Clinical Applications of Body Composition and Functional Status Tools for Nutritional Assessment of Hospitalized Adults: A Systematic Review

Simple item page
Author(s)Smith, Luke O.
Author(s)Olieman, Joanne F.
Author(s)Berk, Kirsten A.
Author(s)Ligthart-Melis, Gerdien C.
Author(s)Earthman, Carrie P.
Date Accessioned2022-09-21T13:59:15Z
Date Available2022-09-21T13:59:15Z
Publication Date2022-12-09
DescriptionThis is the peer reviewed version of the following article: Smith, LO, Olieman, JF, Berk, KA, Ligthart-Melis, GC, Earthman, CP. Clinical applications of body composition and functional status tools for nutrition assessment of hospitalized adults: a systematic review. J Parenter Enteral Nutr. 2022; 1- 19. doi:10.1002/jpen.2444, which has been published in final form at https://doi.org/10.1002/jpen.2444. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited. This article will be embargoed until 12/09/2023.en_US
AbstractIntroduction: No global consensus exists on diagnostic criteria for malnutrition. Muscular deficits and functional impairments are major components of available malnutrition diagnostic frameworks (SGA, MCC, EDC, GLIM), because these facets of nutritional status significantly impact outcomes. The purpose of this review is to explore which body composition (BCA) and functional status assessment (FSA) tools are being used for nutritional assessment (NA) and monitoring response to nutritional interventions (RNI) in adult inpatients. Methods: A literature search of Embase, Medline (Ovid), Web of Science and Cochrane Central was performed to identify studies that utilized BCA and/or FSA tools for NA (along with an accepted NA diagnostic framework) and/or for monitoring RNI in adult inpatients. Results: The search yielded 3,667 articles; 94 were included in the review. The number of studies using BCA and/or FSA tools for NA was 47, and for monitoring RNI was also 47. 79% of studies used bioimpedance for BCA and 97% that included FSA utilized hand-grip strength. When compared against sets of diagnostic criteria, many of the BCA and FSA tools showed promising associations with nutritional status. Conclusions: Bioimpedance methods are the most widely used bedside BCA tools, and HGS is the most widely used FSA tool; however, these methods are being used with a variety of protocols, algorithms, and interpretation practices in heterogeneous populations. In order to create a standardized NSA process there is a need for validation studies on bedside methods and development of globally standardized assessment protocols in clinical inpatient settings.en_US
CitationSmith, LO, Olieman, JF, Berk, KA, Ligthart-Melis, GC, Earthman, CP. Clinical applications of body composition and functional status tools for nutrition assessment of hospitalized adults: a systematic review. J Parenter Enteral Nutr. 2022; 1- 19. doi:10.1002/jpen.2444en_US
ISSN1941-2444
URLhttps://udspace.udel.edu/handle/19716/31392
Languageen_USen_US
PublisherJournal of Parenteral and Enteral Nutritionen_US
Keywordsbody compositionen_US
Keywordsfat-free massen_US
Keywordsfunctional statusen_US
Keywordshospitalen_US
Keywordsinpatienten_US
Keywordslean tissueen_US
KeywordsMalnutritionen_US
Keywordsmuscleen_US
Keywordsnutrition support practiceen_US
Keywordsnutritional assessmenten_US
TitleClinical Applications of Body Composition and Functional Status Tools for Nutritional Assessment of Hospitalized Adults: A Systematic Reviewen_US
TypeArticleen_US
Files
Original bundle
Now showing 1 - 5 of 15
Thumbnail Image
Name:
Clinical Applications of Body Composition and Functional Status Tools for Nutritional Assessment.pdf
Size:
1.06 MB
Format:
Adobe Portable Document Format
Description:
Main article
Download
Thumbnail Image
Name:
Figure 1. Flow diagram of literature search_image_300dpii.jpg
Size:
88.96 KB
Format:
Joint Photographic Experts Group/JPEG File Interchange Format (JFIF)
Description:
Supplemental material
Download
Thumbnail Image
Name:
Figure 2. Categorization of Studies by BCA and FSA Tools_300 DPI.jpg
Size:
62.85 KB
Format:
Joint Photographic Experts Group/JPEG File Interchange Format (JFIF)
Description:
Supplemental material
Download
Thumbnail Image
Name:
Table 1.NA Diagnostics Overview.pdf
Size:
84.61 KB
Format:
Adobe Portable Document Format
Description:
Supplemental material
Download
Thumbnail Image
Name:
Table 2.NA Overview_REVISED2.pdf
Size:
155.57 KB
Format:
Adobe Portable Document Format
Description:
Supplemental materials
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2.22 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Open Access Publications