Association with Child Malnutrition in Sub-Saharan Africa: A Review of the Literature

Food insecurity is a global public health challenge. Household food insecurity is the leading risk factor of malnutrition, claiming approximately 300,000 deaths each year. Whether directly or indirectly, due to inadequate food consumption and poor diet quality, it is also accountable for over half of all deaths among children in Sub-Saharan Africa. It is estimated that the prevalence of food-insecure individuals in the area will reach 17 million by the year 2021. Inadequate nutrition may result in low immunity, impaired physical and mental development and reduced productivity among children under five years and throughout the life course. This review article attempts to discuss the various household food insecurity determinants and their association with child malnutrition in a Sub-Saharan Africa context. The purposes of this article are to inform governments, policymakers and service providers regarding the importance of household food security and its determinants on child malnutrition, and to plan strategies to improve the household food security status in Sub-Saharan Africa.

Risk factors in a health model of nursing stuff

Aim. To study the behavioral trajectory of the lifestyle of students of medical colleges who studied in 20152016 and a health model formed by them.&#x0D; Methods. Using a sample (n=400) selected by a simple random method, the lifestyle and health model of students of medical colleges in Moscow in 20152016 were studied by sociological method based on descriptive statistics, correlation-regression and factor analysis.&#x0D; Results. Analysis of lifestyles of the students of medical colleges revealed the following behavioral risk factors: alcohol consumption (55.3%), eating improperly (54.5%), smoking (38%), improper sleep regimen (35%), and low physical activity (30%). The analysis of the health model showed that such risk factors as smoking, improper diet, and incorrect sleep regimen are assessed by the students in medical colleges as harmful, and with the increasing prevalence of the factor among the students, the number who consider them harmful will increase, while such factors as alcohol consumption and low physical activity are not considered by the students as harmful and with the increasing prevalence of this factor among the students, the number of students who consider them as risk factors will decrease.&#x0D; Conclusion. Among the students of medical colleges, the negative behavioral trajectory of a lifestyle formed at the beginning of the 21st century, including smoking, drinking alcohol, unhealthy diet, improper sleep, and low level of physical activity, has been preserved; the developed health model shows that students consider smoking, malnutrition and improper sleep risk factors, and factors such as alcohol consumption and low activity are not considered harmful.

The prevalence and risk factors of psychological disorders, malnutrition and quality of life in IBD patients

Background: Inflammatory bowel disease (IBD) patients show an increased risk for psychological disorders, malnutrition and impaired quality of life (QoL), which can result in adverse clinical outcomes. The aim of this study is to explore the prevalence and risk factors of psychological disorders, malnutrition and QoL in IBD patients.Methods: All participants were recruited to fill out the questionnaires including inflammatory bowel disease questionnaire (IBDQ), perceived social support scale, HADS (Hospital Anxiety and Depression Scale), Cohen Perceived Stress Scale, NRS2002 (Nutritional Risk Screening 2002), Crohn's disease activity index, Modified Truelove and Witts Activity Index, dietary beliefs and behaviors. Demographic and clinical characteristics were extracted from electronic medical records. Multivariate regression model was performed to identify the risk factors for psychological disorders, malnutrition and QoL.Results: A total of 78 inpatients were enrolled in this study, 76 (97.4%) of IBD patients had anxiety, 71 (91%) had depressive. Forty six (59.0%) were screened at risk of malnutrition. The mean score of IBDQ was 131.51 ± 36.136. In the multivariate analysis, higher disease activity and history treated with steroids in the last year were associated with anxiety; higher disease activity was related to depressive. Higher disease activity and avoiding certain foods during disease flares were associated with high risk of malnutrition. Unemployment/no schooling status, higher disease activity and lower social support were associated with lower IBDQ score.Conclusions: The high prevalence of psychological disorders and malnutrition were found in IBD patients, and thereby negatively affect QoL. Disease activity was significantly associated with psychological disorders, risk of malnutrition and impaired QoL. And avoiding certain foods was related to risk of malnutrition.

Mortality After Discharge in Non-cardiac Vascular Surgery Patients is Negatively Influenced by Malnutrition Measured at Hospital Discharge, Especially in Patients with Protein-Energy Malnutrition

Introduction: Vascular surgery patients have high rates of malnutrition during hospital admission. The effects of this nutrition status on morbidity and mortality in this population, especially after hospital discharge is not well documented. We sought to determine the impact of nutrition status on out-of-hospital mortality in vascular surgery patients. Methods: We performed an observational cohort study of non-cardiac vascular surgery patients surviving hospital admission 18 years or older treated in a tertiary care hospital. The exposure of interest was malnutrition categorized as nonspecific malnutrition, protein-energy malnutrition, or well nourished. This was determined by data related to anthropometric measurements, biochemical indicators, clinical signs of malnutrition, malnutrition risk factors, and metabolic stress. The primary outcome was all cause 90 day mortality after hospital discharge. Adjusted odds ratios were estimated by multivariable logistic regression models. Results: This cohort included 5561 patients (male 53%; mean age 60.1±17.2). The re-admission rate within 30 days was 13% and the mean length of stay was 6 days (IQR 2-13). After evaluation by a dietitian 4155 patients were well nourished, 475 patients were at-risk for malnutrition, 821 had non-specific malnutrition and 110 patients had protein-energy malnutrition. The unadjusted association between nutrition status and 90-day post-discharge mortality for patients with risk of malnutrition was 2.87 (95%CI 2.14,3.85); for non-specific malnutrition OR 4.41 (95%CI 3.54-5.49) and for protein-energy malnutrition OR 7.96 (95%CI 5.20-12.20), all relative to patients without malnutrition. After adjustment for age, gender, medical versus surgical patient type, type of vascular surgery, Deyo-Charlson index and length of stay, the 90-day post-discharge mortality odds ratio for patients with risk of malnutrition was 2.22 (95%CI, 1.61-3.06); for non-specific malnutrition OR 3.01 (95%CI 2.34-3.88) and for protein-energy malnutrition OR 3.53 (95%CI 2.22-5.63), all relative to patients without malnutrition. Conclusion: Nutrition status is a reliable indicator for out-of-hospital mortality. Intensified in-hospital and out-of-hospital dietary guidance and interventions could potentially improve the prognosis of patients after vascular surgery or endovascular intervention in the future. Disclosure: Nothing to disclose

Prevalence and risk of malaria, anemia and malnutrition among children in IDPs camp in Edo State, Nigeria

BackgroundMalaria, anemia and malnutrition are global health challenges with significant morbidity and mortality, with higher rates among children particularly in Africa. Recently there has been displacement of over a million people due to different crisis in Nigeria. However, there is limited study on the public health issues facing these vulnerable populations. This study evaluated the prevalence and risk factors for malaria infection, anemia and malnutrition among children living in internally displaced persons (IDP) camp in Edo state, Nigeria. MethodA total of 250 children up to 10 years old were included in the study in the year 2018. Malaria infection was confirmed by rapid diagnostic tests. The hematocrit level was obtained using a centrifuge microhaematocrit and converted to haemoglobin using standard conversion while nutritional status was determined from anthropometric measurements collected, and demographic characteristics were obtained by the use of questionnaire. Anemia and malnutrition were defined according to World Health Organization standards. The logistic regression analysis was used to determine associations between predictor variables and primary outcomes. ResultMalaria infection and anemia were recorded for 55.2% and 54.0% of the children, respectively while malnutrition prevalence was 41.2% with wasting, underweight and stunting occurring in 0.04%, 11.2% and 39.2% respectively. Age was a significant risk factor for malaria with higher odds of having malaria infection in children 6–10 years of age [odds ratio (OR) = 2.032, P = 0.021] than in younger children. Being 6–10 years (OR = 2.307, P = 0.015) and having malaria infection (OR = 1.693, P = 0.048) were identified as significant risk factors of anemia while being in the age group of up to 5 years was the only significant risk factor (OR for the older age group = 0.251, P ≤ 0.001) associated with malnutrition. Specific attention needs to be paid to children in IDP camps. ConclusionAnemia and malnutrition control should be integrated with existing malaria control and should include children above five years of age.

Risk factors of acute malnutrition among children aged 6\u201359\u2009months enrolled in a community-based programme in Kurigram, Bangladesh: a mixed-method matched case-control study

BackgroundRisk factors of acute malnutrition in Bangladesh are well documented. However, due to regional variations in prevalence of acute malnutrition, it is important to explore the risk factors specific to the region, for designing and implementing public health interventions.MethodsA mixed-method matched case-control study was conducted in the Kurigram district of Bangladesh. Community perspectives on causes of acute malnutrition were collected from 75 purposively selected caregivers through interviews, focus group discussions and informal group discussions. The data was analysed manually by coding and sub-coding according to different themes. Caregivers of 52 malnourished and 95 well-nourished children matched in age group and sex with the malnourished children, were interviewed using a structured questionnaire. The conditional logistic regression analysis was performed to identify the risk factors of acute malnutrition.ResultsCaregivers perceived inappropriate feeding practice as a major cause of acute malnutrition whereas birth order (first child OR 0.3, 95% CI 0.09, 0.96), number of family members (OR 1.30, 95% CI 1.02, 1.65), illness in the last 2 weeks (OR 3.08, 95% CI 1.13, 8.42) and access to hygienic latrine (OR 0.25, 95% CI 0.07, 0.82) were also associated with acute malnutrition among children under five in Kurigram.ConclusionsCommunity awareness on infant feeding practices and family planning, management of childhood illness and access to hygienic latrine facilities should be prioritised to prevent acute malnutrition in the northern districts.

ASSESSING NUTRITIONAL RISK IN ADULT DAY SERVICES: UTILITY OF THE DETERMINE CHECKLIST

Older adults attending adult day services (ADS) often possess risk factors for malnutrition, such as chronic disease, physical disability, and cognitive impairment. We explored the utility of administering to ADS participants the DETERMINE Checklist - a measure of nutritional status. Among eleven participants (M age=77.3 years), 82% (n = 9) presented high nutritional risk. The three most common risk factors were: difficulty shopping, cooking, and/or feeding themselves (100%), making health-related dietary changes (63.7%), and taking three or more daily medications (63.7%). Our preliminary findings indicate that ADS participants may be at moderate-high risk of malnutrition; however, the DETERMINE Checklist may require modification for an ADS population. For example, the checklist may be more reliable if completed jointly by a participant and informal caregiver. We present recommendations for adaptions based on our pilot data as well as implications for ADS staff and clinicians.

Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

Determinants of severe acute malnutrition in children between six months to five year of age enrolled in nutritional rehabilitation centre at a tertiary care level

Background: Indicators showing levels of nutritional status in children are often regarded as representative of the health and general well-being of a society at large. Malnutrition stands as a consequence of several key social and economic factors such as lack of education, inadequate health care services and ill-informed cultural behaviors. In order to holistically address the issues surrounding malnutrition, a comprehensive understanding of the multi-dimensional complexities at play in society is crucial. Objective was to identify determinants of severe acute malnutrition among children with severe acute malnutrition under 5 years (between 6 months to 60 months) of age. Methods: A cross sectional study design involving 64 patients with severe acute malnutrition between 6 to 60 month of age was employed to identify the risk factors of severe acute malnutrition among children admitted in pediatric wards and nutritional rehabilitation centers, Civil hospital Ahmedabad, from April 2018 to march 2019. A detailed history of all the patients were taken and data collected using structured interviewer-administered questionnaire.Results: Thus, from the above study, it is clear that age of the child &lt;2 years, female gender, bigger family size, poverty, illiteracy in mother, poor feeding practices, improper complementary feed introduction, poor nutritional status of mother whose child were breastfed, acute or chronic illness in child and narrow birth spacing were the chief determinants of SAM in under five children.Conclusions: Socio demographic characters, nutrition and child caring practices, infection and other childhood illness as well as obstetric history of mother are important determinants of severe acute malnutrition in children under five years of age. As a result, collaborative efforts should be organized to improve promotion of better child caring practices through appropriate age specific child and maternal feeding practices, prevention and early treatment of acute childhood illnesses and promotion of family planning.

Correlates of stunting among under-five children in Bangladesh: a multilevel approach

BackgroundChild malnutrition still remains a major cause of childhood morbidity and mortality in Bangladesh. This study aims to determine the prevalence and identify the associated risk factors of child malnutrition in Bangladesh using multilevel logistic regression model on data from the Bangladesh Demographic and Health Survey (BDHS), 2014.MethodsA total sample of 6965 children aged 0–59 months was extracted from BDHS 2014. We performed descriptive analysis and multilevel generalized linear regression analysis with clustered data structure.ResultsOur findings show that among children the prevalence of moderate and severe values was respectively: 25 and 12% for stunting; 11 and 3.1% for wasting; 25 and 7.9% for underweight. The probability of stunting increased with age, with highest rate among children aged 36–47 months, which was significantly higher than children aged less than 6 months (OR = 6.71, 95% CI = 4.46, 10.10). Female children are found to be 11% less likely to be stunted than male children (OR = 0.89, 95% CI = 0.78, 1.02). Children with birth interval less than 24 months were significantly more likely to be stunted than children of first birth by 36% (OR = 1.36, 95% CI = 1.11, 1.67). Mothers with a normal BMI were 16% less likely to have children with stunting compared to mothers who are underweight (OR = 0.84, 95% CI = 0.76, 0.93). Other factors which were associated with a higher risk of stunting included parents with lower educational levels, children from the poorest wealth index, and mothers aged less than 20 years as first birth.ConclusionGovernment and non-government organization should generate effective program to aware women of reproductive age about adverse effect of short birth interval, and to aware parents about standard height and weight according to age and gender of children. Overall, necessary steps may be taken to make people educated and to reduce household wealth inequality to improve nutritional status of children.

FAKTOR RISIKO KEJADIAN GIZI KURANG PADA BALITA DI DESA GAYAMAN KECAMATAN MOJOANYAR MOJOKERTO

Malnutrition in children can cause growth disorders bodies, prone to illness, decreased level of intelligence and mental disturbance and even cause death of the child. Malnutrition can be caused by various factors, among others such as socioeconomic status, knowledge, completeness immunization, infectious diseases, exclusive breastfeeding and early initiation of breastfeeding. The purpose of this research to analyze the risk factors of malnutrition among children under five in the village Gayaman Mojosari Mojokerto. This research used observational analytic research with case - control approach and use 40toddlers as a sample then divided into two groups of samples of 20 infants with malnutrition status as both a case and 20 toddlers with good nutritional status as a control. The independent variable infectious disease history, mother's milk (ASI) exclusive, Early Initiation of Breastfeeding (IMD). The dependent variable is the nutritional status of infants.The relationship between a history of infections, exclusive breastfeeding, IMD and nutritional status were analyzed using logistic regression. The results showed that a history of infectious diseases, exclusive breastfeeding, and IMD influential in determining the incidence of malnutrition among children under five (with R2 of 96.7%). The third variable is a risk factor for the incidence of malnutrition among children under five (infection OR = 1.85; OR ASI = 1.47 and OR IMD = 1.46). Therefore, mothers with babies should have regard to the provision of early initiation of breastfeeding and exclusive breastfeeding the baby and continues to do preventive measures to prevent infections that babies and toddlers can grow with optimal nutritional status

60.3 PEDIATRIC, NUTRITIONAL, AND LIMITED PSYCHOSOCIAL INTERVENTION FOR AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDER (ARFID) IN AN ITALIAN LONGITUDINAL STUDY FROM INFANCY TO 11 YEARS OF AGE

The objective of this presentation is to evaluate the evolution of malnutrition and long-term psychopathological risk factors in an Italian cohort of children diagnosed with the first subtype of ARFID. Following a transactional model, which recognizes the complex interplay between the individual characteristics of the mother and the child in the origin of developmental psychopathology, this clinical study explored longitudinally the children’s malnutrition, maternal psychopathology, and dysfunctional eating attitudes and the emotional/behavioral development of children from infancy to prepuberty.

CN106 - Identification of malnutrition risk factors in patients with cancer in the first nursing visit

BackgroundMalnutrition is very common in patients with cancer and is associated with an increase in morbidity and mortality, being directly responsible for death in up to 20% of cases. The presence of nutritional deficits in the initial stages of the tumor can condition tolerability to chemotherapy. The implementation of strategies to detect early malnutrition at all stages of the disease is essential to take measures to avoid their fatal consequences and to improve the quality of life of patients. MethodsAnalysis of the results obtained in the first nursing visit of 410 patients, between July 1, 2017 and May 1, 2018. Creation and completion of a standardized nursing assessment of all patients who come for the first time to a medical oncology consultation that includes: Nutritional status (MST - Malnutrition screening tool) Tumor and patient data BMI body mass index Changes in diet, types of changes ECOG Oncological treatment prescribed (standard or reduced dose). ResultsPatients with ≥2 MST are more likely to: have a higher age than the rest be men have a higher ECOG score have a reduced treatment dose have changed their diets. ConclusionsThe objective of the anaIysis is the identification of factors related to a higher probability of malnutrition in the first visit of nursing. Legal entity responsible for the studyThe authors. FundingHas not received any funding. DisclosureAll authors have declared no conflicts of interest.

Nutritional risk and nutritional support of stroke patients during hospitalization

Objective To investigate the nutritional risk status and nutritional support status of stroke patients during hospitalization so as to provide appropriate post-disease nutritional support for stroke patients and to avoid the risk of malnutrition. Methods A total of 93 stroke patients admitted in a Class III Grade A hospital in Harbin from December 1st 2017 to September 1st 2017 were selected as the research objects in this study. Traditional evaluation method and comprehensive evaluation method were adopted to investigate and analyze the stroke patients' nutritional risk status, incidence of malnutrition and nutritional support status, and to understand the stroke patients' risk factors for malnutrition and status of getting nutritional support. Results In 93 stroke patients, 14.0% (13/93) patients had varying degrees of malnutrition; the proportion of malnutrition risk was 36.56% (34/93) . Upon discharge, the handgrip strength, calf circumference and upper arm circumference were lower than those at admission and the differences were statistically significant (P<0.05) ; the stroke inpatients receiving nutritional support accounted for 11.83%. Conclusions The risk of malnutrition in patients post-stroke is high and the proportion of them who receive nutritional support is low, their nutritional status should be paid more attention to. Key words: Stroke; Nutritional assessment; Nutritional support; Nutritional risk

Nutritional Status of Children with Cerebral Palsy-Findings from Prospective Hospital-Based Surveillance in Vietnam Indicate a Need for Action.

Background: Lack of evidence on the burden and risk factors for malnutrition among children with cerebral palsy (CP) in Vietnam limits evidence-based interventions. We aimed to define the nutritional status of children with CP in Vietnam. Materials and Methods: The study utilized data from active prospective hospital-based surveillance modelled on the Pediatric Active Enhanced Disease Surveillance system. Children (0–18 years) with CP attending the National Children’s Hospital Hanoi, Vietnam between June–November 2017 were included. Data on demographic, clinical and rehabilitation status were collected following detailed neurodevelopmental assessment. Anthropometric measurements were taken. Nutritional status was determined using the World Health Organization guideline. Results: Of 765 children (the mean (SD) age was 2.6 (2.5) years; 35.8% were female), 28.9% (n = 213) were underweight and 29.0% (n = 214) stunted. The odds of underweight were significantly higher among children aged >5 years and/or having a monthly family income of <50 USD. Underweight and/or stunting was high among children with quadriplegia (81%, n = 60 and 84.5%, n = 87) and/or Gross Motor Functional Classification System (GMFCS) level IV–V (62.5%, n = 45 and 67.0%, n = 67). Nearly one-third of intellectually impaired and more than half of hearing-impaired children were underweight and/or stunted. Conclusions: Poor economic status and increased motor severity increased vulnerability to malnutrition. Our findings will inform nutritional rehabilitation programs among these vulnerable children.