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ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics

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ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics. / Volkert, Dorothee ; Beck, Ann Marie; Cederholm, Tommy; Cruz-Jentoft, Alfonso ; Goisser, Sabine; Hooper, Lee; Kiesswettera, Eva; Maggio, Marcello; Raynaud-Simon, Agathe; Sieber, Cornel C; Sobotka, Lubos; van Asselt, Dieneke; Wirth, Rainer; Bischoff, Stephan C.

In: Clinical Nutrition, Vol. 38, No. 1, 02.2019, p. 10-47.

Research output: Contribution to journalArticle

Harvard

Volkert, D, Beck, AM, Cederholm, T, Cruz-Jentoft, A, Goisser, S, Hooper, L, Kiesswettera, E, Maggio, M, Raynaud-Simon, A, Sieber, CC, Sobotka, L, van Asselt, D, Wirth, R & Bischoff, SC 2019, 'ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics' Clinical Nutrition, vol. 38, no. 1, pp. 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, 38(1), 10-47. https://doi.org/10.1016/j.clnu.2018.05.024

Vancouver

Volkert D, Beck AM, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L et al. ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics. Clinical Nutrition. 2019 Feb;38(1):10-47. https://doi.org/10.1016/j.clnu.2018.05.024

Author

Volkert, Dorothee ; Beck, Ann Marie ; Cederholm, Tommy ; Cruz-Jentoft, Alfonso ; Goisser, Sabine ; Hooper, Lee ; Kiesswettera, Eva ; Maggio, Marcello ; Raynaud-Simon, Agathe ; Sieber, Cornel C ; Sobotka, Lubos ; van Asselt, Dieneke ; Wirth, Rainer ; Bischoff, Stephan C. / ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics. In: Clinical Nutrition. 2019 ; Vol. 38, No. 1. pp. 10-47.

Bibtex- Download

@article{b42138a347114a499d3f80921d1c4e7f,
title = "ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics",
abstract = "Background: Malnutrition 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. Aim: To 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. Methods: This 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. Results: We 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 counselling, 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. Conclusion: A 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.",
keywords = "Guideline, Dehydration, Malnutrition, Recommendations, Geriatrics, Nutritional care",
author = "Dorothee Volkert and Beck, {Ann Marie} and Tommy Cederholm and Alfonso Cruz-Jentoft and Sabine Goisser and Lee Hooper and Eva Kiesswettera and Marcello Maggio and Agathe Raynaud-Simon and Sieber, {Cornel C} 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",
issn = "0261-5614",
publisher = "Churchill Livingstone",
number = "1",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics

AU - Volkert, Dorothee

AU - Beck, Ann Marie

AU - Cederholm, Tommy

AU - Cruz-Jentoft, Alfonso

AU - Goisser, Sabine

AU - Hooper, Lee

AU - Kiesswettera, Eva

AU - Maggio, Marcello

AU - Raynaud-Simon, Agathe

AU - Sieber, Cornel C

AU - Sobotka, Lubos

AU - van Asselt, Dieneke

AU - Wirth, Rainer

AU - Bischoff, Stephan C

PY - 2019/2

Y1 - 2019/2

N2 - Background: Malnutrition 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. Aim: To 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. Methods: This 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. Results: We 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 counselling, 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. Conclusion: A 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.

AB - Background: Malnutrition 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. Aim: To 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. Methods: This 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. Results: We 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 counselling, 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. Conclusion: A 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.

KW - Guideline

KW - Dehydration

KW - Malnutrition

KW - Recommendations

KW - Geriatrics

KW - Nutritional care

U2 - 10.1016/j.clnu.2018.05.024

DO - 10.1016/j.clnu.2018.05.024

M3 - Article

VL - 38

SP - 10

EP - 47

JO - Clinical Nutrition

JF - Clinical Nutrition

SN - 0261-5614

IS - 1

ER -

ID: 136829674