This article focuses on nutritional risk factors that predict the deve
lopment of pressure ulcers in hospital and nursing home patients. Cros
s-sectional studies associate inadequate energy and protein intake; un
derweight; low triceps skinfold measurement; and low serum albumin, lo
w serum cholesterol, and low hemoglobin levels with pressure ulcers. P
rospective studies identify inadequate energy and protein intake, a po
or score on the Braden scale (a risk assessment instrument that includ
es a nutrition component), and possibly low serum albumin level as ris
k factors for developing a pressure ulcer. Nutritionists should provid
e a high-energy, high-protein diet for patients at risk of development
of pressure ulcers to improve their dietary intake and nutritional st
atus.