Practices and Utilization Patterns of Nutrition Screening Tools among Pakistani Dietitians

Practices and Utilization Patterns of Nutrition Screening

Authors

  • Musarrat Jahan College of Human Nutrition and Dietetics, Ziauddin University, Karachi, Pakistan
  • Yumna Sadiq College of Human Nutrition and Dietetics, Ziauddin University, Karachi, Pakistan
  • Naeema Tahira Syed College of Human Nutrition and Dietetics, Ziauddin University, Karachi, Pakistan
  • Areeba Munir College of Human Nutrition and Dietetics, Ziauddin University, Karachi, Pakistan
  • Nimrah Nisar College of Human Nutrition and Dietetics, Ziauddin University, Karachi, Pakistan

DOI:

https://doi.org/10.54393/df.v7i01.194

Keywords:

Nutrition Screening Tools, Malnutrition, Dietitians, Subjective Global Assessment, Malnutrition Universal Screening Tool, Mini Nutritional Assessment

Abstract

A high prevalence of malnutrition in Pakistan requires an urgent need to identify at-risk individuals so that they can be provided with immediate nutrition care, especially in hospital and community settings. Therefore, the use of validated nutrition screening tools (e.g., Malnutrition Universal Screening Tool (MUST), SGA, Mini Nutritional Assessment (MNA)) by dietitians for early identification and intervention of nutritional deficiencies is of utmost importance. Objective: To evaluate the use of nutrition screening tools among Pakistani dietitians. Methods: This cross-sectional study, based on a purposive sampling technique, utilized an online survey form (Google Form) which was launched on different social media platforms, especially WhatsApp groups of Pakistani Dietitians. A total of 87 dietitians participated in the study by filling out this form on a voluntary basis. Data about dietitians’ demographics, workplace practices, and screening tools use were collected and analyzed in SPSS version 23.0 and presented in descriptive form (percentages and frequencies). Results: Hospitals were the primary setting (89.7%) of dietitians’ practices, followed by consulting and community (3.4% both). Mostly dietitians (98.9%) were aware of the Nutrition Screening tools, but only 58.6% currently use the validated nutrition screening tools (e.g., MUST, NRS 2002, MST, MNA, SGA) in their workplace. The most commonly used nutritional assessment tools were SGA (52%), MUST (44%), and MNA (28%). Conclusions: While dietitians recognize malnutrition’s prevalence, the use of validated nutrition screening tools is limited in their work settings. Therefore, standardized training and policy interventions are recommended to enhance tool utilization and address disparities, particularly in underserved regions.

References

1. Holmes CJ and Racette SB. The Utility of Body Composition Assessment in Nutrition and Clinical Practice: An Overview of Current Methodology. Nutrients. 2021 Jul; 13(8): 2493. doi: 10.3390/nu13082493.

2. Serón-Arbeloa C, Labarta-Monzón L, Puzo-Foncillas J, Mallor-Bonet T, Lafita-López A, Bueno-Vidales N et al. Malnutrition Screening and Assessment. Nutrients. 2022 Jun; 14(12): 2392. doi: 10.3390/nu14122392.

3. Fullin G. Nutrition Risk Screening Tools. In Nutrition, Metabolism and Kidney Support: A Critical Care Approach. Cham: Springer Nature Switzerland. 2024 Nov: (pp. 61-69. doi: 10.1007/978-3-031-66541-7_6.

4. Ahmed SH, Zahid M, Waseem S, Zafar A, Shaikh TG, Sabri T et al. The Current State of Primary Healthcare in Pakistan: A Way Forward for Low-to Middle-Income Countries. Primary Health Care Research and Development. 2024 Jan; 25: e59. doi: 10.1017/S1463423624000549.

5. Meshkovska B, Gebremariam MK, Atukunda P, Iversen PO, Wandel M, Lien N. Barriers and Facilitators to Implementation of Nutrition-Related Actions in School Settings in Low- and Middle-Income Countries (LMICs): A Qualitative Systematic Review Using the Consolidated Framework for Implementation Research (CFIR). Implementation Science Communications. 2023 Jun; 4(1): 73. doi: 10.1186/s43058-023-00454-y.

6. Rosewarne E, Chislett WK, McKenzie B, Mhurchu CN, Boelsen-Robinson T, Blake M et al. Understanding Enablers and Barriers to the Implementation of Nutrition Standards in Publicly Funded Institutions in Victoria. Nutrients. 2022 Jun; 14(13): 2628. doi: 10.3390/nu14132628.

7. Sultan R and Iram A. Unravelling the Impact of Food Insecurity on the Prevalence of Double Burden of Malnutrition among Children of Pakistan. International Research Alliance for Sustainable Development Journal of Economics. 2023 Jun; 5(2): 283-305. doi: 10.52131/joe.2023.0502.0128.

8. Jahan M, Hakeem R, Azhar N. Challenges Faced by Dietitians Working in Various Cities of Pakistan. International Journal of Natural Medicine and Health Sciences. 2023 Jun; 2(3): 12-6.

9. Totland TH, Krogh HW, Smedshaug GB, Tornes RA, Bye A, Paur I. Harmonization and Standardization of Malnutrition Screening for All Adults–A Systematic Review Initiated by the Norwegian Directorate of Health. Clinical nutrition ESPEN. 2022 Dec; 52: 32-49. doi: 10.1016/j.clnesp.2022.09.028.

10. Lu Y, Stathopoulou T, Vasiloglou MF, Christodoulidis S, Blum B, Walser T et al. An Artificial Intelligence-Based System for Nutrient Intake Assessment of Hospitalized Patients. In 2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). 2019 Jul: 5696-5699. doi: 10.1109/EMBC.2019.8856889.

11. Cook F, Rodriguez JM, McCaul LK. Malnutrition, Nutrition Support and Dietary Intervention: The Role of the Dietitian Supporting Patients with Head and Neck Cancer: Malnutrition, Nutrition Support and Dietary Intervention: The Role of the Dietitian Supporting Patients with Head and Neck Cancer. British Dental Journal. 2022 Nov; 233(9): 757-64. doi: 10.1038/s41415-022-5107-8.

12. Kristensen MB, Wessel I, Ustrup KS, Dieperink KB, Zwisler AD, Beck AM. Nutrition Screening and Assessment Tools for Patients with Cancer and Survivors of Cancer: A Systematic Review Protocol. British Medical Journal Open. 2020 Oct; 10(10): e037844. doi: 10.1136/bmjopen-2020-037844.

13. Litchford A, Wengreen H, Savoie-Roskos MR. Assessment of Clinical Practice Procedures among Registered Dietitian Nutritionists for Identifying Feeding Dysfunction in the Pediatric Population. Clinical Nutrition. 2021 Apr; 40(4): 2219-27. doi: 10.1016/j.clnu.2020.09.051.

14. Bellini SG, Becker PJ, Carney LN, Green Corkins K, Medico T, Van Poots HA. Current Practices Using Pediatric Malnutrition Indicators: A Survey of Dietitians Working in Pediatrics. Nutrition in Clinical Practice. 2020 Dec; 35(6): 1080-6. doi: 10.1002/ncp.10495.

15. Jimenez EY, Lamers-Johnson E, Long JM, McCabe G, Ma X, Woodcock L et al. Predictive Validity of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Indicators to Diagnose Malnutrition Tool in Hospitalized Adults: A Cohort Study. The American Journal of Clinical Nutrition. 2024 Mar; 119(3): 779-87. doi: 10.1016/j.ajcnut.2023.12.012.

16. Reber E, Schönenberger KA, Vasiloglou MF, Stanga Z. Nutritional Risk Screening in Cancer Patients: The First Step Toward Better Clinical Outcome. Frontiers in Nutrition. 2021 Apr; 8: 603936. doi: 10.3389/fnut.2021.603936.

17. Cortes R, Yañez AM, Capitán‐Moyano L, Millán‐Pons A, Bennasar‐Veny M. Evaluation of Different Screening Tools for Detection of Malnutrition in Hospitalized Patients. Journal of Clinical Nursing. 2024 Dec; 33(12): 4759-71. doi: 10.1111/jocn.17170.

18. Neelemaat F, Meijers J, Kruizenga H, Van Ballegooijen H, Van Bokhorst‐de van der Schueren M. Comparison of Five Malnutrition Screening Tools in One Hospital Inpatient Sample. Journal of Clinical Nursing. 2011 Aug; 20(15‐16): 2144-52. doi: 10.1111/j.1365-2702.2010.03667.x

19. Velasco C, García E, Rodríguez V, Frías L, Garriga R, Álvarez J et al. Comparison of Four Nutritional Screening Tools to Detect Nutritional Risk in Hospitalized Patients: A Multicentre Study. European Journal of Clinical Nutrition. 2011 Feb; 65(2): 269-74. doi: 10.1038/ejcn.2010.243.

20. Matthews LS, Wootton SA, Davies SJ, Levett DZ. Screening, Assessment and Management of Perioperative Malnutrition: A Survey of UK Practice. Perioperative Medicine. 2021 Aug; 10(1): 30. doi: 10.1186/s13741-021-00196-2.

Downloads

Published

2026-03-31

Issue

Section

Original Article

How to Cite

Jahan, M., Sadiq, Y., Syed, N. T., Munir, A., & Nisar, N. (2026). Practices and Utilization Patterns of Nutrition Screening Tools among Pakistani Dietitians: Practices and Utilization Patterns of Nutrition Screening . DIET FACTOR (Journal of Nutritional and Food Sciences), 7(01), 09-14. https://doi.org/10.54393/df.v7i01.194

Similar Articles

21-30 of 111

You may also start an advanced similarity search for this article.