The problem of hospital malnutrition in the African continent

dc.contributor.authorBlaauw, Reneeen_ZA
dc.contributor.authorAchar, Estheren_ZA
dc.contributor.authorDolman, Robin C.en_ZA
dc.contributor.authorHarbron, Janettaen_ZA
dc.contributor.authorMoens, Merelen_ZA
dc.contributor.authorMunyi, Faithen_ZA
dc.contributor.authorNyatefe, Dzifaen_ZA
dc.contributor.authorVisser, Janickeen_ZA
dc.identifier.citationBlaauw, R., et al. 2019. The problem of hospital malnutrition in the African continent. Nutrients, 11(9):2028, doi:10.3390/nu11092028
dc.identifier.issn2072-6643 (online)
dc.descriptionCITATION: Blaauw, R., et al. 2019. The problem of hospital malnutrition in the African continent. Nutrients, 11(9):2028, doi:10.3390/nu11092028.
dc.descriptionThe original publication is available at
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.
dc.description.abstractThis study aims to determine the prevalence of risk of malnutrition on admission and discharge in African hospitals, and to identify the association with selected indicators. In this multi-center prospective cohort study, adult patients from hospitals in South Africa, Kenya, and Ghana were screened on admission and discharge and contacted 3 months post-discharge. Relevant morbidity and mortality outcomes were assessed. At risk of malnutrition was indicated if NRS-2002 score ≥3. Adult patients (n = 2126; 43.11 years, IQR: 31.95–55.60; 52.2% female) were screened on admission and 61% were identified as at risk of malnutrition. The proportion of at-risk patients for the three hospitals in Kenya and Ghana (66.2%) were significantly higher than that of the three South African hospitals (53.7%) (Chi² = 31.0; p < 0.001). Discharge risk of malnutrition was 71.2% (n = 394). Mean length of stay (LOS) was 6.46 ± 5.63 days. During hospitalization, 20.6% lost ≥5% body weight, 18.8% were referred for nutrition support, and discharge BMI (23.87 ± 7.38 kg/m²) was significantly lower than admission BMI (24.3 ± 7.3 kg/m²) (p < 0.001). Admission nutrition risk was associated with lower admission and discharge BMI (p < 0.001), longer LOS (p < 0.001), increased 3-month re-admission rates (Chi² = 1.35; p = 0.245) and increased mortality (Chi² = 21.68; p < 0.001). Nearly two-thirds of patients were at risk of malnutrition on admission. This was associated with longer LOS and greater hospital mortality. The nutritional status of patients deteriorated during hospitalization. Routine screening practices with appropriate nutrition support action should be implemented as a matter of urgency.en_ZA
dc.format.extent12 pages ; illustrations
dc.subjectHospital patients -- Africa -- Nutritionen_ZA
dc.subjectMalnutrition -- Incidence -- Africaen_ZA
dc.titleThe problem of hospital malnutrition in the African continenten_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright

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