Objectives of Study:

-To investigate the prevalence of Malnutrition in hospitalized adult Patients.

Primary Objective:

-To examine the magnitude of Malnutrition in admitted patients at the time of

Secondary Objectives:

-To study the occurrence of Severe Malnutrition in the hospitalized patients.
-To describe malnutrition amongst various medical diagnoses.


Study Design: Cross-sectional

Sample Size: Minimum of 100 patients (including males and females) from
each Centre or hospital total sample size is 9000.
Sampling technique: Simple Random sampling
Inclusion criteria: adult patients; Age > 18 years with no critical illness
Exclusion criteria: Patients with critical illness and pregnancy
Study duration: Jan 2022- Dec 2022.
Study Analysis: Descriptive Statistics
Method of Nutrition Assessment:
-Subjective Global Assessment (SGA)
– Any other valid tool such as approved by American Society of Parenteral and
enteral Nutrition (ASPEN) / Academy of Nutrition and Dietetics (AND).

Prevalence of Hospital Malnutrition – An intercontinental crosssectional study in Hospitals across Asia, Africa and Middle east.

Protocol #: SRM 22-001-IC
Principal Investigator:
Dr.Atta ur Rehman Khan

Co investigators:

Will be added after registrations


Incidence of hospital malnutrition – Malnutrition is a leading cause of morbidity and mortality, especially among older adults. Evidence suggests that 20% to 50% of all patients are at risk for or are malnourished at the time of hospital admission [1] and yet a recent study shows that only 7 percent of patients are typically diagnosed with malnutrition during their hospital stay, leading to millions of cases left undiagnosed and potentially untreated [2]. Up to 31% of these malnourished patients and 38% of well-nourished patients experience nutritional decline during their hospital stay [3]. Significantly, many patients continue to lose weight after discharge, and patients with weight loss are at increased risk for readmission, [4] with data demonstrating that malnourished hospitalized adults have 54% higher likelihood of hospital 30-day readmissions than those who are well nourished [5]. Malnutrition is the inadequate intake of nutrients, particularly protein, over time and may contribute to chronic illness and acute disease or illness and infection. People can be underweight or overweight (obese) and malnourished when they lack sufficient nutrients needed to promote healing, rehabilitation, and reduce the risk of medical complications. Malnutrition and weight loss can also contribute to sarcopenia, the age-associated loss of skeletal muscle mass and function, which can impact recovery, mobility, and Independence [6]. Since malnutrition impacts almost all quality indicators in hospital settings therefore, it becomes imperative to study prevalence of hospital malnutrition in underdeveloped regions of the world. Till todate very few studies were conducted on hospital malnutrition and its impacts on outcomes but these studies were mostly in US.UK or developed countries in Europe. We intend generate data base by initiating this long term research project that will culminate in designing strategies for mitigating this challenge. The first phase will focus on findings related to prevalence of hospital malnutrition.


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Potential Funders:


1. Wells JL and Dumbrell AC. Nutrition and Aging: Assessment and Treatment of Compromised Nutritional Status in Frail Elderly Patients.Clin Interv Aging. 2006; 1(1):67-69.
2. Weiss AJ, Fingar KR, Barrett ML, Elixhauser A, Steiner CA, Guenter P, Brown MH. Characteristics of Hospital Stays Involving Malnutrition,2013. HCUP Statistical Brief #210.
Rockville, MD: Agency for Healthcare Research and Quality. Available at:
3. Braunschweig C et al. Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days. J Am Diet Assoc 2000; 100 (11): 1316-1322
4. Beattie AH, et al: A Randomised Controlled Trial Evaluating the Use of Enteral Nutritional Supplements Postoperatively in Malnourished Surgical Patients. Gut 2000; 46:813-818.
5. Fingar KR, Weiss AJ, Barrett ML, et al. All-Cause Readmissions Following Hospital Stays for Patients with Malnutrition, 2013. HCUP Statistical Brief #218. December 2016. Agency for
Healthcare Research and Quality, Rockville, MD. reports/statbriefs/sb218-Malnutrition-Readmissions-2013.pdf.
6. Loose C, Bell J, Partridge J, Nelson J, Goates S. Health System Quality Improvement: Impact of Prompt Nutrition Care on Patient Outcomes and Health Care Costs. Journal of nursing care quality. 2016;31(3):217-223.

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