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Validation of the Academy/A.S.P.E.N. Malnutrition Clinical Characteristics

2016; Elsevier BV; Volume: 116; Issue: 5 Linguagem: Inglês

10.1016/j.jand.2016.01.018

2212-2680

Rosa K. Hand, William J. Murphy, Lindsey B. Field, James A. Lee, J. Scott Parrott, Maree Ferguson, Annalynn Skipper, Alison Steiber,

Child Nutrition and Feeding Issues

To achieve a consistent and accurate definition and diagnosis of malnutrition, the Academy of Nutrition and Dietetics (Academy) collaborated with the American Society of Parenteral and Enteral Nutrition (A.S.P.E.N.) to develop clinical characteristics of malnutrition 1 White J.V. Guenter P. Jensen G. et al. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J Acad Nutr Diet. 2012; 112: 730-738 Abstract Full Text Full Text PDF PubMed Scopus (425) Google Scholar , 2 White J.V. Guenter P. Jensen G. et al. Consensus 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). JPEN J Parenter Enteral Nutr. 2012; 36: 275-283 Crossref PubMed Scopus (711) Google Scholar : weight loss over time, inadequate energy intake compared with estimated needs, muscle loss, fat loss, fluid accumulation, and diminished grip strength. These characteristics were intended to distinguish between severe and nonsevere malnutrition for adults in all settings. 1 White J.V. Guenter P. Jensen G. et al. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J Acad Nutr Diet. 2012; 112: 730-738 Abstract Full Text Full Text PDF PubMed Scopus (425) Google Scholar The clinical characteristics draw upon earlier work that recommended identifying acute or chronic disease/inflammation and social and environment-related circumstances as malnutrition etiologies. 3 Jensen G.L. Mirtallo J. Compher C. et al. Adult starvation and disease-related malnutrition: A proposal for etiology-based diagnosis in the clinical practice setting from the international consensus guideline committee. JPEN J Parenter Enteral Nutr. 2010; 34: 156-159 Crossref PubMed Scopus (347) Google Scholar While the malnutrition clinical characteristics (MCCs) were developed and published jointly by the Academy and A.S.P.E.N., both groups recognized that the body of evidence supporting the clinical characteristics was limited, and recommended that they be validated. R. K. Hand is director, Dietetics Practice Based Research Network, Academy of Nutrition and Dietetics, Chicago, IL. W. J. Murphy is a senior manager, Outcomes Research, Academy of Nutrition and Dietetics, Chicago, IL. A. L. Steiber is chief science officer, Academy of Nutrition and Dietetics, Chicago, IL. L. B. Field is an independent nutrition consultant in Emmitsburg, MD; at the time of the study, she was the Abbott Nutrition Malnutrition Research Fellow at the Academy of Nutrition and Dietetics, Chicago, IL. J. A. Lee is vice president and director, Systems Research and Initiatives, Altarum Institute, Ann Arbor, MI. J. S. Parrott is an associate professor, Department of Interdisciplinary Studies, School of Health Related Professions, Rutgers University, Newark, NJ. M. Ferguson is director, Dietitian Connection, Queensland, Australia. A. Skipper is with the American Medical Association, Chicago, IL. ErratumJournal of the Academy of Nutrition and DieteticsVol. 117Issue 6PreviewIn the article “Validation of the Academy/A.S.P.E.N. Malnutrition Clinical Characteristics” published in the May 2016 issue of the Journal of the Academy of Nutrition and Dietetics on pp 856-864, part of the article title was mistakenly omitted. The full title of the article should read: “Validation of the Academy/A.S.P.E.N. Malnutrition Clinical Characteristics: Methodology and Results of a Pilot Study”. Full-Text PDF