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      Hospital nutrition: dietary intake characteristics among adults with NCDs (Algeria, 2020) Translated title: Nutrición hospitalaria: características de la ingesta alimentaria en adultos con ENT (Argelia, 2020)

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          Abstract

          Abstract Introduction: Hospital malnutrition is a common problem among non-communicable diseases’ (NCDs) inpatients, and it is related to food intake characteristics. The aim of this study was to determine the current dietary intake characteristics of hospitalized adults with NCDs in Algeria. Methodology: The study sample consisted of 105 inpatients. The dietary intake was evaluated using the 24 hours recall method, CIQUAL Table, 2016 was used for nutritional values and Subjective global assessment (SGA) for the nutritional status assessment. Results: The study design responds to a descriptive cross-sectional study carried out on a sample of 105 inpatients. The malnutrition percentage was 44.76% (B/C on SGA). Most consumed food was self-provided (78.09%) and 3.81% of food was hospital-provided. Energy intakes were low with a median of 4,805 kJ/day; 24.76% of participants met 100% of their energy requirements while 13.33% met ≥75% of their protein requirements with no significant difference between well-nourished and malnourished patients. Dietary sugar was higher than 10% of total energy, and alpha-linolenic acid was at 0.06% of total energy with severe deficient of vitamins and minerals. Conclusions: Current food supply including non-regulated sources in hospital was not able to meet the dietary requirements of inpatients. Improving hospital nutritional services, supporting patients at mealtimes and nutritional education among patients’ families are solutions to improve patient nutritional status.

          Translated abstract

          Resumen Introducción: La malnutrición hospitalaria es un problema común entre los pacientes hospitalizados por enfermedades no transmisibles (ENT) y está relacionada con las características de la ingesta de alimentos. El objetivo de este estudio fue determinar las características de la ingesta dietética actual de adultos hospitalizados con ENT en Argelia. Metodología: La muestra del estudio estuvo compuesta por 105 pacientes hospitalizados. La ingesta dietética se evaluó mediante recordatorio de 24 horas, para determinar la ingesta de nutrimentos se utilizaron los datos de la tabla CIQUAL, 2016 y la evaluación del estado de nutrición se realizó mediante la escala global subjetiva (VGS). Resultados: El diseño del estudio responde a un estudio descriptivo transversal realizado en 105 pacientes hospitalizados. El porcentaje de desnutrición fue de 44,76% (B/C en VGS). La mayor parte de los alimentos consumidos fue autoabastecido (78,09%) y el 3,81% de los alimentos fue proporcionado por el hospital. Las ingestas de energía fueron bajas con una mediana de 4.805 kJ/día; El 24,76% de los participantes cumplió con el 100% de sus necesidades energéticas, mientras que el 13,33 % cumplió con ≥75 % de sus necesidades proteicas sin diferencias significativas entre pacientes bien nutridos y desnutridos. El azúcar en la dieta fue superior al 10% de la energía total y el ácido alfa-linolénico fue del 0,06% de la energía total con una deficiencia severa de vitaminas y minerales. Conclusiones: El suministro actual de alimentos, incluidas las fuentes no reguladas en el hospital, no pudo satisfacer los requisitos dietéticos de los pacientes hospitalizados. Mejorar los servicios de nutrición hospitalaria, apoyar a los pacientes en las comidas y la educación nutricional entre las familias de los pacientes son soluciones para mejorar el estado nutricional de los pacientes.

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          ESPEN guidelines on definitions and terminology of clinical nutrition.

          A lack of agreement on definitions and terminology used for nutrition-related concepts and procedures limits the development of clinical nutrition practice and research.
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            Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System

            Malnutrition is a debilitating and highly prevalent condition in the acute hospital setting, with Australian and international studies reporting rates of approximately 40%. Malnutrition is associated with many adverse outcomes including depression of the immune system, impaired wound healing, muscle wasting, longer lengths of hospital stay, higher treatment costs and increased mortality. Referral rates for dietetic assessment and treatment of malnourished patients have proven to be suboptimal, thereby increasing the likelihood of developing such aforementioned complications. Nutrition risk screening using a validated tool is a simple technique to rapidly identify patients at risk of malnutrition, and provides a basis for prompt dietetic referrals. In Australia, nutrition screening upon hospital admission is not mandatory, which is of concern knowing that malnutrition remains under-reported and often poorly documented. Unidentified malnutrition not only heightens the risk of adverse complications for patients, but can potentially result in foregone reimbursements to the hospital through casemix-based funding schemes. It is strongly recommended that mandatory nutrition screening be widely adopted in line with published best-practice guidelines to effectively target and reduce the incidence of hospital malnutrition.
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              Position of the Academy of Nutrition and Dietetics: Health Implications of Dietary Fiber.

              It is the position of the Academy of Nutrition and Dietetics that the public should consume adequate amounts of dietary fiber from a variety of plant foods. Dietary fiber is defined by the Institute of Medicine Food Nutrition Board as "nondigestible carbohydrates and lignin that are intrinsic and intact in plants." Populations that consume more dietary fiber have less chronic disease. Higher intakes of dietary fiber reduce the risk of developing several chronic diseases, including cardiovascular disease, type 2 diabetes, and some cancers, and have been associated with lower body weights. The Adequate Intake for fiber is 14 g total fiber per 1,000 kcal, or 25 g for adult women and 38 g for adult men, based on research demonstrating protection against coronary heart disease. Properties of dietary fiber, such as fermentability and viscosity, are thought to be important parameters influencing the risk of disease. Plant components associated with dietary fiber may also contribute to reduced disease risk. The mean intake of dietary fiber in the United States is 17 g/day with only 5% of the population meeting the Adequate Intake. Healthy adults and children can achieve adequate dietary fiber intakes by increasing their intake of plant foods while concurrently decreasing energy from foods high in added sugar and fat, and low in fiber. Dietary messages to increase consumption of whole grains, legumes, vegetables, fruits, and nuts should be broadly supported by food and nutrition practitioners.
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                Author and article information

                Journal
                renhyd
                Revista Española de Nutrición Humana y Dietética
                Rev Esp Nutr Hum Diet
                Academia Española de Nutrición y Dietética (Pamplona, Navarra, Spain )
                2173-1292
                2174-5145
                June 2022
                : 26
                : 2
                : 114-126
                Affiliations
                [3] Constantine Constantine orgnameUniversité Mentouri Constantine orgdiv1Laboratory of Nutrition and Food Technology (LNTA) Algeria
                [1] Batna Batna orgnameUniversité El Hadj Lakhdar de Batna orgdiv1Institute of Veterinary Sciences and Agronomic Sciences orgdiv2Laboratory for Improvement of Agricultural Productions and Protection of Ecosystems in Dry Areas LAPAPEZA Algeria
                [2] Constantine Constantine orgnameUniversité Mentouri Constantine orgdiv1Institute of Nutrition, Food and Agro-Food Technologies (INATAA) Algeria
                Article
                S2174-51452022000200114 S2174-5145(22)02600200114
                10.14306/renhyd.26.2.1506
                8752d3f9-58d2-4cd5-87d4-7efb51f10115

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

                History
                : 10 November 2021
                : 19 January 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 44, Pages: 13
                Product

                SciELO Spain

                Categories
                Research Articles

                Recommended Dietary Allowances,Ingestión de Alimentos,Algeria,Noncommunicable Diseases,Malnutrition,Inpatients,Eating,Enfermedades no Transmisibles,Desnutrición,Pacientes Internos,Ingesta Diaria Recomendada

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