MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTS

ABSTRACT Background: Malnutrition at hospital admission may adversely affect patients' clinical outcomes. The Global Leadership Initiative on Malnutrition (GLIM) recently set a standard of measurable criteria to diagnose malnutrition. Objectives: This study aimed to determine the proportion a...

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Main Authors: Wita Rizki Amelia, Astrine Permata Leoni, Ahmad Syauqy, Purwita Wijaya Laksmi, Martalena Br Purba, Etika Ratna Noer, Lora Sri Nofi, Befi Sundari, Mita Arini
Format: Article
Language:Indonesian
Published: Diponegoro University 2023-06-01
Series:Jurnal Gizi Indonesia: The Indonesian Journal of Nutrition
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Online Access:https://ejournal.undip.ac.id/index.php/jgi/article/view/53206
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author Wita Rizki Amelia
Astrine Permata Leoni
Ahmad Syauqy
Purwita Wijaya Laksmi
Martalena Br Purba
Etika Ratna Noer
Lora Sri Nofi
Befi Sundari
Mita Arini
author_facet Wita Rizki Amelia
Astrine Permata Leoni
Ahmad Syauqy
Purwita Wijaya Laksmi
Martalena Br Purba
Etika Ratna Noer
Lora Sri Nofi
Befi Sundari
Mita Arini
author_sort Wita Rizki Amelia
collection DOAJ
description ABSTRACT Background: Malnutrition at hospital admission may adversely affect patients' clinical outcomes. The Global Leadership Initiative on Malnutrition (GLIM) recently set a standard of measurable criteria to diagnose malnutrition. Objectives: This study aimed to determine the proportion and risk factors of malnutrition at hospital admission. Materials and Methods: A cross-sectional observational study was conducted in the internal medicine ward of the National General Central Hospital, Dr. Cipto Mangunkusmo (RSCM), Jakarta, from January to May 2022. Subjects aged 18 and above were recruited for this study. Malnutrition at hospital admission was defined according to the GLIM criteria. Then, the data were analyzed using multiple logistic regression to determine malnutrition risk factors, presented by odds ratios (OR) and 95% confidence intervals (CI). Results: A total of 231 subjects were enrolled in the study. Among them, 85.3% were malnourished according to the GLIM criteria. In addition, subjects with a severe to total dependency on functional status (OR 9.406, 95%CI: 3.147–28.109), inadequate energy intake (OR 2.718, 95%CI: 1.197–6.172), and multimorbidity (OR 2.337, 95%CI: 1.045–5.228), were significantly associated with malnutrition at hospital admission cases. Conclusion: According to the GLIM criteria, the proportion of malnutrition at hospital admission is high. The risk factors of malnutrition at hospital admission include low functional status, inadequate energy intake, and multimorbidity. Keywords : Malnutrition; Nutritional status; Nutrition assessment; Hospital admission; Internal medicine, Inpatients
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institution Kabale University
issn 2338-3119
language Indonesian
publishDate 2023-06-01
publisher Diponegoro University
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series Jurnal Gizi Indonesia: The Indonesian Journal of Nutrition
spelling doaj-art-d13de313ca7342a18f43c90ffc8b55b62025-08-20T03:40:15ZindDiponegoro UniversityJurnal Gizi Indonesia: The Indonesian Journal of Nutrition2338-31192023-06-0111212813910.14710/jgi.11.2.128-13922342MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTSWita Rizki Amelia0Astrine Permata Leoni1Ahmad Syauqy2https://orcid.org/0000-0002-9552-2834Purwita Wijaya Laksmi3Martalena Br Purba4Etika Ratna Noer5Lora Sri Nofi6Befi Sundari7Mita Arini8Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, IndonesiaDepartment of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, IndonesiaDepartment of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, IndonesiaGeriatric Division, Internal Medicine Department, Faculty of Medicine, Universitas Indonesia, IndonesiaNutrition Unit, Dr. Sardjito Hospital, IndonesiaDepartment of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, IndonesiaNutrition and Food Service Unit, Dr. Cipto Mangunkusumo Hospital, IndonesiaNutrition and Food Service Unit, Dr. Cipto Mangunkusumo Hospital, IndonesiaNutrition and Food Service Unit, Dr. Cipto Mangunkusumo Hospital, IndonesiaABSTRACT Background: Malnutrition at hospital admission may adversely affect patients' clinical outcomes. The Global Leadership Initiative on Malnutrition (GLIM) recently set a standard of measurable criteria to diagnose malnutrition. Objectives: This study aimed to determine the proportion and risk factors of malnutrition at hospital admission. Materials and Methods: A cross-sectional observational study was conducted in the internal medicine ward of the National General Central Hospital, Dr. Cipto Mangunkusmo (RSCM), Jakarta, from January to May 2022. Subjects aged 18 and above were recruited for this study. Malnutrition at hospital admission was defined according to the GLIM criteria. Then, the data were analyzed using multiple logistic regression to determine malnutrition risk factors, presented by odds ratios (OR) and 95% confidence intervals (CI). Results: A total of 231 subjects were enrolled in the study. Among them, 85.3% were malnourished according to the GLIM criteria. In addition, subjects with a severe to total dependency on functional status (OR 9.406, 95%CI: 3.147–28.109), inadequate energy intake (OR 2.718, 95%CI: 1.197–6.172), and multimorbidity (OR 2.337, 95%CI: 1.045–5.228), were significantly associated with malnutrition at hospital admission cases. Conclusion: According to the GLIM criteria, the proportion of malnutrition at hospital admission is high. The risk factors of malnutrition at hospital admission include low functional status, inadequate energy intake, and multimorbidity. Keywords : Malnutrition; Nutritional status; Nutrition assessment; Hospital admission; Internal medicine, Inpatientshttps://ejournal.undip.ac.id/index.php/jgi/article/view/53206malnutritionnutritional statusnutrition assessmenthospital admissioninternal medicine, inpatients
spellingShingle Wita Rizki Amelia
Astrine Permata Leoni
Ahmad Syauqy
Purwita Wijaya Laksmi
Martalena Br Purba
Etika Ratna Noer
Lora Sri Nofi
Befi Sundari
Mita Arini
MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTS
Jurnal Gizi Indonesia: The Indonesian Journal of Nutrition
malnutrition
nutritional status
nutrition assessment
hospital admission
internal medicine, inpatients
title MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTS
title_full MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTS
title_fullStr MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTS
title_full_unstemmed MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTS
title_short MALNUTRITION AT HOSPITAL ADMISSION AND ITS ASSOCIATED FACTORS IN INTERNAL MEDICINE INPATIENTS
title_sort malnutrition at hospital admission and its associated factors in internal medicine inpatients
topic malnutrition
nutritional status
nutrition assessment
hospital admission
internal medicine, inpatients
url https://ejournal.undip.ac.id/index.php/jgi/article/view/53206
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