Malnutrition

Question 1

What do NICE define malnutrition as?

Answer 1

• BMI < 18.5
• Unintentional 10% weight loss over 3-6 months
• BMI < 20 + Unintentional weight loss >5% (Last 3-6 months)

Question 2

What % of patients over 65 years of age are malnourished?

Answer 2

10%

Question 3

Tell me about MUST

Answer 3

• Do on admission to nursing home or hospital.
• Takes into account BMI, recent weight change.
• Takes into account the presence of acute disease.
• Patients are categorized: low, medium or high risk.

Question 4

How do NICE recommend that malnutrition is managed?

Answer 4

• Dietician support if high risk.
• “Food first approach” - push food rather than supplements.
• If supplements taken - take between meals rather than replacement.