The study highlights the high incidence of malnutrition among hospitalized patients, with 40% of 500 patients admitted being undernourished (BMI < 20). Overweight patients (BMI > 25) accounted for 34%. Of the 200 undernourished patients, only 96 had any nutritional information documented in their case notes. Reassessment on discharge showed that 112 patients experienced weight loss, with the most undernourished patients losing the most weight. However, 10 of the 55 undernourished patients referred for nutritional support gained weight, while the rest lost weight. The study emphasizes the need for improved awareness and education on clinical nutrition, as malnutrition remains largely unrecognized in hospitals. Nutritional status significantly affects recovery from illness or injury, and poor nutritional status is associated with increased morbidity, mortality, and hospital length of stay. The study also notes that nutritional screening is not routine in many areas, and there is a need for better recognition of malnutrition and improved education on clinical nutrition. The findings suggest that early intervention and nutritional support can improve patient outcomes. The study was conducted in an acute teaching hospital with a nutrition advisory group since 1980, and facilities to determine and address nutritional problems exist in most hospitals. The study underscores the importance of evaluating nutritional status to identify patients at risk of developing nutrition-related complications and to monitor the effectiveness of interventions. The results indicate that while some patients showed improvement with nutritional support, most did not receive adequate attention to their nutritional needs. The study also highlights the importance of anthropometric measurements in assessing nutritional status, as they are simple, non-invasive, and cost-effective. The findings suggest that improved education on clinical nutrition is necessary to address the ongoing problem of malnutrition in hospitals.The study highlights the high incidence of malnutrition among hospitalized patients, with 40% of 500 patients admitted being undernourished (BMI < 20). Overweight patients (BMI > 25) accounted for 34%. Of the 200 undernourished patients, only 96 had any nutritional information documented in their case notes. Reassessment on discharge showed that 112 patients experienced weight loss, with the most undernourished patients losing the most weight. However, 10 of the 55 undernourished patients referred for nutritional support gained weight, while the rest lost weight. The study emphasizes the need for improved awareness and education on clinical nutrition, as malnutrition remains largely unrecognized in hospitals. Nutritional status significantly affects recovery from illness or injury, and poor nutritional status is associated with increased morbidity, mortality, and hospital length of stay. The study also notes that nutritional screening is not routine in many areas, and there is a need for better recognition of malnutrition and improved education on clinical nutrition. The findings suggest that early intervention and nutritional support can improve patient outcomes. The study was conducted in an acute teaching hospital with a nutrition advisory group since 1980, and facilities to determine and address nutritional problems exist in most hospitals. The study underscores the importance of evaluating nutritional status to identify patients at risk of developing nutrition-related complications and to monitor the effectiveness of interventions. The results indicate that while some patients showed improvement with nutritional support, most did not receive adequate attention to their nutritional needs. The study also highlights the importance of anthropometric measurements in assessing nutritional status, as they are simple, non-invasive, and cost-effective. The findings suggest that improved education on clinical nutrition is necessary to address the ongoing problem of malnutrition in hospitals.