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Management of Malnutrition in Older Patients: Current Approaches, Evidence and Open Questions
Friedrich Alexander Univ Erlangen Nurnberg, Inst Biomed Aging, D-90408 Nurnberg, Germany.
Univ Coll Copenhagen, Dept Nutr & Hlth, DK-2200 Copenhagen, Denmark;Herlev & Gentofte Univ Hosp, DK-2703 Herlev, Denmark.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism. Karolinska Univ Hosp, Theme Ageing, S-17176 Stockholm, Sweden.ORCID iD: 0000-0003-3705-0725
Fdn IRCCS Policlin San Matteo, Clin Nutr & Dietet Unit, I-27100 Pavia, Italy.
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2019 (English)In: JOURNAL OF CLINICAL MEDICINE, ISSN 2077-0383, Vol. 8, no 7, article id 974Article, review/survey (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2019. Vol. 8, no 7, article id 974
Keywords [en]
Geriatric patients, older persons, malnutrition, therapy, interventions
National Category
Nursing Nutrition and Dietetics Geriatrics
Identifiers
URN: urn:nbn:se:uu:diva-393607DOI: 10.3390/jcm8070974ISI: 000479004300005PubMedID: 31277488OAI: oai:DiVA.org:uu-393607DiVA, id: diva2:1354453
Available from: 2019-09-25 Created: 2019-09-25 Last updated: 2019-09-25Bibliographically approved

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