Background & aims: Assessment of dietary intake using a 3-day dietary record may delay the management of undernutrition. Methods allowing a quick estimation of dietary intake are needed. We aimed to determine the feasibility of assessing dietary intake using two 10-point verbal (AVeS) and visual (AViS) analogue scales, to assess the correlations of both scales with energy intake, and to determine the accuracy of AVeS for assessing undernutrition.
Methods: We prospectively recruited 114 patients undernourished or nutritionally at-risk in two French University Hospitals. Undernutrition was defined as a Nutritional Risk Index <97.5. AVeS and AViS were performed by one interviewer and mean daily energy intake was calculated from 3-day dietary records by one dietician.
Results: The feasibility of AVeS and AViS was 98% and 96%, respectively. Both verbal and visual scales were statistically correlated with calculated energy intake (rho=0.66 and rho=0.74, P<0.0001), especially in undernourished patients (rho=0.82, P<0.0001, for AVeS). Sensitivity, specificity, positive and negative predictive values of an AVeS score less than 7 for assessing undernutrition were 57%, 81%, 86% and 46%, respectively.
Conclusion: AVeS and AViS could be used for a quick assessment of dietary intake in clinical practice, particularly in undernourished in-patients. Thus, both verbal and visual analogue scales could be particularly useful for the management of hospital undernutrition.