Malnutrition Syndromes: A Conundrum vs Continuum

Abstract

of inflammatory response in relation to malnutrition syndromes is described. This discussion serves to highlight a research agenda to address deficiencies in diagnostics, biomarkers, and therapeutics of inflammation in relation to malnutrition. (JPEN J Parenter Enteral Nutr. 2009;33:710-716)

Clinical Outcomes of Inadequate Calorie Delivery and Protein Deficit in Surgical Intensive Care Patients

“…No difference in in-hospital or 30-day mortality was detected between low-and high-calorie deficit groups. (14) 3 (8) 3 (8) 5 (14) 9 (24) 36 (97) 1891 (396) 98 (15) 1154 (462) 51 (21) 737 (544) 47 (24) 8467 (5058) 523 (210) 62 (22) 56 (20) 15 (8)(9)(10)(11)(12)(13)(14)(15) 15 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) 14 (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)…”

“…25,26 Our calculation of nutritional deficit was based on daily calorie and protein requirements according to the guidelines of the American Society for Parenteral and Enteral Nutrition and was not based on indirect calorimetry or nitrogen balance studies, neither of which are routine practice for patients receiving enteral feeding in our surgical ICUs. Although we attempted to control for various clinically relevant variables that may affect the relationship between nutritional deficits and ICU outcomes, residual confounding might exist, for which we were unable to control.…”

The management of the patient with malnutrition: from evidence to clinical practice

“…39 Beside the Joint Commission recommendations of 1996 indicating to screen in-patients for malnutrition within 24 h of admission, in recent years, different approaches (often no evidence-based) have been used, at admission, to screen patients for malnutrition. 40 This seems the reason of the extreme heterogeneity of malnutrition incidence and prevalence in literature.…”

Rheumatoid Cachexia, a Metabolic Rheumatoid Arthritis Disorder: Pathophysiological Mechanisms, Diagnostic Tools and Current Therapeutic Strategy

“…The conceptual focus on the pathophysiologic processes that lead to malnutrition, and not just the degree of correspondence with cut-points established for anthropometric measurements or amounts of lean mass and fat mass, is currently considered an innovative proposal for the comprehension, prevention and the management of malnutrition [49,50]. With these grounds, it is possible to implement specific strategies for the management of Rheumatoid cachexia, whose main objectives are: a. Nutritional management as an integral and interdisciplinary part of the medical management of patients with RA [50].…”

“…With these grounds, it is possible to implement specific strategies for the management of Rheumatoid cachexia, whose main objectives are: a. Nutritional management as an integral and interdisciplinary part of the medical management of patients with RA [50].…”