AIM:To investigate and compare efficacy and differences in the nutritional status evaluation of gastroenterology patients by application of two methods:subjective global assessment(SGA) and nutritional risk index(NRI)...AIM:To investigate and compare efficacy and differences in the nutritional status evaluation of gastroenterology patients by application of two methods:subjective global assessment(SGA) and nutritional risk index(NRI).METHODS:The investigation was performed on 299 hospitalized patients,aged 18-84 years(average life span 55.57 ± 12.84),with different gastrointe-stinal pathology,admitted to the Department of Gastroenterohepatology,Clinical and Hospital Center "Bezanijska Kosa" during a period of 180 d.All the patients,after being informed in detail about the study and signing a written consent,underwent nutritional status analysis,which included two different nutritional indices:SGA and NRI,anthropometric parameters,bioelectrical impedance analysis,and biochemical markers,within 24 h of admission.RESULTS:In our sample of 299 hospitalized patients,global malnutrition prevalence upon admission varied from 45.7% as assessed by the SGA to 63.9% by NRI.Two applied methods required different parameters for an adequate approach:glucose level(5.68 ± 1.06 mmol/L vs 4.83 ± 1.14 mmol/L,F = 10.63,P = 0.001);body mass index(26.03 ± 4.53 kg/m2 vs 18.17 ± 1.52 kg/m2,F = 58.36,P < 0.001);total body water(42.62 ± 7.98 kg vs 36.22 ± 9.32 kg,F = 7.95,P = 0.005);basal metabolic rate(1625.14 ± 304.91 kcal vs 1344.62 ± 219.08 kcal,F = 9.06,P = 0.003) were very important for SGA,and lymphocyte count was relevant for NRI:25.56% ± 8.94% vs 21.77% ± 10.08%,F = 11.55,P = 0.001.The number of malnourished patients rose with the length of hospital stay according to both nutritional indices.The discriminative function analysis(DFA) delineated the following parameters as important for prediction of nutritional status according to SGA assessment:concentration of albumins,level of proteins,SGA score and body weight.The DFA extracted MAMC,glucose level and NRI scores were variables of importance for the prediction of whether admitted patients would be classif ied as well or malnourished.CONCLUSION:SGA showed higher sensitivity to predicto展开更多
Background Malnutrition is common in patients with cancer,and can negatively impact their quality of life(QoL)and even survival.However,there is currently no large data available on the prevalence of malnutrition in C...Background Malnutrition is common in patients with cancer,and can negatively impact their quality of life(QoL)and even survival.However,there is currently no large data available on the prevalence of malnutrition in Chinese cancer patients.This study evaluated the prevalence of malnutrition and the QoL of Chinese patients with locoregional,recurrent or metastatic cancer.Methods We conducted a nationwide observational,multi-center,hospital-based cross-sectional study within the Chinese Society of Nutritional Oncology(CSNO)Network.All of the patients were diagnosed with one of the following 18 different types of malignant tumors:lung cancer,gastric cancer,liver cancer,colorectal cancer,breast cancer,esophageal cancer,cervical cancer,endometrial cancer,nasopharyngeal carcinoma,malignant lymphoma,leukemia,pancreatic cancer,ovarian cancer,prostate cancer,bladder cancer,brain cancer,biliary tract malignant tumors or gastrointestinal stromal tumors.These patients were enrolled from 72 hospitals located in different regions of China.The patients’nutritional status was evaluated based on the body mass index(BMI),loss of bodyweight,laboratory measurements and patient generated-subjective global assessment(PG-SGA)scores.The cancer patients’physical status and QoL were assessed by the Karnofsky Performance Status(KPS)questionnaire and the European Organization for Research and Treatment of Cancer(EORTC)QLQ-C30 questionnaire,respectively.Results From December 2013 to April 2016,23,994 patients hospitalized for cancer treatment(such as surgery,chemotherapy or radiotherapy)were enrolled in the study.The patients included 12,494(52.9%)males and 11,124(47.1%)females.The mean age was 55.8±13.7 years.The proportions of patients in cancer stagesⅠ,Ⅱ,Ⅲ,Ⅳand uncertain were 11.5%,20.3%,27.5%,30.2%and 10.5%,respectively.Among the 23,994 inpatients,the proportions of patients who were underweight(BMI<18.5 kg/m2),normal(18.5 kg/m2<BMI<24 kg/m2),overweight(24 kg/m2≤BMI<28 kg/m2)and obese(BMI≥28 kg/m2)were 9.3%,59.9%,26.1%an展开更多
Previous research has detailed how social status affects the willingness to have children.However,subjective social status(SSS)derived from a comparison with a reference group also has an important impact on fertility...Previous research has detailed how social status affects the willingness to have children.However,subjective social status(SSS)derived from a comparison with a reference group also has an important impact on fertility desire.This study explores the relationship between the past,present,and future SSS and fertility desire,using data from the Chinese General Social Survey,a nationally representative population survey conducted in 2017(N=4,864).The study found that the individual’s fertility desire is positively enhanced by the current SSS,the expected SSS in the future,and the upward trend of SSS throughout the course of life.Compared with the group with a low level of SSS and with little change in SSS,the fertility desire of the group with"Rising first and then stable"SSS and"Rising"SSS significantly increased.The results suggest that the expectation of positive changes in social status will stimulate fertility desires and produce long-term family plans.With the rapid development of China’s social economy and the positive response to the low fertility rate,social policies should be adopted to open up channels for the protection and improvement of the social status of citizens and to achieve an increase of fertility desire.展开更多
Using a sample of over 90,000 urban and rura1 residents from the Chinese Social Survey(CSS)and China Genera1 Social Survey(CGSS)from 2003 to 2013,we analyzed the structural features and influencing factors underlying ...Using a sample of over 90,000 urban and rura1 residents from the Chinese Social Survey(CSS)and China Genera1 Social Survey(CGSS)from 2003 to 2013,we analyzed the structural features and influencing factors underlying subjective social status in China.Our findings indicate that over these years,such identification has consistently assumed the shape of a bowling pin:those who“identify with a low social status”account for more than half of respondents,a much higher proportion than in most countries.At the individual level,the net effect on subjective social status of such objective indicators as education,income and occupation has been relatively small,and lessened over the ten years.The correlation between subjective perceptions of mobility and subjective social status is quite strong,but the upward impetus provided by perceptions of upward mobility weakened over the period.At the macro-level,the tempo of economic growth failed to raise the level of class identification,and income inequality had a markedly negative effect.Our research findings further demonstrate that curbing the income gap and increasing opportunities for mobility are important for raising the level of class identification during the transition period.展开更多
基金Supported by (in part) The Grant of Ministry of Science,Technology and Development of the Republic of Serbia,No. 156031
文摘AIM:To investigate and compare efficacy and differences in the nutritional status evaluation of gastroenterology patients by application of two methods:subjective global assessment(SGA) and nutritional risk index(NRI).METHODS:The investigation was performed on 299 hospitalized patients,aged 18-84 years(average life span 55.57 ± 12.84),with different gastrointe-stinal pathology,admitted to the Department of Gastroenterohepatology,Clinical and Hospital Center "Bezanijska Kosa" during a period of 180 d.All the patients,after being informed in detail about the study and signing a written consent,underwent nutritional status analysis,which included two different nutritional indices:SGA and NRI,anthropometric parameters,bioelectrical impedance analysis,and biochemical markers,within 24 h of admission.RESULTS:In our sample of 299 hospitalized patients,global malnutrition prevalence upon admission varied from 45.7% as assessed by the SGA to 63.9% by NRI.Two applied methods required different parameters for an adequate approach:glucose level(5.68 ± 1.06 mmol/L vs 4.83 ± 1.14 mmol/L,F = 10.63,P = 0.001);body mass index(26.03 ± 4.53 kg/m2 vs 18.17 ± 1.52 kg/m2,F = 58.36,P < 0.001);total body water(42.62 ± 7.98 kg vs 36.22 ± 9.32 kg,F = 7.95,P = 0.005);basal metabolic rate(1625.14 ± 304.91 kcal vs 1344.62 ± 219.08 kcal,F = 9.06,P = 0.003) were very important for SGA,and lymphocyte count was relevant for NRI:25.56% ± 8.94% vs 21.77% ± 10.08%,F = 11.55,P = 0.001.The number of malnourished patients rose with the length of hospital stay according to both nutritional indices.The discriminative function analysis(DFA) delineated the following parameters as important for prediction of nutritional status according to SGA assessment:concentration of albumins,level of proteins,SGA score and body weight.The DFA extracted MAMC,glucose level and NRI scores were variables of importance for the prediction of whether admitted patients would be classif ied as well or malnourished.CONCLUSION:SGA showed higher sensitivity to predicto
基金This work was supported by the National Key Research to Han Ping Shi and Development Program(No.2017YFC1309200)National Natural Science Foundation of China(No.81673167 to Hong Xia Xu).
文摘Background Malnutrition is common in patients with cancer,and can negatively impact their quality of life(QoL)and even survival.However,there is currently no large data available on the prevalence of malnutrition in Chinese cancer patients.This study evaluated the prevalence of malnutrition and the QoL of Chinese patients with locoregional,recurrent or metastatic cancer.Methods We conducted a nationwide observational,multi-center,hospital-based cross-sectional study within the Chinese Society of Nutritional Oncology(CSNO)Network.All of the patients were diagnosed with one of the following 18 different types of malignant tumors:lung cancer,gastric cancer,liver cancer,colorectal cancer,breast cancer,esophageal cancer,cervical cancer,endometrial cancer,nasopharyngeal carcinoma,malignant lymphoma,leukemia,pancreatic cancer,ovarian cancer,prostate cancer,bladder cancer,brain cancer,biliary tract malignant tumors or gastrointestinal stromal tumors.These patients were enrolled from 72 hospitals located in different regions of China.The patients’nutritional status was evaluated based on the body mass index(BMI),loss of bodyweight,laboratory measurements and patient generated-subjective global assessment(PG-SGA)scores.The cancer patients’physical status and QoL were assessed by the Karnofsky Performance Status(KPS)questionnaire and the European Organization for Research and Treatment of Cancer(EORTC)QLQ-C30 questionnaire,respectively.Results From December 2013 to April 2016,23,994 patients hospitalized for cancer treatment(such as surgery,chemotherapy or radiotherapy)were enrolled in the study.The patients included 12,494(52.9%)males and 11,124(47.1%)females.The mean age was 55.8±13.7 years.The proportions of patients in cancer stagesⅠ,Ⅱ,Ⅲ,Ⅳand uncertain were 11.5%,20.3%,27.5%,30.2%and 10.5%,respectively.Among the 23,994 inpatients,the proportions of patients who were underweight(BMI<18.5 kg/m2),normal(18.5 kg/m2<BMI<24 kg/m2),overweight(24 kg/m2≤BMI<28 kg/m2)and obese(BMI≥28 kg/m2)were 9.3%,59.9%,26.1%an
基金supported by the Scientific Research Foundation of Peking University,the Fundamental Research Funds for the Central Universities(No.7100604137).
文摘Previous research has detailed how social status affects the willingness to have children.However,subjective social status(SSS)derived from a comparison with a reference group also has an important impact on fertility desire.This study explores the relationship between the past,present,and future SSS and fertility desire,using data from the Chinese General Social Survey,a nationally representative population survey conducted in 2017(N=4,864).The study found that the individual’s fertility desire is positively enhanced by the current SSS,the expected SSS in the future,and the upward trend of SSS throughout the course of life.Compared with the group with a low level of SSS and with little change in SSS,the fertility desire of the group with"Rising first and then stable"SSS and"Rising"SSS significantly increased.The results suggest that the expectation of positive changes in social status will stimulate fertility desires and produce long-term family plans.With the rapid development of China’s social economy and the positive response to the low fertility rate,social policies should be adopted to open up channels for the protection and improvement of the social status of citizens and to achieve an increase of fertility desire.
基金financial support from the National Social Science Fund of China Project “Study of the Strutural Features and Dynamic Mechanism of Subjective Social Classification of Chinese Citizens”(No.:16BSH011)
文摘Using a sample of over 90,000 urban and rura1 residents from the Chinese Social Survey(CSS)and China Genera1 Social Survey(CGSS)from 2003 to 2013,we analyzed the structural features and influencing factors underlying subjective social status in China.Our findings indicate that over these years,such identification has consistently assumed the shape of a bowling pin:those who“identify with a low social status”account for more than half of respondents,a much higher proportion than in most countries.At the individual level,the net effect on subjective social status of such objective indicators as education,income and occupation has been relatively small,and lessened over the ten years.The correlation between subjective perceptions of mobility and subjective social status is quite strong,but the upward impetus provided by perceptions of upward mobility weakened over the period.At the macro-level,the tempo of economic growth failed to raise the level of class identification,and income inequality had a markedly negative effect.Our research findings further demonstrate that curbing the income gap and increasing opportunities for mobility are important for raising the level of class identification during the transition period.
