The Cartagena Declaration: A call for global commitment to fight for the right to nutritional care

Cárdenas, Diana; Bermúdez, Charles; Barazzoni, Rocco

doi:10.1016/j.clnu.2019.07.015

Cited by 16 publications

(20 citation statements)

References 2 publications

(1 reference statement)

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“…The Cartagena Declaration signed in 2019 for the first time proposes that nutritional care, understood as a holistic process of patient care, should be recognized as a human right [25,41].…”

Section: Nutritional Care As a Human Rightmentioning

confidence: 99%

“…Dignity is the universally endorsed candidate for the core value of human rights [42]. It has been previously described as the link between human dignity and nutrition [41,42]. In fact, the absence of nutritional care and AANH can constitute an offence against human dignity (Table 1).…”

Section: The Definition Of Nutrition Care As a Fundamental Rightmentioning

confidence: 99%

“…In the US, The Alliance to Advance Patient Nutrition gathered key US scientific nutrition companies, in 2013, to advocate for effective nutrition care, including optimal food intake [24]. In Latin America, this problem was addressed by the International Declaration on the Right to Nutritional Care and the Fight Against Malnutrition, named the Cartagena Declaration, signed in May 2019 [25]. Among these initiatives, human rights can be identified as a common basic foundation.…”

Section: Introductionmentioning

confidence: 99%

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Clinical nutrition and human rights. An international position paper

et al. 2021

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The International Working Group for Patients' Right to Nutritional Care presents its position paper regarding nutritional care as a human right intrinsically linked to the right to food and the right to health. All people should have access to food and evidence-based medical nutrition therapy including artificial nutrition and hydration. In this regard, the hospitalized malnourished ill should mandatorily have access to screening, diagnosis, nutritional assessment, with optimal and timely nutritional therapy in order to overcome malnutrition associated morbidity and mortality, while reducing the rates of disease-related malnutrition. This right does not imply there is an obligation to feed all patients at any stage of life and at any cost. On the contrary, this right implies, from an ethical point of view, that the best decision for the patient must be taken and this may include, under certain circumstances, the decision not to feed. Application of the human rights-based approach to the field of clinical nutrition will contribute to the construction of a moral, political and legal focus to the concept of nutritional care. Moreover, it will be the cornerstone to the rationale of political and legal instruments in the field of clinical nutrition.

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Section: Nutritional Care As a Human Rightmentioning

confidence: 99%

Section: The Definition Of Nutrition Care As a Fundamental Rightmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical nutrition and human rights. An international position paper

et al. 2021

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“…The human right for proper nutrition care was acknowledged in the Cartagena declaration [20] and signed on 3rd May 2019 by all presidents of the Latin American Federation of Nutritional Therapy, Clinical Nutrition (FELANPE). The declaration includes 13 principles, such as patient empowerment, dignity, ethical principles, justice and equity and urges the United Nations and the Human Rights Council to recognize the Right to Nutrition Care as a human right in line with the "Sustainable Development Goals" [21].…”

Section: Introductionmentioning

confidence: 99%

Hospital Malnutrition, a Call for Political Action: A Public Health and NutritionDay Perspective

Hiesmayr

Tarantino

Moick

et al. 2019

JCM

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Disease-related malnutrition (DRM) is prevalent in hospitals and is associated with increased care needs, prolonged hospital stay, delayed rehabilitation and death. Nutrition care process related activities such as screening, assessment and treatment has been advocated by scientific societies and patient organizations but implementation is variable. We analysed the cross-sectional nutritionDay database for prevalence of nutrition risk factors, care processes and outcome for medical, surgical, long-term care and other patients (n = 153,470). In 59,126 medical patients included between 2006 and 2015 the prevalence of recent weight loss (45%), history of decreased eating (48%) and low actual eating (53%) was more prevalent than low BMI (8%). Each of these risk factors was associated with a large increase in 30 days hospital mortality. A similar pattern is found in all four patient groups. Nutrition care processes increase slightly with the presence of risk factors but are never done in more than 50% of the patients. Only a third of patients not eating in hospital receive oral nutritional supplements or artificial nutrition. We suggest that political action should be taken to raise awareness and formal education on all aspects related to DRM for all stakeholders, to create and support responsibilities within hospitals, and to create adequate reimbursement schemes. Collection of routine and benchmarking data is crucial to tackle DRM.

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“…The human right for proper nutrition care was acknowledged in the Cartagena declaration [21] and signed on May 3 rd 2019 by all presidents of the Latin American Federation of Nutritional Therapy, Clinical Nutrition (FELANPE). The declaration includes 13 principles such as patient empowerment, dignity, ethical principles, justice and equity and urges the United Nations and the Human Rights Council to recognize the Right to Nutrition Care as a human right in line with the "Sustainable Development Goals" [22].…”

Section: Introductionmentioning

confidence: 99%

Hospital Malnutrition, A Call for Political Action: A Public Health and nutritionDay Perspective

Hiesmayr¹,

Tarantino²,

Moick³

et al. 2019

Preprint

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Disease related malnutrition (DRM) is prevalent in hospitals and is associated with increased care needs, prolonged hospital stay, delayed rehabilitation and death. Nutrition care process related activities such as screening, assessment and treatment has been advocated by scientific societies and patient organizations but implementation is variable. We analyzed the cross-sectional nutritionDay database for prevalence of nutrition risk factors, care processes and outcome for medical patients. In 59126 medical patients included between 2006-2015 the prevalence of recent weight loss (45%), history of decreased eating (48%) and low actual eating (53%) was more prevalent than low BMI (8%). Each of these risk factors was associated with a large increase in 30 days hospital mortality. Nutrition care processes increases slightly with presence of risk factors but never done in more than 50% of patients. Only a third of patients not eating in hospital receive oral nutritional supplements or artificial nutrition. We suggest that political action should be taken to raise awareness and formal education on all aspects related to DRM for all stakeholders, to create and support responsibilities within hospitals, and to create adequate reimbursement schemes. Collection of routine and benchmarking data is crucial to tackle DRM.

show abstract

The Cartagena Declaration: A call for global commitment to fight for the right to nutritional care

Cited by 16 publications

References 2 publications

Clinical nutrition and human rights. An international position paper

Clinical nutrition and human rights. An international position paper

Hospital Malnutrition, a Call for Political Action: A Public Health and NutritionDay Perspective

Hospital Malnutrition, A Call for Political Action: A Public Health and nutritionDay Perspective

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