NOTICE: We are experiencing technical issues with Academy members trying to log into the JAND site using Academy member login credentials. We are working to resolve the issue as soon as possible. Alternatively, if you are an Academy member, you can access the JAND site by registering for an Elsevier account and claiming access using the links at the top of the JAND site. Email us at [email protected] for assistance. Thanks for your patience!

Patterns in Adult Malnutrition Assessment and Diagnosis by Registered Dietitian Nutritionists: 2014-2017

Published:November 13, 2018DOI:https://doi.org/10.1016/j.jand.2018.07.010
      The Continuing Professional Education (CPE) quiz for this article is available for free to Academy members through the MyCDRGo app (available for iOS and Android devices) and through www.jandonline.org (click on “CPE” in the menu and then “Academy Journal CPE Articles”). Log in with your Academy of Nutrition and Dietetics or Commission on Dietetic Registration username and password, click “Journal Article Quiz” on the next page, then click the “Additional Journal CPE quizzes” button to view a list of available quizzes. Non-members may take CPE quizzes by sending a request to [email protected] . There is a fee of $45 per quiz (includes quiz and copy of article) for non-member Journal CPE. CPE quizzes are valid for 1 year after the issue date in which the articles are published.
      Malnutrition in hospitalized patients is associated with increased morbidity and mortality.
      National Alliance for Infusion Therapy and the American Society for Parenteral and Enteral Nutrition Public Policy Committee and Board of Directors
      Disease-related malnutrition and enteral nutrition therapy: A significant problem with a cost-effective solution.
      It is estimated that up to one-third of patients admitted to a hospital are malnourished and that the majority of those patients’ nutritional status will decline during admission without appropriate nutrition care.
      • Barker L.A.
      • Gout B.S.
      • Crowe T.C.
      Hospital malnutrition: Prevalence, identification and impact on patients and the healthcare system.
      • Lim S.L.
      • Ong K.C.
      • Chan Y.H.
      • Loke W.C.
      • Ferguson M.
      • Daniels L.
      Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality.
      • Somanchi M.
      • Tao X.
      • Mullin G.E.
      The facilitated early enteral and dietary management effectiveness trial in hospitalized patients with malnutrition.
      The latest Healthcare Cost and Utilization Project data show that 7.1% of hospitalized patients received a diagnosis of malnutrition,
      • Weiss A.J.
      • Fingar K.R.
      • Barrett M.L.
      • et al.
      Statistical brief #210: Characteristics of hospital stays involving malnutrition, 2013.
      which is an increase from the previous rate (3.2%)
      • Corkins M.R.
      • Guenter P.
      • DiMaria-Ghalili R.A.
      • et al.
      Malnutrition diagnoses in hospitalized patients: United States, 2010.
      but still significantly lower than the estimated prevalence, illustrating the need for better identification of malnutrition.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • National Alliance for Infusion Therapy and the American Society for Parenteral and Enteral Nutrition Public Policy Committee and Board of Directors
        Disease-related malnutrition and enteral nutrition therapy: A significant problem with a cost-effective solution.
        Nutr Clin Pract. 2010; 25: 548-554
        • Barker L.A.
        • Gout B.S.
        • Crowe T.C.
        Hospital malnutrition: Prevalence, identification and impact on patients and the healthcare system.
        Int J Environ Res Public Health. 2011; 8: 514-527
        • Lim S.L.
        • Ong K.C.
        • Chan Y.H.
        • Loke W.C.
        • Ferguson M.
        • Daniels L.
        Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality.
        Clin Nutr. 2012; 31: 345-350
        • Somanchi M.
        • Tao X.
        • Mullin G.E.
        The facilitated early enteral and dietary management effectiveness trial in hospitalized patients with malnutrition.
        JPEN J Parenter Enteral Nutr. 2011; 35: 209-216
        • Weiss A.J.
        • Fingar K.R.
        • Barrett M.L.
        • et al.
        Statistical brief #210: Characteristics of hospital stays involving malnutrition, 2013.
        (Accessed July 30, 2018)
        • Corkins M.R.
        • Guenter P.
        • DiMaria-Ghalili R.A.
        • et al.
        Malnutrition diagnoses in hospitalized patients: United States, 2010.
        JPEN J Parenter Enteral Nutr. 2014; 38: 186-195
        • Tappenden K.A.
        • Quatrara B.
        • Parkhurst M.L.
        • Malone A.M.
        • Fanjiang G.
        • Ziegler T.R.
        Critical role of nutrition in improving quality of care: An interdisciplinary call to action to address adult hospital malnutrition.
        J Acad Nutr Diet. 2013; 113: 1219-1237
        • White J.V.
        • Guenter P.
        • Jensen G.
        • et al.
        Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition).
        J Acad Nutr Diet. 2012; 112: 730-738
        • White J.V.
        • Guenter P.
        • Jensen G.
        • et al.
        Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition).
        JPEN J Parenter Enteral Nutr. 2012; 36: 275-283
        • Jensen G.L.
        • Bistrian B.
        • Roubenoff R.
        • Heimburger D.C.
        Malnutrition syndromes: A conundrum vs continuum.
        JPEN J Parenter Enteral Nutr. 2009; 33: 710-716
      1. Academy of Nutrition and Dietetics. Nutrition terminology reference manual (eNCPT): Dietetics language for nutrition care. https://www.ncpro.org/nutrition-care-process. Updated 2018. Accessed January 8, 2018.

        • Esper D.H.
        Utilization of nutrition-focused physical assessment in identifying micronutrient deficiencies.
        Nutr Clin Pract. 2015; 30: 194-202
        • Academy Quality Management Committee
        Academy of Nutrition and Dietetics: Revised 2017 Scope of Practice for the registered dietitian.
        J Acad Nutr Diet. 2018; 118: 141-165
        • Accreditation Council for Education in Nutrition and Dietetics (ACEND)
        ACEND accreditation standards for nutrition and dietetics internship programs (DI) effective 2017.
        (Updated 2016. Accessed June 5, 2018)
        • Mordarski B.
        Nutrition-focused physical exam hands-on training workshop.
        J Acad Nutr Diet. 2016; 116: 868-869
        • Stankorb S.M.
        • Rigassio-Radler D.
        • Khan H.
        • Touger-Decker R.
        Nutrition focused physical examination practices of registered dietitians.
        Top Clin Nutr. 2010; 25: 335-344
        • Desjardins S.
        • Brody R.
        • Touger-Decker R.
        Nutrition-focused physical examination practices of registered dietitian nutritionists who have completed an in-person NFPE course.
        Top Clin Nutr. 2018; 33: 95
        • Mordarski B.A.
        • Hand R.K.
        • Wolff J.
        • Steiber A.L.
        Increased knowledge, self-reported comfort, and malnutrition diagnosis and reimbursement as a result of the nutrition-focused physical exam hands-on training workshop.
        J Acad Nutr Diet. 2017; 117: 1822-1828
      2. SPSS. Version 24.0. Armonk, NY: IBM-SPSS Inc; 2017.

        • Rogers D.
        Compensation and benefits survey 2015.
        J Acad Nutr Diet. 2016; 116: 370-388
        • Tobert C.M.
        • Mott S.L.
        • Nepple K.G.
        Malnutrition diagnosis during adult inpatient hospitalizations: Analysis of a multi-institutional collaborative database of academic medical centers.
        J Acad Nutr Diet. 2018; 118: 125-131
      3. International statistical classification of diseases and related health problems, 10th revision, clinical modification.
        (Accessed July 30, 2018)
        • Dougherty C.M.
        • Burrowes J.D.
        • Hand R.K.
        Why registered dietitian nutritionists are not doing research—Perceptions, barriers, and participation in research from the academy's dietetics practice-based research network needs assessment survey.
        J Acad Nutr Diet. 2015; 115: 1001-1007
        • National Board of Nutrition Support Certification
        Certification examination for nutrition support clinicians: Handbook for candidates.
        (Accessed July 30, 2018)
        • Groves R.M.
        • Peytcheva E.
        The impact of nonresponse rates on nonresponse bias: A meta-analysis.
        Public Opin Q. 2008; 72: 167-189
        • Becker P.J.
        • Nieman Carney L.
        • Corkins M.R.
        • et al.
        Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition).
        J Acad Nutr Diet. 2014; 114: 1988-2000
        • Becker P.
        • Carney L.N.
        • Corkins M.R.
        • et al.
        Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition).
        Nutr Clin Pract. 2015; 30: 147-161
        • Kopple J.D.
        Nutritional status as a predictor of morbidity and mortality in maintenance dialysis patients.
        ASAIO J. 1997; 43: 246-250

      Biography

      B. A. Mordarski is NFPE program manager, Academy of Nutrition and Dietetics, Chicago, IL.

      Biography

      R. K. Hand is an instructor, Department of Nutrition, Case Western Reserve University, Cleveland, OH.