Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee
SOURCE: Clinical Nutrition
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2010
TITLE AUTHOR(S): G.L.Jensen, J.Mirtallo, C.Compher, R.Dhaliwal, A.Forbes, R.F.Grijalba, G.Hardy, J.Kondrup, D.Labadarios, I.Nyulasi, J.C.C.Pineda, D.Waitzberg
KEYWORDS: ADULTS, FOOD SECURITY, POVERTY
Print: HSRC Library: shelf number 6286
HANDLE: 20.500.11910/4326
URI: http://hdl.handle.net/20.500.11910/4326
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2010
TITLE AUTHOR(S): G.L.Jensen, J.Mirtallo, C.Compher, R.Dhaliwal, A.Forbes, R.F.Grijalba, G.Hardy, J.Kondrup, D.Labadarios, I.Nyulasi, J.C.C.Pineda, D.Waitzberg
KEYWORDS: ADULTS, FOOD SECURITY, POVERTY
Print: HSRC Library: shelf number 6286
HANDLE: 20.500.11910/4326
URI: http://hdl.handle.net/20.500.11910/4326
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Background & aims: Multiple definitions for malnutrition syndromes are found in the literature resulting in confusion. Recent evidence suggests that varying degrees of acute or chronic inflammation are key contributing factors in the pathophysiology of malnutrition that is associated with disease or injury. Methods: An International Guideline Committee was constituted to develop a consensus approach to defining malnutrition syndromes for adults in the clinical setting. Consensus was achieved through a series of meetings held at the ASPEN and ESPEN Congresses. Results: It was agreed that an etiology-based approach that incorporates a current understanding of inflammatory response would be most appropriate. The Committee proposes the following nomenclature for nutrition diagnosis in adults in the clinical practice setting. "`Starvation-related malnutrition", when there is chronic starvation without inflammation, `"chronic disease-related malnutrition", when inflammation is chronic and of mild to moderate degree, and "`acute disease or injury-related malnutrition", when inflammation is acute and of severe degree. Conclusions: This commentary is intended to present a simple etiology-based construct for the diagnosis of adult malnutrition in the clinical setting. Development of associated laboratory, functional, food intake, and body weight criteria and their application to routine clinical practice will require validation.-
Related Research Outputs:
- Food security in southern Africa: causes and responses from the region
- What do we know about food insecurity measurement compared to poverty in South Africa?
- Food insecurity and vulnerability information and mapping system (FIVIMS-ZA)
- Poverty in South Africa: extent of access to food and income
- Downstream social monitoring study: nutrition, food security and selected public health issues in IFR reaches: IFR 1, IFR 2, IFR 3, IFR 7 and IFR 9. Volume III
- Draft protocol for social monitoring in the downstream areas of the LHWP: use of riverine resources by individuals and households; income and standards of living of households; nutritional and food security indicators; selected public health indicators
- Household food security status in South Africa
- Exploring definitions of food insecurity and vulnerability: time to refocus assessments
- Exploring Statistics South Africa's national household surveys as sources of information about household-level food security
- The status of household food security targets in South Africa
- Boosting smallholder production for food security: some approaches and evidence from studies in sub-Saharan Africa
- The contribution of subsistence farming to food security in South Africa
- Should subsistence agriculture be supported as a strategy to address rural food insecurity?
- Food security in South Africa
- Identifying a target for food security in South Africa
- South Africa's agro-food sector and the global economic downturn
- A national perspective on household food and nutrition security
- The cost of a healthy diet: a South African perspective
- Nutrindo a pobreza rural - Relacoes agrarias inalteradas na Africa do Sul
- Would halving unemployment contribute to improved household food security for men and women?