{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T06:51:13Z","timestamp":1791615073363,"version":"4.3.4"},"reference-count":22,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background: Acute pancreatitis (AP) is an acute inflammatory condition with high metabolic demands; however, early detection of nutritional risk is underestimated and there is no universal consensus on which is most effective for predicting nutritional risk. Objectives: To compare the level of agreement of nutritional screening methods with subjective global assessment (SGA) in identifying nutritional risk in patients with AP. Methods: This study was conducted as a prospective observational cohort in hospitalized patients diagnosed with mild or moderate AP. Screening tools: nutritional risk screening-2002 (NRS-2002), malnutrition universal screening tool (MUST), short nutritional assessment questionnaire (SNAQ), malnutrition screening tool (MST) and clinical assessment via SGA were performed. Results: Nutritional risk was found in 55.3% patients via SGA assessment, 43.2% in MST, and 38.6% in NRS-2002 and SNAQ and 10.6% in MUST scales. Patients without nutritional risk exhibited a significantly higher mean BMI than at-risk patients (p = 0.026). Patients with moderate AP exhibited a 3.93 increased risk of nutritional risk compared to those with mil AP (p = 0.02). The NRS-2002 and SNAQ scales achieved the highest agreement compared with SGA. Conclusions: Nutritional risk is highly prevalent in patients with mild and moderate AP, showing a significant increase as clinical severity progresses. The NRS-2002 and SNAQ scales had more agreement and better performance when compared with SGA.<\/jats:p>","DOI":"10.3390\/jcm15197674","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:57:46Z","timestamp":1791197866000},"page":"7674","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutritional Screening in Hospitalized Patients with Acute Pancreatitis: A Comparative Study in Mexico"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2308-6105","authenticated-orcid":false,"given":"Mariana","family":"Ch\u00e1vez-Tostado","sequence":"first","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Reproducci\u00f3n Humana, Crecimiento y Desarrollo Infantil, Guadalajara 44340, Jalisco, Mexico"},{"name":"Universidad de Guadalajara, Centro Universitario de Tonal\u00e1, Departamento de Ciencias Biom\u00e9dicas, Centro de Investigaci\u00f3n Multidisciplinario en Salud, Doctorado en Investigaci\u00f3n Multidisciplinaria en Salud, Tonal\u00e1 45425, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6249-4737","authenticated-orcid":false,"given":"Gabino","family":"Cervantes-Guevara","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario del Norte, Departamento de Bienestar y Desarrollo Sustentable, Colotl\u00e1n 46200, Jalisco, Mexico"},{"name":"Departamento de Gastroenterolog\u00eda, Hospital Civil de Guadalajara \u201cFray Antonio Alcalde\u201d, Guadalajara 44280, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"\u00c1lvarez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Departamento de Gastroenterolog\u00eda, Hospital Civil de Guadalajara \u201cFray Antonio Alcalde\u201d, Guadalajara 44280, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8631-9201","authenticated-orcid":false,"given":"Diana Mercedes","family":"Hern\u00e1ndez-Corona","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Tonal\u00e1, Departamento de Ciencias Biom\u00e9dicas, Centro de Investigaci\u00f3n Multidisciplinario en Salud, Doctorado en Investigaci\u00f3n Multidisciplinaria en Salud, Tonal\u00e1 45425, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Gonz\u00e1lez-Ojeda","sequence":"additional","affiliation":[{"name":"Facultad de Medicina, Universidad de Colima, Colima 28040, Colima, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6230-8359","authenticated-orcid":false,"given":"Clotilde","family":"Fuentes-Orozco","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n Biom\u00e9dica 02, Hospital de Especialidades, Centro M\u00e9dico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44340, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam Elizabeth","family":"Hern\u00e1ndez-Franco","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Reproducci\u00f3n Humana, Crecimiento y Desarrollo Infantil, Guadalajara 44340, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7267-1482","authenticated-orcid":false,"given":"Mar\u00eda Fernanda Isadora","family":"Corona-Meraz","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Tonal\u00e1, Departamento de Ciencias Biom\u00e9dicas, Centro de Investigaci\u00f3n Multidisciplinario en Salud, Doctorado en Investigaci\u00f3n Multidisciplinaria en Salud, Tonal\u00e1 45425, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6077-7925","authenticated-orcid":false,"given":"Milton Omar","family":"Guzm\u00e1n-Ornelas","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Tonal\u00e1, Departamento de Ciencias Biom\u00e9dicas, Centro de Investigaci\u00f3n Multidisciplinario en Salud, Doctorado en Investigaci\u00f3n Multidisciplinaria en Salud, Tonal\u00e1 45425, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9249-7709","authenticated-orcid":false,"given":"Miriam","family":"M\u00e9ndez-del Villar","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Tonal\u00e1, Departamento de Ciencias Biom\u00e9dicas, Centro de Investigaci\u00f3n Multidisciplinario en Salud, Doctorado en Investigaci\u00f3n Multidisciplinaria en Salud, Tonal\u00e1 45425, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4089-5462","authenticated-orcid":false,"given":"Tonatiuh","family":"Gonz\u00e1lez-Heredia","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Tonal\u00e1, Departamento de Ciencias Biom\u00e9dicas, Centro de Investigaci\u00f3n Multidisciplinario en Salud, Doctorado en Investigaci\u00f3n Multidisciplinaria en Salud, Tonal\u00e1 45425, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6333-9082","authenticated-orcid":false,"given":"Enrique","family":"Cervantes-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Interna, Hospital Civil de Guadalajara \u201cFray Antonio Alcalde\u201d, Guadalajara 44280, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillermo","family":"Cervantes-Cardona","sequence":"additional","affiliation":[{"name":"Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Disciplinas Filosofico Metodologicas e Instrumentales, Guadalajara 44340, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0026-1388","authenticated-orcid":false,"given":"Ver\u00f3nica","family":"Ch\u00e1vez-Tostado","sequence":"additional","affiliation":[{"name":"Departamento de Cirug\u00eda, Hospital de Alta Especialidad Tlajomulco de Z\u00fa\u00f1iga ISSSTE, Tlajomulco de Z\u00fa\u00f1iga 45640, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1855-6309","authenticated-orcid":false,"given":"Judith","family":"Mart\u00edn-del Campo Cervantes","sequence":"additional","affiliation":[{"name":"Departamento de 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Engl. J. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/S0140-6736(14)60649-8","article-title":"Acute pancreatitis","volume":"386","author":"Lankisch","year":"2015","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1136\/gutjnl-2012-302779","article-title":"Classification of acute pancreatitis\u20142012: Revision of the Atlanta classification and definitions by international consensus","volume":"62","author":"Banks","year":"2013","journal-title":"Gut"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/0261-5614(92)90015-I","article-title":"Vitamin status in patients with acute pancreatitis","volume":"11","author":"Vierendeels","year":"1992","journal-title":"Clin. Nutr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1301\/nr.2007.jul.329\u2013334","article-title":"The importance of nutrition status assessment: The case of severe acute pancreatitis","volume":"65","author":"Lugli","year":"2007","journal-title":"Nutr. Rev."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1016\/S0140-6736(09)60553-5","article-title":"Stress hyperglycaemia","volume":"373","author":"Dungan","year":"2009","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1177\/014860718901300126","article-title":"Energy expenditure during severe acute pancreatitis","volume":"13","author":"Bouffard","year":"1989","journal-title":"J. Parenter. Enter. Nutr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.gtc.2017.10.002","article-title":"Nutritional Aspects of Acute Pancreatitis","volume":"47","author":"Roberts","year":"2018","journal-title":"Gastroenterol. Clin. N. Am."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1053\/j.gastro.2019.01.269","article-title":"Current Concepts in Severe Acute and Necrotizing Pancreatitis: An Evidence-Based Approach","volume":"156","author":"Trikudanathan","year":"2019","journal-title":"Gastroenterology"},{"key":"ref_11","first-page":"e35822","article-title":"Malnutrition Imparts Worse Outcomes in Patients Admitted for Acute Pancreatitis","volume":"15","author":"Le","year":"2023","journal-title":"Cureus"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Reber, E., Gomes, F., Vasiloglou, M.F., Schuetz, P., and Stanga, Z. (2019). Nutritional Risk Screening and Assessment. J. Clin. Med., 8.","DOI":"10.3390\/jcm8071065"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.clnu.2020.01.004","article-title":"ESPEN guideline on clinical nutrition in acute and chronic pancreatitis","volume":"39","author":"Arvanitakis","year":"2020","journal-title":"Clin. Nutr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.3109\/00365521.2015.1028994","article-title":"Nutrition impact symptoms, handgrip strength and nutritional risk in hospitalized patients with gastroenterological and liver diseases","volume":"50","author":"Knudsen","year":"2015","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_15","unstructured":"(BAPEN) BAoPaEN Malnutrition Advisory Group (2003). The \u201cMUST\u201d Explanatory Booklet: A Guide to the \u201cMalnutrition Universal Screening Tool\u201d (\u201cMUST\u201d) for Adults, British Association for Parental and Enteral Nutrition."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/S0261-5614(03)00098-0","article-title":"ESPEN guidelines for nutrition screening 2002","volume":"22","author":"Kondrup","year":"2003","journal-title":"Clin. Nutr."},{"key":"ref_17","unstructured":"McCallum, P., and Polisena, C. (2000). Patient-Generated Subjective Global Assessment. The Clinical Guide to Oncology Nutrition, The American Dietetic Association."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1177\/0148607110389335","article-title":"A.S.P.E.N. clinical guidelines: Nutrition screening, assessment, and intervention in adults","volume":"35","author":"Mueller","year":"2011","journal-title":"J. Parenter. Enter. Nutr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1177\/0148607115621863","article-title":"Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient","volume":"40","author":"McClave","year":"2016","journal-title":"J. Parenter. Enter. Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: Revised European consensus on definition and diagnosis","volume":"48","author":"Bahat","year":"2019","journal-title":"Age Ageing"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.clnu.2023.12.019","article-title":"ESPEN practical guideline on clinical nutrition in acute and chronic pancreatitis","volume":"43","author":"Arvanitakis","year":"2024","journal-title":"Clin. Nutr."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Ch\u00e1vez-Tostado, M., Cervantes-Guevara, G., L\u00f3pez-Alvarado, S.E., Cervantes-P\u00e9rez, G., Barbosa-Camacho, F.J., Fuentes-Orozco, C., Hern\u00e1ndez-Corona, D.M., Gonz\u00e1lez-Heredia, T., Cervantes-Cardona, G.A., and Gonz\u00e1lez-Ojeda, A. (2020). Comparison of nutritional screening tools to assess nutritional risk and predict clinical outcomes in Mexican patients with digestive diseases. 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