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Muscle loss: The new malnutrition challenge in clinical practice
Univ Cattolica Sacro Cuore, Inst Internal Med & Geriatr, Ctr Geriatr Med CEMI, Rome, Italy.
Abbott Nutr Res & Dev, Granada, Spain.
Guys & St Thomas NHS Fdn Trust, Dept Nutr & Dietet, London, England;Guys & St Thomas NHS Fdn Trust, Dept Crit Care, London, England;Kings Coll London, Ctr Human & Aerosp Physiol Sci, London, England;Guys & St Thomas NHS Fdn Trust, Lane Fox Clin Resp Physiol Res Ctr, London, England.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism. Dept Publ Hlth & Caring Sci, Stockholm, Sweden;Karolinska Univ Hosp, Theme Ageing, Stockholm, Sweden.ORCID iD: 0000-0003-3705-0725
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2019 (English)In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 38, no 54, p. 2113-2120Article in journal (Refereed) Published
Abstract [en]

Recent definitions of malnutrition include low muscle mass within its diagnostic criteria. In fact, malnutrition is one of the main risk factors of skeletal muscle loss contributing to the onset of sarcopenia. However, differences in the screening and diagnosis of skeletal muscle loss, especially as a result of malnutrition in clinical and community settings, still occur mainly as techniques and thresholds used vary in clinical practice. The objectives of this position paper are firstly to emphasize the link between skeletal muscle loss and malnutrition-related conditions and secondly to raise awareness for the timely identification of loss of skeletal muscle mass and function in high risk populations. Thirdly to recognize the need to implement appropriate nutritional strategies for prevention and treatment of skeletal muscle loss and malnutrition across the healthcare continuum. Malnutrition needs to be addressed clinically as a muscle-related disorder and clinicians should integrate nutritional assessment with muscle mass measurements for optimal evaluation of these two interrelated entities to tailor interventions appropriately. The design of monitoring/evaluation and discharge plans need to include multimodal interventions with nutrition and physical exercise that are key to preserve patient's muscle mass and function in clinical and community settings. (C) 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE , 2019. Vol. 38, no 54, p. 2113-2120
Keywords [en]
Lean mass loss, Skeletal muscle mass, Malnutrition, Sarcopenia, Ageing, Continuum of care
National Category
Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:uu:diva-397042DOI: 10.1016/j.clnu.2018.11.021ISI: 000492797600017PubMedID: 30553578OAI: oai:DiVA.org:uu-397042DiVA, id: diva2:1371697
Available from: 2019-11-20 Created: 2019-11-20 Last updated: 2019-11-20Bibliographically approved

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