caa a22 4500 388096470 CHVBK 20180307125305.0 cr unu---uuuuu 161130e199908 xx s 000 0 eng 10.1017/S0029665199000853 doi S0029665199000853 pii (NATIONALLICENCE)cambridge-10.1017/S0029665199000853 Outcomes of undernutrition in patients in the community with cancer or cardiovascular disease [Elektronische Daten] Public health concern has tended to focus on the dangers of obesity, but there is evidence that undernutrition may also pose a risk to physical and mental well-being, particularly in those who are already ill. Using the General Practice Research Database (see office for Population Censuses and Surveys, 1995), we followed up 10 128 men and women aged 18 years and over who had been diagnosed with cancer or cardiovascular disease to examine whether nutritional status, as indicated by BMI, affected rates of use of health care resources and mortality. In both diagnostic groups, patients with a BMI below 20 kg/m 2 had higher rates of consultation with GP, higher rates of prescription and higher death rates during the follow-up period compared with those with a BMI of 20 - < 25 kg/m 2. In men and women with cardiovascular disease, poor nutritional status was associated with a sharply increased risk of hospital admission. Patients whose BMI was 30 - <40 kg/m 2 also tended to have increased rates of GP consultation and prescription, and if they were under the age of 65 years, they had an increased risk of death. The results of the present study suggest that in men and women with cancer or cardiovascular disease, even minor degrees of undernutrition are associated with a marked increase in morbidity and mortality. Copyright © The Nutrition Society 1999 Malnutrition nationallicence Cancer nationallicence Cardiovascular disease nationallicence Edington Jackie Medical Division, Abbott Laboratories, Maidenhead, Berkshire SL6 4XE, UK Winter Paul D. MRC Environmental Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, Hants., UK Coles Steve J. Medical Division, Abbott Laboratories, Maidenhead, Berkshire SL6 4XE, UK Gale Catharine R. MRC Environmental Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, Hants., UK Martyn Christopher N. MRC Environmental Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, Hants., UK Proceedings of the Nutrition Society Cambridge University Press 58/3(1999-08), 655-661 0029-6651 58:3<655 1999 58 PNS https://doi.org/10.1017/S0029665199000853 text/html Onlinezugriff via DOI 1 conference jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0029665199000853 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Edington Jackie Medical Division, Abbott Laboratories, Maidenhead, Berkshire SL6 4XE, UK NATIONALLICENCE 700 1- Winter Paul D. MRC Environmental Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, Hants., UK NATIONALLICENCE 700 1- Coles Steve J. Medical Division, Abbott Laboratories, Maidenhead, Berkshire SL6 4XE, UK NATIONALLICENCE 700 1- Gale Catharine R. MRC Environmental Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, Hants., UK NATIONALLICENCE 700 1- Martyn Christopher N. MRC Environmental Epidemiology Unit, Southampton General Hospital, Southampton SO16 6YD, Hants., UK NATIONALLICENCE 773 0- Proceedings of the Nutrition Society Cambridge University Press 58/3(1999-08), 655-661 0029-6651 58:3<655 1999 58 PNS CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge