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
Mostra el registre complet Registre parcial de l'ítem
- dc.contributor.author Sánchez-Rodríguez, María Dolores
- dc.contributor.author Marco Navarro, Ester
- dc.contributor.author Ronquillo-Moreno, Natalia
- dc.contributor.author Maciel-Bravo, Liev
- dc.contributor.author Gonzales-Carhuancho, Abel
- dc.contributor.author Duran Jordà, Xavier, 1974-
- dc.contributor.author Guillén-Solà, Anna
- dc.contributor.author Vázquez Ibar, Olga
- dc.contributor.author Escalada, Ferran
- dc.contributor.author Muniesa Portoles, Josep M.
- dc.date.accessioned 2018-10-26T07:38:26Z
- dc.date.issued 2019
- dc.description.abstract 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.
- dc.format.mimetype application/pdf
- dc.identifier.citation Sánchez-Rodríguez D, Marco E, Ronquillo-Moreno N, Maciel-Bravo L, Gonzales-Carhuancho A, Duran X et al. 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. Clin Nutr. 2019 Feb;38(1):297-302. DOI: 10.1016/j.clnu.2018.01.017
- dc.identifier.doi http://dx.doi.org/10.1016/j.clnu.2018.01.017
- dc.identifier.issn 0261-5614
- dc.identifier.uri http://hdl.handle.net/10230/35665
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof Clinical nutrition. 2019 Feb;38(1):297-302
- dc.rights © Elsevier http://dx.doi.org/10.1016/j.clnu.2018.01.017
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword ASPEN
- dc.subject.keyword ESPEN
- dc.subject.keyword Malnutrition
- dc.subject.keyword Older people
- dc.subject.keyword Postacute
- dc.subject.other Malnutrició
- dc.subject.other Persones grans -- Malalties
- dc.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
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion