Diagnostic criteria for malnutrition - An ESPEN Consensus Statement
Diagnostic criteria for malnutrition - An ESPEN Consensus Statement
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DOI：
10.1016/j.clnu.2015.03.001
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发表时间：
2015-06-01
影响因子：
6.3
通讯作者：
Singer, P.
中科院分区：
文献类型：
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作者：
Cederholm, T.;Bosaeus, I.;Singer, P.
目的：为营养不良的诊断提供一套基于共识的最低标准，以独立于临床环境和病因学，并统一国际术语。方法：欧洲临床营养与代谢学会（ESPEN）任命了一组临床科学家进行修改后的德尔菲过程，包括电子邮件通信，面对面会议，小组问卷和投票，结果：首先，ESPEN建议通过经验证的筛查工具来识别有营养不良风险的受试者，并应进行相应的评估和治疗。营养不良的风险应该有自己的ICD代码。第二，达成了一致的共识，主张营养不良的诊断有两种选择。方案一要求身体质量指数（BMI，kg/m2）不定期10%的习惯体重，或超过3个月>5%。降低BMI
Objective: To provide a consensus-based minimum set of criteria for the diagnosis of malnutrition to be applied independent of clinical setting and aetiology, and to unify international terminology.Method: The European Society of Clinical Nutrition and Metabolism (ESPEN) appointed a group of clinical scientists to perform a modified Delphi process, encompassing e-mail communications, face-to-face meetings, in group questionnaires and ballots, as well as a ballot for the ESPEN membership.Result: First, ESPEN recommends that subjects at risk of malnutrition are identified by validated screening tools, and should be assessed and treated accordingly. Risk of malnutrition should have its own ICD Code. Second, a unanimous consensus was reached to advocate two options for the diagnosis of malnutrition. Option one requires body mass index (BMI, kg/m(2)) 10% of habitual weight indefinite of time, or >5% over 3 months. Reduced BMI is