Evidence map›Paper›PMID 37513497›Full record

ArticleNutrients2023

Severity of Inflammation Is Associated with Food Intake in Hospitalized Geriatric Patients-A Merged Data Analysis.

Maryam Pourhassan, Tommy Cederholm, Lorenzo M Donini, Eleonora Poggiogalle, Ursula Schwab, Rikke Lundsgaard Nielsen, Aino Leegaard Andersen, Sylwia Małgorzewicz, Dorothee Volkert, Rainer Wirth

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Observational
  5. Comparison of the Effectiveness of Nutritional Risk Score-2002 and Royal Free Hospital-Nutritional Prioritizing Tool Nutrition Screening Tools in Liver Cirrhosis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  6. Observational
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 6 countries.

Maryam PourhassanDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, 44625 Herne, Germany.ORCID 0000-0002-5486-0765
Tommy CederholmDepartment of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, 75122 Uppsala, Sweden.
Lorenzo M DoniniDepartment of Experimental Medicine, University of Rome "Sapienza", 00185 Rome, Italy.ORCID 0000-0003-4692-4754
Eleonora PoggiogalleDepartment of Experimental Medicine, University of Rome "Sapienza", 00185 Rome, Italy.
Ursula SchwabInstitute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, 70210 Kuopio, Finland.ORCID 0000-0003-1838-7525
Rikke Lundsgaard NielsenDepartment of Clinical Research, ACUTE-CAG, Copenhagen University Hospital, 2650 Hvidovre, Denmark.ORCID 0000-0003-2208-7349
Aino Leegaard AndersenDepartment of Clinical Research, ACUTE-CAG, Copenhagen University Hospital, 2650 Hvidovre, Denmark.ORCID 0000-0003-1449-1931
Sylwia MałgorzewiczDepartment of Clinical Nutrition, Medical University of Gdańsk, 80-210 Gdańsk, Poland.ORCID 0000-0001-8773-9649
Dorothee VolkertInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, 90403 Nuremberg, Germany.
Rainer WirthDepartment of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, 44625 Herne, Germany.ORCID 0000-0002-7265-0163
Copenhagen University Hospital · DKSapienza University of Rome · ITUniversitätsklinik Marien Hospital Herne · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEGdańsk Medical University · PLUniversity of Eastern Finland · FIUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The extent to which inflammation impacts food intake remains unclear, serving as a key risk factor for malnutrition as defined by the Global Leadership Initiative on Malnutrition (GLIM). To address this, we analyzed a large, merged dataset of geriatric hospitalized patients across Europe. The study included 1650 consecutive patients aged ≥65 year from Germany, Italy, Finland, Denmark, and Poland. Nutritional intake was assessed using the first item of the Mini Nutritional Assessment Short Form; C-reactive protein (CRP) levels were measured using standard procedures. In total (age 79.6 ± 7.4 year, 1047 females), 23% exhibited moderate to severe inflammation, and 12% showed severe inflammation; 35% showed moderate reductions in food intake, and 28% were considered malnourished. Median CRP levels differed significantly between patients with severe, moderate, and no decrease in food intake. Among patients with a CRP level of 3.0-4.99 mg/dL, 19% experienced a severe decrease in food intake, while 66% experienced moderate to severe decreases. Regression analysis revealed that inflammation was the most prominent risk factor for low food intake and malnutrition, surpassing other factors such as age, gender, infection, and comorbidity. A CRP level of ≥3.0 mg/dL is associated with reduced food intake during last 3 months in two thirds of hospitalized geriatric patients and therefore indicative for a high risk of malnutrition.

Indexed as

MalnutritionAgedEatingFemaleHumansInflammationNutritional StatusNutrition AssessmentRisk FactorsC-reactive proteinfood intakeGLIM criteriainflammationolder persons

Identifiers

PMID37513497
PMCPMC10385000
OpenAlexW4383819124

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.