ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition

BACKGROUND: The aim of this study was to assess the prevalence of malnutrition by applying the ASPEN/AND definition and the ESPEN consensus definition in a postacute-care population, and secondly, to determine the metrological properties of the set of six clinical characteristics that constitute the...

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Autores: Sánchez-Rodríguez, Dolores, Marco Navarro, Ester, Ronquillo-Moreno, Natalia, Maciel-Bravo, Liev, Gonzales-Carhuancho, Abel, Duran Jordà, Xavier, 1974-, Guillén-Solà, Anna, Vázquez Ibar, Olga, Escalada, Ferran, Muniesa Portoles, Josep M.
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/35665
Acceso en línea:http://hdl.handle.net/10230/35665
http://dx.doi.org/10.1016/j.clnu.2018.01.017
Access Level:acceso abierto
Palabra clave:Malnutrició
Persones grans -- Malalties
ASPEN
ESPEN
Malnutrition
Older people
Postacute
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spelling ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definitionSánchez-Rodríguez, DoloresMarco Navarro, EsterRonquillo-Moreno, NataliaMaciel-Bravo, LievGonzales-Carhuancho, AbelDuran Jordà, Xavier, 1974-Guillén-Solà, AnnaVázquez Ibar, OlgaEscalada, FerranMuniesa Portoles, Josep M.MalnutricióPersones grans -- MalaltiesASPENESPENMalnutritionOlder peoplePostacuteBACKGROUND: The aim of this study was to assess the prevalence of malnutrition by applying the ASPEN/AND definition and the ESPEN consensus definition in a postacute-care population, and secondly, to determine the metrological properties of the set of six clinical characteristics that constitute the ASPEN/AND basic diagnosis, compared to the ESPEN consensus, based mostly on objective anthropometric measurements. METHODS: Prospective study of 84 consecutive deconditioned older inpatients (85.4 ± 6.2; 59.5% women) admitted for rehabilitation in postacute care. ASPEN/AND diagnosis of malnutrition was considered in presence of at least two of the following: low energy intake, fluid accumulation, diminished handgrip strength, and loss of weight, muscle mass, or subcutaneous fat. Sensitivity, specificity, positive and negative predictive values, accuracy, likelihood ratios, and kappa statistics were calculated for ASPEN/AND criteria and compared with ESPEN consensus. RESULTS: The prevalence of malnutrition by ASPEN/AND criteria was 63.1% and by ESPEN consensus, 20.2%; both diagnoses were associated with significantly longer length of stay, but the ESPEN definition was significantly associated with poorer functional outcomes after the rehabilitation program. Compared to ESPEN consensus, ASPEN/AND diagnosis showed fair validity (sensitivity = 94.1%; specificity = 44.8%); kappa statistic was 2.217. CONCLUSIONS: Applying the ASPEN/AND definition obtained a higher prevalence of malnutrition in a postacute-care population than was identified by the ESPEN definition. ASPEN/AND criteria had fair validity and agreement compared with the ESPEN definition. A simple, evidence-based, unified malnutrition definition might improve geriatric care.Elsevier20182019info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/35665http://dx.doi.org/10.1016/j.clnu.2018.01.017reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésClinical nutrition. 2019 Feb;38(1):297-302© Elsevier http://dx.doi.org/10.1016/j.clnu.2018.01.017info:eu-repo/semantics/openAccessoai:recercat.cat:10230/356652026-05-29T05:05:01Z
dc.title.none.fl_str_mv ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
title ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
spellingShingle ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
Sánchez-Rodríguez, Dolores
Malnutrició
Persones grans -- Malalties
ASPEN
ESPEN
Malnutrition
Older people
Postacute
title_short ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
title_full ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
title_fullStr ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
title_full_unstemmed ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
title_sort ASPEN-AND-ESPEN: A postacute-care comparison of the basic definition of malnutrition from the American Society of Parenteral and Enteral Nutrition and Academy of Nutrition and Dietetics with the European Society for Clinical Nutrition and Metabolism definition
dc.creator.none.fl_str_mv Sánchez-Rodríguez, Dolores
Marco Navarro, Ester
Ronquillo-Moreno, Natalia
Maciel-Bravo, Liev
Gonzales-Carhuancho, Abel
Duran Jordà, Xavier, 1974-
Guillén-Solà, Anna
Vázquez Ibar, Olga
Escalada, Ferran
Muniesa Portoles, Josep M.
author Sánchez-Rodríguez, Dolores
author_facet Sánchez-Rodríguez, Dolores
Marco Navarro, Ester
Ronquillo-Moreno, Natalia
Maciel-Bravo, Liev
Gonzales-Carhuancho, Abel
Duran Jordà, Xavier, 1974-
Guillén-Solà, Anna
Vázquez Ibar, Olga
Escalada, Ferran
Muniesa Portoles, Josep M.
author_role author
author2 Marco Navarro, Ester
Ronquillo-Moreno, Natalia
Maciel-Bravo, Liev
Gonzales-Carhuancho, Abel
Duran Jordà, Xavier, 1974-
Guillén-Solà, Anna
Vázquez Ibar, Olga
Escalada, Ferran
Muniesa Portoles, Josep M.
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Malnutrició
Persones grans -- Malalties
ASPEN
ESPEN
Malnutrition
Older people
Postacute
topic Malnutrició
Persones grans -- Malalties
ASPEN
ESPEN
Malnutrition
Older people
Postacute
description BACKGROUND: The aim of this study was to assess the prevalence of malnutrition by applying the ASPEN/AND definition and the ESPEN consensus definition in a postacute-care population, and secondly, to determine the metrological properties of the set of six clinical characteristics that constitute the ASPEN/AND basic diagnosis, compared to the ESPEN consensus, based mostly on objective anthropometric measurements. METHODS: Prospective study of 84 consecutive deconditioned older inpatients (85.4 ± 6.2; 59.5% women) admitted for rehabilitation in postacute care. ASPEN/AND diagnosis of malnutrition was considered in presence of at least two of the following: low energy intake, fluid accumulation, diminished handgrip strength, and loss of weight, muscle mass, or subcutaneous fat. Sensitivity, specificity, positive and negative predictive values, accuracy, likelihood ratios, and kappa statistics were calculated for ASPEN/AND criteria and compared with ESPEN consensus. RESULTS: The prevalence of malnutrition by ASPEN/AND criteria was 63.1% and by ESPEN consensus, 20.2%; both diagnoses were associated with significantly longer length of stay, but the ESPEN definition was significantly associated with poorer functional outcomes after the rehabilitation program. Compared to ESPEN consensus, ASPEN/AND diagnosis showed fair validity (sensitivity = 94.1%; specificity = 44.8%); kappa statistic was 2.217. CONCLUSIONS: Applying the ASPEN/AND definition obtained a higher prevalence of malnutrition in a postacute-care population than was identified by the ESPEN definition. ASPEN/AND criteria had fair validity and agreement compared with the ESPEN definition. A simple, evidence-based, unified malnutrition definition might improve geriatric care.
publishDate 2018
dc.date.none.fl_str_mv 2018
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/35665
http://dx.doi.org/10.1016/j.clnu.2018.01.017
url http://hdl.handle.net/10230/35665
http://dx.doi.org/10.1016/j.clnu.2018.01.017
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Clinical nutrition. 2019 Feb;38(1):297-302
dc.rights.none.fl_str_mv © Elsevier http://dx.doi.org/10.1016/j.clnu.2018.01.017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © Elsevier http://dx.doi.org/10.1016/j.clnu.2018.01.017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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