{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:39:17Z","timestamp":1777898357788,"version":"3.51.4"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nutrition\u2010Focused Physical Exam (NFPE) feasibility is not well\u2010studied. We describe registered dietitian nutritionist (RDN)\u2013reported NFPE completion for hospitalized adult and pediatric patients overall and by assessment parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Trained RDNs systematically conducted NFPEs for hospitalized adult and pediatric patients during the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition Indicators to diagnose Malnutrition multisite cohort study (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/ClinicalTrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      : NCT03928548). RDNs reported their ability to evaluate assessment sites for subcutaneous fat and muscle loss, fluid accumulation, and micronutrient status and to complete handgrip strength (adults and children \u22656 years) and mid\u2010upper arm circumference measurements (children). RDNs noted if they could complete the full NFPE; if not, they noted challenges. We descriptively summarized results and used multilevel logistic regression models to examine relationships between patient characteristics and NFPE completion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      RDNs from 39 adult and 29 pediatric US hospitals conducted NFPEs for 327 adults and 214 children aged 1 month to 17.9 years. RDNs reported completing the examination for 44% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009145) of adults and 15% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200933) of children. They successfully evaluated 25 of 27 and 19 of 26 unique NFPE components in &gt;80% of adults and children, respectively. Common reasons the full NFPE was not completed were limited mobility in adults and patient refusal in children. RDNs had lower odds of completing NFPEs in adults with lower vs higher education levels or higher vs lower nutrition complexity and in younger vs older children.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RDNs evaluated NFPE components for a high proportion (&gt;80%) of hospitalized patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.11137","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T09:19:21Z","timestamp":1708334361000},"page":"888-902","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Completion of a Nutrition\u2010Focused Physical Exam with hospitalized adults and pediatric patients: Secondary analysis of a prospective cohort study"],"prefix":"10.1002","volume":"39","author":[{"given":"Elizabeth Yakes","family":"Jimenez","sequence":"first","affiliation":[{"name":"Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics Chicago Illinois USA"},{"name":"Department of Pediatrics University of New Mexico Health Sciences Center Albuquerque New Mexico USA"},{"name":"Department of Internal Medicine University of New Mexico Health Sciences Center Albuquerque New Mexico USA"},{"name":"College of Population Health University of New Mexico Health Sciences Center Albuquerque New Mexico USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5758-6722","authenticated-orcid":false,"given":"Erin","family":"Lamers\u2010Johnson","sequence":"additional","affiliation":[{"name":"Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie M.","family":"Long","sequence":"additional","affiliation":[{"name":"Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth A.","family":"Mordarski","sequence":"additional","affiliation":[{"name":"Lifelong Learning and Engagement, Academy of Nutrition and Dietetics Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingya","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of New Mexico Health Sciences Center Albuquerque New Mexico USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Steiber","sequence":"additional","affiliation":[{"name":"Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Nutrition Focused Physical Exam Pocket Guide","author":"Mordarski B","year":"2021"},{"key":"e_1_2_9_3_1","volume-title":"Pediatric Nutrition Focused Physical Exam Pocket Guide","author":"Mordarski B","year":"2015"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533615572654"},{"key":"e_1_2_9_5_1","unstructured":"World Health Organization. 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