- 期刊
- Ahead-of-Print
Prevalence and associated risk factors of malnutrition among hospitalized adults in a multisite study in Ho Chi Minh city Viet Nam
摘要
Background and Objectives: This study aims to assess the prevalence and associated risk factors of malnutrition in adults in acute care settings. Methods and Study Design: A cross-sectional study among 883 participants from 6 representative general public hospitals was conducted during April and May 2016. Participants were considered malnourished if they were classified using Subjective Global Assessment (SGA) as malnourished (B or C) or with BMI ＜ 18.5kg/m^2. Demographic and socio-economic status characteristics were measured using interviewer-administered questionnaires. Sampling weights for the number of participants in each hospital were calculated to account for the difference in the stratified cluster sampling design. Logistic regression was used to examine the association of malnutrition with potential risk factors. Results: The prevalence of underweight (BMI ＜18.5 kg/m^2) and hospital malnutrition (B/C on SGA or BMI ＜18.5 kg/m^2) in acute care setting was 14.0% and 34.1%. The prevalence was higher in participants over 80 years old (49.7%), attending a Level 1 hospital (37.1%), with an oncology (46.5%) or pulmonary (43.6%) diagnosis. The risk of being malnourished was statistically significantly higher among participants who were living in poverty (OR:1.6), were living in marginal poverty (OR:1.3), did not work in the last six months (OR:1.7), had a length of stay over 10 days (OR:1.6) and were admitted via emergency (OR:1.5). Conclusions: Hospital malnutrition is a significant health problem in Ho Chi Minh City. Socio-economic status and pre-admission underweight were significant risk factors besides other clinical risk factors. Improvement of nutrition and dietetics services is crucial to optimize patient outcomes.
延伸閱讀
- Chuansangeam, M., Wuthikraikun, C., Supapueng, O., & Muangpaisan, W. (2022). Prevalence and risk for malnutrition in older Thai people: A systematic review and meta-analysis. Asia Pacific Journal of Clinical Nutrition, 31(1), 128-141. https://doi.org/10.6133/apjcn.202203_31(1).0014
- Giang, K. B., & Minh, N. H. (2018). Knowledge of hypertension and compliance to recommended behaviors and drug therapy among hypertension patients in a district hospital in Vietnam. In 亞洲健康識能學會 (Ed.), 第六屆亞洲健康識能國際會議 (pp. 1-2). 亞洲健康識能學會. https://doi.org/10.6881/AHLA.201810.SNP02
- The, V. N., & Assanangkornchai, S. (2020). Functional Disability among Community-Dwelling Older People: Prevalence and Associated Factors in Thanh Hoa City and Hoang Hoa District, Vietnam. International Journal of Gerontology, 14(3), 222-226. https://doi.org/10.6890/IJGE.202008_14(3).0014
- Peng, L. N., Cheng, Y., Chen, L. K., Tung, H. H., Chu, K. H., & Liang, S. Y. (2015). Cognition and Social-Physiological Factors Associated With Malnutrition in Hospitalized Older Adults in Taiwan. The Journal of Nursing Research, 23(1), 1-5. https://doi.org/10.1097/jnr.0000000000000074
- Trinh, T. T., Montague, B. T., Flanigan, T. P., & Gerard, H. M. (2011). HIV Suppression among Patients on Treatment in Vietnam: A Review of HIV Viral Load Testing in a Public Urban Clinic in Ho Chi Minh City. AIDS Research and Treatment, 2011(), 41-47. https://doi.org/10.1155/2011/230953