Affiliation:
1. Department of Biomedicine and Prevention, Section of Clinical Nutrition and Nutrigenomic, University of Tor Vergata,
Rome, Italy
2. Division of Clinical Nutrition, Policlinico Tor Vergata, Rome, Italy
3. Department of Medical and Surgery Science, "Agostino Gemelli" General Hospital Foundation-IRCCS, Rome, Italy
Abstract
Background:
Malnutrition consists of a functional and structural alteration caused by
an imbalance between specific needs, intake, or utilization of foods and nutrients.
Objective:
The aim of this trial is to establish whether PNI (Prognostic Nutritional Index) is related
to the inflammation pattern in our patients and which type of AN gives more advantages in
clinical practice in improving PNI, and so the prognosis.
Methods:
During hospitalization, we have identified the presence of malnutrition and its aetiology-
type, and initiated artificial nutrition (AN), enteral (EN), or parenteral (PN). For efficacy, we
can use many biochemical tests, such as pre-albumin, transferrin, RBP, PINI, and albumin. The
retrospective study was conducted by analyzing 145 patients. At baseline and after 7 days, the
concentration of Albumin, Platelets, Neutrophils, Lymphocytes, and RCP was measured and was
calculated PNI, PLR, and NLR. The patients were divided into three groups according to the
treatment received with artificial nutrition: 32 Parenteral (PG), 15 Enteral (EG), and 17 Combined
(CG).
Results:
Between baseline and 7 days, no change was observed, while in EG a significant increase
in albumin and RCP and a significant reduction in PNI were observed, and, in CG a significant
increase in lymphocytes, in PNI and a significant reduction in NLR.
Conclusion:
In conclusion, a short-term nutritional intervention can benefit from a combined approach
to improve prognostic such as PNI.
Publisher
Bentham Science Publishers Ltd.
Subject
Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Food Science