Published in:
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. …