ESPEN guidelines on definitions and terminology of clinical nutrition
ESPEN guidelines on definitions and terminology of clinical nutrition
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DOI：
10.1016/j.clnu.2016.09.004
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发表时间：
2017-02-01
影响因子：
6.3
通讯作者：
Singer, P.
中科院分区：
文献类型：
--
作者：
Cederholm, T.;Barazzoni, R.;Singer, P.
背景资料：营养相关概念和程序的定义和术语缺乏一致性，限制了临床营养实践和研究的发展。目的：这一举措旨在达成共识的核心营养概念和procedure.Methods的术语：欧洲临床营养与代谢学会（ESPEN）任命了一个共识小组的临床科学家进行修改后的德尔菲过程，其中包括电子邮件通信，面对面的会议，在组内投票和电子ESPEN会员德尔菲轮。确定了与临床营养有关的五个关键领域：概念;程序;组织;交付;和产品。临床营养的一个核心概念是营养不良/营养不足，包括疾病相关性营养不良（DRM）与（eq.恶病质）和无炎症，以及无疾病的营养不良/营养不足，例如饥饿相关的营养不良。营养过剩（超重和肥胖）是另一个核心概念。肌肉减少症和虚弱被认为是经常与营养不良相关的单独疾病。确定的营养程序的例子包括筛选受试者的营养风险，然后进行全面的营养评估。医院和护理机构的饮食供应是提供营养的基本组织形式。口服营养补充剂是营养治疗的首选方式，但如果不充分，那么其他形式的医学营养治疗，即肠内管饲和肠外（静脉内）营养，成为营养delivery.Conclusion的主要途径：协议的基本营养术语用于临床实践，研究，和ESPEN指南的发展已经建立。这一术语共识可能有助于支持未来的全球共识努力和国际疾病分类（ICD）等分类系统的更新。本说明所述各领域知识的不断增长将为今后的修订奠定基础。(C)2016年欧洲临床营养与代谢学会。由爱思唯尔有限公司出版。保留所有权利。
Background: A lack of agreement on definitions and terminology used for nutrition-related concepts and procedures limits the development of clinical nutrition practice and research. Objective: This initiative aimed to reach a consensus for terminology for core nutritional concepts and procedures.Methods: The European Society of Clinical Nutrition and Metabolism (ESPEN) appointed a consensus group of clinical scientists to perform a modified Delphi process that encompassed e-mail communication, face-to-face meetings, in-group ballots and an electronic ESPEN membership Delphi round.Results: Five key areas related to clinical nutrition were identified: concepts; procedures; organisation; delivery; and products. One core concept of clinical nutrition is malnutrition/undernutrition, which includes disease-related malnutrition (DRM) with (eq. cachexia) and without inflammation, and malnutrition/undernutrition without disease, e.g. hunger-related malnutrition. Over-nutrition (overweight and obesity) is another core concept. Sarcopenia and frailty were agreed to be separate conditions often associated with malnutrition. Examples of nutritional procedures identified include screening for subjects at nutritional risk followed by a complete nutritional assessment. Hospital and care facility catering are the basic organizational forms for providing nutrition. Oral nutritional supplementation is the preferred way of nutrition therapy but if inadequate then other forms of medical nutrition therapy, i.e. enteral tube feeding and parenteral (intravenous) nutrition, becomes the major way of nutrient delivery.Conclusion: An agreement of basic nutritional terminology to be used in clinical practice, research, and the ESPEN guideline developments has been established. This terminology consensus may help to support future global consensus efforts and updates of classification systems such as the International Classification of Disease (ICD). The continuous growth of knowledge in all areas addressed in this statement will provide the foundation for future revisions. (C) 2016 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.