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ESPEN guideline on hospital nutrition
- Source :
- Clinical Nutrition, Clinical Nutrition, Elsevier, 2021, 40 (12), pp.5684-5709. ⟨10.1016/j.clnu.2021.09.039⟩, Clinical Nutrition, 2021, 40 (12), pp.5684-5709. ⟨10.1016/j.clnu.2021.09.039⟩, Clinical nutrition, Vol. 40, No 12 (2021) pp. 5684-5709
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- International audience; In hospitals through Europe and worldwide, the practices regarding hospital diets are very heterogeneous. Hospital diets are rarely prescribed by physicians, and sometimes the choices of diets are based on arbitrary reasons. Often prescriptions are made independently from the evaluation of nutritional status, and without taking into account the nutritional status. Therapeutic diets (low salt, gluten-free, texture and consistency modified, …) are associated with decreased energy delivery (i.e. underfeeding) and increased risk of malnutrition. The European Society for Clinical Nutrition and Metabolism (ESPEN) proposes here evidence-based recommendations regarding the organization of food catering, the prescriptions and indications of diets, as well as monitoring of food intake at hospital, rehabilitation center, and nursing home, all of these by taking into account the patient perspectives. We propose a systematic approach to adapt the hospital food to the nutritional status and potential food allergy or intolerances. Particular conditions such as patients with dysphagia, older patients, gastrointestinal diseases, abdominal surgery, diabetes, and obesity, are discussed to guide the practitioner toward the best evidence based therapy. The terminology of the different useful diets is defined. The general objectives are to increase the awareness of physicians, dietitians, nurses, kitchen managers, and stakeholders towards the pivotal role of hospital food in hospital care, to contribute to patient safety within nutritional care, to improve coverage of nutritional needs by hospital food, and reduce the risk of malnutrition and its related complications.
- Subjects :
- medicine.medical_specialty
Monitoring
[SDV]Life Sciences [q-bio]
Acute care
Clinical nutrition
Critical Care and Intensive Care Medicine
03 medical and health sciences
Patient safety
0302 clinical medicine
Intolerances
Food intake
medicine
030212 general & internal medicine
Medical prescription
ddc:616
2. Zero hunger
Nutrition and Dietetics
business.industry
Malnutrition
Guideline
Diets
medicine.disease
Obesity
3. Good health
Family medicine
030211 gastroenterology & hepatology
business
[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition
Subjects
Details
- ISSN :
- 02615614 and 15321983
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Clinical Nutrition
- Accession number :
- edsair.doi.dedup.....10eb4492e07fb91a062d0c3460b445de