Henriksen, Christine

Jager-Wittenaar, Harriët

Johansson, Madelene

Orrevall, Ylva

Rothenberg, Elisabet

Slinde, Frode

ter Beek, Lies

Vanhauwaert, Erika

Vereecken, Carine

Adequate distinction between malnutrition, starvation, cachexia and sarcopenia is important in clinical care. Despite the overlap in physical characteristics, differences in etiology have therapeutical and prognostic implications. We aimed to determine whether dietitians in selected European countries have ‘proper knowledge’ of malnutrition, starvation, cachexia and sarcopenia, and use terminology accordingly

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Results: •	7186	invited	in	the	study,	712	participated,	369	completed	all	mandatory	questions	(5%)•	‘Malnutrition’	is	used	as	term	in	clinical	practice	by	88%	of	the	respondents,	starvation	3%,	cachexia	30%	and	sarcopenia	12%•	Case	studies	on	starvation,	cachexia	and	sarcopenia	were	correctly	answered	by	respectively	58%,	43%	and	74%•	‘Proper	knowledge’ was	present	in	13%	of	the	respondents.•	The	percentage	with	‘proper	knowledge’	was	higher	in	respondents	working	in	a	hospital	or	in	municipality	(16%,	P<0.041)	than	in	those	working	in	other	settings	(7%)Conclusion:	•	Given	the	low	percentage	of	dietitians	qualified	with	‘proper	knowledge’	of	malnutrition,	starvation,	cachexia	and	sarcopenia,	origins	of	muscle	wasting	are	suboptimally	recognized	in	clinical	practice.		•	Identifying	cases	is	performed	better	than	the	theoretical	understanding	of	the	concept	of	malnutrition.Knowledge and practice among dietitians in four Western European countries regarding malnutrition, starvation, cachexia and sarcopeniaLies ter Beek*a, Erika Vanhauwaertb, Frode Slindec, Ylva Orrevalld, Christine Henriksenf, Madelene Johanssonc, Carine Vereeckenb, Elisabet Rothenbergf, Harriët Jager-Wittenaara	a.	Research	Group	Healthy	Ageing,	Allied	Health	Care	and	Nursing,	Hanze	University	of	Applied	Sciences	Groningen,	Groningen,	Netherlandsb.		Department	of	Healthcare	and	Technology,	Leuven	University	College,	Leuven,	Belgiumc.		Sahlgrenska	Academy,	University	of	Gothenburg,	Gothenburg,	Swedend.		Learning,	Informatics,	Management	and	Ethics,	Karolinska	Institutet,	Stockholm,	Swedene.		Institute	of	Basic	Medical	Sciences	Division	of	Clinical	Nutrition,	University	of	Oslo,	Oslo,	Norwayf.		Kristianstad	University,	Kristianstad,	Sweden Healthy Ageing*l.ter.beek@pl.hanze.nl hanze.nl/healthyageingRationale: Adequate	distinction	between	malnutrition,	starvation,	cachexia	and	sarcopenia	is	important	in	clinical	care.	Despite	the	overlap	in	physical	characteristics,	differences	in	etiology	have	therapeutical	and	prognostic	implications.	Aim:	To	determine	whether	dietitians	in	selected	European	countries	have	‘proper	knowledge’	of	malnutrition,	starvation,	cachexia	and	sarcopenia,	and	use	terminology	accordingly.Methods: •	Anonymous	online	survey	among	dietitians	in	the	Netherlands,	Belgium,	Sweden	and	Norway•	‘Proper	knowledge’	defined	as	describing	2	or	3	of	the	common	domains	of	malnutrition	plus	a	correct	answer	to	3	case	studies	regarding	starvation,	cachexia	and	sarcopenia•	Chi-squared	test	was	used	to	analyse	differences	in	experience,	working	place	and	number	of	malnourished	patients	treated	between	dietitians	with	‘proper’	vs.	‘less	proper	knowledge’Coverage of definition of malnutritionSwedenN(n=91)%Belgium	N(n=160)%Norway	N(n=49)%Netherlands	N(n=69)%AllN(n=369)	%3	domains 14 15.4 14 8.8 2 4.1 9 13.0 39 10.62	domains 29 31.9 54 33.8 16 32.7 14 20.3 113 30.61	domain 44 48.4 86 53.8 18 36.7 41 59.4 189 51.20	domains 4 4.4 6 3.8 13 26.5 5 7.2 28 7.6Different domainsNutritional	balance 57 62.6 98 61.3 19 38.8 37 53.6 211 57.2Body	composition 64 70.3 97 60.6 30 61.2 43 62.3 234 63.4Functionality	&	outcome 23 25.3 41 25.6 7 14.3 16 23.2 87 23.6Case studiesStarvation	case 63 69.2 74 46.3 28 57.1 49 71.0 214 58.0Cachexia	case 49 53.9 47 29.3 22 44.9 41 59.4 159 43.1Sarcopenia	case 75 82.4 112 70.0 35 71.4 51 73.9 273 74.0Correct	answers	to	all	cases 38 41.8 27 16.9 15 30.6 33 47.8 113 30.6‘Proper	knowledge’* 19 20.9 10 6.3 8 16.3 11 15.9 48 13.0Figure 1. Results of questions on knowledge	*Defined	as	mentioning	2	or	3	domains	of	the	definition	of	malnutrition	and	correct	answers	to	all	cases.

Knowledge and practice among dietitians in four Western European countries regarding malnutrition, starvation, cachexia and sarcopenia

https://research.hanze.nl/ws/files/6185109/97.Poster_terBeek_et_al_2015.pdf

Knowledge and practice among dietitians in four Western European countries regarding malnutrition, starvation, cachexia and sarcopenia

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