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ESPEN guideline on clinical nutrition and hydration in geriatrics

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Harvard

Volkert, D, Beck, AM, Cederholm, T, Cruz-Jentoft, A, Goisser, S, Hooper, L, Kiesswetter, E, Maggio, M, Raynaud-Simon, A, Sieber, C, Sobotka, L, van Asselt, D, Wirth , R & Bischoff, SC 2019, 'ESPEN guideline on clinical nutrition and hydration in geriatrics' Clinical Nutrition ESPEN, bind 38, nr. 1, 38, s. 10-47. https://doi.org/10.1016/j.clnu.2018.05.024

APA

Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Goisser, S., Hooper, L., ... Bischoff, S. C. (2019). ESPEN guideline on clinical nutrition and hydration in geriatrics. Clinical Nutrition ESPEN, 38(1), 10-47. [38]. https://doi.org/10.1016/j.clnu.2018.05.024

CBE

Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L, Kiesswetter E, Maggio M, Raynaud-Simon A, Sieber C, Sobotka L, van Asselt D, Wirth R, Bischoff SC. 2019. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clinical Nutrition ESPEN. 38(1):10-47. https://doi.org/10.1016/j.clnu.2018.05.024

MLA

Vancouver

Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L o.a. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clinical Nutrition ESPEN. 2019 feb;38(1):10-47. 38. https://doi.org/10.1016/j.clnu.2018.05.024

Author

Volkert, Dorothee ; Beck, Anne Marie ; Cederholm, Tommy ; Cruz-Jentoft, Alfonso ; Goisser, Sabine ; Hooper, Lee ; Kiesswetter, Eva ; Maggio, Marcello ; Raynaud-Simon, Agathe ; Sieber, Cornel ; Sobotka, Lubos ; van Asselt, Dieneke ; Wirth , Rainer ; Bischoff, Stephan C. / ESPEN guideline on clinical nutrition and hydration in geriatrics. I: Clinical Nutrition ESPEN. 2019 ; Bind 38, Nr. 1. s. 10-47.

Bibtex

@article{44746c3df56b4413b3eb0ce51d6c6790,
title = "ESPEN guideline on clinical nutrition and hydration in geriatrics",
abstract = "BackgroundMalnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats.AimTo provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight or obese older persons.MethodsThis guideline was developed according to the standard operating procedure for ESPEN guidelines and consensus papers. A systematic literature search for systematic reviews and primary studies was performed based on 33 clinical questions in PICO format. Existing evidence was graded according to the SIGN grading system. Recommendations were developed and agreed in a multistage consensus process.ResultsWe provide eighty-two evidence-based recommendations for nutritional care in older persons, covering four main topics: Basic questions and general principles, recommendations for older persons with malnutrition or at risk of malnutrition, recommendations for older patients with specific diseases, and recommendations to prevent, identify and treat dehydration. Overall, we recommend that all older persons shall routinely be screened for malnutrition in order to identify an existing risk early. Oral nutrition can be supported by nursing interventions, education, nutritional counseling, food modification and oral nutritional supplements. Enteral nutrition should be initiated if oral, and parenteral if enteral nutrition is insufficient or impossible and the general prognosis is altogether favorable. Dietary restrictions should generally be avoided, and weight-reducing diets shall only be considered in obese older persons with weight-related health problems and combined with physical exercise. All older persons should be considered to be at risk of low-intake dehydration and encouraged to consume adequate amounts of drinks. Generally, interventions shall be individualized, comprehensive and part of a multimodal and multidisciplinary team approach.ConclusionA range of effective interventions is available to support adequate nutrition and hydration in older persons in order to maintain or improve nutritional status and improve clinical course and quality of life. These interventions should be implemented in clinical practice and routinely used.AbbreviationsADL, activities of daily living; BM, biomedical endpoint; EN, enteral nutrition; GPP, good practice point; MoW, meals on wheels; ONS, oral nutritional supplements; PC, patient-centered endpoint; PICO, population of interest, interventions, comparisons, outcomes; PN, parenteral nutrition; RCT, randomized controlled trial; SLR, systematic literature review",
keywords = "Health Sciences, Guideline, Recommendations, Geriatrics, Nutritional care, Malnutrition, Dehydration",
author = "Dorothee Volkert and Beck, {Anne Marie} and Tommy Cederholm and Alfonso Cruz-Jentoft and Sabine Goisser and Lee Hooper and Eva Kiesswetter and Marcello Maggio and Agathe Raynaud-Simon and Cornel Sieber and Lubos Sobotka and {van Asselt}, Dieneke and Rainer Wirth and Bischoff, {Stephan C.}",
year = "2019",
month = "2",
doi = "10.1016/j.clnu.2018.05.024",
language = "English",
volume = "38",
pages = "10--47",
journal = "Clinical Nutrition ESPEN",
issn = "2405-4577",
publisher = "Elsevier Limited",
number = "1",

}

RIS

TY - JOUR

T1 - ESPEN guideline on clinical nutrition and hydration in geriatrics

AU - Volkert, Dorothee

AU - Beck, Anne Marie

AU - Cederholm, Tommy

AU - Cruz-Jentoft, Alfonso

AU - Goisser, Sabine

AU - Hooper, Lee

AU - Kiesswetter, Eva

AU - Maggio, Marcello

AU - Raynaud-Simon, Agathe

AU - Sieber, Cornel

AU - Sobotka, Lubos

AU - van Asselt, Dieneke

AU - Wirth , Rainer

AU - Bischoff, Stephan C.

PY - 2019/2

Y1 - 2019/2

N2 - BackgroundMalnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats.AimTo provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight or obese older persons.MethodsThis guideline was developed according to the standard operating procedure for ESPEN guidelines and consensus papers. A systematic literature search for systematic reviews and primary studies was performed based on 33 clinical questions in PICO format. Existing evidence was graded according to the SIGN grading system. Recommendations were developed and agreed in a multistage consensus process.ResultsWe provide eighty-two evidence-based recommendations for nutritional care in older persons, covering four main topics: Basic questions and general principles, recommendations for older persons with malnutrition or at risk of malnutrition, recommendations for older patients with specific diseases, and recommendations to prevent, identify and treat dehydration. Overall, we recommend that all older persons shall routinely be screened for malnutrition in order to identify an existing risk early. Oral nutrition can be supported by nursing interventions, education, nutritional counseling, food modification and oral nutritional supplements. Enteral nutrition should be initiated if oral, and parenteral if enteral nutrition is insufficient or impossible and the general prognosis is altogether favorable. Dietary restrictions should generally be avoided, and weight-reducing diets shall only be considered in obese older persons with weight-related health problems and combined with physical exercise. All older persons should be considered to be at risk of low-intake dehydration and encouraged to consume adequate amounts of drinks. Generally, interventions shall be individualized, comprehensive and part of a multimodal and multidisciplinary team approach.ConclusionA range of effective interventions is available to support adequate nutrition and hydration in older persons in order to maintain or improve nutritional status and improve clinical course and quality of life. These interventions should be implemented in clinical practice and routinely used.AbbreviationsADL, activities of daily living; BM, biomedical endpoint; EN, enteral nutrition; GPP, good practice point; MoW, meals on wheels; ONS, oral nutritional supplements; PC, patient-centered endpoint; PICO, population of interest, interventions, comparisons, outcomes; PN, parenteral nutrition; RCT, randomized controlled trial; SLR, systematic literature review

AB - BackgroundMalnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats.AimTo provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight or obese older persons.MethodsThis guideline was developed according to the standard operating procedure for ESPEN guidelines and consensus papers. A systematic literature search for systematic reviews and primary studies was performed based on 33 clinical questions in PICO format. Existing evidence was graded according to the SIGN grading system. Recommendations were developed and agreed in a multistage consensus process.ResultsWe provide eighty-two evidence-based recommendations for nutritional care in older persons, covering four main topics: Basic questions and general principles, recommendations for older persons with malnutrition or at risk of malnutrition, recommendations for older patients with specific diseases, and recommendations to prevent, identify and treat dehydration. Overall, we recommend that all older persons shall routinely be screened for malnutrition in order to identify an existing risk early. Oral nutrition can be supported by nursing interventions, education, nutritional counseling, food modification and oral nutritional supplements. Enteral nutrition should be initiated if oral, and parenteral if enteral nutrition is insufficient or impossible and the general prognosis is altogether favorable. Dietary restrictions should generally be avoided, and weight-reducing diets shall only be considered in obese older persons with weight-related health problems and combined with physical exercise. All older persons should be considered to be at risk of low-intake dehydration and encouraged to consume adequate amounts of drinks. Generally, interventions shall be individualized, comprehensive and part of a multimodal and multidisciplinary team approach.ConclusionA range of effective interventions is available to support adequate nutrition and hydration in older persons in order to maintain or improve nutritional status and improve clinical course and quality of life. These interventions should be implemented in clinical practice and routinely used.AbbreviationsADL, activities of daily living; BM, biomedical endpoint; EN, enteral nutrition; GPP, good practice point; MoW, meals on wheels; ONS, oral nutritional supplements; PC, patient-centered endpoint; PICO, population of interest, interventions, comparisons, outcomes; PN, parenteral nutrition; RCT, randomized controlled trial; SLR, systematic literature review

KW - Health Sciences

KW - Guideline

KW - Recommendations

KW - Geriatrics

KW - Nutritional care

KW - Malnutrition

KW - Dehydration

U2 - 10.1016/j.clnu.2018.05.024

DO - 10.1016/j.clnu.2018.05.024

M3 - Journal article

VL - 38

SP - 10

EP - 47

JO - Clinical Nutrition ESPEN

JF - Clinical Nutrition ESPEN

SN - 2405-4577

IS - 1

M1 - 38

ER -

ID: 56117930