![]() ![]() ![]() BMI seemed to underestimate the prevalence of malnutrition. The methods tested scored malnutrition at different frequencies. Screening and assessment of nutritional status should be integrated into clinical routine. Malnutrition seems to be a common diagnosis among hospitalised patients in Austria. Cancer patients had the worst nutritional status. Severe malnutrition was detected in 0.5% (BMI), 9.1% (PNRA), 5.2% (NRI) and 11.4% (INS) of the patients evaluated. Patients were variously diagnosed with moderate malnutrition: 9% (BMI), 42% (PNRA), 54.8% (NRI) and 30% (INS). The BMI showed 90.2% of the patients evaluated to have normal nutritional status, whereas the PNRA identified 48.9%, the NRI 40% and the INS 58.6% as well nourished. Four recommended methods, the Innsbruck nutrition score (INS), the Prideaux nutritional risk assessment (PNRA), the well established nutrition risk index (NRI), and the body mass index (BMI) were used to analyse nutritional status. In this study a comparison of four different methods for diagnosis of the nutritional status of patients admitted to a university hospital in Austria is presented.Ĭlinical data of 640 hospitalised patients were analysed in a prospective-descriptive study design. 12, 133-146 (2015) published online 3 February 2015 doi: 10.1038/ intense clinical research, no commonly accepted diagnostic tool for assessment of nutritional status is yet available. An increasing need exists for applying improved methodologies into establishing the value of current and new ways of using food choice as a therapeutic and preventive tool in IBD. Finally, dietary advice regarding disease prevention should be discussed when relevant. Thirdly, use of diet to improve symptoms or lessen the effects of complications should be considered. Secondly, dietary strategies as primary or adjunctive therapy for the reduction of inflammation and/ or prevention of relapse of IBD should be seriously contemplated. ![]() First, dietary intake and eating habits as well as current nutritional state should be documented, and corrective measures instituted. In this Review, a step-wise approach in the evaluation and management of these patients is proposed. However, a considerable evidence base supports a focused and serious attention to nutrition and diet in patients with IBD. Unfortunately, dietary advice plays only a minor part in published guidelines for management of IBD, which sends a message that diet is not of great importance. Abstract : The current general interest in the use of food choice or diet in maintaining good health and in preventing and treating disease also applies to patients with IBD, who often follow poor or nutritionally challenging dietary plans. ![]()
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