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Article Dans Une Revue Journal of Clinical Medicine Année : 2019

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

Maryam Pourhassan
  • Fonction : Auteur
Ilse Reinders
  • Fonction : Auteur
Helen C Roberts
Yves Rolland
  • Fonction : Auteur
Cornel C Sieber
  • Fonction : Auteur
Ulrich Thiem
  • Fonction : Auteur
Marjolein Visser
  • Fonction : Auteur
Hanneke a H Wijnhoven
  • Fonction : Auteur
Rainer Wirth

Résumé

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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Dates et versions

hal-04606497 , version 1 (10-06-2024)

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Dorothee Volkert, Anne Marie Beck, Tommy Cederholm, Emanuele Cereda, Alfonso Cruz-Jentoft, et al.. Management of Malnutrition in Older Patients—Current Approaches, Evidence and Open Questions. Journal of Clinical Medicine, 2019, 8 (7), pp.974. ⟨10.3390/jcm8070974⟩. ⟨hal-04606497⟩
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