ESPEN guidelines on definitions and terminology of clinical nutrition

被引：1567

作者：

Cederholm, T. ^{[1
,2
]}

Barazzoni, R. ^{[3
]}

Austin, P. ^{[4
,28
]}

Ballmer, P. ^{[5
]}

Biolo, G. ^{[6
]}

Bischoff, S. C. ^{[7
]}

Compher, C. ^{[8
]}

Correia, I. ^{[9
]}

Higashiguchi, T. ^{[10
]}

Hoist, M. ^{[11
]}

Jensen, G. L. ^{[12
,13
]}

Malone, A. ^{[14
]}

Muscaritoli, M. ^{[15
]}

Nyulasi, I. ^{[16
]}

Pirlich, M. ^{[17
]}

Rothenberg, E. ^{[18
]}

Schindler, K. ^{[19
]}

Schneider, S. M. ^{[20
]}

de van der Schueren, M. A. E. ^{[21
,29
]}

Sieber, C. ^{[22
]}

Valentini, L. i ^{[23
]}

Yu, J. C. ^{[24
,25
]}

Van Gossum, A. ^{[26
]}

Singer, P. ^{[27
]}

机构：

[1] Uppsala Univ, Univ Uppsala Hosp, Dept Geriatr Med, Uppsala, Sweden

[2] Uppsala Univ, Publ Hlth & Caring Sci, Clin Nutr & Metab, Uppsala, Sweden

[3] Univ Trieste, Dept Med Surg & Hlth Sci, Trieste, Italy

[4] Oxford Univ Hosp NHS Fdn Trust, Dept Pharm, Oxford, England

[5] Kantonsspital Winterthur, Dept Med, Winterthur, Switzerland

[6] Univ Trieste, Inst Clin Med, Trieste, Italy

[7] Univ Hohenheim, Inst Nutr Med, Stuttgart, Germany

[8] Univ Penn, Sch Nursing, Philadelphia, PA USA

[9] Univ Fed Minas Gerais, Dept Surg, Belo Horizonte, MG, Brazil

[10] Fujita Hlth Univ, Sch Med, Dept Surg & Palliat Med, Toyoake, Aichi, Japan

[11] Aalborg Univ Hosp, Dept Gastroenterol, Ctr Nutr & Bowel Dis, Aalborg, Denmark

[12] Univ Vermont, Coll Med, Deans Off, Burlington, VT USA

[13] Univ Vermont, Coll Med, Dept Med, Burlington, VT USA

[14] Mt Carmel West Hosp, Dept Pharm, Columbus, OH USA

[15] Sapienza Univ Rome, Dept Clin Med, Rome, Italy

[16] Alfred Hlth, Nutr & Dietet, Melbourne, Vic, Australia

[17] Elisabeth Protestant Hosp, Dept Internal Med, Berlin, Germany

[18] Kristianstad Univ, Dept Food & Meal Sci, Kristianstad, Sweden

[19] Med Univ Vienna, Div Endocrinol & Metab, Dept Internal Med 3, Vienna, Austria

[20] Univ Nice Sophia Antipolis, Archet Hosp, Dept Gastroenterol & Clin Nutr, Nice, France

[21] Vrije Univ Amsterdam, Med Ctr, Dept Nutr & Dietet Internal Med, Amsterdam, Netherlands

[22] Friedrich Alexander Univ Erlangen Nurnberg, Hosp St John Lord, Inst Biomed Ageing, Regensburg, Germany

[23] Univ Appl Sci, Sect Dietet, Dept Agr & Food Sci, Neubrandenburg, Germany

[24] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Gen Surg, Beijing, Peoples R China

[25] Peking Union Med Coll, Beijing, Peoples R China

[26] Free Univ Brussels, Hop Erasme, Clin Intestinal Dis & Nutr Support, Dept Gastroenterol, Brussels, Belgium

[27] Tel Aviv Univ, Sackler Sch Med, Rabin Med Ctr, Dept Crit Care,Inst Nutr Res, IL-49100 Petah Tiqwa, Israel

[28] Univ Hosp Southampton NHS Fdn Trust, Dept Pharm, Southampton, Hants, England

[29] HAN Univ Appl Sci, Fac Hlth & Social Studies, Dept Nutr Sports & Hlth, Nijmegen, Netherlands

来源：

CLINICAL NUTRITION | 2017年 / 36卷 / 01期

关键词：

Terminology; Definition; Consensus; Malnutrition; Clinical nutrition; Medical nutrition; BIOELECTRICAL-IMPEDANCE ANALYSIS; ENTERAL NUTRITION; PROTEIN-INTAKE; PROTECTED MEALTIMES; SARCOPENIC OBESITY; SCREENING TOOLS; MUSCLE FUNCTION; DIETARY-INTAKE; HOSPITAL STAY; OLDER-ADULTS;

D O I：

10.1016/j.clnu.2016.09.004

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：

Background: A lack of agreement on definitions and terminology used for nutrition-related concepts and procedures limits the development of clinical nutrition practice and research. Objective: This initiative aimed to reach a consensus for terminology for core nutritional concepts and procedures. Methods: The European Society of Clinical Nutrition and Metabolism (ESPEN) appointed a consensus group of clinical scientists to perform a modified Delphi process that encompassed e-mail communication, face-to-face meetings, in-group ballots and an electronic ESPEN membership Delphi round. Results: Five key areas related to clinical nutrition were identified: concepts; procedures; organisation; delivery; and products. One core concept of clinical nutrition is malnutrition/undernutrition, which includes disease-related malnutrition (DRM) with (eq. cachexia) and without inflammation, and malnutrition/undernutrition without disease, e.g. hunger-related malnutrition. Over-nutrition (overweight and obesity) is another core concept. Sarcopenia and frailty were agreed to be separate conditions often associated with malnutrition. Examples of nutritional procedures identified include screening for subjects at nutritional risk followed by a complete nutritional assessment. Hospital and care facility catering are the basic organizational forms for providing nutrition. Oral nutritional supplementation is the preferred way of nutrition therapy but if inadequate then other forms of medical nutrition therapy, i.e. enteral tube feeding and parenteral (intravenous) nutrition, becomes the major way of nutrient delivery. Conclusion: An agreement of basic nutritional terminology to be used in clinical practice, research, and the ESPEN guideline developments has been established. This terminology consensus may help to support future global consensus efforts and updates of classification systems such as the International Classification of Disease (ICD). The continuous growth of knowledge in all areas addressed in this statement will provide the foundation for future revisions. (C) 2016 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

引用

页码：49 / 64

页数：16

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