Nutrition (Burbank, Los Angeles County, Calif.) · 2025
Self-perceived skills in the diagnosis of hospital malnutrition, medical knowledge, and interest in nutrition: A cross-sectional study of medical residency programs.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Cabral Eduardo Lucio Bittencourt, Moraes Dos Santos Ana Luiza, Ferracioli Laura Santos, Turci Maria Aparecida, Correia Maria Isabel Toulson Davisson
Аннотация
BACKGROUND: Nutrition education remains insufficient in medical curricula, despite its essential role in patient treatment.
AIMS: We assessed resident physicians' interest in hospital malnutrition, their self-perceived ability to address it, and their knowledge of basic nutrition topics.
METHODS: This multicenter cross-sectional study included medical residents from nine hospitals in Belo Horizonte, Brazil. Participants completed a structured questionnaire on hospital malnutrition, covering demographics, self-perceived knowledge, interest, and objective knowledge. Descriptive analyses included medians, interquartile ranges, and frequency distributions. Comparative and graphical analyses were used to explore knowledge, interest, and perceived difficulties related to nutritional assessment and care.
RESULTS: A total of 100 resident physicians participated in the study. Among them, 61.7% estimated that "Nutrition or Malnutrition" was covered in less than one academic period during medical school. Despite this, most residents rated the "nutritional assessment of hospitalized patients" as highly important (average score of 9.6). However, 73% reported difficulty in recognizing patients at nutritional risk, and 57% were unfamiliar with nutritional assessment techniques. Additionally, 61% were unable to develop nutritional therapeutic plans. Residents in surgical specialties had more difficulty identifying at-risk patients (93.6% versus 75.4%, P = 0.032). New residents felt more insecure about knowing nutritional assessment techniques (74.0% versus 51.8%, P = 0.035). The average nutrition knowledge score was low (6.02 ± 1.41).
CONCLUSION: Resident physicians from Brazil demonstrated a high level of interest in hospital malnutrition but most of them reported being unprepared to recognize, diagnose, and plan treatment for malnourished patients. This highlights the inadequacy of nutrition education during both medical school and postgraduate training.
AIMS: We assessed resident physicians' interest in hospital malnutrition, their self-perceived ability to address it, and their knowledge of basic nutrition topics.
METHODS: This multicenter cross-sectional study included medical residents from nine hospitals in Belo Horizonte, Brazil. Participants completed a structured questionnaire on hospital malnutrition, covering demographics, self-perceived knowledge, interest, and objective knowledge. Descriptive analyses included medians, interquartile ranges, and frequency distributions. Comparative and graphical analyses were used to explore knowledge, interest, and perceived difficulties related to nutritional assessment and care.
RESULTS: A total of 100 resident physicians participated in the study. Among them, 61.7% estimated that "Nutrition or Malnutrition" was covered in less than one academic period during medical school. Despite this, most residents rated the "nutritional assessment of hospitalized patients" as highly important (average score of 9.6). However, 73% reported difficulty in recognizing patients at nutritional risk, and 57% were unfamiliar with nutritional assessment techniques. Additionally, 61% were unable to develop nutritional therapeutic plans. Residents in surgical specialties had more difficulty identifying at-risk patients (93.6% versus 75.4%, P = 0.032). New residents felt more insecure about knowing nutritional assessment techniques (74.0% versus 51.8%, P = 0.035). The average nutrition knowledge score was low (6.02 ± 1.41).
CONCLUSION: Resident physicians from Brazil demonstrated a high level of interest in hospital malnutrition but most of them reported being unprepared to recognize, diagnose, and plan treatment for malnourished patients. This highlights the inadequacy of nutrition education during both medical school and postgraduate training.