{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T16:31:25Z","timestamp":1769013085001,"version":"3.49.0"},"reference-count":36,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,12]],"date-time":"2025-01-12T00:00:00Z","timestamp":1736640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\/MCTES","award":["UIDP\/05608\/2020"],"award-info":[{"award-number":["UIDP\/05608\/2020"]}]},{"name":"FCT\/MCTES","award":["UIDB\/05608\/2020"],"award-info":[{"award-number":["UIDB\/05608\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: The dietary intake of hospitalised patients is often compromised during hospitalisation, which can be a causal factor for hospital malnutrition. This is considered a public health problem worldwide and is associated with an increased risk of other complications. Objectives: Our objective was to determine the dietary intake of hospitalised individuals and if the prescribed diet influences it. Methods: Food intake data were collected from 299 lunches of patients admitted to a hospital, using the visual estimation method with a five-point scale. Three existing diets were considered, and the energy and macronutrient values of the meal were calculated. The minimum energy and protein requirements were also calculated. Results: The components of the tray with the highest intake were soup and dessert; no significant differences were found between the percentage intake of each element and the prescribed diet. More than 50% of the individuals did not meet their minimum energy requirements, and only 36.5% had a protein intake that was within the recommendations. Conclusions: Dietary intake is much lower than prescribed, and nutritionists need to act to reduce the prevalence of hospital malnutrition.<\/jats:p>","DOI":"10.3390\/nu17020261","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T05:40:40Z","timestamp":1736746840000},"page":"261","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prescribed Hospital Diet Influence on Dietary Intake of Hospitalised Patients: A Cross-Sectional Study"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7977-6201","authenticated-orcid":false,"given":"Joana","family":"Gameiro","sequence":"first","affiliation":[{"name":"Coimbra Health School (ESTeSC), Polytechnic University of Coimbra, 3046-854 Coimbra, Portugal"}]},{"given":"Raquel","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Unidade de Nutri\u00e7\u00e3o e Diet\u00e9tica, Unidade Local de Sa\u00fade da Regi\u00e3o de Leiria, Rua das Olhalvas, 2414-016 Leiria, Portugal"},{"name":"ciTechCare\u2014Center for Innovative Care and Health Technology, Health Innovation Hub|Polit\u00e9cnico de Leiria, Campus 5, Rua das Olhalvas, 2414-016 Leiria, Portugal"},{"name":"Higher School of Health, University of Algarve|University of Algarve\u2014Campus de Gambelas, 8005-139 Faro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4741-5417","authenticated-orcid":false,"given":"Ana L\u00facia","family":"Baltazar","sequence":"additional","affiliation":[{"name":"Coimbra Health School (ESTeSC), Polytechnic University of Coimbra, 3046-854 Coimbra, Portugal"},{"name":"CERNAS\u2014Research Center for Natural Resources, Environment and Society, 3046-854 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4724-1843","authenticated-orcid":false,"given":"Clara","family":"Rocha","sequence":"additional","affiliation":[{"name":"Coimbra Health School (ESTeSC), Polytechnic University of Coimbra, 3046-854 Coimbra, Portugal"},{"name":"Department of Electrical and Computer Engineering, INESC Coimbra, Polo 2, 3030-290 Coimbra, Portugal"}]},{"given":"Marta","family":"Pereira","sequence":"additional","affiliation":[{"name":"Unidade de Nutri\u00e7\u00e3o e Diet\u00e9tica, Unidade Local de Sa\u00fade da Regi\u00e3o de Leiria, Rua das Olhalvas, 2414-016 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1457-8992","authenticated-orcid":false,"given":"Diana","family":"Martins","sequence":"additional","affiliation":[{"name":"Coimbra Health School (ESTeSC), Polytechnic University of Coimbra, 3046-854 Coimbra, Portugal"},{"name":"H&TRC\u2014Health & Technology Research Center, Coimbra Health School, Polytechnic University of Coimbra, 3045-043 Coimbra, Portugal"},{"name":"Biophysics Institute of Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment Genetics and Oncobiology (CIMAGO), University of Coimbra, 3000-548 Coimbra, Portugal"},{"name":"Center for Innovative Biomedicine and Biotechnology, University of Coimbra, 3000-548 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0157-8368","authenticated-orcid":false,"given":"Jo\u00e3o P. M.","family":"Lima","sequence":"additional","affiliation":[{"name":"Coimbra Health School (ESTeSC), Polytechnic University of Coimbra, 3046-854 Coimbra, Portugal"},{"name":"H&TRC\u2014Health & Technology Research Center, Coimbra Health School, Polytechnic University of Coimbra, 3045-043 Coimbra, Portugal"},{"name":"SUScita\u2014Research Group for Sustainability, Cities and Urban Intelligence, Polytechnical University of Coimbra, 3046-854 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5205-8939","authenticated-orcid":false,"given":"Fernando","family":"Mendes","sequence":"additional","affiliation":[{"name":"Coimbra Health School (ESTeSC), Polytechnic University of Coimbra, 3046-854 Coimbra, Portugal"},{"name":"H&TRC\u2014Health & Technology Research Center, Coimbra Health School, Polytechnic University of Coimbra, 3045-043 Coimbra, Portugal"},{"name":"Biophysics Institute of Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment Genetics and Oncobiology (CIMAGO), University of Coimbra, 3000-548 Coimbra, Portugal"},{"name":"Center for Innovative Biomedicine and Biotechnology, University of Coimbra, 3000-548 Coimbra, Portugal"},{"name":"European Association for Professions in Biomedical Sciences, 1000 Brussels, Belgium"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,12]]},"reference":[{"key":"ref_1","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":"ref_2","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1038\/s41430-022-01129-y","article-title":"Recent and current low food intake\u2014Prevalence and associated factors in hospital patients from different medical specialities","volume":"76","author":"Hiesmayr","year":"2022","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1002\/jpen.1499","article-title":"Prevalence of Malnutrition Risk and the Impact of Nutrition Risk on Hospital Outcomes: Results From nutritionDay in the U","volume":"43","author":"Sauer","year":"2019","journal-title":"S. J. Parenter. Enter. Nutr."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Starace, E., De Pasquale, G., Morenghi, E., Crippa, C., Matteucci, S., Pieri, G., Soekeland, F., Gibbi, S.M., Cricchio, G.L., and Reggiani, F. (2023). Hospital Malnutrition in the Medicine and Neurology Departments: A Complex Challenge. Nutrients, 15.","DOI":"10.3390\/nu15245061"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.clnu.2012.11.021","article-title":"Malnutrition and poor food intake are associated with prolonged hospital stay, frequent readmissions, and greater in-hospital mortality: The Nutrition Care Day Survey 2010 results","volume":"32","author":"Agarwal","year":"2013","journal-title":"Clin. Nutr."},{"key":"ref_6","unstructured":"PNPAS (2024, July 03). Rastreio Nutricional\u2014Documento de Apoio \u00e0 Implementa\u00e7\u00e3o da Avalia\u00e7\u00e3o do Risco Nutricional [Internet]. Available online: www.dgs.pt."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.clnesp.2021.08.029","article-title":"Undernutrition risk and nutritional screening implementation in hospitals: Barriers and time trends (2019\u20132020)","volume":"45","author":"Amaral","year":"2021","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_8","unstructured":"Greg\u00f3rio, M.J., Gra\u00e7a, P., Santos, L., Mourato, A., Albuquerque, M.D., Pratas, J., Abreu, S., Matos, C., Ferro, G., and Raimundo, G. (2024, July 03). Manual de Dietas Hospitalares: Programa Nacional para a Promo\u00e7\u00e3o da Alimenta\u00e7\u00e3o Saud\u00e1vel [Internet]. Volume 1, Dire\u00e7\u00e3o-Geral da Sa\u00fade, Available online: https:\/\/www.sns.gov.pt\/noticias\/2021\/10\/26\/dgs-manual-de-dietas-hospitalares\/."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Crippa, C., Matteucci, S., Pastore, M., Morenghi, E., Starace, E., De Pasquale, G., Pieri, G., Soekeland, F., Gibbi, S.M., and Cricchio, G.L. (2023). A Comparative Evaluation of the Caloric Intake and Economic Efficiency of Two Types of Homogenized Diets in a Hospital Setting. Nutrients, 15.","DOI":"10.3390\/nu15224731"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.wasman.2015.09.025","article-title":"Hospital food waste and environmental and economic indicators\u2014A Portuguese case study","volume":"46","author":"Santos","year":"2015","journal-title":"Waste Manag."},{"key":"ref_11","first-page":"419","article-title":"Evaluation of factors affecting plate waste of inpatients in different healthcare settings","volume":"28","year":"2013","journal-title":"Nutr. Hosp."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Gomes, A., Saraiva, C., Esteves, A., and Gon\u00e7alves, C. (2020). Evaluation of Hospital Food Waste\u2014A Case Study in Portugal. Sustainability, 12.","DOI":"10.3390\/su12156157"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Schiavone, S., Pelullo, C.P., and Attena, F. (2019). Patient Evaluation of Food Waste in Three Hospitals in Southern Italy. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16224330"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"S31","DOI":"10.4103\/sja.SJA_543_18","article-title":"The STROBE guidelines","volume":"13","author":"Cuschieri","year":"2019","journal-title":"Saudi J. Anaesth."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1016\/j.ijsu.2014.07.014","article-title":"Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration","volume":"12","author":"Vandenbroucke","year":"2014","journal-title":"Int. J. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/S0002-8223(21)39368-3","article-title":"Measuring individual plate waste in school lunches. Visual estimation and children\u2019s ratings vs. actual weighing of plate waste","volume":"79","author":"Comstock","year":"1981","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.clnu.2014.09.001","article-title":"The accuracy of food intake charts completed by nursing staff as part of usual care when no additional training in completing intake tools is provided","volume":"34","author":"Palmer","year":"2015","journal-title":"Clin. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e184","DOI":"10.1016\/j.clnesp.2015.03.021","article-title":"Evaluation of food record charts used within the hospital setting to estimate energy and protein intakes","volume":"10","author":"Bartkowiak","year":"2015","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1093\/gerona\/57.1.M52","article-title":"Estimation of calorie and protein intake in aged patients: Validation of a method based on meal portions consumed","volume":"57","author":"Berrut","year":"2002","journal-title":"J. Gerontol.\u2014Ser. A Biol. Sci. Med. Sci."},{"key":"ref_20","unstructured":"APN (2019). Manual de \u201cEquivalentes\u201d Alimentares, Associa\u00e7\u00e3o Portuguesa de Nutri\u00e7\u00e3o. Available online: https:\/\/sigarra.up.pt\/fadeup\/en\/pub_geral.pub_view?pi_pub_base_id=378669."},{"key":"ref_21","unstructured":"EFSA (2019). Dietary Reference Values for nutrients Summary report. EFSA Support. Publ., 14, e15121E."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.clnesp.2020.04.001","article-title":"Exploring factors influencing dietary intake during hospitalization: Results from analyzing nutritionDay\u2019s database (2006\u20132013)","volume":"38","author":"Kontogianni","year":"2020","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1080\/21551197.2013.809673","article-title":"Dietary, Food Service, and Mealtime Interventions to Promote Food Intake in Acute Care Adult Patients","volume":"32","author":"Cheung","year":"2013","journal-title":"J. Nutr. Gerontol. Geriatr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/jhn.12314","article-title":"Barriers to food intake in acute care hospitals: A report of the Canadian Malnutrition Task Force","volume":"28","author":"Keller","year":"2015","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Rinninella, E., Raoul, P., Maccauro, V., Cintoni, M., Cambieri, A., Fiore, A., Zega, M., Gasbarrini, A., and Mele, M.C. (2023). Hospital Services to Improve Nutritional Intake and Reduce Food Waste: A Systematic Review. Nutrients, 15.","DOI":"10.3390\/nu15020310"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1177\/0148607114567902","article-title":"Malnutrition at Hospital Admission\u2014Contributors and Effect on Length of Stay: A Prospective Cohort Study from the Canadian Malnutrition Task Force","volume":"40","author":"Allard","year":"2016","journal-title":"J. Parenter. Enter. Nutr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.nut.2017.03.006","article-title":"Comparing nutritional requirements, provision and intakes among patients prescribed therapeutic diets in hospital: An observational study","volume":"39\u201340","author":"Rattray","year":"2017","journal-title":"Nutrition"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1016\/j.jada.2006.07.015","article-title":"Visual Plate Waste in Hospitalized Patients: Length of Stay and Diet Order","volume":"106","author":"Kandiah","year":"2006","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1016\/j.clnu.2012.12.007","article-title":"Validation of a plate diagram sheet for estimation of energy and protein intake in hospitalized patients","volume":"32","author":"Bjornsdottir","year":"2013","journal-title":"Clin. Nutr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s12603-019-1157-2","article-title":"Protein Intake Falls below 0.6 g\u00b7kg-1\u00b7d-1 in Healthy, Older Patients Admitted for Elective Hip or Knee Arthroplasty","volume":"23","author":"Weijzen","year":"2019","journal-title":"J. Nutr. Health Aging"},{"key":"ref_31","unstructured":"Lopes, C., Torres, D., Oliveira, A., Severo, M., Alarc\u00e3o, V., Guiomar, S., Mota, J., Teixeira, P., Rodrigues, S., and Lobato, L. (2024, July 03). Inqu\u00e9rito Alimentar Nacional e de Atividade F\u00edsica, IAN-AF 2015\u20132016: Relat\u00f3rio de Resultados. Universidade do Porto. Available online: https:\/\/ian-af.up.pt\/."},{"key":"ref_32","first-page":"1376","article-title":"Food intake, plate waste and its association with malnutrition in hospitalized patients","volume":"34","author":"Simzari","year":"2017","journal-title":"Nutr. Hosp."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.clnesp.2018.11.016","article-title":"Energy and protein intake in 330 geriatric orthopaedic patients: Are the current nutrition guidelines applicable?","volume":"29","author":"Rosenberger","year":"2019","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1002\/ncp.10542","article-title":"During Hospitalization, Older Patients at Risk for Malnutrition Consume <0.65 Grams of Protein per Kilogram Body Weight per Day","volume":"35","author":"Weijzen","year":"2020","journal-title":"Nutr. Clin. Pract."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1054\/clnu.2002.0623","article-title":"Food intake in 1707 hospitalised patients: A prospective comprehensive hospital survey","volume":"22","author":"Dupertuis","year":"2003","journal-title":"Clin. Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"5147","DOI":"10.1111\/jocn.16614","article-title":"Factors influencing the delivery of nutritional care by nurses for hospitalised medical patients with malnutrition; a qualitative study","volume":"32","author":"Vermeulen","year":"2023","journal-title":"J. Clin. Nurs."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/2\/261\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:27:13Z","timestamp":1759919233000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/2\/261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,12]]},"references-count":36,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,1]]}},"alternative-id":["nu17020261"],"URL":"https:\/\/doi.org\/10.3390\/nu17020261","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,12]]}}}