Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 552628
Title Management of Malnutrition in Older Patients—Current Approaches, Evidence and Open Questions
Author(s) Volkert, Dorothee; Beck, Anne Marie; Cederholm, Tommy; Cereda, Emanuele; Cruz-Jentoft, Alfonso; Goisser, Sabine; Groot, Lisette de; Großhauser, Franz; Kiesswetter, Eva; Norman, Kristina; Pourhassan, Maryam; Reinders, Ilse; Roberts, Helen C.; Rolland, Yves; Schneider, Stéphane M.; Sieber, Cornel C.; Thiem, Ulrich; Visser, Marjolein; Wijnhoven, Hanneke A.H.; Wirth, Rainer
Source Journal of Clinical Medicine 8 (2019)7. - ISSN 2077-0383 - 16 p.
DOI https://doi.org/10.3390/jcm8070974
Department(s) Nutritional Biology and Health
VLAG
Publication type Refereed Article in a scientific journal
Publication year 2019
Abstract 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.
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