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Management of Malnu...
Management of Malnutrition in Older Patients : Current Approaches, Evidence and Open Questions
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- Volkert, Dorothee (author)
- Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany
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- Beck, Anne Marie (author)
- Univ Coll Copenhagen, Dept Nutr & Hlth, DK-2200 Copenhagen, Denmark;Herlev & Gentofte Univ Hosp, DK-2703 Herlev, Denmark
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- 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
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- Cruz-Jentoft, Alfonso (author)
- Hosp Univ Ramon y Cajal IRYCIS, Serv Geriatria, Madrid 28034, Spain
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- Goisser, Sabine (author)
- Heidelberg Univ, Ctr Geriatr Med & Network Aging Res NAR, D-69126 Heidelberg, Germany
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- de Groot, Lisette (author)
- Wageningen Univ, Div Human Nutr, NL-6708 WE Wageningen, Netherlands
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- Grosshauser, Franz (author)
- Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany
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- Kiesswetter, Eva (author)
- Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany
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- 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
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- Pourhassan, Maryam (author)
- Ruhr Univ Bochum, Marien Hosp Herne, Univ Hosp, Dept Geriatr Med, D-44625 Herne, Germany
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- 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
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- Roberts, Helen C. (author)
- Univ Southampton, Southampton Gen Hosp, Southampton NIHR Biomed Res Ctr, Southampton SO16 6YD, Hants, England
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- Rolland, Yves (author)
- Ctr Hospitalouniv Toulouse, Gerontopole, F-31059 Toulouse, France
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- Schneider, Stephane M. (author)
- Univ Cote dAzur, CHU Nice, Nutr Support Unit, F-06200 Nice, France
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- Sieber, Cornet C. (author)
- Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany;Kantonsspital Winterthur, Dept Med, CH-8401 Winterthur, Switzerland
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- Thiem, Ulrich (author)
- Ctr Geriatr & Gerontol, Hamburg, Germany;Univ Med Ctr Eppendorf, Chair Geriatr & Gerontol, D-20246 Hamburg, Germany
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- 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
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- 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
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- 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.
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In: Journal of Clinical Medicine. - : MDPI AG. - 2077-0383. ; 8:7
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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
Publication and Content Type
- ref (subject category)
- for (subject category)
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- By the author/editor
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Volkert, Dorothe ...
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Beck, Anne Marie
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Cederholm, Tommy
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Cereda, Emanuele
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Cruz-Jentoft, Al ...
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Goisser, Sabine
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de Groot, Lisett ...
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Grosshauser, Fra ...
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Kiesswetter, Eva
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Norman, Kristina
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Pourhassan, Mary ...
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Reinders, Ilse
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Roberts, Helen C ...
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Rolland, Yves
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Schneider, Steph ...
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Sieber, Cornet C ...
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Thiem, Ulrich
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Visser, Marjolei ...
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Wijnhoven, Hanne ...
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Wirth, Rainer
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nutrition and Di ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Geriatrics
- Articles in the publication
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Journal of Clini ...
- By the university
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Uppsala University
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Karolinska Institutet