ESPEN guidelines on enteral nutrition: Geriatrics

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Volkert D
Zeitschrift: Clinical Nutrition
Verlag: CHURCHILL LIVINGSTONE
Jahr der Veröffentlichung: 2006
Band: 25
Heftnummer: 2
Seitenbereich: 330-360
ISSN: 0261-5614


Abstract

Nutritional intake is often compromised in elderly, multimorbid patients. Enteral nutrition (EN) by means of oral nutritional supplements (ONS) and tube feeding (TF) offers the possibility to increase or to insure nutrient intake in case of insufficient oral food intake.The present guideline is intended to give evidence-based recommendations for the use of ONS and TF in geriatric patients. It was developed by an interdisciplinary expert group in accordance with officially accepted standards and is based on all relevant publications since 1985. The guideline was discussed and accepted in a consensus conference.EN by means of ONS is recommended for geriatric patients at nutritional risk, in case of multimorbidity and frailty, and following orthopaedic-surgical procedures. In elderly people at risk of undernutrition ONS improve nutritional status and reduce mortality. After orthopaedic-surgery ONS reduce unfavourable outcome. TF is clearly indicated in patients with neurologic dysphagia. In contrast, TF is not indicated in final disease states, including final dementia, and in order to facilitate patient care. Altogether, it is strongly recommended not to wait until severe undernutrition has developed, but to start EN therapy early, as soon as a nutritional risk becomes apparent.The full version of this article is available at www.espen.org. (C) 2006 European Society for Clinical Nutrition and Metabolism. All rights reserved.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter

Zuletzt aktualisiert 2018-27-10 um 21:53