Is NRS-2002 a reliable tool in the nutritional assessment of cirrhosis: A comparative study      
Yazarlar (6)
Gamze Geyik
Istanbul Umraniye Research Hospital, Türkiye
Prof. Dr. Abdurahman ŞAHİN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Yildiz Pekcioglu
Istanbul Umraniye Research Hospital, Türkiye
Nalan Okuroglu
Istanbul Umraniye Research Hospital, Türkiye
Levent Doganay
Istanbul Umraniye Research Hospital, Türkiye
Kamil Ozdil
Istanbul Umraniye Research Hospital, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Acta Medica Mediterranea
Dergi ISSN 0393-6384 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 01-2021
Cilt No 37
Sayı 1
Sayfalar 43 / 50
DOI Numarası 10.19193/0393-6384_2021_1_4
Makale Linki www.actamedicamediterranea.com/archive/2021/medica-1/is-nrs-2002-a-reliable-tool-in-the-nutritional-assessment-of-cirrhosis-a-comparative-study
Özet
Introduction: Nutritional assessment of cirrhotic patients is a neglected issue. This study compared cirrhotic and non-cirrhotic subjects in terms of nutritional assessment tools and investigated the relationship between nutritional risk screening (NRS)-2002 and subjective global assessment (SGA) with other nutritional assessment parameters. Materials and methods: Fifty-seven cirrhotic patients (age 59±13 years, 63% male) and 58 control subjects (age 63±11, 52% male) were recruited. Anthropometry, bioelectrical impedance analysis and hand grip strength measurements were recorded. Nutritional status was evaluated by NRS-2002 and SGA. Results: While none of the controls had malnutrition, prevalences of malnutrition were 37% by NRS-2002 and 74% by SGA among cirrhotic patients. Dry body mass index (BMI) (28.0±6.2 kg/m2 vs. 30.1±5.1 kg/m2, p=0.04), mid-arm circumference (MAC) (29.1±5.1 cm vs. 30.8±3.0 cm, p=0.03) and triceps skinfold thickness (TST) (19.9±9.6 mm vs. 25.3±8.1 mm, p=0.003) were lower and total body water (TBW) was higher (51.1±8.9% vs. 47.5±6.9%, p= 0.018) in cirrhotic group compared to controls. Malnutrition by NRS-2002 was negatively correlated with dry BMI (r=-0.416,p=0.001), MAC (r=-0.515,p<0.001) and TST (r=-0.528,p<0.001) and positively correlated with TBW (r=0.273, p=0.04). Malnutrition by SGA was correlated only with TST (r=-0.286, p=0.031). The AUROC curves of dry BMI, MAC and TST were 0.75, 0.81 and 0.82 to discriminate the presence or absence of malnutrition by NRS-2002. Conclusion: Since it is correlated with other nutritional assessment tools, NRS-2002 may be used in the assessment of cirrhotic subjects.
Anahtar Kelimeler
Anthropometric measurements | Cirrhosis | Malnutrition | Nutritional risk screening-2002 | Subjective global assessment