DETECTION OF NUTRITIONAL RISK AT ADMISSION AND DISCHARGE OF ELDERLY PATIENTS ADMITTED TO A MILITARY HOSPITAL

Visualizações: 224

Authors

DOI:

https://doi.org/10.56579/rei.v7i6.1706

Keywords:

Nutritional Status, Elderly, Nutritional Risk

Abstract

Hospital admission is associated with several factors that can influence the nutritional status of elderly people. Malnutrition affects the patient's quality of life and general condition, leading to greater clinical complications. Therefore, it is extremely important to screen for nutritional risk during hospitalization. The research aimed to compare the prevalence of nutritional risk upon admission and discharge of elderly patients admitted to a military hospital. This is a quantitative study, with a cross-sectional design. The Nutritional Risk Screening 2002 (NRS-2002) tool was applied and anthropometric assessment of patients was carried out. 129 hospitalized elderly people were evaluated at admission and discharge. There was a nutritional risk prevalence of 49.6% at hospitalization, 45.1% upon admission and 55.2% upon discharge, with no statistical differences between admission and discharge. A higher nutritional risk was also found in males and older elderly people had a larger nutritional risk on admission, while young elderly people had a higher percentage at discharge. Patients with three or more comorbidities had a larger nutritional risk on admission. The study demonstrated great importance in assessing nutritional risk in hospitalized elderly people, so that assertive and targeted treatment strategies can be adopted, contributing to the improvement of their general condition.

Downloads

Download data is not yet available.

Author Biographies

Marina Nunes, Catholic University of Brasília

Student of the Stricto Sensu Graduate Program in Gerontology (Master’s Degree) at the Catholic University of Brasília. Brazil, Federal District, Brasília. Nutritionist at the Armed Forces Hospital, Federal District, Brasília (2009–Present). Nutritionist at the Brazilian Air Force (2007–2009).

Ana Luiza Araújo Passos, Armed Forces Hospital

Postgraduate in Functional Phytotherapy from Cruzeiro do Sul University. Nutritionist at the Brazilian Air Force (2005–2014). Nutritionist at the University Hospital of Brasília (2014–2015). Nutritionist at the Armed Forces Hospital, Federal District, Brasília (2015–Present).

Daniela Gasparetto, Armed Forces Hospital

Master in Food and Nutrition from the State University of Campinas (UNICAMP). Brazil, São Paulo, Campinas. Nutritionist at the Armed Forces Hospital, Federal District, Brasília (2015–Present). Professor of the Nutrition program and the Health area at the Planalto University Center of the Federal District (2015).

Vanessa de Paula Colares Damásio, Armed Forces Hospital

Postgraduate in Clinical Nutrition, Food Reeducation, and Nutritional Security from Famart College. Nutritionist at the Armed Forces Hospital, Federal District, Brasília (2020–Present). Nutritionist at Sanoli Food Industry and Commerce Ltd. (2008–202…).

Leonardo Costa Pereira, Euro-American University Center

PhD in Health Sciences and Technology from the University of Brasília. Brazil, Federal District, Brasília. Undergraduate Professor at the Euro-American University Center. Coordinator of the Research, Development, and Innovation Department of the UniSER/UnB Extension Program. Member of the Structuring Teaching Core (NDE) of the Physical Education Program at UNIEURO.

Gustavo de Azevedo Carvalho, Catholic University of Brasília

PhD in Health Sciences from the University of Brasília (UnB). Brazil, Federal District, Brasília. Physiotherapist at the Chamber of Deputies – Brasília (1999–Present). Professor at the Catholic University of Brasília since 1997, teaching undergraduate courses in the health area and serving as professor and advisor in the Master’s and Doctoral Program in Gerontology since 2003.

References

ANDERSEN, A.L. et al. Risk of malnutrition upon admission and after discharge in acutely admitted older medical patients: a prospective observational study. Nutrients, v. 13, n. 8, 2021. Disponível em: https://www.mdpi.com/2072-6643/13/8/2757. Acesso: 10 out. 2024. DOI: https://doi.org/10.3390/nu13082757

BARBOSA, A.A.O.; VICENTINI, A.P,; LANGA, F.R.. Comparação dos critérios da NRS-2002 com o risco nutricional em pacientes hospitalizados. Ciência e Saúde Coletiva, v. 24, n. 9, p. 3325-3334, 2019. Disponível em: https://www.scielo.br/j/csc/a/HydhcKvPpRn5s8FMZ7ytmLj/abstract/?lang=pt. Acesso: 10 out. 2024. DOI: https://doi.org/10.1590/1413-81232018249.25042017

BEGHETTO, M.G. et al. Triagem nutricional em adultos hospitalizados. Revista de Nutrição, Campinas, v. 21, n. 5, p. 589-601, 2008. Disponível em: https://www.scielo.br/j/rn/a/HFnwWz8WFByhTbBWybG9pRP/. Acesso: 10 out. 2024. DOI: https://doi.org/10.1590/S1415-52732008000500011

BOSCATTO, E.C. et al. Nutritional status in the oldest elderly and associated factors. Associação Médica Brasileira, v. 1, n. 59, p. 40-47, jul. 2013. Disponível em: https://www.scielo.br/j/ramb/a/zgQh7SjNxpLSGvQmtQnVCLy/?lang=en. Acesso: 10 out. 2024. DOI: https://doi.org/10.1590/S0104-42302013000100010

BRASPEN – Sociedade Brasileira de Nutrição Parenteral e Enteral. Diretriz BRASPEN de terapia nutricional no envelhecimento. BRASPEN J. , v. 34 (Supl. 3), 2019. Disponível em: https://www.sbnpe.org.br/_files/ugd/a8daef_13e9ef81b44e4f66be32ec79c4b0fbab.pdf. Acesso: 10 out. 2024.

CHUMLEA, W.C. et al. Prediction of body weight for the nonambulatory elderly from anthropometry. Journal of American Dietetic Association, v. 88, n. 5, 1988. Disponível em: https://www.semanticscholar.org/paper/Prediction-of-body-weight-for-the-nonambulatory-Chumlea-Guo/f2bd9dd4846eb6fb78665b029ecc86867a6aca09. Acesso: 10 out. 2024.

CHUMLEA, W.C.; ROCHE, A.F.; STEINBAUGH, M.L. Estimating stature from knee height for persons 60 to 90 years of age. J Am Geriatr Soc, v. 33, n. 2, p. 116-120, 1985. Disponível em: https://pubmed.ncbi.nlm.nih.gov/3968366/. Acesso: 10 out. 2024. DOI: https://doi.org/10.1111/j.1532-5415.1985.tb02276.x

FIORIND, C. et al. Prevalence of nutritional risk and malnutrition during and after hospitalization of COVI-19 infection: preliminary results of a single-centre experience. Clinical Nutrition ESPEN, v. 45, p. 351-355, 2021. Disponível em: https://clinicalnutritionespen.com/article/S2405-4577(21)00275-8/fulltext. Acesso: 10 out. 2024. DOI: https://doi.org/10.1016/j.clnesp.2021.07.020

GANHÃO-ARRANHADO, S.; POÍNHOS, R.; PINHÃO, S.. Determinants of Nutritional risk among community-dwelling older adults with social support. Nutrients, v. 15, p. 2506-2519, 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37299469/. Acesso: 10 out. 2024. DOI: https://doi.org/10.3390/nu15112506

KONDRUP, J. et al. Nutritional risk screening (NRS-2002): a new method based on an analysis of controlled clinical trials. Clinical Nutrition., v. 3, n. 22, p. 321-336, 2003. Disponível em: https://pubmed.ncbi.nlm.nih.gov/12765673/. Acesso: 10 out. 2024. DOI: https://doi.org/10.1016/S0261-5614(02)00214-5

LIMA, L.S. et al. Validação de instrumento de triagem nutricional. Acta Med Port, v.1, n. 25, p. 10-14, 2012. Disponível em: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3/6. Acesso: 10 out. 2024.

LIPSCHITZ, D.A. Screening for Nutritional Status in the Elderly. Primary Care, v. 21, n. 1, p. 55-67,1994. Disponível em: https://pubmed.ncbi.nlm.nih.gov/8197257/. Acesso: 10 out. 2024. DOI: https://doi.org/10.1016/S0095-4543(21)00452-8

MARCHETTI, J. et al. O elevado risco nutricional está associado a desfechos desfavoráveis em pacientes internados na unidade de terapia intensiva. Rev. Bras. Ter. Intensiva, v. 31, n. 3, p. 326-332, 2019. Disponível em: https://www.scielo.br/j/rbti/a/rSWVntQshftWPHpjnv6R6Qj/?lang=pt. Acesso: 10 out. 2024.

MAZZINI, L.R. et al. A circunferência da panturrilha está associada ao desfecho clínico e nutricional em pacientes idosos? Arq. Bras. Cir. Dig., v. 36, 2023. DOI: https://doi.org/10.1590/0102-672020230055e1773. Acesso: 10 out. 2024. DOI: https://doi.org/10.1590/0102-672020230055e1773

MOSER, A.D.; HEMBECKER, P.K.; NAKATO, A.M.. Relação entre capacidade funcional, estado nutricional e variáveis sociodemográficas de idosos institucionalizados. Rev. Bras. Geriatr. Gerontol., v. 24, n. 5, 2021. Disponível em: http://www.rbgg.uerj.br/arquivos/edicoes/RBGG%2024-5PORT.pdf. Acesso: 10 out. 2024. DOI: https://doi.org/10.1590/1981-22562021024.210211.pt

MUNIZ, T.R. et al. Avaliação do estado nutricional de idosos institucionalizados em uma região do norte do Brasil. Saúde em Redes, v.8, n.3, p. 265-279, 2022. DOI: https://doi.org/10.1831/2446-4813.2022v8n3p265-279. DOI: https://doi.org/10.18310/2446-4813.2022v8n3p265-279

REZENDE, Pollyanna Ayub Ferreira de. Comparação de bioimpedância frente ao padrão ouro para composição corporal em idosas. 2018. Dissertação (Mestrado em Gerontologia) - Universidade Católica de Brasília, Brasília, 2018. Disponível em: https://bdtd.ucb.br:8443/jspui/bitstream/tede/2461/2/PollyannaAyubDissertacao2018.pdf. Acesso: 10 out. 2024.

SUGAYA, M.C. et al. Poder diagnóstico discriminativo da versão adaptada do Nutritional Screening Risk 2002 administrada em idosos brasileiros. Einstein, São Paulo, n. 18, p. 1-6, 2020. Disponível em: https://www.scielo.br/j/eins/a/5cwhqwZZ5y8Vv5ffCRGgTNq/?format=pdf&lang=pt. Acesso: 10 out. 2024.

TAQUES, N. et al. Risco nutricional e fatores associados em pacientes hospitalizados pelo sistema único de saúde: comparação entre os sexos. Rev. Ciên. Méd. Biol., Salvador, v. 21, n.2, p. 155-160,2022. Disponível em: https://periodicos.ufba.br/index.php/cmbio/article/view/37838. Acesso: 10 out. 2024. DOI: https://doi.org/10.9771/cmbio.v21i2.37838

TORRES, K.R.B.O. et al. Evolução das políticas públicas para a saúde do idoso no contexto do Sistema Único de Saúde. Physis: Revista de Saúde Saúde Coletiva, Rio de Janeiro, v. 30, n. 1, 2020. DOI: https://doi.org/10.1590/S0103-73312020300113 DOI: https://doi.org/10.1590/s0103-73312020300113

TRAVASSOS, G.F.; COELHO, A.B.; ARENDS-KUENNNIG, M.P.. Os idosos no Brasil: transição demográfica, perfil e condição socioeconômica. R. Bras. Est. Pop., v. 37, p. 1-27, 2020. DOI: https://doi.org/10.20947/S0102-3098a0129 DOI: https://doi.org/10.20947/S0102-3098a0129

ZHU, M. et al. Nutritional risk and nutritional status at admission and discharge among chinese hospitalized patients: a prospective, nationwide, multicenter study. J Am Coll Nutr, v. 36, n. 5, p. 357-363, 2017. Disponível em: https://www.tandfonline.com/doi/full/10.1080/07315724.2017.1304293. Acesso: 10 out. 2024. DOI: https://doi.org/10.1080/07315724.2017.1304293

Downloads

Published

2025-11-11

How to Cite

Nunes, M., Passos, A. L. A., Gasparetto, D., Damásio, V. de P. C., Pereira, L. C., & Carvalho, G. de A. (2025). DETECTION OF NUTRITIONAL RISK AT ADMISSION AND DISCHARGE OF ELDERLY PATIENTS ADMITTED TO A MILITARY HOSPITAL. Interdisciplinary Studies Journal, 7(6), 01–15. https://doi.org/10.56579/rei.v7i6.1706

Issue

Vol. 7 No. 6 (2025): JOURNAL OF INTERDISCIPLINARY STUDIES

Section

ARTICLES

License

Copyright (c) 2025 Interdisciplinary Studies Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The Journal of Interdisciplinary Studies adopts the Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows for sharing and adapting the work, including for commercial purposes, provided proper attribution is given and the original publication in this journal is acknowledged.

Metrics