Articles Vol. 67 No. 10 04/11/2026

NUTRITIONAL STATUS AND ASSOCIATED FACTORS AMONG PATIENTS WITH CHRONIC TOPHACEOUS GOUT AT 108 MILITARY CENTRAL HOSPITAL

Dinh Thi Tuyet, Nguyen Kim Lien, Tran Thi Thuy, Nguyen Thi Thanh, Pham Thi Hong Hanh, Pham Thi Huong, Pham Phuong An
DOI: 10.52163/yhc.v67i10.6956
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Abstract

Objectives: To describe nutritional status and analyze selected factors associated with the risk of malnutrition/malnutrition among patients with chronic tophaceous gout at 108 Military Central Hospital.

Methods: A cross-sectional analytical study was conducted among 102 patients with chronic tophaceous gout. Nutritional status was screened using the MNA-SF, together with body mass index, mid-upper arm circumference, serum albumin, and hemoglobin. The MNA-SF ≥ 12 and MNA-SF < 12 groups were compared using the Mann-Whitney U test. Univariate and multivariable logistic regression analyses were performed to explore associated factors.

Results: The median MNA-SF score was 12 (IQR: 11-14). Overall, 30.4% of patients were at risk of malnutrition and 5.9% were malnourished, giving a combined prevalence of MNA-SF < 12 of 36.3%. Patients with MNA-SF < 12 were older, had more gout flares, more and larger tophi, and lower albumin and hemoglobin levels than those with MNA-SF ≥ 12 (p < 0.05). In multivariable analysis, ≥ 3 gout flares during the previous 12 months remained associated with MNA-SF < 12 (aOR = 2.51; 95% CI: 1.02-6.18; p = 0.045).

Conclusions: More than one-third of patients with chronic tophaceous gout screened positive for malnutrition risk/malnutrition by the MNA-SF. Frequent gout flares remained significantly associated with poor nutritional screening status after adjustment.

Keywords
Chronic gout, tophi, nutritional status, MNA-SF.
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