https://doi.org/10.4081/itjm.2024.1775

High prevalence of malnutrition in an internal medicine department: results from the AMIDO study

Vol. 18 No. 3 (2024)
Published: 7 August 2024
Malnutrition risk, patient malnourished, internal medicine, hospitalized patient
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Authors

Paola Gnerre
https://orcid.org/0000-0002-1397-6059
Internal Medicine Department, Monsignor Galliano Hospital, ASL Alessandria, Acqui Terme (AL); Internal Medicine Department 2, St Paolo Hospital, ASL Liguria 2, Savona, Italy.
Stefania Lingua
Diabetology and Endocrinology Department, Monsignor Galliano Hospital, ASL Alessandria, Acqui Terme (AL), Italy.
Marianna Farotto
mfarotto@aslal.it
https://orcid.org/0000-0003-4159-6755
Research and Innovation Department, Santo Spirito Hospital, ASL Alessandria, Casale Monferrato (AL), Italy.
Riccardo Mazzucco
https://orcid.org/0009-0008-8266-4359
Research and Innovation Department, Santo Spirito Hospital, ASL Alessandria, Casale Monferrato (AL), Italy.
Stefania Crivellari
https://orcid.org/0000-0002-1997-8792
Research Training Innovation Infrastructure, Research and Innovation Department, Azienda Ospedaliero-Universitaria “S.S. Antonio e Biagio e Cesare Arrigo”, Alessandria; SS. Progetti, Ricerca e Innovazione, “Michele e Pietro Ferrero” Hospital, ASL CN2, Verduno (CN), Italy.
Carlotta Bertolina
https://orcid.org/0000-0001-5458-6914
Research Training Innovation Infrastructure, Research and Innovation Department, Azienda Ospedaliero-Universitaria “S.S. Antonio e Biagio e Cesare Arrigo”, Alessandria, Italy.
Fabio Giacchero
https://orcid.org/0009-0003-7675-7624
Research and Innovation Department, Santo Spirito Hospital, ASL Alessandria, Casale Monferrato (AL), Italy.
Paola Cerutti
https://orcid.org/0009-0001-2538-8289
Internal Medicine Department, Monsignor Galliano Hospital, ASL Alessandria, Acqui Terme (AL), Italy.
Elena Seksich
Diabetology and Endocrinology Department, Monsignor Galliano Hospital, ASL Alessandria, Acqui Terme (AL), Italy.
Marinella Bertolotti
https://orcid.org/0000-0003-2152-4930
Research Training Innovation Infrastructure, Research and Innovation Department, Azienda Ospedaliero-Universitaria “S.S. Antonio e Biagio e Cesare Arrigo”, Alessandria, Italy.
Antonio Maconi
Research Training Innovation Infrastructure, Research and Innovation Department, Azienda Ospedaliero-Universitaria “S.S. Antonio e Biagio e Cesare Arrigo”, Alessandria, Italy.

The prevalence of malnutrition in patients is very high in Europe (>70%). An Italian FADOI-SINPE survey revealed that malnutrition is an underestimated problem by internists. The AMIDO study examines malnutrition in Acqui Terme Hospital (Alessandria, Italy) Internal Medicine Department patients. Patients were screened for malnutrition using the Malnutrition Universal Screening Tool (MUST) upon admission. 268 patients (49.63% male) were enrolled, with a median age of 83 years. At admission, the prevalence of malnutrition risk was 48.88%. The proportion of patients who came from home resulted to have a slight decreasing trend among the three subgroups according to MUST (84.67%, 82.76%, and 73.53% in increasing order of MUST score respectively), but was not statistically significant (P=0.10). Dementia [odds ratio (OR): 6.36; 95% confidence interval (CI): 2.52-18.63], heart failure (OR: 2.45; 95% CI: 1.33-4.57), neoplasm (OR: 2.24; 95% CI: 1.08-4.77) and infectious diseases (OR: 2.27; 95% CI: 1.226-4.274) increase malnutrition odds. Increasing attention to malnutrition risk is crucial for patients with dementia, neoplasm, heart failure, and infectious diseases, which raise malnutrition risk probability.

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How to Cite

Gnerre, P., Lingua, S., Farotto, M., Mazzucco, R., Crivellari, S., Bertolina, C., Giacchero, F., Cerutti, P., Seksich, E., Bertolotti, M., & Maconi, A. (2024). High prevalence of malnutrition in an internal medicine department: results from the AMIDO study. Italian Journal of Medicine, 18(3). https://doi.org/10.4081/itjm.2024.1775
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