Outcomes of undernutrition in patients in the community with cancer or cardiovascular disease

Proceedings of the Nutrition Society

Catharine R. Gale¹  Jackie Edington¹  Paul D. Winter¹  Steve J. Coles¹  Christopher N. Martyn¹ 

关键词: Malnutrition;    Cancer;    Cardiovascular disease;   

DOI  :  10.1017/S0029665199000853

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

Public health concern has tended to focus on the dangers of obesity, but there is evidence that undernutrition may also pose a risk to physical and mental well-being, particularly in those who are already ill. Using the General Practice Research Database (see office for Population Censuses and Surveys, 1995), we followed up 10 128 men and women aged 18 years and over who had been diagnosed with cancer or cardiovascular disease to examine whether nutritional status, as indicated by BMI, affected rates of use of health care resources and mortality. In both diagnostic groups, patients with a BMI below 20 kg/m 2 had higher rates of consultation with GP, higher rates of prescription and higher death rates during the follow-up period compared with those with a BMI of 20 – < 25 kg/m 2. In men and women with cardiovascular disease, poor nutritional status was associated with a sharply increased risk of hospital admission. Patients whose BMI was 30 –

【 授权许可】

Unknown