Systematic Reviews and Meta Analysis
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Nutrition in Internal Medicine

Year 2025, Volume: 7 Issue: 2, 36 - 43, 29.04.2025

Merve Özçetin , Oğuzhan Sıtkı Dizdar

https://doi.org/10.46310/tjim.1571069

Abstract

Nutritional support has become a part of patient treatment. The nutritional content varies depending on the underlying disease in each patient. Malnutrition is defined as a condition that arises due to inadequate or excessive nutrition. Malnutrition is a major contributor to both morbidity and mortality, with its risk significantly heightened in hospitalized patients. Early assessment of a patient's nutritional status and timely appropriate treatment initiation can effectively reduce morbidity and mortality rates. As malnutrition is preventable, identifying at-risk patients and providing adequate nutritional support are essential components in optimizing clinical outcomes. Therefore, this review summarizes the nutritional approach to some common diseases in internal medicine practice. Our review's recommendations are based on guidelines from the European Society for Clinical Nutrition and Metabolism (ESPEN).

Keywords

Malnutrition Nutritional approach Internal medicine

References

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Year 2025, Volume: 7 Issue: 2, 36 - 43, 29.04.2025

Merve Özçetin , Oğuzhan Sıtkı Dizdar

https://doi.org/10.46310/tjim.1571069

Abstract

References

  • Bellanti F, Lo Buglio A, Quiete S, Vendemiale G. Malnutrition in hospitalized old patients: Screening and diagnosis, clinical outcomes, and management. Nutrients. 2022 Feb 21;14(4):910. doi: 10.3390/nu14040910.
  • Fielding RA, Landi F, Smoyer KE, Tarasenko L, Groarke J. Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review. J Cachexia Sarcopenia Muscle. 2023 Apr;14(2):706-29. doi: 10.1002/jcsm.13186.
  • Leiva Badosa E, Badia Tahull M, Virgili Casas N, Elguezabal Sangrador G, Faz Méndez C, Herrero Meseguer I, Izquierdo González À, López Urdiales R, Oca Burguete FJ, Tubau Molas M, Vilarasau Farré C, Llop Talaveron JM. Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay. Nutr Hosp. 2017 Jul 28;34(4):907-13. doi: 10.20960/nh.657.
  • Xue J, Li S, Zhang Y, Hong P. Accuracy of predictive resting-metabolic-rate equations in Chinese Mainland adults. Int J Environ Res Public Health. 2019 Aug 1;16(15):2747. doi: 10.3390/ijerph16152747.
  • Kreymann G, Adolph M, Mueller MJ; Working group for developing the guidelines for parenteral nutrition of The German Association for Nutritional Medicine. Energy expenditure and energy intake - Guidelines on Parenteral Nutrition, Chapter 3. Ger Med Sci. 2009 Nov 18;7:Doc25. doi: 10.3205/000084.
  • Wunderle C, Gomes F, Schuetz P, Stumpf F, Austin P, Ballesteros-Pomar MD, Cederholm T, Fletcher J, Laviano A, Norman K, Poulia KA, Schneider SM, Stanga Z, Bischoff SC. ESPEN practical guideline: Nutritional support for polymorbid medical inpatients. Clin Nutr. 2024 Mar;43(3):674-91. doi: 10.1016/j.clnu.2024.01.008.
  • Bischoff SC, Ockenga J, Eshraghian A, Barazzoni R, Busetto L, Campmans-Kuijpers M, Cardinale V, Chermesh I, Kani HT, Khannoussi W, Lacaze L, Léon-Sanz M, Mendive JM, Müller MW, Tacke F, Thorell A, Vranesic Bender D, Weimann A, Cuerda C. Practical guideline on obesity care in patients with gastrointestinal and liver diseases - Joint ESPEN/UEG guideline. Clin Nutr. 2023 Jun;42(6):987-1024. doi: 10.1016/j.clnu.2023.03.021.
  • Fiaccadori E, Sabatino A, Barazzoni R, Carrero JJ, Cupisti A, De Waele E, Jonckheer J, Singer P, Cuerda C. ESPEN guideline on clinical nutrition in hospitalized patients with acute or chronic kidney disease. Clin Nutr. 2021 Apr;40(4):1644-1668. doi: 10.1016/j.clnu.2021.01.028.
  • Arvanitakis M, Ockenga J, Bezmarevic M, Gianotti L, Krznarić Ž, Lobo DN, Löser C, Madl C, Meier R, Phillips M, Rasmussen HH, Van Hooft JE, Bischoff SC. ESPEN practical guideline on clinical nutrition in acute and chronic pancreatitis. Clin Nutr. 2024 Feb;43(2):395-412. doi: 10.1016/j.clnu.2023.12.019.
  • Charlson ME, Carrozzino D, Guidi J, Patierno C. Charlson Comorbidity Index: A critical review of clinimetric properties. Psychother Psychosom. 2022;91(1):8-35. doi: 10.1159/000521288.
  • Deutz NE, Matheson EM, Matarese LE, Luo M, Baggs GE, Nelson JL, Hegazi RA, Tappenden KA, Ziegler TR; NOURISH Study Group. Readmission and mortality in malnourished, older, hospitalized adults treated with a specialized oral nutritional supplement: A randomized clinical trial. Clin Nutr. 2016 Feb;35(1):18-26. doi: 10.1016/j.clnu.2015.12.010.
  • Jie B, Jiang ZM, Nolan MT, Efron DT, Zhu SN, Yu K, Kondrup J. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals. Nutrition. 2010 Nov-Dec;26(11-12):1088-93. doi: 10.1016/j.nut.2009.08.027.
  • Schuetz P, Fehr R, Baechli V, Geiser M, Deiss M, Gomes F, Kutz A, Tribolet P, Bregenzer T, Braun N, Hoess C, Pavlicek V, Schmid S, Bilz S, Sigrist S, Brändle M, Benz C, Henzen C, Mattmann S, Thomann R, Brand C, Rutishauser J, Aujesky D, Rodondi N, Donzé J, Stanga Z, Mueller B. Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial. Lancet. 2019 Jun 8;393(10188):2312-2321. doi: 10.1016/S0140-6736(18)32776-4.
  • Schuetz P, Seres D, Lobo DN, Gomes F, Kaegi-Braun N, Stanga Z. Management of disease-related malnutrition for patients being treated in hospital. Lancet. 2021 Nov 20;398(10314):1927-1938. doi: 10.1016/S0140-6736(21)01451-3.
  • Merker M, Felder M, Gueissaz L, Bolliger R, Tribolet P, Kägi-Braun N, Gomes F, Hoess C, Pavlicek V, Bilz S, Sigrist S, Brändle M, Henzen C, Thomann R, Rutishauser J, Aujesky D, Rodondi N, Donzé J, Stanga Z, Mueller B, Schuetz P. Association of baseline inflammation with effectiveness of nutritional support among patients with disease-related malnutrition: A secondary analysis of a randomized clinical trial. JAMA Netw Open. 2020 Mar 2;3(3):e200663. doi: 10.1001/jamanetworkopen.2020.0663.
  • Kaegi-Braun N, Tribolet P, Gomes F, Fehr R, Baechli V, Geiser M, Deiss M, Kutz A, Bregenzer T, Hoess C, Pavlicek V, Schmid S, Bilz S, Sigrist S, Brändle M, Benz C, Henzen C, Mattmann S, Thomann R, Rutishauser J, Aujesky D, Rodondi N, Donzé J, Stanga Z, Mueller B, Schuetz P. Six-month outcomes after individualized nutritional support during the hospital stay in medical patients at nutritional risk: Secondary analysis of a prospective randomized trial. Clin Nutr. 2021 Mar;40(3):812-9. doi: 10.1016/j.clnu.2020.08.019.
  • Schuetz P, Sulo S, Walzer S, Vollmer L, Stanga Z, Gomes F, Rueda R, Mueller B, Partridge J; EFFORT trial collaborators. Economic evaluation of individualized nutritional support in medical inpatients: Secondary analysis of the EFFORT trial. Clin Nutr. 2020 Nov;39(11):3361-3368. doi: 10.1016/j.clnu.2020.02.023.
  • Wong A, Chew A, Wang CM, Ong L, Zhang SH, Young S. The use of a specialised amino acid mixture for pressure ulcers: a placebo-controlled trial. J Wound Care. 2014 May;23(5):259-60, 262-4, 266-9. doi: 10.12968/jowc.2014.23.5.259.
  • Jie B, Jiang ZM, Nolan MT, Efron DT, Zhu SN, Yu K, Kondrup J. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals. Nutrition. 2010 Nov-Dec;26(11-12):1088-1093. doi: 10.1016/j.nut.2009.08.027.
  • Kok WE, Haverkort EB, Algra YA, Mollema J, Hollaar VRY, Naumann E, de van der Schueren MAE, Jerković-Ćosić K. The association between polypharmacy and malnutrition(risk) in older people: A systematic review. Clin Nutr ESPEN. 2022 Jun;49:163-71. doi: 10.1016/j.clnesp.2022.03.007.
  • Jyrkkä J, Enlund H, Lavikainen P, Sulkava R, Hartikainen S. Association of polypharmacy with nutritional status, functional ability and cognitive capacity over a three-year period in an elderly population. Pharmacoepidemiol Drug Saf. 2011 May;20(5):514-22. doi: 10.1002/pds.2116.
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There are 57 citations in total.

Details

Primary Language English
Subjects Clinical Nutrition
Journal Section Reviews
Authors

Merve Özçetin 0000-0002-7507-5184

Oğuzhan Sıtkı Dizdar 0000-0001-9259-7024

Publication Date April 29, 2025
Submission Date October 21, 2024
Acceptance Date January 17, 2025
Published in Issue Year 2025 Volume: 7 Issue: 2

Cite

EndNote Özçetin M, Dizdar OS (April 1, 2025) Nutrition in Internal Medicine. Turkish Journal of Internal Medicine 7 2 36–43.
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