Jpen Parenter Enter
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This tutorial presents a systematic approach to nutrition assessment based on a modern appreciation for the contributions of inflammation that serve as the foundation for newly proposed consensus definitions for malnutrition syndromes. Practical indicators of malnutrition and inflammation have been selected to guide diagnosis that include medical/surgical history and clinical diagnosis, clinical signs and physical examination, anthropometric data, laboratories, dietary assessment, and functional outcomes. Knowledge of systematic nutrition assessment and appropriate diagnosis of malnutrition will help to guide proper interventions and expected outcomes.
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Jpen Parenter Enter · May 2012
Practice GuidelineConsensus 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).
The Academy of Nutrition and Dietetics (Academy) and the American Society for Parenteral and Enteral Nutrition (A. S. P. ⋯ An etiologically based diagnostic nomenclature that incorporates a current understanding of the role of the inflammatory response on malnutrition's incidence, progression, and resolution is proposed. Universal use of a single set of diagnostic characteristics will facilitate malnutrition's recognition, contribute to more valid estimates of its prevalence and incidence, guide interventions, and influence expected outcomes. This standardized approach will also help to more accurately predict the human and financial burdens and costs associated with malnutrition's prevention and treatment and further ensure the provision of high-quality, cost-effective nutrition care.
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Jpen Parenter Enter · May 2012
Comparative StudyBody composition analysis in critically ill survivors: a comparison of bioelectrical impedance spectroscopy devices.
Body composition is commonly altered in response to critical illness and can be estimated at the bedside with bioelectrical impedance spectroscopy (BIS). Different electrode configurations may be used to mitigate assumptions of the technique, but the reliability of tetra-polar and octo-polar arrangements has yet to be established. This study aimed to compare both configurations, in a prospective observational study of 17 critically ill survivors and 12 healthy controls. ⋯ BIS devices should not be used interchangeably in the clinical setting. The reliability of the tetra-polar instrument was good, but daily fluctuations in body weight may have affected the results.