The purpose of this study was to describe nutritional screening practices in hospital settings in Virginia. A questionnaire was mailed to each of the chief clinical dietitians employed at 123 Virginia hospitals listed in the 1994 American Hospital Guide (22). Ninety-one (74%) responses were received. Twenty-five (27.5 %) of the hospitals included in the survey were considered large hospitals with more than 300 licensed beds and 66 (72.5 %) were small hospitals with 300 or fewer licensed beds. Re-screening of patients occurred in 40 (60.6 %) of the small hospitals while 8 (32 %) of the large hospitals had re-screening policies. Computers were used for nutritional screening in 17 (68 %) of the large hospitals and 13 (19.7 %) of the small hospitals. Dietetic technicians participated in screening in 10 (40 %) of the large hospitals and in 11 (16.9 %) of the small hospitals. Dietetic students participated in screening in 8 (32 %) of the large hospitals and they participated in 3 (4.5 %) of the small hospitals. Hemoglobin was used in 6 (24 %) of the large hospitals to determine a patients nutritional risk. It was used in 34 (51.5 %) of the small hospitals. Hematocrit was used in 36 (54.5 %) of the small hospitals and in 5 (20 %) of the large hospitals. All of these associations between large and small hospitals were significantly different (p < .05 ) as determined by Chi square analysis. Since there were no other significant associations between large and small hospitals, the reminder of the results were treated as one group of hospitals. Seventy-five (82.4 %) of the hospitals represented in the survey had written screening policies and a standard form was used in 59 (64.8 0/0) of them. Fifteen (16.50/0) of the hospitals surveyed had written screening policies for specialty units; 8 (8.8 %) also had specific forms. The three most common items included in the routine nutritional screening were weight, height, and lab results. Weight and height also were the items most often missing or not available when a routine screening was performed. Albumin was used as an abnormal finding to determine nutritional risk in 79 (86.8 %) of the hospitals; while weight loss was used in 82 (90.1 %) of the hospitals and weight for height was used in 69 (75.8 010) hospitals. / Master of Science

The population of Americans over age 65 is expected to increase from a reported 12 percent in 1988 to 22 percent by the year 2030. Nutrition screening and intervention can help combat the rising need for health care and other services among the elderly by preventing or delaying disability and dependency. This study was designed to determine the degree of nutritional risk present within the elderly population in rural and urban areas in the state of Utah by conducting an initial nutrition screening using the Determine Your Nutritional Health checklist developed by the Nutrition Screening Initiative. Congregate meal sites were stratified according to urbanization and fifteen centers were selected from both rural and urban counties. Congregate meal participants present at the site completed a Determine Your Nutritional Health checklist and survey asking additional demographic data including age, sex, marital status, living situation, frequency of participation in congregate meals, and if they had previously used the checklist. A total of 838 valid surveys was collected from 29 congregate meal sites throughout the state of Utah. Fifty-seven percent of participants scored in the "good nutritional health" category, 27.7 percent were at moderate nutrition risk, and 15.4 percent scored in the high nutrition risk category. Nutrition risk category was significantly associated with gender, marital status, and cohabitation status. Women, unmarrieds, and individuals living alone scored more frequently in a higher nutrition risk category. Results of this study reflect influences on nutrition risk found in a sample of congregate meal participants in the state of Utah. These results can help the state of Utah identify the common risk factors within this segment of its population, i.e. gender, marital status, cohabitation status, acute/chronic disease, eating alone, and polypharmacy, to plan education and/or intervention for individuals who are at risk.

Latinos comprise 18.9% of the population in the United States and are the largest and fastest growing minority group. Obesity prevalence was 26.2% among Hispanic children compared to 16.6% among non-Hispanic White children. The obesity epidemic among Latino children has been growing rapidly over the past three decades. Multiple barriers, such as lack of culturally appropriate screening tools, language, and lack of access to nutritional assessment and expert consultation, prevents screening of Latino children and further nutritional guidance. For this reason, prevention efforts such as the use of nutritional screening tools is required for early intervention, more so with populations such as Hispanics that are already at higher risk. To prevent the further divide and increased prevalence of obesity, malnutrition, and food insecurity within this group, it is necessary to develop validated, reliable, and culturally competent screening tools that consider the population cultural background. While nutritional screening tools exist and have been validated in English and even translated into Spanish, there are distinct cultural and geographic eating patterns associated with different diet-related disease rates. As we recognize different benefits and results from varying diets, this leads to the conclusion that differing cultural dietary practices present within the Hispanic population in the United States require more than just a translation of existing validated screening tools. The purpose of this project is to develop a Spanish nutrition screening tool for 3-5-year-old children to be used by Spanish-speaking parents in community settings, to appropriately address malnutrition risk factors with cultural sensitivity. To achieve validity of this screening tool, this study had two phases. Phase 1 established face and content validity and phase 2 established criterion validity. This paper will focus on criterion validity. The Spanish nutrition screening tool results were compared to the dietitian assessment risk rating classification using Chi-Square to determine the sensitivity, specificity, positive and negative predictive value of the screening tool. After a comparison between the nutritional assessment and the nutrition screening tool, the tool proved to have a sensitivity of 91.67% and a specificity of 81.48%.

Diet related factors are associated with the 2 most prevalent oral diseases- caries and periodontal disease. Furthermore, there is growing evidence of a synergistic link between nutrition, systemic health, and oral health. Regardless of this evidence and in spite of recommendations by dental associations, researchers have shown the majority of dental professionals are consistently excluding nutritional screenings and dietary counseling in their dental services. The purpose of this study was to examine the nutritional screening and dietary counseling practices of Utah dental hygienists and to evaluate possible associations between various factors influencing the implementation of nutritional services. Surveys were collected from members of the Utah Dental Hygienists’ Association. Mean scores showed low frequency and low confidence levels in performing nutritional services and high perceptions of barriers to care. Little to no difference in mean scores occurred when differentiating between degree achievements, years in dental hygiene practice, or component affiliation.

Current status: Although it was developed and published in many studies pointing to the impact of malnutrition and its relationship to the patient and the economy of the health systems, malnutrition remains a silent guide of hospitalized patients. In the year of 2014, the authors of the study group feedM.E. indicate in their articles the worldwide prevalence of malnutrition as a common and a costly (especially for the elderly). The rate of prevalence of malnutrition in a group of hospitalized patients is around 50%, according to this working group. Objectives: The goal of the project was to describe the methods for screening the patients with nutritional needs interventions by the nurses, the continuity of the care for patients in the risk of malnutrition, transmitting the information about the nutritional status of the patient during his hospitalization and delivery of care to another provider of health services and interdisciplinary co-workers involved in the care of patients in the risk of malnutrition. Methods: The research investigation conducted by the method of the qualitative research. The research subject was the process of detecting malnutrition and continuity of nutritional care for recipients of health services from the perspective of persons providing these services. The research method was chosen a depth interview. The sample of respondents was intentional and the file size was determined by saturation of the collected data. For data processing was used open coding and following categorization of the data which was obtained from interviews. The results were interpreted by using the "showdown". Participants: The request to facilitate the initiation of research has been mostly refused and addressed to the health service providers. Selection of interviewees was intentional by the circle of my former colleagues. With research have expressed their consent five nurses and five dietitians, which are working in the Czech Republic. Results: For identification of patients at the risk of malnutrition, all respondents have described the identification of patients at the risk of malnutrition on admission to the hospital by collecting of nursing history. During the interviews, the respondents have reported the problems both with the absence the reports including detection of patients at the risk of malnutrition from some stations at hospitals, as well as the jurisdictional disputes about the role of the dietitians in patient nutrition at intensive care unit, the complications with material and technical equipment of nursing stations and its applicability for use in specific patients. Also expressed the ignorance of screening tools which are used at the sites of all respondents, including dietitians. The inaccurate ideas of some respondents were in the terms of the skills and the competencies of individual professionals which are involved in the care of patients in the risk of malnutrition. Three nurses of the five indicated that information about the nutritional balance of the patient and their needs should affect the assessment of the patient's overall condition and could lead to changes in the nursing care plan or risk assessment (eg. the risk of pressure ulcers, etc.). Conclusion: The method of providing nutritional care in hospitals, in which respondents are employed, is headed toward pursuing the recommendations of the professional associations. In detail, however, they differ and are often close to the boundaries defined as a legal standards. Breaks are noticeable in continuity of the care, or are put excessive approval procedures, which can lead to delay of required nutritional interventions. Here is a lack of information about the various screening tools and their applicability to the certain groups of patients. Therefore I recommend issuing guidelines by professional society, in the direction of the definition of screening tools and their using in the certain groups of patients, for the healthcare providers in

This Master's Thesis "The Role of a Nurse in the Care of a Patient's Nutrition" is written in a purely theoretical plane, deals with the basic pillar of the existence of the human organism the correct and sufficient nutrition of a human, and studies the extent of an involvement of the general nurse in satisfying biological, psychological aspects of patient's nutrition in the nursing process. The topic of nutrition plays an important part of the complete spectrum of each medical expertise. The satisfaction of patient's need for nutrition in all of the stages of his life is a part of a nurse's job in a nursing process not only in Intensive Care Units, Resuscitation Care Units and Standard Care Departments, but even in Geriatric Units and Social Care Institutes. The thesis is methodically divided into separate parts, each logically following its preceding one. In the Introduction we define malnutrition as a global medicinal and social problem, introduce principles and theoretical starting points of an organisation of an optimal nutrition care and introduce international activities, which contribute to creating guidelines using the Evidence Based Practice method, and implementation of effective methods in providing complex care of a patient's nutrition in medical facilities and institutes of social care. We follow with the summarisation of basic nutrients, emphasising their importance for the right function of a human body, and negative effects of their insufficiency in the food intake. The thesis presents an algorithm of an evaluation of a patient's nutrition state in a nursing process, comparing available screening standardised questionnaires, which are usable in detecting sings of a malnutrition. We present the possibilities of food fortification, specify targets of nutritional support in medical facilities, focusing on indications, benefits, risks and paths of application of enteral and parenteral nutrition, and provide complete summary of nutritional interventions in the context of nursing care, which is oriented on ensuring the food intake. In the Conclusion, we identify those aspects of the patient's nutrition care, which are hard to fulfil and realise, and those psychological and social-cultural aspects, which the nurse can in the nursing process satisfy only when using holistic and empathetic approach. The altruistic, but controversial and ethical-philosophical topic represents not initiating or ending the interventions of nutritional support, where this decision respects principles of beneficence and non-maleficence of The Hippocratic Oath, the quality of a patient's life and human dignity.

This diploma thesis deals with the topic of hidden malnutrition in patients with advanced stage of ovarian carcinoma. Tumor diseases are often accompanied by malnutrition. In the case of ovarian cancer, malnutrition may be hidden, primarily due to ascites, which can distort body weight. Out of the patients included in this study 32 % had ascites. The basic nutritional status test in hospitals is the nutritional screening performed on each hospitalized patient to detect the risk of malnutrition. Other methods such as anthropometric measurements, laboratory values, bioimpedance analysis, or less commonly, imaging processes can also be used to detect malnutrition. The aim of this thesis was to evaluate whether nutritional screening and regular weight control in patients with advanced ovarian cancer is sufficient to diagnose malnutrition. The results have shown that the inclusion of anthropometric measurements between routine screening can be beneficial in detecting a greater number of malnourished patients. Also shifting the BMI threshold in nutritional screening for patients over 65 would greatly increase the capture of patients at risk of malnutrition. The secondary focus was to find whether the presence of ascites can be a determining factor in malnutrition being left undiagnosed, and which simple...

Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2016-11-07T14:45:18Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) DISSERTAÇÃO PDF (FINAL).pdf: 1985062 bytes, checksum: 4a79d78ebe24c8522a428c10507b5c4f (MD5) / Made available in DSpace on 2016-11-07T14:45:18Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) DISSERTAÇÃO PDF (FINAL).pdf: 1985062 bytes, checksum: 4a79d78ebe24c8522a428c10507b5c4f (MD5) Previous issue date: 2016-02-29 / A desnutrição hospitalar adquirida – definida como desequilíbrio nutricional ocorrido durante a hospitalização – é pouco estudada e bastante frequente. O primeiro passo para o seu enfrentamento é saber identificar os pacientes com maior risco de apresentar esse agravo nutricional. Uma das maneiras de se identificar pacientes é a aplicação de instrumentos de triagem de risco que devem ser realizados em todos pacientes pediátricos admitidos em um hospital. Nas últimas duas décadas foram criadas seis ferramentas de triagem para o paciente pediátrico, no entanto, nenhum desses instrumentos foi considerado superior ao outro. Apesar disso, o STRONGKids vem sendo a ferramenta mais estudada em diversos países devido a sua praticidade e rapidez de aplicação. No Brasil, em 2013, foi realizada a tradução e adaptação cultural do STRONGKids da versão original para a língua portuguesa. Contudo, até o momento, não existem estudos de validação dessa ferramenta. Por isso, o objetivo do estudo foi realizar a validação concomitante e preditiva do STRONGKids em crianças internadas em enfermarias de clínica pediátrica de um hospital terciário do Estado de Pernambuco. Trata-se de um estudo metodológico, onde crianças com idade entre um ano até dez anos foram recrutadas nas primeiras 48 horas da hospitalização para a aplicação do instrumento STRONGkids e avaliação antropométrica. Os participantes foram pesados diariamente até a alta hospitalar. A validação concomitante foi realizada através da comparação de dois critérios de risco nutricional: STRONGkids versus diagnóstico antropométrico de desnutrição na admissão. A validação preditiva foi a comparação do instrumento com a perda de peso ao final do internamento. Em relação a validação concomitante, a ferramenta mostrou uma baixa sensibilidade (29,5%), um baixo valor preditivo negativo (43,4%) e um alta especificidade (90%), comparada com a desnutrição na admissão. Em relação à validação preditiva, encontramos sensibilidade de 55,8% e valor preditivos positivo de 50,3% para desnutrição hospitalar adquirida. Concluímos que a análise do STRONGkids através da validação concomitante não é uma opção adequada para a avaliação do instrumento, pois consideramos que a ferramenta e a utilização do estado nutricional na admissão como proxy de risco nutricional têm pressupostos conceituais diferentes. Embora passível de críticas, o modelo no qual os autores se basearam para construir a ferramenta STRONGkids contempla mais aspectos relacionados à avaliação clínica do que a simples avaliação do estado nutricional. Contudo, a análise da validação preditiva tem um aspecto diferente e deve ser valorizada. Grande parte daqueles classificados como de risco nutricional pela ferramenta perdeu peso, mas ferramenta apresenta baixa sensibilidade e um alto percentual de falsos positivos. Assim, uma boa avaliação clínica é mais importante e efetiva que a aplicação de uma ferramenta de triagem de risco nutricional. Por isso, o STRONGkids deve ser considerado um instrumento preliminar e precisa ser correlacionado com outros dados para ser incorporado na prática médica. / Acquired hospital malnutrition - defined as nutritional imbalance occurred during hospitalization - it is little studied and quite frequent. The first step in dealing with it is to be able to identify the patients that have a higher risk of presenting such nutritional disorder. One way to identify patients is the application of risk screening tools that should be performed on all patients admitted to a pediatric hospital. In the last two decades six screening tools were created for pediatric patients, however, none of these instruments were considered superior to the other. Although, STRONGKids has been the most studied tool in several countries due to its practicality and high speed of application. The translation and cultural adaptation of STRONGKids was performed, from the original version into Portuguese, in Brazil in the year of 2013. However, to this date, there are no studies of validation of this tool. Therefore, the aim of the study was to conduct concurrent and predictive validity of STRONGKids in children admitted to pediatric wards of a tertiary hospital in the state of Pernambuco. This is a methodological study in which children aged one-year-old to ten years old were recruited within the first 48 hours of hospitalization for the application of STRONGkids instrument and anthropometric evaluation. Participants were weighed daily until hospital discharge. Concurrent validation was performed by comparing two criteria of nutritional risk: STRONGkids versus anthropometric diagnosis of malnutrition on admission. The predictive validation was the comparison of the instrument with weight loss at the end of hospitalization. Regarding the concurrent validation, the tool showed a low sensitivity (29.5%), a low negative predictive value (43.4%) and a high specificity (90%) compared with the malnutrition on admission. Regarding the predictive validation, we found sensitivity of 55.8% and a positive predictive value of 50.3% for acquired hospital malnutrition. We concluded that the analysis of STRONGkids through concurrent validation is not an adequate option for the instrument assessment, because we consider that the tool and the use of nutritional status on admission as a nutritional risk proxy have different conceptual assumptions. Although open to criticism, the model in which the authors were based to build STRONGkids tool includes more aspects related to clinical assessment than the simple evaluation of nutritional status. Nevertheless, analysis of the predictive validation has a different aspect and should be valued. The majority of those classified as nutritional risk by the tool lost weight, but the tool shows low sensitivity and a high percentage of false positives. Thus, a good clinical evaluation is more important and effective than the application of a nutritional risk screening tool. Therefore, the STRONGkids should be considered a preliminary instrument and must be correlated with other data to be incorporated in medical practice.

Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2016-11-10T10:11:46Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) DISSERTAÇÃO PDF (FINAL).pdf: 1985062 bytes, checksum: 4a79d78ebe24c8522a428c10507b5c4f (MD5) / Made available in DSpace on 2016-11-10T10:11:46Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) DISSERTAÇÃO PDF (FINAL).pdf: 1985062 bytes, checksum: 4a79d78ebe24c8522a428c10507b5c4f (MD5) Previous issue date: 2016-02-29 / A desnutrição hospitalar adquirida – definida como desequilíbrio nutricional ocorrido durante a hospitalização – é pouco estudada e bastante frequente. O primeiro passo para o seu enfrentamento é saber identificar os pacientes com maior risco de apresentar esse agravo nutricional. Uma das maneiras de se identificar pacientes é a aplicação de instrumentos de triagem de risco que devem ser realizados em todos pacientes pediátricos admitidos em um hospital. Nas últimas duas décadas foram criadas seis ferramentas de triagem para o paciente pediátrico, no entanto, nenhum desses instrumentos foi considerado superior ao outro. Apesar disso, o STRONGKids vem sendo a ferramenta mais estudada em diversos países devido a sua praticidade e rapidez de aplicação. No Brasil, em 2013, foi realizada a tradução e adaptação cultural do STRONGKids da versão original para a língua portuguesa. Contudo, até o momento, não existem estudos de validação dessa ferramenta. Por isso, o objetivo do estudo foi realizar a validação concomitante e preditiva do STRONGKids em crianças internadas em enfermarias de clínica pediátrica de um hospital terciário do Estado de Pernambuco. Trata-se de um estudo metodológico, onde crianças com idade entre um ano até dez anos foram recrutadas nas primeiras 48 horas da hospitalização para a aplicação do instrumento STRONGkids e avaliação antropométrica. Os participantes foram pesados diariamente até a alta hospitalar. A validação concomitante foi realizada através da comparação de dois critérios de risco nutricional: STRONGkids versus diagnóstico antropométrico de desnutrição na admissão. A validação preditiva foi a comparação do instrumento com a perda de peso ao final do internamento. Em relação a validação concomitante, a ferramenta mostrou uma baixa sensibilidade (29,5%), um baixo valor preditivo negativo (43,4%) e um alta especificidade (90%), comparada com a desnutrição na admissão. Em relação à validação preditiva, encontramos sensibilidade de 55,8% e valor preditivos positivo de 50,3% para desnutrição hospitalar adquirida. Concluímos que a análise do STRONGkids através da validação concomitante não é uma opção adequada para a avaliação do instrumento, pois consideramos que a ferramenta e a utilização do estado nutricional na admissão como proxy de risco nutricional têm pressupostos conceituais diferentes. Embora passível de críticas, o modelo no qual os autores se basearam para construir a ferramenta STRONGkids contempla mais aspectos relacionados à avaliação clínica do que a simples avaliação do estado nutricional. Contudo, a análise da validação preditiva tem um aspecto diferente e deve ser valorizada. Grande parte daqueles classificados como de risco nutricional pela ferramenta perdeu peso, mas ferramenta apresenta baixa sensibilidade e um alto percentual de falsos positivos. Assim, uma boa avaliação clínica é mais importante e efetiva que a aplicação de uma ferramenta de triagem de risco nutricional. Por isso, o STRONGkids deve ser considerado um instrumento preliminar e precisa ser correlacionado com outros dados para ser incorporado na prática médica. / Acquired hospital malnutrition - defined as nutritional imbalance occurred during hospitalization - it is little studied and quite frequent. The first step in dealing with it is to be able to identify the patients that have a higher risk of presenting such nutritional disorder. One way to identify patients is the application of risk screening tools that should be performed on all patients admitted to a pediatric hospital. In the last two decades six screening tools were created for pediatric patients, however, none of these instruments were considered superior to the other. Although, STRONGKids has been the most studied tool in several countries due to its practicality and high speed of application. The translation and cultural adaptation of STRONGKids was performed, from the original version into Portuguese, in Brazil in the year of 2013. However, to this date, there are no studies of validation of this tool. Therefore, the aim of the study was to conduct concurrent and predictive validity of STRONGKids in children admitted to pediatric wards of a tertiary hospital in the state of Pernambuco. This is a methodological study in which children aged one-year-old to ten years old were recruited within the first 48 hours of hospitalization for the application of STRONGkids instrument and anthropometric evaluation. Participants were weighed daily until hospital discharge. Concurrent validation was performed by comparing two criteria of nutritional risk: STRONGkids versus anthropometric diagnosis of malnutrition on admission. The predictive validation was the comparison of the instrument with weight loss at the end of hospitalization. Regarding the concurrent validation, the tool showed a low sensitivity (29.5%), a low negative predictive value (43.4%) and a high specificity (90%) compared with the malnutrition on admission. Regarding the predictive validation, we found sensitivity of 55.8% and a positive predictive value of 50.3% for acquired hospital malnutrition. We concluded that the analysis of STRONGkids through concurrent validation is not an adequate option for the instrument assessment, because we consider that the tool and the use of nutritional status on admission as a nutritional risk proxy have different conceptual assumptions. Although open to criticism, the model in which the authors were based to build STRONGkids tool includes more aspects related to clinical assessment than the simple evaluation of nutritional status. Nevertheless, analysis of the predictive validation has a different aspect and should be valued. The majority of those classified as nutritional risk by the tool lost weight, but the tool shows low sensitivity and a high percentage of false positives. Thus, a good clinical evaluation is more important and effective than the application of a nutritional risk screening tool. Therefore, the STRONGkids should be considered a preliminary instrument and must be correlated with other data to be incorporated in medical practice.

Introdução: A triagem nutricional é um método utilizado mundialmente, para identificar indivíduos em risco nutricional, sendo os idosos o segmento populacional mais vulnerável. No entanto, no Brasil, ainda não existem métodos específicos para triagem nutricional de idosos domiciliados. Objetivos: i) identificar métodos de triagem nutricional para idosos domiciliados e selecionar o mais adequado para utilização no Brasil; ii) realizar a adaptação transcultural e validação de conteúdo do método selecionado; e iii) verificar as propriedades psicométricas de confiabilidade, de validade e de equivalência operacional do método selecionado. Métodos: Esta tese é composta por três manuscritos. O primeiro apresenta revisão sistemática de métodos de triagem nutricional para idosos domiciliados, publicados nas bases de dados PubMed, LILACS e Web of Science, no período de 1990 a 2012. O segundo descreve o processo de adaptação transcultural e validação de conteúdo do método selecionado, Determine Your Nutritional Health® (DNH), para o Brasil. O terceiro analisou a versão brasileira do método de triagem nutricional Verifique a condição nutricional do idoso, quanto à confiabilidade (pelo teste de McNemar e gráficos de Bland & Altman), à validade discriminante (pela correlação entre o resultado do escore final de triagem nutricional, com as variáveis antropométricas e indicadores nutricionais, utilizando o teste de Mann Whitney) e à equivalência operacional (pelos dados relativos à duração de realização do método e pelo grau de entendimento pela escala Likert entre 1 a 5 ). Resultados: Manuscrito 1: 12 métodos de triagem nutricional que atenderam aos critérios de elegibilidade foram descritos, segundo suas características, forma de identificação do risco nutricional, propriedades psicométricas e aspectos operacionais, sendo selecionado para adaptação transcultural para o Brasil, o método DNH. Manuscrito 2: Adaptações de palavras e expressões foram realizadas originando a versão brasileira Verifique a condição nutricional do idoso apresentando as mesmas questões da versão original do DNH, contudo, em formato mais claro, por meio de perguntas, consideradas acessíveis e de fácil entendimento. Manuscrito 3: Constatou-se que o método Verifique a condição nutricional do idoso é confiável, ou seja, foi capaz de reproduzir respostas semelhantes quando realizadas duas vezes (em momentos diferentes) no mesmo indivíduo, mostrou resultados suficientes quanto à validação discriminante e apresentou duração média da entrevista de 7 minutos, com nota média geral de entendimento de 4,8. Conclusões: O método de triagem nutricional DNH foi selecionado como o mais adequado para adaptação transcultural para o Brasil. Seu processo de adaptação resultou na versão brasileira Verifique a condição nutricional do idoso. Esse método mostrou-se confiável e apresentou resultados suficientes referentes à sua validade discriminante e equivalência operacional, constituindo uma alternativa preventiva para ser utilizada, por profissionais de saúde, com a finalidade de alertar os idosos, quanto à sua condição nutricional para procurarem ajuda especializada. / Background: The nutritional screening is a method used worldwide to identify individuals at nutritional risk, being the older people the most vulnerable population segment. However, in Brazil, there are still no specific methods for nutritional screening in older domiciled people. Objectives: i) identify nutritional screening methods for older domiciled people and select the most adequate for the use in Brazil; ii) carry out the cross-cultural adaptation and validation of content of the method selected; and iii) verify the psychometric properties of reliability, validity and operational equivalence of the method selected. Methods: This thesis is composed of three manuscripts. The first presents a systematic review of nutritional screening methods for the use in older domiciled people published in the databases PubMed, LILACS and Web of Science from 1990 to 2012. The second describes the process of cultural adaptation and validation of contents of the selected method, Determine Your Nutritional Health® (DNH) to Brazil. The third analyzed the Brazilian version of the nutritional screening method \"Verify the condition nutritional of the older people\", regarding the reliability (by the McNemar test and Bland & Altman), the discriminate validity (by correlation between the result of the final score of the screening nutrition, with the anthropometric variables and nutritional indicators, using the Mann-Whitney test) and operational equivalence (by data on the duration of implementation of the method and degree of understanding by Likert scale of 1-5). Results: Manuscript 1: 12 nutritional screening methods which attended the eligibility criteria were described, according to their characteristics, form of identification of nutritional risk, psychometric properties and operational aspects, being selected for cross-cultural adaptation to Brazil, the DNH method. Manuscript 2: Adaptations of words and expressions were made resulting in the Brazilian version of \"Verify the condition nutritional of the older people\", presenting the same issues of the original version of DNH, however, in clearer format, through questions considered accessible and easy to understand. Manuscript 3: It was found that the \"Verify the condition nutritional of the older people\" is reliable, that is, was able to reproduce similar responses when carried out twice (at different moments) with the same individual. It showed sufficient results regarding the discriminate validity and presented an average duration of 7 minutes to carry out the method, with a 4.8 general average grade of understanding. Conclusions: The nutritional screening method DNH was selected as the most adequate for cross-cultural adaptation to Brazil. Its adjustment process resulted in the Brazilian version of \"Verify the condition nutritional of the older people\". This method proved to be reliable and presented results sufficient regarding its discerning validity and operational equivalence, constituting a preventative alternative to be used by health professionals, with the purpose of alerting the older people about their nutritional condition to seek specialized help.