Absence of protein-energy malnutrition in Prague homeless

Summary Objective: Define the prevalence of protein-energy malnutrition (PEM) in a convenient sample of Prague’s homeless population. Methods: The study was conducted in Prague over an 8 month period during 2003. Nutritional status was assessed using anthropometric measurements, biochemical and hematological indicators. Of the initial 217 subjects recruited, 201 participated actively. Thirteen percent of the participants were women. One hundred and thirty four participants were interviewed on the premises of Naděje, a Czech charitable organization; the rest were interviewed in Bulovka University Hospital. Results: Mean BMI values were within the normal range, with only 6 (3%) of the men and 2 (7%) of the women below 18.5 kg/m 2 . Wasted muscle mass was found in only 1 (0.6%) man. Serum protein levels were within normal limits. Lymphocytopenia was reported in 3 (2%) of the men. Results of the CAGE questionnaire gave a strong indication of alcoholism in 24 (12%) and alcoholism in 32 (16%) of the participants. Conclusions: The data fails to demonstrate the existence of protein-energy malnutrition in Prague’s homeless population.