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Published in: The journal of nutrition, health & aging 3/2018

01-03-2018 | Editorial

Defining Undernutrition (Malnutrition) in Older Persons

Author: John E. Morley

Published in: The journal of nutrition, health & aging | Issue 3/2018

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Excerpt

The Four major parenteral and enteral nutrition societies, viz Europe (ESPEN), USA (ASPEN), Asia (PENSA) and Latin America (PENSA), are attempting to develop a global consensus on diagnostic criteria for malnutrition (1). This has been driven to some extent by the fact that confusion exists among dietitians and other health professionals regarding the use of terminology such as malnutrition, starvation, cachexia and sarcopenia (2). The World Health Organization defines malnutrition as deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients. They identify two broad groups of malnutrition, the one being undernutrition and the other being over nutrition (www.who.int/features/qu/ malnutrition/en/; accessed October 20, 2017). Unfortunately, the ESPEN guidelines while recognizing that malnutrition is a broader concept, also uses it to describe undernutrition (which they recognize as a synonym) (3). One hopes that as these guidelines develop they will use either undernutrition alone or protein energy malnutrition to identify nutrition problems associated with loss of weight. …
Literature
1.
go back to reference Cederholm T, Jensen GL. To create a consensus on malnutrition diagnostic criteria: A report from the Global Leadership Initiative on Malnutrition (GLIM) meeting at the ESPEN Congress 2016. Clin Nutr 2017;36:7–10.CrossRefPubMed Cederholm T, Jensen GL. To create a consensus on malnutrition diagnostic criteria: A report from the Global Leadership Initiative on Malnutrition (GLIM) meeting at the ESPEN Congress 2016. Clin Nutr 2017;36:7–10.CrossRefPubMed
2.
go back to reference Ter Beek L, Vanhauwaert E, Slinde F, Orrevall Y, Henriksen C, Johansson M, et al. Unsatisfactory knowledge and use of terminology regarding malnutrition, starvation, cachexia and sarcopenia among dietitians. Clin Nutr 2016;35:1450–1456.CrossRefPubMed Ter Beek L, Vanhauwaert E, Slinde F, Orrevall Y, Henriksen C, Johansson M, et al. Unsatisfactory knowledge and use of terminology regarding malnutrition, starvation, cachexia and sarcopenia among dietitians. Clin Nutr 2016;35:1450–1456.CrossRefPubMed
3.
go back to reference Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 2017;36:49–64.CrossRefPubMed Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 2017;36:49–64.CrossRefPubMed
4.
go back to reference White JV, Guenter P, Jensen G, Malone A, Schofield M. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enter Nutr 2012;36:275–283.CrossRef White JV, Guenter P, Jensen G, Malone A, Schofield M. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enter Nutr 2012;36:275–283.CrossRef
5.
go back to reference Steffl M, Musalek M, Kramperova V, Petr M, Kohlikova E, Holmerova I, Volicer L. Assessment of diagnostics tools for sarcopenia severity using the item response theory (IRT). J Nutr Health Aging 2016;20:1051–1055.CrossRefPubMed Steffl M, Musalek M, Kramperova V, Petr M, Kohlikova E, Holmerova I, Volicer L. Assessment of diagnostics tools for sarcopenia severity using the item response theory (IRT). J Nutr Health Aging 2016;20:1051–1055.CrossRefPubMed
6.
go back to reference Yadigar S, Yavuzer H, Yavuzer S, Cengiz M, Yuruyen M, Doventas A, Erdincler DS. Primary sarcopenia in older people with normal nutrition. J Nutr Health Aging 2016;20:234–238.CrossRefPubMed Yadigar S, Yavuzer H, Yavuzer S, Cengiz M, Yuruyen M, Doventas A, Erdincler DS. Primary sarcopenia in older people with normal nutrition. J Nutr Health Aging 2016;20:234–238.CrossRefPubMed
8.
go back to reference McKee A, Morley JE, Matsumoto AM, Vinik A. Sarcopenia: An endocrine disorder? Endocr Pract 2017;23:1140–1149.CrossRefPubMed McKee A, Morley JE, Matsumoto AM, Vinik A. Sarcopenia: An endocrine disorder? Endocr Pract 2017;23:1140–1149.CrossRefPubMed
10.
go back to reference Wei K, Nyunt MSZ, Gao Q, Wee SL, Ng TP. Frailty and malnutrition: Related and distinct syndrome prevalence and association among community-dwelling older adults: Singapore Longitudinal Ageing Studies. J Am Med Dir Assoc 2017;Aug 10. Doi: 10.1016/j.jamda.2017.06.017 [Epub ahead of print]. Wei K, Nyunt MSZ, Gao Q, Wee SL, Ng TP. Frailty and malnutrition: Related and distinct syndrome prevalence and association among community-dwelling older adults: Singapore Longitudinal Ageing Studies. J Am Med Dir Assoc 2017;Aug 10. Doi: 10.1016/j.jamda.2017.06.017 [Epub ahead of print].
11.
go back to reference Garcia-Nogueras I, Aranda-Reneo I, Pena-Longobardo LM, Oliva-Moreno J, Abizanda P. Use of health resources and healthcare costs associated with frailty: The FRADEA study. J Nutr Health Aging 2017;21:207–214.CrossRefPubMed Garcia-Nogueras I, Aranda-Reneo I, Pena-Longobardo LM, Oliva-Moreno J, Abizanda P. Use of health resources and healthcare costs associated with frailty: The FRADEA study. J Nutr Health Aging 2017;21:207–214.CrossRefPubMed
12.
go back to reference Sinclair A, Vellas B. Editorial: Frailty–An emerging high impact complication of diabetes requiring specific management approaches. J Nutr Health Aging 2017;21:193–194.CrossRefPubMed Sinclair A, Vellas B. Editorial: Frailty–An emerging high impact complication of diabetes requiring specific management approaches. J Nutr Health Aging 2017;21:193–194.CrossRefPubMed
13.
go back to reference Chan DD, Tsou HH, Chang CB, Yang RS, Tsauo JY, Chen CY, et al. Integrated care for geriatric frailty and sarcopenia: A randomized control trial. J Cachexia Sarcopenia Muscle 2017;8:78–88.CrossRefPubMed Chan DD, Tsou HH, Chang CB, Yang RS, Tsauo JY, Chen CY, et al. Integrated care for geriatric frailty and sarcopenia: A randomized control trial. J Cachexia Sarcopenia Muscle 2017;8:78–88.CrossRefPubMed
14.
go back to reference Dent E, Lien C, Lim WS, Wong WC, Wong CH, Ng TP, Woo J, et al. The Asia-Pacific clinical practice guidelines for the management of frailty. J Am Med Dir Assoc 2017;18:564–575.CrossRefPubMed Dent E, Lien C, Lim WS, Wong WC, Wong CH, Ng TP, Woo J, et al. The Asia-Pacific clinical practice guidelines for the management of frailty. J Am Med Dir Assoc 2017;18:564–575.CrossRefPubMed
15.
go back to reference Morley JE. Developing Novel Therapeutic Approaches to Frailty. Curr Pharm Design 2009;15:3384–3395.CrossRef Morley JE. Developing Novel Therapeutic Approaches to Frailty. Curr Pharm Design 2009;15:3384–3395.CrossRef
18.
go back to reference Weiss EP, Jordan RC, Frese EM, Albert SG, Villareal DT. Effects of weight loss on lean mass, strength, bone, and aerobic capacity. Med Sci Sports Exerc 2017;49:206–217.CrossRefPubMedPubMedCentral Weiss EP, Jordan RC, Frese EM, Albert SG, Villareal DT. Effects of weight loss on lean mass, strength, bone, and aerobic capacity. Med Sci Sports Exerc 2017;49:206–217.CrossRefPubMedPubMedCentral
19.
go back to reference Villareal DT, Fontana L, Das SK, Redman L, Smith SR, Saltzman E, et al. Effect of two-year caloric restriction on bone metabolism and bone mineral density in nonobese younger adults: A randomized clinical trial. J Bone Miner Res 2016;31:40–51.CrossRefPubMed Villareal DT, Fontana L, Das SK, Redman L, Smith SR, Saltzman E, et al. Effect of two-year caloric restriction on bone metabolism and bone mineral density in nonobese younger adults: A randomized clinical trial. J Bone Miner Res 2016;31:40–51.CrossRefPubMed
20.
go back to reference Soenen S, Chapman IM. Body weight, anorexia, and undernutrition in older people. J Am Med Dir Assoc 2013;14:642–648.CrossRefPubMed Soenen S, Chapman IM. Body weight, anorexia, and undernutrition in older people. J Am Med Dir Assoc 2013;14:642–648.CrossRefPubMed
21.
go back to reference Landi F, Liperoti R, Lattanzio F, Russo A, Tosato M, Barillaro C, Bernabei R, Onder G. Effects of anorexia on mortality among older adults receiving home care: An observation study. J Nutr Health Aging 2012;16:79–83.CrossRefPubMed Landi F, Liperoti R, Lattanzio F, Russo A, Tosato M, Barillaro C, Bernabei R, Onder G. Effects of anorexia on mortality among older adults receiving home care: An observation study. J Nutr Health Aging 2012;16:79–83.CrossRefPubMed
22.
go back to reference Mir F, Zafar F, Morley JE. Anorexia of aging: Can we decrease protein energy undernutrition in the nursing home? J Am Med Dir Assoc 2013;14:77–79.CrossRefPubMed Mir F, Zafar F, Morley JE. Anorexia of aging: Can we decrease protein energy undernutrition in the nursing home? J Am Med Dir Assoc 2013;14:77–79.CrossRefPubMed
23.
24.
go back to reference Morley JE. Anorexia and weight loss in older persons. J Gerontol A Biol Sci Med Sci 2003;58:131–137.CrossRefPubMed Morley JE. Anorexia and weight loss in older persons. J Gerontol A Biol Sci Med Sci 2003;58:131–137.CrossRefPubMed
25.
26.
go back to reference Morley JE. Pathophysiology of the anorexia of aging. Curr Opin Clin Nutr Metab Care 2013;16:27–32.CrossRefPubMed Morley JE. Pathophysiology of the anorexia of aging. Curr Opin Clin Nutr Metab Care 2013;16:27–32.CrossRefPubMed
27.
28.
go back to reference Tamura BK, Bell CL, Masaki KH, Amella EJ. Factors associated with weight loss, low BMI, and malnutrition among nursing home patients: A systematic review of the literature. J Am Med Dir Assoc 2013;14:649–655.CrossRefPubMed Tamura BK, Bell CL, Masaki KH, Amella EJ. Factors associated with weight loss, low BMI, and malnutrition among nursing home patients: A systematic review of the literature. J Am Med Dir Assoc 2013;14:649–655.CrossRefPubMed
29.
go back to reference Sanders KJ, Kneppers AE, van de Bool C, Langen RC, Schols AM. Cachexia in chronic obstructive pulmonary disease: New insights and therapeutic perspective. J Cachexia Sarcopenia Muscle 2016;7:5–22.CrossRefPubMed Sanders KJ, Kneppers AE, van de Bool C, Langen RC, Schols AM. Cachexia in chronic obstructive pulmonary disease: New insights and therapeutic perspective. J Cachexia Sarcopenia Muscle 2016;7:5–22.CrossRefPubMed
30.
go back to reference van de Bool C, Rutten EPA, van Helvoort A, Franssen FME, Wouters EFM, Schols AMWJ. A randomized clinical trial investigating the efficacy of targeted nutrition as adjunct to exercise training in COPD. J Cachexia Sarcopenia Muscle 2017;Jun 12 doi: 10.1002/jcsm.12219 [Epub ahead of print]. van de Bool C, Rutten EPA, van Helvoort A, Franssen FME, Wouters EFM, Schols AMWJ. A randomized clinical trial investigating the efficacy of targeted nutrition as adjunct to exercise training in COPD. J Cachexia Sarcopenia Muscle 2017;Jun 12 doi: 10.1002/jcsm.12219 [Epub ahead of print].
31.
go back to reference Murphy J, Holmes J, Brooks C. Measurements of daily energy intake and total energy expenditure in people with dementia in care homes: The use of wearable technology. J Nutr Health Aging 2017;21:927–932.CrossRefPubMedPubMedCentral Murphy J, Holmes J, Brooks C. Measurements of daily energy intake and total energy expenditure in people with dementia in care homes: The use of wearable technology. J Nutr Health Aging 2017;21:927–932.CrossRefPubMedPubMedCentral
32.
go back to reference Simmons SF, Schnelle JF. Feeding assistance needs of long-stay nursing home residents and staff time to provide care. J Am Geriatr Soc 2006;54:919–924.CrossRefPubMed Simmons SF, Schnelle JF. Feeding assistance needs of long-stay nursing home residents and staff time to provide care. J Am Geriatr Soc 2006;54:919–924.CrossRefPubMed
33.
go back to reference Streicher M, Wirth R, Schindler K, Sieber CC, Hiesmayr M, Volkert D. Dysphagia in nursing homes-results from the NutritionDay project. J Am Med Dir Assoc 2017;Oct 10. Doi: 10.1016/j.jamda.2017.08.015 [Epub ahead of print]. Streicher M, Wirth R, Schindler K, Sieber CC, Hiesmayr M, Volkert D. Dysphagia in nursing homes-results from the NutritionDay project. J Am Med Dir Assoc 2017;Oct 10. Doi: 10.1016/j.jamda.2017.08.015 [Epub ahead of print].
34.
go back to reference Wakabayashi H, Matsushima M. Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care. J Nutr Health Aging 2016;20:22–27.CrossRefPubMed Wakabayashi H, Matsushima M. Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care. J Nutr Health Aging 2016;20:22–27.CrossRefPubMed
35.
36.
go back to reference Yoshimura Y, Wakabayashi H, Bise T, Tanoue M. Prevalence of sarcopenia and its association with activities of daily living and dysphagia in convalescent rehabilitation ward inpatients. Clin Nutr 2017;Sept 23 doi: 10.1016/j.clnu.2017.09.009 [Epub ahead of print]. Yoshimura Y, Wakabayashi H, Bise T, Tanoue M. Prevalence of sarcopenia and its association with activities of daily living and dysphagia in convalescent rehabilitation ward inpatients. Clin Nutr 2017;Sept 23 doi: 10.1016/j.clnu.2017.09.009 [Epub ahead of print].
37.
go back to reference Sakai K, Nakayama E, Tohara H, Kodama K, Takehisa T, Takeshis Y, Ueda K. Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: A cross-sectional study. Clin Interv Aging 2017;12:1207–1214.CrossRefPubMedPubMedCentral Sakai K, Nakayama E, Tohara H, Kodama K, Takehisa T, Takeshis Y, Ueda K. Relationship between tongue strength, lip strength, and nutrition-related sarcopenia in older rehabilitation inpatients: A cross-sectional study. Clin Interv Aging 2017;12:1207–1214.CrossRefPubMedPubMedCentral
38.
go back to reference Suzuki M, Maeda K, Shamoto H, Wakabayashi H. Effects of aging and sarcopenia on strength of swallowing muscles in older adults. Geriatr Gerontol Int 2017;17:360–361.CrossRefPubMed Suzuki M, Maeda K, Shamoto H, Wakabayashi H. Effects of aging and sarcopenia on strength of swallowing muscles in older adults. Geriatr Gerontol Int 2017;17:360–361.CrossRefPubMed
39.
go back to reference Mukherjee R, Egbuna I, Brar P, Hernandez L, McMahon DJ, Shane EJ, et al. Celiac disease: Similar presentations in the elderly and young adults. Dig Dis Sci 2010;55:3147–3153.CrossRefPubMed Mukherjee R, Egbuna I, Brar P, Hernandez L, McMahon DJ, Shane EJ, et al. Celiac disease: Similar presentations in the elderly and young adults. Dig Dis Sci 2010;55:3147–3153.CrossRefPubMed
40.
go back to reference Pilgrim AL, Baylis D, Jameson KA, Cooper C, Sayer AA, Robinson SM, Roberts HC. Measuring appetite with the Simplified Nutritional Appetite Questionnaire identifies hospitalized older people at risk of worse health outcomes. J Nutr Health Aging 2016;20:3–7.CrossRefPubMedPubMedCentral Pilgrim AL, Baylis D, Jameson KA, Cooper C, Sayer AA, Robinson SM, Roberts HC. Measuring appetite with the Simplified Nutritional Appetite Questionnaire identifies hospitalized older people at risk of worse health outcomes. J Nutr Health Aging 2016;20:3–7.CrossRefPubMedPubMedCentral
41.
go back to reference Tokudome Y, Okumura K, Kumagai Y, Hirano H, Kim H, Morishita S, Satanabe Y. Development of the Japanese version of the Council on Nutrition Appetite Questionnaire and its simplified versions, and evaluation of their reliability, validity, and reproducibility. J Epidemiol 2017;27:524–530.CrossRefPubMedPubMedCentral Tokudome Y, Okumura K, Kumagai Y, Hirano H, Kim H, Morishita S, Satanabe Y. Development of the Japanese version of the Council on Nutrition Appetite Questionnaire and its simplified versions, and evaluation of their reliability, validity, and reproducibility. J Epidemiol 2017;27:524–530.CrossRefPubMedPubMedCentral
42.
go back to reference Rolland Y, Perrin A, Gardette V, Filhol N, Vellas B. Screening older people at risk of malnutrition or malnourished using the Simplified Nutritional Appetite Questionnaire (SNAQ): A comparison with the Mini-Nutritional Assessment (MNA) tool. J Am Med Dir Assoc 2012;13:31–34.CrossRefPubMed Rolland Y, Perrin A, Gardette V, Filhol N, Vellas B. Screening older people at risk of malnutrition or malnourished using the Simplified Nutritional Appetite Questionnaire (SNAQ): A comparison with the Mini-Nutritional Assessment (MNA) tool. J Am Med Dir Assoc 2012;13:31–34.CrossRefPubMed
43.
go back to reference Wilson MM, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: Simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr 2005;82:1074–1081.CrossRefPubMed Wilson MM, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: Simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr 2005;82:1074–1081.CrossRefPubMed
44.
go back to reference Vellas B, Villars H, Abellan G, Soto ME, Rolland Y, Guigoz Y, et al. Overview of the MNA—its history and challenges. J Nutr Health Aging 2006;10:456–463.PubMed Vellas B, Villars H, Abellan G, Soto ME, Rolland Y, Guigoz Y, et al. Overview of the MNA—its history and challenges. J Nutr Health Aging 2006;10:456–463.PubMed
45.
go back to reference Lilamand M, Kelaiditi E, Cesari M, Raynaud-Simon A, Ghisolfi A, Guyonnet S, et al; Toulouse Frailty Platform Team. Validation of the mini nutritional assessment-short form in a population of frail elders without disability. Analysis of the Toulouse frailty platform population in 2013. J Nutr Health Aging 2015;19:570–574.PubMed Lilamand M, Kelaiditi E, Cesari M, Raynaud-Simon A, Ghisolfi A, Guyonnet S, et al; Toulouse Frailty Platform Team. Validation of the mini nutritional assessment-short form in a population of frail elders without disability. Analysis of the Toulouse frailty platform population in 2013. J Nutr Health Aging 2015;19:570–574.PubMed
46.
go back to reference Lilamand M, Kelaiditi E, Demougeot L, Rolland Y, Vellas B, Cesari M. The mini nutritional assessment-short form and mortality in nursing home residents—results from the INCUR study. J Nutr Health Aging 2015;19:383–388.CrossRefPubMed Lilamand M, Kelaiditi E, Demougeot L, Rolland Y, Vellas B, Cesari M. The mini nutritional assessment-short form and mortality in nursing home residents—results from the INCUR study. J Nutr Health Aging 2015;19:383–388.CrossRefPubMed
47.
go back to reference Donini LM, Poggiogalle E, Molfino A, Rosano A, Lenzi A, Rossi Fanelli F, Muscaritoli M. Mini-nutritional assessment, malnutrition universal screening tool, and nutrition risk screening tool for the nutritional evaluation of older nursing home residents. J Am Med Dir Assoc 2016;17:959.e11-e18. Donini LM, Poggiogalle E, Molfino A, Rosano A, Lenzi A, Rossi Fanelli F, Muscaritoli M. Mini-nutritional assessment, malnutrition universal screening tool, and nutrition risk screening tool for the nutritional evaluation of older nursing home residents. J Am Med Dir Assoc 2016;17:959.e11-e18.
48.
go back to reference Win AZ, Ceresa C, Arnold K, Allison TA. High prevalence of malnutrition among elderly veterans in home based primary care. J Nutr Health Aging 2017;21:610–613.CrossRefPubMed Win AZ, Ceresa C, Arnold K, Allison TA. High prevalence of malnutrition among elderly veterans in home based primary care. J Nutr Health Aging 2017;21:610–613.CrossRefPubMed
49.
go back to reference Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): A practical tool for identification of nutritional status. J Nutr Health Aging 2009;13:782–788.CrossRefPubMed Kaiser MJ, Bauer JM, Ramsch C, Uter W, Guigoz Y, Cederholm T, et al. Validation of the Mini Nutritional Assessment short-form (MNA-SF): A practical tool for identification of nutritional status. J Nutr Health Aging 2009;13:782–788.CrossRefPubMed
50.
go back to reference Bollwein J, Volkert D, Diekmann R, Kaiser MJ, Uter W, Vidal K, Sieber CC, Bauer JM. Nutritional status according to the mini nutritional assessment (MNA®) and frailty in community dwelling older persons: A close relationship. J Nutr Health Aging 2013;17:351–356.CrossRefPubMed Bollwein J, Volkert D, Diekmann R, Kaiser MJ, Uter W, Vidal K, Sieber CC, Bauer JM. Nutritional status according to the mini nutritional assessment (MNA®) and frailty in community dwelling older persons: A close relationship. J Nutr Health Aging 2013;17:351–356.CrossRefPubMed
51.
go back to reference Kondrup J, Allison SP, Elia M, Vellas B, Plauth M, Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003;22:415–421.CrossRefPubMed Kondrup J, Allison SP, Elia M, Vellas B, Plauth M, Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003;22:415–421.CrossRefPubMed
52.
go back to reference Charney P. Nutrition screening vs nutrition assessment: How do they differ? Nutr Clin Pract 2008;23:366–372.CrossRefPubMed Charney P. Nutrition screening vs nutrition assessment: How do they differ? Nutr Clin Pract 2008;23:366–372.CrossRefPubMed
53.
go back to reference Omran ML, Morley JE. Assessment of protein energy malnutrition in older persons, Part II: Laboratory evaluation. Nutrition 2000;16:131–140.CrossRefPubMed Omran ML, Morley JE. Assessment of protein energy malnutrition in older persons, Part II: Laboratory evaluation. Nutrition 2000;16:131–140.CrossRefPubMed
55.
go back to reference Morley JE, Thomas DR, Wilson MM. Cachexia: Pathophysiology and clinical relevance. Am J Clin Nutr 2006;83:735–743.CrossRefPubMed Morley JE, Thomas DR, Wilson MM. Cachexia: Pathophysiology and clinical relevance. Am J Clin Nutr 2006;83:735–743.CrossRefPubMed
56.
go back to reference Evans WJ, Morley JE, Argiles J, Bales C, Baracos V, Guttridge D, Jatoi A, et al. Cachexia: A new definition. Clin Nutr 2008;27:793–799.CrossRefPubMed Evans WJ, Morley JE, Argiles J, Bales C, Baracos V, Guttridge D, Jatoi A, et al. Cachexia: A new definition. Clin Nutr 2008;27:793–799.CrossRefPubMed
58.
go back to reference Amano K, Maeda I, Morita T, Baba M, Miura T, Hama T, Mori I, et al. C-reactive protein, symptoms and activity of daily living in patients with advanced cancer receiving palliative care. J Cachexia Sarcopenia Muscle 2017;8:457–465.CrossRefPubMedPubMedCentral Amano K, Maeda I, Morita T, Baba M, Miura T, Hama T, Mori I, et al. C-reactive protein, symptoms and activity of daily living in patients with advanced cancer receiving palliative care. J Cachexia Sarcopenia Muscle 2017;8:457–465.CrossRefPubMedPubMedCentral
59.
go back to reference Morley JE, Little MO, Berg-Weger M. Rapid Geriatric Assessment: A tool for primary care physicians. J Am Med Dir Assoc 2017;18:195–199.CrossRefPubMed Morley JE, Little MO, Berg-Weger M. Rapid Geriatric Assessment: A tool for primary care physicians. J Am Med Dir Assoc 2017;18:195–199.CrossRefPubMed
60.
Metadata
Title
Defining Undernutrition (Malnutrition) in Older Persons
Author
John E. Morley
Publication date
01-03-2018
Publisher
Springer Paris
Published in
The journal of nutrition, health & aging / Issue 3/2018
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-017-0991-3

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