Influence of the Results of Control of Intakes, Proteins and Anthropometry Nutritional Screening, Sarcopenia and Body Composition on the Clinical Evolution of Hospitalized Patients

• Published in: Nutrients Vol. 16; no. 1; p. 14
• Main Authors: Márquez Mesa, Elena, Suárez Llanos, José Pablo, Afonso Martín, Patricia Mercedes, Negrín, Carla Brito, García Ascanio, María, González González, Samuel, Llorente Gómez de Segura, Ignacio
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 20.12.2023; MDPI
• Subjects: appendicular skeletal muscle index; Body composition; CIPA; Clinical medicine; Comorbidity; Consent; Data collection; disease-related malnutrition; EWGSOP2; hand grip strength; Health aspects; Hospital patients; Hospitalization; Length of stay; Malnutrition; Medical prognosis; Mortality; Muscle function; Muscle strength; Muscles; Nutrition; Patients; Physiological aspects; Product/Service Evaluations; Prognosis; Proteins; Quality of life; Sarcopenia; Variables; Spain; EWGSOP2; body composition; hospital stay; CIPA; mortality; appendicular skeletal muscle index; phase angle; hand grip strength; disease-related malnutrition; sarcopenia
• ISSN: 2072-6643; 2072-6643
• DOI: 10.3390/nu16010014

(1) Background: Hospital malnutrition and sarcopenia are common in inpatients and are associated with worse prognosis. Our objective is to determine the association of the positivity of CIPA (Control of Intakes, Proteins and Anthropometry) nutrition screening tool and sarcopenia and evaluate its prognostic implications (length of stay, readmissions and mortality) as well as different components of body composition. (2) Methodology: Cross-sectional single-center study and prospective six months follow-up for prognostic variables. On admission, CIPA and EWGSOP2 criteria were assessed. (3) Results: Four hundred inpatients, a median of 65.71 years old and 83.6% with high comorbidity, were evaluated. In total, 34.8% had positive CIPA and 19.3% sarcopenia. Positive CIPA and sarcopenia had worse results in body composition (fat mass (FM), fat-free mass (FFM) and appendicular skeletal muscle mass index (ASMI)) and dynamometry. Positive CIPA is significantly associated with worse prognosis (mortality (OR = 1.99), readmissions (OR = 1.86) and length of stay (B = 0.19)). Positive CIPA and sarcopenia combined are associated with a tendency to higher mortality (OR = 2.1, = 0.088). Low hand grip strength (HGS) is significantly related to a higher length of stay (B = -0.12). (4) Conclusions: In hospitalized patients, malnutrition independently and combined with sarcopenia is associated with a worse prognosis but not body composition. Low HGS is related to a higher length of stay.