SlOO EUROPEAN SOCIETY OF PARENTERAL AND ENTERAL NUTRlTION

Method: A prospective and controlled study was performed with 132 chil- dren of low socioeconomic level (66 obese, median age: 8,98 years and 66 non-obese, median age: 8,49 yexs) from the same school in Santa An- & /Brazil. We evaluated: BMI according to Must, WC according to MC Cathy, lipid serum levels (triglyceride-TG, total cholesterol and fractions (enzymatic method): VLDL-c, LDL-c, HDL-c. Lipid serum levels were defined as adequate or inadequate according to Kwiterovich with the excep- tion of VLDL-c, defined by the American Heart Association. For statistical analysis: Chi-square, T-Student, Kruskal-Wallis and correlations (1). Results: The MDA levels were elevated in obese and non-obese chil&en (means-nmoles/ml): 1,99 and 2,08, respectively, with no significant differ- ence.There was no significant correlation between MDA levels and WC and BMI; however, there was a positive correlation with HDL-c (r=0,34, piO,OOl) and a negative correlation with LDL-c (r=-0,28, piO,OOl).

Table 1

Obese Non-obese P

TC (W) # 69,7 65,l 0,6X VLDL-c (W) 54,s * 24,3 50,001 LDL-c (W) 59 53 0,67 HDL-C (W) 6 10,6 0,64 TG (W) 47 * 17 50,001

#Percentage (W) of inadequate levels

Conclusions: In the low socioeconomic level population of school children studied we found high levels of lipid peroxidation and high frequency of LDL-c dyslipidemia, independently of nutritional status. These findings suggest that these children have a high potential risk of cxdiovasculx disease.

374-P. NUTRITIONAL RISK SCREENING IN HOSPITALIZED PATIENTS IN GALICIA (SPAIN)

M.A. Mxtinez’, M.J. Mxtinez’, E. Martinez3, V. Del Campo4 Collaborative Group for thr Study of Hospital Malnutrition, Nutrition, Sonudiga, Galicia, Spain; ‘Endocrinology, 2Pharmacy, Meixoeiro Hospital, Vigo, 3Nutrition, J Canalejo Hospital, 4Preventive Med, Meixoeiro Hospital, Coru a

Rationale: To validate a nutritional screening protocol (SP) in patients hospitalized in Galicia Method: Cross-sectional study of 376 patients (187 male, 210 >65 yexs old) from 12 public hospitals randomised between 4530 patients (exclud- ing pediatric and obstetric) hospitalised for acute medical, surgical and trauma illnesses. Patients were evaluated with a simple (SP) attending weight changes, albumin, lymphocytes, food ingestion and diagnosis, and with a more complex diagnostic protocol (DP) including antropometric, biochemical and immunological parameters. Results of SP and DP were compared; we also analyse principal factors related to malnutrition; statis- tical significance was considered at p 5 0.05 Results: From the 376 patients studied, according to DP 222 (59.04%) were considered to have protein-energy malnutrition (145 mild, 66 moderate, 11 severe). SP rate was significantly related to severity of malnutrition by DP (p 5 0.001). Also, malnutrition risk evaluated by SP correlated significantly with the diagnosis of malnutrition and its severity by DP (p 5 0.001). Factorsrelated with malnutrition were: older age and metabolic stress degree Conclusions: 1. In 0~1’ population of inpatients admitted for acute illnesses the prevalence of protein-energy malnutrition is high. The risk was related to age and to metabolic stress. 2.The risk of malnutrition in a hospital setting is evaluated appropriately by a simple screening procedure. 3.The higher the total score at the screening the more presence and severity of malnutrition was. 4. The use of simple screening procedures in populations with high prevalence of malnutrition may contribute to detect and correct this challenge.

375-P. DIETARY RECOMMENDATIONS IN GERIATRIC PEOPLE

H. Segmola’, C. P I-ez-Portbella’ , A. Llatas’, T. Hidalgo’, N. Moreno3, R. Burgosl , C. Puiggr s t , M. Planas ’ lNutritional Support Unit, Hospital Universitatio Vail d’Hebron, ‘DAP Sant Andreu, KS, 3Epidemiology Department, Hospital Universitatio Vail d’Hebron, Barcelona, Spain

Rationale: Old elderly (> 80 yr) people are a pxticularly vulnerable group. E~ly identification and nutritional intelyention aimed to autonomy and improved quality of life. The aim of this study was to evaluate nutritional status (NS), regular food pateln (RFP) and functional capacity (FC) and their influence on mortality in geriatric people. Method: Prospectively 170 randomly subjects > 80 yr who lived at home and had not been attended by their health reference center last year, were visited twice withing 1 yr interval. Vxiables: NS [anthropometry: nor- monomished (N), overweight/obesity (0) and malnutrition (M), and Mini Nutritional Assessment (MNA): N, risk (R) and M], RFP (3-wk days and 1 holiday survey), FC (Barthel screening). Polimedication and associated dis- eases were documented. Dietary recommendations and supplements wele given in case of need. Statistics: SPSS 8.0; Chi2 Tests (crosstabs), T-tests. Results: Of 170 visited subjects 120 were followed, 89 leevaluated and 31 died (25.8%). Using MNA, NS improved (N: 60% vs 67.1%; R: 33% vs 28.2%; M: 7% vs 4.7%, p’ 0.001). Incidence of unhealthy diet decreased (66.7% vs 51.2%, p’ 0.001). FC worsened (72.5 f 22.8 vs 67.4 f 23.2, p= 0.001). A relation between mortality and NS (MNA: 14.5% N, 25.6% R, and 53.3% M ; anthropometry: 20% 0, 16.4% N, 50% M, piO.OS), and FC (Barthel alive vs dead: 51.7f 32.0 vs 73.9 f 21.1, p= 0.002) was found. No relation between mortality and RFP, polimedication or asosiated diseases was observed. Conclusions: Old elderly people can profit from an identification of nutri- tional status and appropriate nutritional intervention.

376-P. CURRENT TRENDS IN NUTRITIONAL SUPPORT DURING HOSPITALIZATION IN POLAND

M. Pertkiewicz ‘, M. Dymkowska’ ‘General and Gastroenterological Surgery and Nutrition, Medical University of Warsaw, ‘Abbott Lab.Poland, Warsaw, Warsaw, Poland

Rationale: The usage of nutritional therapy during hospitalization is not well known. The aim was to evaluate actual trends of nutritional support during hospitalization in Poland. Method: Kind and timing of nutritional support used in 2474 patients con- secutively admitted to 50 departments randomly selected from different regions of the country has been prospectively recorded and compxed with nutritional status evaluated by SGA, schedule of admission and outcome. Results: From among 2474 patients, 427 ( 17,3%) received pxenteral nu- trition (PN) (16,7% from treated in surgical wards, 50% from ICU patients, and only 2% from treated in medical wards). PN was given to 24,6% admit- ted in emergency and to 12,9% from admitted for elective indications. Enteral nutrition (EN) has been used in 401 (16,2%) patients, most often after period of PN in ICU. Excluding patients receiving PN, EN as the only method of feeding was used in 185 (7,5%) patients (4,6% patients from treated in surgical wards, 50% - in ICU, 2,2% - in medical and 3,2% in neurological wards). Oral dietetic supplements (SU) received 14% patients; excluding those I-e- ceiving PN or EN, SU wele given as only method of feeding to 12-15% patients treated in surgical, medical and ICU wardsTreatment failure, anal- ysed by multiple regression, was associated with emergency admission, nutritional status, coexisting diseases and implementation of PN. Signifi- cant association between implementation of PN and treatment failure has been observed in nonmalnourished and moderately malnourished patients. Conclusions: PN in Poland was given to often and EN and SU to rare. Observed association of PN with treatment failure needs further evaluation - it seems, it was due to calculation of energy requirement by multiplication of body weight by calories and overfeeding.