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Recording the exact weight and height should represent a standard practice for all inpatients, as they significantly impact on patients' care, drug dosing and nutritional assessment.
However, these measurements are recorded in a small percentage of inpatients and, even worse, they often are estimated by nurses or Physicians, or self-reported by patients. This error may contribute to a wrong nutritional assessment, since the body mass index (BMI) is one of the parameters included in some of the most used nutritional scores.
In this study the investigators will perform a nutritional assessement, at hospital admission, in a group of inpatients by the mini-nutritional assessment short form (MNA-SF), by means of estimated, self-reported and exact body weight measures.
Moreover, in those subjects with a malnutrition diagnosis (by MNA-SF) the investigators will perform bioimpedence analysis and will evaluate a series of anthropometric measurements offering insights into body composition and distribution of fat and muscle, such as calf, waist and hip circumference.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single arm | Experimental | Patients of both sexes, age 65 or older, hospitalized in the Internal Medicine 2 Admission Room of the Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Description of interventions. At admission, collection of self-reported weight and height, the exact measurement of weight and height with certified instruments, the administration of the MNA-SF questionnaire and the detection of body circumferences |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anthropometric and nutritional assessment | Diagnostic Test | Collection of self-reported weight and height, the exact measurement of weight and height with certified instruments, the administration of the MNA-SF questionnaire and the detection of body circumferences |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the impact of discrepancies between estimated weight values reported in the medical record and those exactly measured | Comparison among estimated (by nurses), self-reported (by patients) and exact body weight measures in kilograms (by nurses and physicians). | At admission |
| To assess the impact of discrepancies between estimated height values reported in the medical record and those exactly measured | Comparison among estimated (by nurses), self-reported (by patients) and exact height measures in centimeters (by nurses and physicians). | At admission |
| Differences in MNA-SF scores | Comparison among MNA-SF scores obtained using estimated, self-reported and exact weight measures in kilograms. | At admission |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with a diagnosis of sarcopenia by both bioimpedance and anthropometric analysis | Evaluation of the diagnosis of sarcopenia through the comparison between bioimpedance analysis (measured in %) and anthropometric measurements (calf, hip, waist, measured in cm). | At admission |
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Inclusion Criteria:
Exclusion Criteria:
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