{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:36:53Z","timestamp":1788964613838,"version":"build-2803163510"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"1168","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,31]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This work aims to describe patients hospitalized in internal medicine wards in terms of nutrition and sarcopenia. It also seeks to evaluate short- and long-term mortality related to malnutrition and sarcopenia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross-sectional study collected data on consecutive patients admitted to a single center\u2019s internal medicine ward. Patients were recruited in May and October 2021. Malnutrition was determined by the Mini-Nutritional Assessment-Short Form (MNA-SF) and sarcopenia by the Strength, Assistance in walking, Rise from a chair, Climb stairs, and Falls questionnaire (SARC-F scale) and handgrip strength test. Patients who were hospitalized for &amp;gt;48\u00a0hours were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sample included 619 patients with a mean\u2009\u00b1\u2009SD age of 76.0\u2009\u00b1\u200914.8 years of which 50.6% were women. Patients were classified into three groups based on malnutrition: group 1 (MNA-SF 12\u201314 points) (no risk) included 158 patients, group 2 (MNA-SF 8\u201312 points) (high risk) included 233 patients, and group 3 (MNA-SF 0\u20137 points) (malnourished) included 228 patients. Malnourished patients had more dysphagia, significantly lower protein and albumin levels, and significantly higher inflammatory marker levels and pressure ulcers. In-hospital mortality was significantly higher in groups 2 and 3 (p\u2009&amp;lt;\u2009.00001). The worst outcome (mortality and readmissions or mortality) was more common among malnourished patients (p\u2009=\u2009.0001). Inflammation, comorbidity, and sarcopenia were most closely associated with negative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Malnutrition upon admission is associated with worse short- and long-term outcomes in internal medicine inpatients. Sarcopenia, multimorbidity, and inflammation\u2014measured by albumin, C-reactive protein, or their ratios\u2014are key risk factors. Early identification of malnutrition and sarcopenia through active screening is important in caring for internal medicine patients.<\/jats:p><\/jats:sec>","DOI":"10.1093\/postmj\/qgad006","type":"journal-article","created":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:35:08Z","timestamp":1677285308000},"page":"56-62","source":"Crossref","is-referenced-by-count":17,"title":["Malnutrition and sarcopenia worsen short- and long-term outcomes in internal medicine inpatients"],"prefix":"10.1093","volume":"99","author":[{"given":"Juana","family":"Carretero G\u00f3mez","sequence":"first","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1s F","family":"Galeano Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio S","family":"Vidal R\u00edos","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda R","family":"P\u00e9rez Palacios","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gema M","family":"Garc\u00eda Garc\u00eda","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Garc\u00eda Carrasco","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge M","family":"Romero Requena","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 M","family":"Fern\u00e1ndez Recio","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leticia","family":"Nevado L\u00f3pez-Alegr\u00eda","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agust\u00edn","family":"Pijierro Amador","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 C","family":"Ar\u00e9valo Lorido","sequence":"additional","affiliation":[{"name":"University Hospital Complex of Badajoz Internal Medicine Department, , Badajoz, 06085 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,2,24]]},"reference":[{"key":"2023033110295912300_","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.clnu.2016.09.004","article-title":"ESPEN guidelines on definitions and terminology of clinical nutrition","volume":"36","author":"Cederholm","year":"2017","journal-title":"Clin Nutr"},{"key":"2023033110295912300_","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1016\/j.clnu.2016.03.008","article-title":"Nutritional status in older persons according to healthcare setting: a systematic review and meta-analysis of prevalence data using 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