Nutritional Management of Medical Inpatients

doi:10.3390/jcm8081130

Review

. 2019 Jul 30;8(8):1130.

doi: 10.3390/jcm8081130.

Nutritional Management of Medical Inpatients

Emilie Reber¹, Filomena Gomes², Lia Bally³, Philipp Schuetz^{4

5}, Zeno Stanga³

Affiliations

¹ Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, 3010 Bern, Switzerland. emilie.reber@insel.ch.
² The New York Academy of Sciences, New York, NY 10007, USA.
³ Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, 3010 Bern, Switzerland.
⁴ Department of Medical University, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, 5000 Aarau, Switzerland.
⁵ Department for Clinical Research, Medical Faculty, University of Basel, 4001 Basel, Switzerland.

PMID: 31366042
PMCID: PMC6722626
DOI: 10.3390/jcm8081130

Review

Nutritional Management of Medical Inpatients

Emilie Reber et al. J Clin Med. 2019.

. 2019 Jul 30;8(8):1130.

doi: 10.3390/jcm8081130.

Authors

Emilie Reber¹, Filomena Gomes², Lia Bally³, Philipp Schuetz^{4

5}, Zeno Stanga³

Affiliations

¹ Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, 3010 Bern, Switzerland. emilie.reber@insel.ch.
² The New York Academy of Sciences, New York, NY 10007, USA.
³ Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Bern University Hospital, and University of Bern, 3010 Bern, Switzerland.
⁴ Department of Medical University, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, 5000 Aarau, Switzerland.
⁵ Department for Clinical Research, Medical Faculty, University of Basel, 4001 Basel, Switzerland.

PMID: 31366042
PMCID: PMC6722626
DOI: 10.3390/jcm8081130

Abstract

Malnutrition is a common condition in hospitalized patients that is often underdiagnosed and undertreated. Hospital malnutrition has multifactorial causes and is associated with negative clinical and economic outcomes. There is now growing evidence from clinical trials for the efficiency and efficacy of nutritional support in the medical inpatient population. Since many medical inpatients at nutritional risk or malnourished are polymorbid (i.e., suffer from multiple comorbidities), this makes the provision of adequate nutritional support a challenging task, given that most of the clinical nutrition guidelines are dedicated to single diseases. This review summarizes the current level of evidence for nutritional support in not critically ill polymorbid medical inpatients.

Keywords: malnutrition; nutritional management; nutritional therapy.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

**Figure 1**
Nutritional algorithm, after [30].

See this image and copyright information in PMC

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References

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1. Hill G.L., Pickford I., Young G.A., Schorah C.J., Blackett R.L., Burkinshaw L., Warren J.V., Morgan D.B. Malnutrition in surgical patients: An unrecognised problem. Lancet. 1977;309:689–692. doi: 10.1016/S0140-6736(77)92127-4. - DOI - PubMed
1. Bistrian B.R., Blackburn G.L., Vitale J., Cochran D., Naylor J. Prevalence of malnutrition in general medical patients. JAMA. 1976;235:1567–1570. doi: 10.1001/jama.1976.03260410023017. - DOI - PubMed

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[1] Sprengell C. In: Hippocrates: The Aphorisms of Hippocrates, and The Sentences of Celsus; with Explanations and References to the Most Considerable Writers. 2nd ed. Wilkin F., Bonwick F., editors. Gale Ecco; London, UK: 1735.

[2] Sprengell C. In: Hippocrates: The Aphorisms of Hippocrates, and The Sentences of Celsus; with Explanations and References to the Most Considerable Writers. 2nd ed. Wilkin F., Bonwick F., editors. Gale Ecco; London, UK: 1735.

[3] Studley H.O. Percentage of weight loss: A basic indicator of surgical risk in patients with chronic peptic ulcer. J. Am. Med. Assoc. 1936;106:458–460. doi: 10.1001/jama.1936.02770060032009. - DOI - PubMed

[4] Studley H.O. Percentage of weight loss: A basic indicator of surgical risk in patients with chronic peptic ulcer. J. Am. Med. Assoc. 1936;106:458–460. doi: 10.1001/jama.1936.02770060032009. - DOI - PubMed

[5] McWhirter J.P., Pennington C.P. Incidence and recognition of malnutrition in hospital. Br. Med. J. 1994;308:945–948. doi: 10.1136/bmj.308.6934.945. - DOI - PMC - PubMed

[6] McWhirter J.P., Pennington C.P. Incidence and recognition of malnutrition in hospital. Br. Med. J. 1994;308:945–948. doi: 10.1136/bmj.308.6934.945. - DOI - PMC - PubMed

[7] Hill G.L., Pickford I., Young G.A., Schorah C.J., Blackett R.L., Burkinshaw L., Warren J.V., Morgan D.B. Malnutrition in surgical patients: An unrecognised problem. Lancet. 1977;309:689–692. doi: 10.1016/S0140-6736(77)92127-4. - DOI - PubMed

[8] Hill G.L., Pickford I., Young G.A., Schorah C.J., Blackett R.L., Burkinshaw L., Warren J.V., Morgan D.B. Malnutrition in surgical patients: An unrecognised problem. Lancet. 1977;309:689–692. doi: 10.1016/S0140-6736(77)92127-4. - DOI - PubMed

[9] Bistrian B.R., Blackburn G.L., Vitale J., Cochran D., Naylor J. Prevalence of malnutrition in general medical patients. JAMA. 1976;235:1567–1570. doi: 10.1001/jama.1976.03260410023017. - DOI - PubMed

[10] Bistrian B.R., Blackburn G.L., Vitale J., Cochran D., Naylor J. Prevalence of malnutrition in general medical patients. JAMA. 1976;235:1567–1570. doi: 10.1001/jama.1976.03260410023017. - DOI - PubMed

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Nutritional Management of Medical Inpatients

Affiliations

Nutritional Management of Medical Inpatients

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Conflict of interest statement

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