ESPEN guidelines on enteral nutrition:: Geriatrics

被引:377
作者
Volkert, D. [1 ]
Berner, Y. N.
Berry, E.
Cederholm, T.
Bertrand, P. Coti
Milne, A.
Palmblad, J.
Schneider, St.
Sobotka, L.
Stanga, Z.
Lenzen-Grossimlinghaus, R.
Krys, U.
Pirlich, M.
Herbst, B.
Schuetz, T.
Schroer, W.
Weinrebe, W.
Ockenga, J.
Lochs, H.
机构
[1] Pfrimmer Nutricia, Div Med Sci, Erlangen, Germany
[2] Meir Hosp, Dept Geriatr, Kefar Sava, Israel
[3] Hebrew Univ Jerusalem, Hadassah Med Sch, Dept Human Nutr & Metab, IL-91010 Jerusalem, Israel
[4] Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden
[5] CHU Vaudois, Unite Nutr Clin, CH-1011 Lausanne, Switzerland
[6] Univ Aberdeen, Hlth Serv Res Unit, Aberdeen, Scotland
[7] Huddinge Univ Hosp, Karolinska Inst, Dept Med, S-14186 Huddinge, Sweden
[8] Hop Archet, Nice, France
[9] Charles Univ Prague, Fac Med, Dept Gerontol & Metab Care, Metab Care Unit, Hradec Kralove, Czech Republic
[10] Univ Hosp, Inselspital, Bern, Switzerland
[11] Univ Bonn, Dept Nutr Sci, D-5300 Bonn, Germany
关键词
guideline; clinical practice; evidence-based; recommendations;
D O I
10.1016/j.clnu.2006.01.012
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Nutritional intake is often compromised in elderly, multimorbid patients. Enteral nutrition (EN) by means of oral nutritional supplements (ONS) and tube feeding (TF) offers the possibility to increase or to insure nutrient intake in case of insufficient oral food intake. The present guideline is intended to give evidence-based recommendations for the use of ONS and TF in geriatric patients. It was developed by an interdisciplinary expert group in accordance with officially accepted standards and is based on all relevant publications since 1985. The guideline was discussed and accepted in a consensus conference. EN by means of ONS is recommended for geriatric patients at nutritional risk, in case of multimorbidity and frailty, and following orthopaedic-surgical procedures. In elderly people at risk of undernutrition ONS improve nutritional status and reduce mortality. After orthopaedic-surgery ONS reduce unfavourable outcome. TF is clearly indicated in patients with neurologic dysphagia. In contrast, TF is not indicated in final disease states, including final dementia, and in order to facilitate patient care. Altogether, it is strongly recommended not to wait until severe undernutrition has developed, but to start EN therapy early, as soon as a nutritional risk becomes apparent. The full version of this article is available at www.espen.org. (C) 2006 European Society for Clinical Nutrition and Metabolism. All rights reserved.
引用
收藏
页码:330 / 360
页数:31
相关论文
共 174 条
[1]  
Abitbol V, 2002, GASTROEN CLIN BIOL, V26, P448
[2]  
Abuksis G, 2000, AM J GASTROENTEROL, V95, P128
[3]  
[Anonymous], COCHRANE DATABASE SY, DOI DOI 10.1002/14651858
[4]   Nutritional supplementation for hip fracture aftercare in older people [J].
Avenell, A ;
Handoll, HHG .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2005, (02)
[5]  
AXELSSON K, 1989, J AM DIET ASSOC, V89, P1092
[6]   FEEDING VIA NASOGASTRIC TUBE OR PERCUTANEOUS ENDOSCOPIC GASTROSTOMY - A COMPARISON [J].
BAETEN, C ;
HOEFNAGELS, J .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1992, 27 :95-98
[7]  
BANERJEE A K, 1978, Age and Ageing, V7, P237, DOI 10.1093/ageing/7.4.237
[8]   PROTEIN STATUS IN LONG-STAY GERIATRIC INPATIENTS [J].
BANERJEE, AK ;
BROCKLEHURST, JC ;
SWINDELL, R .
GERONTOLOGY, 1981, 27 (03) :161-166
[9]   A cross-sectional and longitudinal study of health-related quality of life after percutaneous gastrostomy [J].
Bannerman, E ;
Pendlebury, J ;
Phillips, F ;
Ghosh, S .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2000, 12 (10) :1101-1109
[10]  
Bass D J, 1996, J Gerontol Nurs, V22, P37