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J Am Med Dir Assoc. 2014 Aug;15(8):544-50. doi: 10.1016/j.jamda.2014.05.011. Epub 2014 Jul 2.

Evidence-based recommendations for addressing malnutrition in health care: an updated strategy from the feedM.E. Global Study Group.

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Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Abbott Nutrition Research and Development, Columbus, OH.
Fujita Health University School of Medicine, Aichi, Japan.
Geneva Medical School, Geneva, Switzerland.
General Surgery and Surgical Gastroenterology, Care Hospital, Hyderabad, India.
University of Illinois, Urbana, IL.
Ege University Hospital, Izmir, Turkey.
Sapienza University of Rome, Rome, Italy. Electronic address:


The prevalence of malnutrition ranges up to 50% among patients in hospitals worldwide, and disease-related malnutrition is all too common in long-term and other health care settings as well. Regrettably, the numbers have not improved over the past decade. The consequences of malnutrition are serious, including increased complications (pressure ulcers, infections, falls), longer hospital stays, more frequent readmissions, increased costs of care, and higher risk of mortality. Yet disease-related malnutrition still goes unrecognized and undertreated. To help improve nutrition care around the world, the feedM.E. (Medical Education) Global Study Group, including members from Asia, Europe, the Middle East, and North and South America, defines a Nutrition Care Pathway that is simple and can be tailored for use in varied health care settings. The Pathway recommends screen, intervene, and supervene: screen patients' nutrition status on admission or initiation of care, intervene promptly when needed, and supervene or follow-up routinely with adjustment and reinforcement of nutrition care plans. This article is a call-to-action for health caregivers worldwide to increase attention to nutrition care.


Malnutrition; assessment; community; hospital; long-term care; nutrition; oral nutrition supplement; screening

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