Mehmet YÜRÜYEN, Hakan YAVUZER, Serap YAVUZER, Mahir CENGİZ, Filiz DEMİRDAĞ, Zehra KARA, Suna AVCI, Nurgül Özgür YURTTAŞ, Mehmet Sami İSLAMOĞLU, Eren İMRE, Afrodita Zeynep TAŞKIN, Alper DÖVENTAŞ, Ülev Deniz ERDİNÇLER

Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients

Öz Background/aim: The aim of this study was to assess the risk of malnutrition in hospitalized patients with three different tests and to compare these tests in terms of long hospitalization periods and sarcopenia. Materials and methods: Hospitalized patients in an internal medicine clinic were enrolled in this cross-sectional study. Patients were grouped as under 65 years (Group 1 = G1) and over 65 years old (Group 2 = G2). The nutritional status of the patients was evaluated with the Nutritional Risk Screening (NRS) 2002, Universal Malnutrition Screening Tool (MUST), Mini Nutritional Assessment Short Form (MNA-SF), and total Mini Nutritional Assessment (MNA) tests. Diagnosis of sarcopenia was assessed via bioimpedance analysis for muscle mass, a hand-grip strength test, and a "timed get up and go" test. Nutritional tests were compared in terms of sarcopenia and long hospitalization periods with receiver operating characteristic curve analysis. Results: Mean ages were 54 (G1, n = 84) and 76 (G2, n = 112) years old. Sarcopenia was found in 5% in G1 and 33% in G2. The MNA-SF in G1 (area under curve (AUC) = 0.585, P = 0.26; sensitivity 41%, specificity 44%) and the MUST in G2 (AUC = 0.614, P = 0.048; 25%, 86%) were better predictors of prolonged hospitalization. The MNA-SF was associated with sarcopenia in both groups (G1: AUC = 0.716, P = 0.147; 63%, 64% and G2: AUC = 0.762, P < 0.001; 86%, 48%). In addition, the MNA-SF was a better predictor of low lean muscle mass index (AUC = 0.762, P < 0.001; 86%, 48%), low grip strength (AUC = 0.594, P = 0.27; 65%, 50%), and reduced walking speed (AUC = 0.642, P = 0.01; 71%, 47%) in G2. Conclusion: None of the three tests are highly sensitive or specific for predicting sarcopenia. The MNA-SF is a better test to evaluate sarcopenia and/or related parameters than the others, and the MUST is related to prolonged hospitalization in older patients.

Anahtar Kelimeler:

Hospitalized patients, long hospitalization period, malnutrition, sarcopenia

Tam Metin

Kaynak Göster

Bibtex	@ { tbtkmedical576361, journal = {Turkish Journal of Medical Sciences}, issn = {1300-0144}, eissn = {1303-6165}, address = {}, publisher = {TÜBİTAK}, year = {2017}, volume = {47}, pages = {1362 - 1369}, doi = {}, title = {Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients}, key = {cite}, author = {Yürüyen, Mehmet and Yavuzer, Hakan and Yavuzer, Serap and Cengiz, Mahir and Demirdağ, Filiz and Kara, Zehra and Avcı, Suna and Yurttaş, Nurgül Özgür and İslamoğlu, Mehmet Sami and İmre, Eren and Taşkın, Afrodita Zeynep and Döventaş, Alper and Erdinçler, Ülev Deniz} }
APA	Yürüyen, M , Yavuzer, H , Yavuzer, S , Cengiz, M , Demirdağ, F , Kara, Z , Avcı, S , Yurttaş, N , İslamoğlu, M , İmre, E , Taşkın, A , Döventaş, A , Erdinçler, Ü . (2017). Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients . Turkish Journal of Medical Sciences , 47 (5) , 1362-1369 . Retrieved from https://dergipark.org.tr/tr/pub/tbtkmedical/issue/45689/576361
MLA	Yürüyen, M , Yavuzer, H , Yavuzer, S , Cengiz, M , Demirdağ, F , Kara, Z , Avcı, S , Yurttaş, N , İslamoğlu, M , İmre, E , Taşkın, A , Döventaş, A , Erdinçler, Ü . "Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients" . Turkish Journal of Medical Sciences 47 (2017 ): 1362-1369 <https://dergipark.org.tr/tr/pub/tbtkmedical/issue/45689/576361>
Chicago	Yürüyen, M , Yavuzer, H , Yavuzer, S , Cengiz, M , Demirdağ, F , Kara, Z , Avcı, S , Yurttaş, N , İslamoğlu, M , İmre, E , Taşkın, A , Döventaş, A , Erdinçler, Ü . "Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients". Turkish Journal of Medical Sciences 47 (2017 ): 1362-1369
RIS	TY - JOUR T1 - Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients AU - Mehmet Yürüyen , Hakan Yavuzer , Serap Yavuzer , Mahir Cengiz , Filiz Demirdağ , Zehra Kara , Suna Avcı , Nurgül Özgür Yurttaş , Mehmet Sami İslamoğlu , Eren İmre , Afrodita Zeynep Taşkın , Alper Döventaş , Ülev Deniz Erdinçler Y1 - 2017 PY - 2017 N1 - DO - T2 - Turkish Journal of Medical Sciences JF - Journal JO - JOR SP - 1362 EP - 1369 VL - 47 IS - 5 SN - 1300-0144-1303-6165 M3 - UR - Y2 - 2021 ER -
EndNote	%0 Turkish Journal of Medical Sciences Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients %A Mehmet Yürüyen , Hakan Yavuzer , Serap Yavuzer , Mahir Cengiz , Filiz Demirdağ , Zehra Kara , Suna Avcı , Nurgül Özgür Yurttaş , Mehmet Sami İslamoğlu , Eren İmre , Afrodita Zeynep Taşkın , Alper Döventaş , Ülev Deniz Erdinçler %T Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients %D 2017 %J Turkish Journal of Medical Sciences %P 1300-0144-1303-6165 %V 47 %N 5 %R %U
ISNAD	Yürüyen, Mehmet , Yavuzer, Hakan , Yavuzer, Serap , Cengiz, Mahir , Demirdağ, Filiz , Kara, Zehra , Avcı, Suna , Yurttaş, Nurgül Özgür , İslamoğlu, Mehmet Sami , İmre, Eren , Taşkın, Afrodita Zeynep , Döventaş, Alper , Erdinçler, Ülev Deniz . "Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients". Turkish Journal of Medical Sciences 47 / 5 (Ekim 2017): 1362-1369 .
AMA	Yürüyen M , Yavuzer H , Yavuzer S , Cengiz M , Demirdağ F , Kara Z , Avcı S , Yurttaş N , İslamoğlu M , İmre E , Taşkın A , Döventaş A , Erdinçler Ü . Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients. Turkish Journal of Medical Sciences. 2017; 47(5): 1362-1369.
Vancouver	Yürüyen M , Yavuzer H , Yavuzer S , Cengiz M , Demirdağ F , Kara Z , Avcı S , Yurttaş N , İslamoğlu M , İmre E , Taşkın A , Döventaş A , Erdinçler Ü . Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients. Turkish Journal of Medical Sciences. 2017; 47(5): 1362-1369.
IEEE	M. Yürüyen , H. Yavuzer , S. Yavuzer , M. Cengiz , F. Demirdağ , Z. Kara , S. Avcı , N. Yurttaş , M. İslamoğlu , E. İmre , A. Taşkın , A. Döventaş ve Ü. Erdinçler , "Comparison of nutritional risk screening tools for predictingsarcopenia in hospitalized patients", Turkish Journal of Medical Sciences, c. 47, sayı. 5, ss. 1362-1369, Eki. 2017