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Management of malnutrition in older patients: current approaches, evidence and open questions

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 highl...

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Main Authors: Volkert, Dorothee (Author) , Beck, Anne Marie (Author) , Cederholm, Tommy (Author) , Cereda, Emanuele (Author) , Cruz-Jentoft, Alfonso (Author) , Goisser, Sabine (Author) , de Groot, Lisette (Author) , Großhauser, Franz (Author) , Kiesswetter, Eva (Author) , Norman, Kristina (Author) , Pourhassan, Maryam (Author) , Reinders, Ilse (Author) , Roberts, Helen C. (Author) , Rolland, Yves (Author) , Schneider, Stéphane M. (Author) , Sieber, Cornel (Author) , Thiem, Ulrich (Author) , Visser, Marjolein (Author) , Wijnhoven, Hanneke A. H. (Author) , Wirth, Rainer (Author)
Format: Article (Journal)
Language:English
Published: 4 July 2019
In: Journal of Clinical Medicine
Year: 2019, Volume: 8, Issue: 7
ISSN:2077-0383
DOI:10.3390/jcm8070974
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3390/jcm8070974
Verlag, lizenzpflichtig, Volltext: https://www.mdpi.com/2077-0383/8/7/974
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Author Notes:Dorothee Volkert, Anne Marie Beck, Tommy Cederholm, Emanuele Cereda, Alfonso Cruz-Jentoft, Sabine Goisser, Lisette de Groot, Franz Großhauser, Eva Kiesswetter, Kristina Norman, Maryam Pourhassan, Ilse Reinders, Helen C. Roberts, Yves Rolland, Stéphane M. Schneider, Cornel C. Sieber, Ulrich Thiem, Marjolein Visser, Hanneke A.H. Wijnhoven and Rainer Wirth
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Summary: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.
Item Description:Gesehen am 23.07.2020
Physical Description:Online Resource
ISSN:2077-0383
DOI:10.3390/jcm8070974

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