Cited by 235Nutrition and Health in AgingBody Composition Measurement TechniquesMuscle Physiology and Disorders

Muscle loss: The new malnutrition challenge in clinical practice

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Landi, F., Camprubi-Robles, M., Bear, D.E., Cederholm, T., Malafarina, V., Welch, A.A., Cruz-Jentoft, A.J.·2019·Clinical Nutrition

Abstract

Recent definitions of malnutrition include low muscle mass within its diagnostic criteria. In fact, malnutrition is one of the main risk factors of skeletal muscle loss contributing to the onset of sarcopenia. However, differences in the screening and diagnosis of skeletal muscle loss, especially as a result of malnutrition in clinical and community settings, still occur mainly as techniques and thresholds used vary in clinical practice. The objectives of this position paper are firstly to emphasize the link between skeletal muscle loss and malnutrition-related conditions and secondly to raise awareness for the timely identification of loss of skeletal muscle mass and function in high risk populations. Thirdly to recognize the need to implement appropriate nutritional strategies for prevention and treatment of skeletal muscle loss and malnutrition across the healthcare continuum. Malnutrition needs to be addressed clinically as a muscle-related disorder and clinicians should integrate nutritional assessment with muscle mass measurements for optimal evaluation of these two interrelated entities to tailor interventions appropriately. The design of monitoring/evaluation and discharge plans need to include multimodal interventions with nutrition and physical exercise that are key to preserve patient's muscle mass and function in clinical and community settings.

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  1. [62]62. Stratton R, Bowyer G, Elia M. Food snacks or liquid oral nutritional supplements as a first- line treatment for malnutrition in post-operative patients? Proceedings-Nutrition Society of London: CABI Publishing; 1999; 2006. p. 4A.

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Authors
Landi, F., Camprubi-Robles, M., Bear, D. E., Cederholm, T., Malafarina, V., Welch, A. A., & Cruz-Jentoft, A. J.
Affiliations
  • Università Cattolica del Sacro Cuore (IT)
  • St Thomas' Hospital (GB)
  • Uppsala University (SE)
  • Complejo Hospitalario de Navarra (ES)
  • University of East Anglia (GB)
  • Instituto Ramón y Cajal de Investigación Sanitaria (ES)
Corresponding author
  • Landi, F.
  • Bear, D.E.
  • Cederholm, T.
  • Malafarina, V.
  • Welch, A.A.
  • Cruz-Jentoft, A.J.
Venue
Clinical Nutrition
Publisher
Elsevier BV
Published
2019-10
Volume
38
Issue
5
Pages
2113-2120
ISSN
0261-5614 (ISSN-L)
OpenAlex
W2903073296
Cited by
235
References
79
Citations by year
2026: 19 · 2025: 36 · 2024: 35 · 2023: 24 · 2022: 40 · 2021: 33 · 2020: 34 · 2019: 14
FWCI
13.88
Type
journal article
Language
en
Open access
Locations
  • Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • UEA Digital Repository (University of East Anglia) (acceptedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
Funders
Dairy Australia
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
Keywords
muscle mass loss, sarcopenia, malnutrition, skeletal muscle mass, muscle function, nutritional assessment, malnutrition screening, dietary intervention, physical activity, multimodal intervention, discharge planning, vulnerable populations
MeSH terms
Adult, Aged, Aging, Continuity of Patient Care, Humans, Middle Aged, Nutritional Status, Nutrition Assessment, Muscle, Skeletal, Malnutrition, Sarcopenia

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