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Management of Malnutrition in Older Patients : Current Approaches, Evidence and Open Questions

Volkert, Dorothee (author)
Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany
Beck, Anne Marie (author)
Univ Coll Copenhagen, Dept Nutr & Hlth, DK-2200 Copenhagen, Denmark;Herlev & Gentofte Univ Hosp, DK-2703 Herlev, Denmark
Cederholm, Tommy (author)
Karolinska Institutet,Uppsala universitet,Klinisk nutrition och metabolism,Karolinska Univ Hosp, Theme Ageing, S-17176 Stockholm, Sweden
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Cereda, Emanuele (author)
Fdn IRCCS Policlin San Matteo, Clin Nutr & Dietet Unit, I-27100 Pavia, Italy
Cruz-Jentoft, Alfonso (author)
Hosp Univ Ramon y Cajal IRYCIS, Serv Geriatria, Madrid 28034, Spain
Goisser, Sabine (author)
Heidelberg Univ, Ctr Geriatr Med & Network Aging Res NAR, D-69126 Heidelberg, Germany
de Groot, Lisette (author)
Wageningen Univ, Div Human Nutr, NL-6708 WE Wageningen, Netherlands
Grosshauser, Franz (author)
Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany
Kiesswetter, Eva (author)
Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany
Norman, Kristina (author)
German Inst Human Nutr Potsdam Rehbrucke, Dept Nutr & Gerontol, D-14558 Nuthetal, Germany;Charite Univ Med Berlin, Res Grp Geriatr, D-10117 Berlin, Germany;Free Univ Berlin, D-10117 Berlin, Germany;Humboldt Univ, D-10117 Berlin, Germany;Berlin Inst Hlth, D-10117 Berlin, Germany;Univ Potsdam, Inst Nutr Sci, D-14558 Nuthetal, Germany
Pourhassan, Maryam (author)
Ruhr Univ Bochum, Marien Hosp Herne, Univ Hosp, Dept Geriatr Med, D-44625 Herne, Germany
Reinders, Ilse (author)
Vrije Univ Amsterdam, Dept Hlth Sci, Fac Sci, NL-1081 HV Amsterdam, Netherlands;Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, NL-1081 HV Amsterdam, Netherlands
Roberts, Helen C. (author)
Univ Southampton, Southampton Gen Hosp, Southampton NIHR Biomed Res Ctr, Southampton SO16 6YD, Hants, England
Rolland, Yves (author)
Ctr Hospitalouniv Toulouse, Gerontopole, F-31059 Toulouse, France
Schneider, Stephane M. (author)
Univ Cote dAzur, CHU Nice, Nutr Support Unit, F-06200 Nice, France
Sieber, Cornet C. (author)
Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany;Kantonsspital Winterthur, Dept Med, CH-8401 Winterthur, Switzerland
Thiem, Ulrich (author)
Ctr Geriatr & Gerontol, Hamburg, Germany;Univ Med Ctr Eppendorf, Chair Geriatr & Gerontol, D-20246 Hamburg, Germany
Visser, Marjolein (author)
Vrije Univ Amsterdam, Dept Hlth Sci, Fac Sci, NL-1081 HV Amsterdam, Netherlands;Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, NL-1081 HV Amsterdam, Netherlands
Wijnhoven, Hanneke A. H. (author)
Vrije Univ Amsterdam, Dept Hlth Sci, Fac Sci, NL-1081 HV Amsterdam, Netherlands;Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, NL-1081 HV Amsterdam, Netherlands
Wirth, Rainer (author)
Ruhr Univ Bochum, Marien Hosp Herne, Univ Hosp, Dept Geriatr Med, D-44625 Herne, Germany
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 (creator_code:org_t)
2019-07-04
2019
English.
In: Journal of Clinical Medicine. - : MDPI AG. - 2077-0383. ; 8:7
Related links:
https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
https://www.mdpi.com...
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  • Research review (peer-reviewed)
Abstract Subject headings
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  • Malnutrition is widespread in older people and represents a major geriatric syndrome with multifactorial etiology and severe consequences for health outcomes and quality of life. The aim of the present paper is to describe current approaches and evidence regarding malnutrition treatment and to highlight relevant knowledge gaps that need to be addressed. Recently published guidelines of the European Society for Clinical Nutrition and Metabolism (ESPEN) provide a summary of the available evidence and highlight the wide range of different measures that can be taken-from the identification and elimination of potential causes to enteral and parenteral nutrition-depending on the patient's abilities and needs. However, more than half of the recommendations therein are based on expert consensus because of a lack of evidence, and only three are concern patient-centred outcomes. Future research should further clarify the etiology of malnutrition and identify the most relevant causes in order to prevent malnutrition. Based on limited and partly conflicting evidence and the limitations of existing studies, it remains unclear which interventions are most effective in which patient groups, and if specific situations, diseases or etiologies of malnutrition require specific approaches. Patient-relevant outcomes such as functionality and quality of life need more attention, and research methodology should be harmonised to allow for the comparability of studies.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Geriatrics (hsv//eng)

Keyword

Geriatric patients
older persons
malnutrition
therapy
interventions

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