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. 1986 Nov;27(Suppl 1):5–8. doi: 10.1136/gut.27.suppl_1.5

Diagnosing malnutrition.

R Dionigi, L Dominioni, V Jemos, R Cremaschi, R Monico
PMCID: PMC1434611  PMID: 3539711

Abstract

The measurement of selected anthropometric, biochemical and immunological variables, and clinical judgment can be used to assess nutritional state. Nutritional assessment has three main aims: to define the type and severity of malnutrition; to identify high risk patients; to monitor the efficacy of nutritional support. The problems associated with the various methods to assess the nutritional state and the applications of nutritional assessment in clinical practice are presented and discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alper C. A. Plasma protein measurements as a diagnostic aid. N Engl J Med. 1974 Aug 8;291(6):287–290. doi: 10.1056/NEJM197408082910606. [DOI] [PubMed] [Google Scholar]
  2. Baker J. P., Detsky A. S., Wesson D. E., Wolman S. L., Stewart S., Whitewell J., Langer B., Jeejeebhoy K. N. Nutritional assessment: a comparison of clinical judgement and objective measurements. N Engl J Med. 1982 Apr 22;306(16):969–972. doi: 10.1056/NEJM198204223061606. [DOI] [PubMed] [Google Scholar]
  3. Bozzetti F., Pagnoni A. M., Del Vecchio M. Excessive caloric expenditure as a cause of malnutrition in patients with cancer. Surg Gynecol Obstet. 1980 Feb;150(2):229–234. [PubMed] [Google Scholar]
  4. Chandra R. K. Rosette-forming T lymphocytes and cell-mediated immunity in malnutrition. Br Med J. 1974 Sep 7;3(5931):608–609. doi: 10.1136/bmj.3.5931.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Daly J. M., Vars H. M., Dudrick S. J. Effects of protein depletion on strength of colonic anastomoses. Surg Gynecol Obstet. 1972 Jan;134(1):15–21. [PubMed] [Google Scholar]
  6. Dionigi R., Dominioni L., Jemos V., Cremaschi R., Bobbio-Pallavicini F., Ballabio A. Sepsis score and complement factor B for monitoring severely septic surgical patients and for predicting their survival. Eur Surg Res. 1985;17(5):269–280. doi: 10.1159/000128478. [DOI] [PubMed] [Google Scholar]
  7. Dionigi R., Dominioni L. Perioperative nutritional support in cancer patients. Bibl Nutr Dieta. 1985;(35):85–94. doi: 10.1159/000410287. [DOI] [PubMed] [Google Scholar]
  8. Elebute E. A., Stoner H. B. The grading of sepsis. Br J Surg. 1983 Jan;70(1):29–31. doi: 10.1002/bjs.1800700111. [DOI] [PubMed] [Google Scholar]
  9. Howard L., Dillon B., Saba T. M., Hofmann S., Cho E. Decreased plasma fibronectin during starvation in man. JPEN J Parenter Enteral Nutr. 1984 May-Jun;8(3):237–244. doi: 10.1177/0148607184008003237. [DOI] [PubMed] [Google Scholar]
  10. Ingenbleek Y., Carpentier Y. A. A prognostic inflammatory and nutritional index scoring critically ill patients. Int J Vitam Nutr Res. 1985;55(1):91–101. [PubMed] [Google Scholar]
  11. Klidjian A. M., Archer T. J., Foster K. J., Karran S. J. Detection of dangerous malnutrition. JPEN J Parenter Enteral Nutr. 1982 Mar-Apr;6(2):119–121. doi: 10.1177/0148607182006002119. [DOI] [PubMed] [Google Scholar]
  12. Knaus W. A., Zimmerman J. E., Wagner D. P., Draper E. A., Lawrence D. E. APACHE-acute physiology and chronic health evaluation: a physiologically based classification system. Crit Care Med. 1981 Aug;9(8):591–597. doi: 10.1097/00003246-198108000-00008. [DOI] [PubMed] [Google Scholar]
  13. Law D. K., Dudrick S. J., Abdou N. I. The effects of protein calorie malnutrition on immune competence of the surgical patient. Surg Gynecol Obstet. 1974 Aug;139(2):257–266. [PubMed] [Google Scholar]
  14. Meakins J. L., Pietsch J. B., Bubenick O., Kelly R., Rode H., Gordon J., MacLean L. D. Delayed hypersensitivity: indicator of acquired failure of host defenses in sepsis and trauma. Ann Surg. 1977 Sep;186(3):241–250. doi: 10.1097/00000658-197709000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Nazari S., Dionigi R., Comodi I., Dionigi P., Campani M. Preoperative prediction and quantification of septic risk caused by malnutrition. Arch Surg. 1982 Mar;117(3):266–274. doi: 10.1001/archsurg.1982.01380270002002. [DOI] [PubMed] [Google Scholar]
  16. Rothschild M. A., Oratz M., Schreiber S. S. Albumin synthesis. 1. N Engl J Med. 1972 Apr 6;286(14):748–757. doi: 10.1056/NEJM197204062861404. [DOI] [PubMed] [Google Scholar]
  17. Saba T. M., Blumenstock F. A., Weber P., Kaplan J. E. Physiologic role of cold-insoluble globulin in systemic host defense: implications of its characterization as the opsonic alpha 2-surface-binding glycoprotein. Ann N Y Acad Sci. 1978 Jun 20;312:43–55. doi: 10.1111/j.1749-6632.1978.tb16792.x. [DOI] [PubMed] [Google Scholar]
  18. Saba T. M., Jaffe E. Plasma fibronectin (opsonic glycoprotein): its synthesis by vascular endothelial cells and role in cardiopulmonary integrity after trauma as related to reticuloendothelial function. Am J Med. 1980 Apr;68(4):577–594. doi: 10.1016/0002-9343(80)90310-1. [DOI] [PubMed] [Google Scholar]
  19. Scovill W. A., Saba T. M., Blumenstock F. A., Bernard H., Powers S. R., Jr Opsonic alpha2 surface binding glycoprotein therapy during sepsis. Ann Surg. 1978 Oct;188(4):521–529. doi: 10.1097/00000658-197810000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Simms J. M., Smith J. A., Woods H. F. A modified prognostic index based upon nutritional measurements. Clin Nutr. 1982 Mar;1(1):71–79. doi: 10.1016/0261-5614(82)90007-3. [DOI] [PubMed] [Google Scholar]

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