대한신장학회

논문분류	춘계학술대회 초록집
제목	Assessing Malnutrition Risk using Nutrition Risk Screening 2002 and Malnutrition Universal Screening Tool and the Correlation toward Nutritional Status and Dietary Intake in Hypertensive and Cardiovascular Patients
저자	Farah Faza, Ainun Nisa
출판정보	2019; 2019(1):
키워드	NRS 2002 \| MUST \| Nutritional status \| Dietary intake \| Hypertensive
초록	One of the major problems in hospitalized hypertensive and cardiovascular patients is malnutrition that may increase morbidity and mortality rate. Nutrition Risk Screening (NRS) 2002 and Malnutrition Universal Screening Tool (MUST) are valid tools to predict malnutrition. They usually used in several general hospitals in Indonesia. We aim to investigate correlation between both of screening tools with nutrition status and dietary intake in hypertensive and cardiovascular patients. This cross-sectional study was carried out on 2017 – 2018 and involved 230 hospitalized participants in three general hospitals in Central Java, Indonesia. All data were constructed from medical record of hypertensive and cardiovascular patients consisted of characteristics data, score malnutrition using NRS 2002 and MUST, nutritional status (body mass index/BMI) and dietary intake (energy and protein) using 24-hours food recall. The BMI was classified based on World Health Organization (WHO), while dietary intake which <80% from daily needs would be classified as inadequate intake. Statistically test used Spearman’s rank correlation and independent T-test. Risk of malnutrition prevalence was 50.4% based on NRS 2002, while only 36.1% based on MUST. The NRS-2002 and MUST revealed moderate agreement (p<0.001, ĸ=0.506). In both of screening tools, age, gender and BMI showed significant correlation (r=0.379, p<0.001; r= -0.158, p=0.012; r=0.576, p<0.001, respectively for NRS 2002; and r=0.329, p<0.001; r= -0.161, p=0.011; r=0.800, p<0.001, respectively for MUST). Dietary intake solely revealed significant correlation with risk of malnutrition in NRS 2002 (r=0.258 for energy and r=0.314 for protein; p<0.001). Risk of malnutrition is higher in older age, male, lower BMI (underweight), and inadequate dietary intake. The NRS 2002 and MUST are adequate in assessing risk of malnutrition in hospitalized hypertensive and cardiovascular hospitalized patients. However, NRS 2002 are better in predicting malnutrition due to its correlation with all objective nutrition assessment parameters (anthropometric and dietary intake).
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