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conferenceseries.com
Volume 7, Issue 5 (Suppl) Epidemiology (Sunnyvale), an open access journal
ISSN: 2161-1165 Epidemiology 2017
October 23-25, 2017
EPIDEMIOLOGY & PUBLIC HEALTH
October 23-25, 2017 | Paris, France
6th International Conference on
THE INDIGENOUSAUSTRALIANMALNUTRITION PROJECT: MEASURING THE BURDEN
AND NATURE OFMALNUTRITION IN REGIONALAUSTRALIAN HOSPITALS
Natasha F Morrisa,b, Simon Stewartc, Malcolm Rileyd and Graeme P Maguirea
aBaker Heart and Diabetes Institute, Australia
bMonash University, university in Melbourne, Australia
cMary MacKillop Institute for Health Research, Australia
dCSIRO Health and Biosecurity, Australia
Statement of the Problem: Worldwide, many indigenous populations experience poor health due to their vulnerability
to socio-economic disadvantage. Indigenous people are more likely than non-indigenous people to have nutrition related
diseases, increased morbidity and decreased life expectancy. Malnutrition in hospital patients is a well-recognized problem;
however, malnutrition is frequently under recognized or under estimated in vulnerable patients including indigenous people.
Purpose: The purpose of this study was to measure the burden and nature of malnutrition in adult indigenous Australian
inpatients in 3 regional hospitals.
Methodology & Theoretical Orientation: A cross-sectional survey was used to measure malnutrition risk using the
Malnutrition Screening Tool and Australian Nutrition Tool; and malnutrition using the Subjective Global Assessment. A
Population Based Screening Framework was used with the aim of increasing the awareness and recognition of malnutrition in
indigenous Australians and to facilitate early nutrition management.
Findings: 608 indigenous and non-indigenous Australians were enrolled in this study. The prevalence of malnutrition in all
patients was 46.1% (95% CI 40.1-52.3%). Higher rates of malnutrition were observed in indigenous Australians residing in
Central Australia (56.7%, 95% CI 46.7-66.4%) than in the Top End of Australia (40.7%, 95% CI 31.7-50.1%) and Far North
Queensland (36.7%, 95% CI 36.7%, 95% CI 23.4-41.7%). Factors independently associated with malnutrition for Indigenous
Australians included Central Australian residence and an increased Charles Comorbidity Index. Anthropometric variables
including a BMI <18.5 kg/m2 and smaller mid-upper arm circumference were strong predictors of malnutrition for Indigenous
Australians.
Conclusion & Significance: This is the first study to measure the burden and nature of malnutrition in indigenous Australians
in an inpatient setting. We observed higher rates of malnutrition than previous malnutrition surveys in Australia and the
differing nature of malnutrition that we found highlights the need to developing alternative approaches to malnutrition
screening and detection in indigenous Australians.
Biography
Natasha F Morris is a PhD Candidate at Baker Heart and Diabetes Institute and Monash University. Her expertise lies in malnutrition screening and aims to
improve malnutrition screening and the nutritional health of adult patients. She is keen on completion of her PhD work involving improving the nutritional health for
people with chronic disease through early assessment and nutritional intervention. She is a Lecturer at the University of Melbourne, Department of Nursing, and
Coordinates Graduate Certificate in Nursing Practice.
Natasha F Morris et al., Epidemiology (Sunnyvale) 2017, 7:5(Suppl)
DOI: 10.4172/2161-1165-C1-017