0
November 11, 1974, Vol 230, No. 6 >
ARTICLE | November 11, 1974

Protein Status of General Surgical Patients FREE

Bruce R. Bistrian, MD, MPH; George L. Blackburn, MD, PhD; Edward Hallowell; Robert Heddle, MB, BCh
[+] Author Affiliations

Reprint requests to Department of Nutrition and Food Science, 50 Ames St, Massachusetts Institute of Technology, Cambridge, MA 02139 (Dr. Bistrian).


JAMA. 1974;230(6):858-860. doi:10.1001/jama.1974.03240060028025
Text Size: A A A
Published online
Article
References

In a survey of the protein nutritional status of all patients on the surgical wards of an urban municipal hospital, accepted standards indicated moderate to severe protein-calorie malnutrition (PCM) in one half of these patients as judged by triceps skin fold and arm muscle circumference measurements. Weight for height was less severely affected. Although serum albumin levels were recorded in only 43% during the perisurvey periods, the correlation between arm muscle circumference and serum albumin level was highly significant, suggesting that this measurement would substantiate a rate of approximately 50% malnutrition.

(JAMA 230:858-860, 1974)

REFERENCES

1 +
Leevy CM, Cardi L, Frank O, et al:  Incidence and significance of hypovitaminemia in a randomly selected municipal hospital population . Am J Clin Nutr 17:259-271, 1965;.
2 +
Bollet AJ, Owens SO:  Evaluation of nutritional status of selected hospitalized patients . Am J Clin Nutr 26:931-938, 1973;.
3 +
Prevost EA, Butterworth CE:  Nutritional care of hospitalized patients , abstracted. Clin Res 22:5791974;.
4 +
Jelliffe DB: The Assessment of the Nutritional Status of the Community . Geneva, WHO (World Health Organization), 1966;.
5 +
Bistrian BR, Blackburn GL, Scrimshaw NS:  Malnutrition: Cellular immunity in the hospitalized patient , abstracted. Clin Res 21:972, 1973;.
6 +
Blackburn GL, Flatt JP:  Preservation of lean body mass during acute weight reduction, abstracted . Fed Proc 32:916, 1973;.
7 +
Bistrian BR, Blackburn GL, Scrimshaw NS:  Role of nutrition in cellular immunity in hospitalized patients , abstracted. Clin Res 22:414, 1974;.
8 +
Blackburn GL, Flatt JP, Clowes GH, et al: Protein -sparing therapy during periods of starvation with sepsis or trauma . Ann Surg 177:588-594, 1973;.
9 +
Whitehead RG, Coward WA, Lunn PG:  Serum albumin concentration and the onset of kwashiorkor . Lancet 1:63-66, 1973;.
10 +
Law D, Dudrick SJ, Abdou NI:  Immunocompetency of patients with protein calorie malnutrition . Ann Int Med 79:543-550, 1973;.
11 +
Reddy V, Srikantia SG:  Antibody response in kwashiorkor . Indian J Med Res 52:1154-1158, 1964;.
12 +
Smythe P, Brereton-Stiles G, Grace H, et al:  Thymolymphatic deficiency and depression of cell-mediated immunity in protein-calorie malnutrition . Lancet 2:939-943, 1971;.
13 +
Randall HT:  Diet and nutrition in the care of the surgical patient , in Goodhart RS, Shils ME (eds): Modern Nutrition in Health and Disease , ed 5. Philadelphia, Lea & Febiger Publishers, 1973;, pp 961-965.
14 +
Blackburn GL, Flatt JP, Clowes GH, et al:  Peripheral intravenous feeding with isotonic amino acid solutions . Am J Surg 125:447-454, 1973;.
15 +
Dudrick SJ, Long JM, Steiger E, et al:  Intravenous hyperalimentation . Med Clin North Am 54:577-589, 1970;.
16 +
Eyster E, Bernene J:  Nosocomial anemia . JAMA 223:73-74, 1973;.
17 +
Wen C, Weerasinghe HD, Dwyer JT:  Nutrition education in US medical schools . J Am Diet Assoc 63:408-410, 1973;.
18 +
Nutrition teaching in medical schools, in Final Report of the White House Conference on Food, Nutrition and Health. US Government Printing Office, 1970, pp 167-169.
19 +
Goldsmith G:  A national nutritional policy and program . Am J Clin Nutr 26:901-906, 1973;.
20 +
Christakis G, Frankle R, Brown R, et al:  Nutrition teaching at the Mount Sinai School of Medicine: A three year experience . Am J Clin Nutr 25:997-1009, 1972;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Leevy CM, Cardi L, Frank O, et al:  Incidence and significance of hypovitaminemia in a randomly selected municipal hospital population . Am J Clin Nutr 17:259-271, 1965;.
2 +
Bollet AJ, Owens SO:  Evaluation of nutritional status of selected hospitalized patients . Am J Clin Nutr 26:931-938, 1973;.
3 +
Prevost EA, Butterworth CE:  Nutritional care of hospitalized patients , abstracted. Clin Res 22:5791974;.
4 +
Jelliffe DB: The Assessment of the Nutritional Status of the Community . Geneva, WHO (World Health Organization), 1966;.
5 +
Bistrian BR, Blackburn GL, Scrimshaw NS:  Malnutrition: Cellular immunity in the hospitalized patient , abstracted. Clin Res 21:972, 1973;.
6 +
Blackburn GL, Flatt JP:  Preservation of lean body mass during acute weight reduction, abstracted . Fed Proc 32:916, 1973;.
7 +
Bistrian BR, Blackburn GL, Scrimshaw NS:  Role of nutrition in cellular immunity in hospitalized patients , abstracted. Clin Res 22:414, 1974;.
8 +
Blackburn GL, Flatt JP, Clowes GH, et al: Protein -sparing therapy during periods of starvation with sepsis or trauma . Ann Surg 177:588-594, 1973;.
9 +
Whitehead RG, Coward WA, Lunn PG:  Serum albumin concentration and the onset of kwashiorkor . Lancet 1:63-66, 1973;.
10 +
Law D, Dudrick SJ, Abdou NI:  Immunocompetency of patients with protein calorie malnutrition . Ann Int Med 79:543-550, 1973;.
11 +
Reddy V, Srikantia SG:  Antibody response in kwashiorkor . Indian J Med Res 52:1154-1158, 1964;.
12 +
Smythe P, Brereton-Stiles G, Grace H, et al:  Thymolymphatic deficiency and depression of cell-mediated immunity in protein-calorie malnutrition . Lancet 2:939-943, 1971;.
13 +
Randall HT:  Diet and nutrition in the care of the surgical patient , in Goodhart RS, Shils ME (eds): Modern Nutrition in Health and Disease , ed 5. Philadelphia, Lea & Febiger Publishers, 1973;, pp 961-965.
14 +
Blackburn GL, Flatt JP, Clowes GH, et al:  Peripheral intravenous feeding with isotonic amino acid solutions . Am J Surg 125:447-454, 1973;.
15 +
Dudrick SJ, Long JM, Steiger E, et al:  Intravenous hyperalimentation . Med Clin North Am 54:577-589, 1970;.
16 +
Eyster E, Bernene J:  Nosocomial anemia . JAMA 223:73-74, 1973;.
17 +
Wen C, Weerasinghe HD, Dwyer JT:  Nutrition education in US medical schools . J Am Diet Assoc 63:408-410, 1973;.
18 +
Nutrition teaching in medical schools, in Final Report of the White House Conference on Food, Nutrition and Health. US Government Printing Office, 1970, pp 167-169.
19 +
Goldsmith G:  A national nutritional policy and program . Am J Clin Nutr 26:901-906, 1973;.
20 +
Christakis G, Frankle R, Brown R, et al:  Nutrition teaching at the Mount Sinai School of Medicine: A three year experience . Am J Clin Nutr 25:997-1009, 1972;.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems