Hinke M. Kruizenga

Amsterdam University Medical Center | VUmc · Department of Nutrition & Dietetics

Objective: This systematic review aims to reevaluate the role of minerals on muscle mass, muscle strength, physical performance, and the prevalence of sarcopenia in community-dwelling and institutionalized older adults. Design: Systematic review. Setting and participants: In March 2022, a systematic search was performed in PubMed, Scopus, and...

Background A healthy lifestyle is indispensable for the prevention of noncommunicable diseases. However, lifestyle medicine is hampered by time constraints and competing priorities of treating physicians. A dedicated lifestyle front office (LFO) in secondary/tertiary care may provide an important contribution to optimize patient-centred lifestyle c...

Objectives: To report the recovery of patients receiving primary allied healthcare after a COVID-19 infection at a six-month follow-up, and to explore which patient characteristics are associated with the changes in outcomes between the baseline and six-month follow-up. Design: Prospective cohort study. Setting: Allied healthcare in Dutch primary c...

Objective: To report the study protocol and baseline characteristics of a prospective cohort study to evaluate longitudinal recovery trajectories of patients recovering from COVID-19 who have visited a primary care allied health professional. Design: Prospective cohort study with a mixed-methods approach. Patients: Patients recovering from COV...

Background: The nutritional problems of patients who are hospitalised for COVID-19 are becoming increasingly clear. However, a large group of patients have never been hospitalised and also seem to experience persistent nutritional problems. The present study describes the nutritional status, risk of sarcopenia and nutrition-related complaints of p...

Background & aims In dietary practice, it is common to estimate protein requirements on actual bodyweight, but corrected bodyweight (in cases with BMI <20 kg/m² and BMI ≥30 kg/m²) and fat free mass (FFM) are also used. Large differences on individual level are noticed in protein requirements using these different approaches. To continue this discus...

Background: Disease-related malnutrition has been reported in 10% to 55% of people in hospital and the community and is associated with significant health and social-care costs. Dietary advice (DA) encouraging consumption of energy- and nutrient-rich foods rather than oral nutritional supplements (ONS) may be an initial treatment. Objectives: To...

Introduction To stimulate early recognition and treatment of malnutrition, the Dutch Healthcare Inspectorate obliged all hospitals from 2008-2019 to report the number of malnourished patients with an adequate protein intake on the fourth day of hospital admission. In this article we present results over the past 11 years and discuss success factors...

Background & aims Sufficient protein intake is of great importance in hemodialysis (HD) patients, especially for maintaining muscle mass. Daily protein needs are generally estimated using bodyweight (BW), in which individual differences in body composition are not accounted for. As body protein mass is best represented by fat free mass (FFM), there...

Background and aims Patients with COVID-19 infection presents with a broad clinical spectrum of symptoms and complications. As a consequence nutritional requirements are not met, resulting in weight- and muscle loss, and malnutrition. The aim of the present study is to delineate nutritional complaints, the (course of the) nutritional status and ris...

Physiotherapy, Dietetics and Occupational Therapy have been collaborating over recent years to develop an optimal healthcare programme for patients with Post Intensive Care Syndrome (PICS). This case is an example of PICS symptomatology and focuses on the collaboration between Physiotherapy and Dietetics. What is PICS? Owing to healthcare improveme...

Optimal nutrition is an important condition for optimal recovery from illness, both in and outside the hospital setting. In addition, in developed countries hospital-related malnutrition remains a major problem which can lead to complications, longer hospital stays and increased costs. The EFFORT study investigated if individualised nutritional sup...

Background: Prevalence of malnutrition in hospitals has been reported around 20% and increases during hospitalization. The "Rate-a-Plate" method has been developed to monitor dietary intake and identify patients whose nutrition status deteriorates during hospitalization, but has not yet been validated. The objective was to study the validity and r...

The Dietetic Pocket Guide has two editions: The version on adults (2017) and the paediatric version (2019). The Dietetic Pocket Guides are is designed to help dietitians working in all care settings and with all patient groups to complete a full dietetic assessment and diagnosis. These guides contain a wealth of relevant information, tests and cri...

De ondervoede oudere patiënt heeft dikwijls verscheidene functiebeperkingen en/of aandoeningen en er zijn dwarsverbanden met andere zorgproblemen, zoals decubitus, valincidenten en delirium. Ouderen zijn kwetsbaarder voor uitdroging dan jongeren door de veranderingen die in de water- en zouthuishouding optreden als gevolg van het normale verouderin...

In 2016 definieerde ESPEN de vijf aan voeding gerelateerde aandoeningen: ondervoeding, sarcopenie, overgewicht, micronutriëntdeficiënties en het refeeding syndroom. Ondervoeding en sarcopenie zijn twee overlappende maar verschillende aandoeningen, die tegelijkertijd voor kunnen komen. In dit artikel geven we de hoofdlijnen voor de diëtistische diag...

Background: Adequate energy and protein intake could be essential for contributing significantly to the rehabilitations process. Data on the actual nutritional intake of older nursing home rehabilitation patients have not yet been investigated. Aims: To investigate the nutritional intake and predictors for achieving protein and energy requiremen...

Background: The European Society for Clinical Nutrition and Metabolism (ESPEN) has recently published consensus-based criteria for the diagnosis of malnutrition; in subjects identified at nutritional risk the diagnosis is confirmed by either BMI <18.5 kg/m(2) or weight loss in combination with low BMI or low FFMI. Concerns have been raised whether...

see www.dieteticocketguide.com The Dietetic Pocket Guide adults is designed to help dietitians working in all care settings and with all patient groups to complete a full dietetic assessment and diagnosis. This guide contains a wealth of relevant information, tests and criteria in 10 chapters that cover nutritional status, energy- and protein requ...

Background When indirect calorimetry is not available, predictive equations are used to estimate resing energy expenditure (REE). There is no consensus about which equation to use in hospitalized patients. The objective of this study is to examine the validity of REE predictive equations for underweight, normal weight, overweight, and obese inpatie...

Background: In 2015 the European Society for Clinical Nutrition and Metabolism (ESPEN) presented new consensus criteria for the diagnosis of malnutrition. Whereas most previous definitions were based on involuntary weight loss and/or a low BMI, the ESPEN definition added Fat Free Mass Index (FFMI) to the set of criteria. Aim: To study the predic...

Het probleem van aan ouderdom en ziekte gerelateerde ondervoeding is in alle sectoren van de Nederlandse gezondheidszorg groot. Het streven is om (dreigende) ondervoeding tijdig te herkennen. Na de herkenning volgt diagnosestelling en een behandeling op maat, gericht op verbetering van voedingsinname, behoud (of toename) van gewicht, spiermassa en...

Objective: To examine the prevalence of undernutrition, received dietetic treatment and self-perception of nutritional status in older patients admitted to Dutch nursing home rehabilitation wards. Methods: Between December 2012-February 2014, we included 190 patients (≥65 y) admitted to seven nursing home rehabilitation wards. Nutritional status...

Background: Undernutrition is a common complication of disease and a major determinant of hospital stay outcome. Dutch hospitals are required to screen for undernutrition on the first day of admission. Objective: We sought to determine the prevalence of the screening score "undernourished" with use of the Short Nutritional Assessment Questionnai...

Gastroenterology (GE) used to be considered a subspecialty of internal medicine. Today, GE is generally recognized as a wide-ranging specialty incorporating capacities, such as hepatology, oncology and interventional endoscopy, necessitating GE-expert differentiation. Although the European Board of Gastroenterology and Hepatology has defined specif...

Background & aims: With the rapidly increasing number of malnourished older persons in the community, this review aims to summarize the effects of nutritional intervention studies for this target group. Methods: Based on 2 previous reviews (2009, 2011) an update of the literature was performed. Selected were higher quality studies which included...

Rationale: In The Netherlands, screening on malnutrition is common practice in hospitals, using the Short Nutritional Assessment Questionnaire (SNAQ) or the Malnutrition Universal Screening Tool (MUST). Using the screening data of 14 hospitals of 2007 2014 two questions were answered: 1. What is the percentage of patients with screening score “mal...

Background & Aims: Consensus on the definition of malnutrition has not yet been reached. Recently, The European Society for Clinical Nutrition and Metabolism (ESPEN) proposed a consensus definition of malnutrition. The aim of the present study was to describe the prevalence of malnutrition according to the ESPEN definition in four diverse populatio...

Health-care systems are currently facing tremendous budget constraints resulting in growing pressure on decision makers and health-care providers to obtain the maximum possible health benefits of the resources available. Choices have to be made, and health economics can help in allocating limited health-care resources among unlimited wants and need...

Since 2007, systematic screening for undernutrition has become a performance indicator (PI) for hospitals within the National Benchmarks on Quality of Care of the Dutch Health Care Inspectorate (HCI). Its introduction was guided by a national implementation program. The aim of this study was to evaluate the screening results from 2007 to 2010 and t...

Doel Evaluatie van effectiviteit van de behandeling door een diëtist bij ondervoede thuiswonende ouderen. Methode Ondervoede thuiswonende ouderen (≥ 65 jaar) namen deel aan een gerandomiseerd en gecontroleerd onderzoek in de eerstelijnszorg. Op basis van toeval werden deelnemers ingedeeld in een interventiegroep (n = 72) en een controlegroep (n = 7...

Undernutrition in older age is associated with adverse clinical outcomes and high health care costs. This study aimed to evaluate the cost-effectiveness of a dietetic treatment in primary care compared with usual care in older, undernourished, community-dwelling individuals. A parallel randomized controlled trial. Primary care. A total of 146 under...

Achtergrond. Evaluatie van de effectiviteit van de behandeling door een diëtist bij ondervoede thuiswonende ouderen. Methode. Ondervoede thuiswonende ouderen (≥ 65 jaar) namen deel aan een gerandomiseerd en gecontroleerd onderzoek in de eerstelijnszorg. We randomiseerden de deelnemers naar een interventiegroep (n = 72) en een controlegroep (n = 74)...

Background: Pre-treatment weight loss (WL) is a prognostic indicator for overall survival (OS) in head and neck cancer (HNC) patients. This study investigates the association between WL before or during radiotherapy and disease-specific survival (DSS) in HNC patients. Methods: In 1340 newly diagnosed HNC patients, weight change was collected bef...

Background/objectives: The majority of hospital outpatients with undernutrition is unrecognized, and therefore untreated. There is a need for an easy and valid screening tool to detect undernutrition in this setting. The aim of this study was to determine the diagnostic accuracy of the MUST (Malnutrition Universal Screening Tool) and SNAQ (Short N...

The authors prospectively assessed the independent association between weight loss and deterioration in quality of life (QOL) in patients treated by radiotherapy for head and neck cancer. In 533 head and neck cancer patients treated by curative radiotherapy, changes in weight and QOL were assessed between baseline (before radiotherapy) and follow-u...

Purpose: Undernutrition is a prevalent problem in older, community-dwelling individuals. Aim of this study was to determine the effects of a dietetic treatment in older, undernourished, community-dwelling individuals. Methods: A parallel randomized controlled trial was performed in 146 non-institutionalized, undernourished individuals aged ≥65 y...

Het probleem van aan ouderdom en ziekte gerelateerde ondervoeding is in alle sectoren van de Nederlandse gezondheidszorg hoog. Gemiddeld is één op de vier patiënten in ziekenhuizen, zorginstellingen of bij de thuiszorg ernstig ondervoed en ruim één op de drie patiënten matig ondervoed. Tijdige behandeling van (dreigende) ondervoeding leidt tot verb...

The aim of this study was to assess the prevalence of undernutrition in patients in Dutch rehabilitation centres and to measure the diagnostic accuracy of available screening tools. This cross-sectional multicentre study was conducted in 11 rehabilitation centres in The Netherlands. Patient's nutritional status was determined by the amount of weigh...

The cutoff value of critical weight loss is still subject of discussion. In this pilot study, we investigated whether ≥ 5% weight loss in the past year predicts changes in nutritional status in patients with advanced cancer during treatment with palliative chemotherapy. In 20 patients with advanced cancer undergoing palliative (combination) chemoth...

Weight loss is a frequently observed problem in patients with head and neck cancer (HNC) during radiotherapy. It is still to be assessed whether hypermetabolism is contributing to this problem. The aim of this study was to investigate hypermetabolism before radiotherapy, and changes in resting energy expenditure (REE) in HNC patients during radioth...