A simple remote nutritional screening tool and practical guidance for nutritional care in primary practice during the COVID-19 pandemic
Open accessAbstract
Challenging periods like the COVID-19 pandemic require fast and efficient adaptations of the healthcare system. It is vital that every patient has access to nutritional care as a part of primary healthcare services, even if social distancing measures are adopted. Therefore, we propose a simple remote nutritional screening tool and practical guidance for nutritional care in primary practice, and their implementation into telemedicine processes and digital platforms suitable for healthcare providers. The acronym for the tool is R-MAPP, as for Remote - Malnutrition APP, while the tool will be available also as an app. This protocol consists of two simple validated clinical tools for identifying nutritional risk and loss of muscle mass and function -Malnutrition Universal Screening Tool ('MUST') and SARC-F (5-item questionnaire: Strength, Assistance with walking, Rise from a chair, Climb stairs and Falls) - and additional practical guidance on nutritional interventions for family physicians.
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Two nutritional screening tools for both conditions have been recently published, Remote-Malnutrition APP (R-MAPP) and PROtocol for NuTritional risk in Oncology (PRONTO).
“Similarly, two nutritional screening tools for both conditions have been recently published, Remote—Malnutrition APP (R-MAPP) and PROtocol for NuTritional risk in Oncology (PRONTO) (55, 56).”
From Evolution of the diagnosis of malnutrition in adults: a primer for clinicians (2024) · cites this paper as [55]
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1 retracted
ESPEN guideline: Clinical nutrition in inflammatory bowel disease
Forbes, A., Escher, J., Hébuterne, X., Kłęk, S., Krznaric, Z., Schneider, S., Shamir, R., Stardelova, K., Wierdsma, N., Wiskin, A. E., et al. (2017) · Clinical Nutrition · doi:10.1016/j.clnu.2016.12.027 · Cited by 625 · see citing works
RetractedCovid-19 and Health Care’s Digital Revolution
Keesara, S., Jonas, A., & Schulman, K. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2005835 · Cited by 1,126 · see citing works
Effect of 10 Days of Bed Rest on Skeletal Muscle in Healthy Older Adults
Kortebein, P., Ferrando, A., Lombeida, J., Wolfe, R., & Evans, W. J. (2007) · JAMA · doi:10.1001/jama.297.16.1772-b · Cited by 933 · see citing works
Interactive telemedicine: effects on professional practice and health care outcomes
Flodgren, G., Rachas, A., Farmer, A. J., Inzitari, M., & Shepperd, S. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002098.pub2 · Cited by 806 · see citing works
ESPEN guidelines on nutritional support for polymorbid internal medicine patients
Gomes, F., Schuetz, P., Bounoure, L., Austin, P., Ballesteros-Pomar, M., Cederholm, T., Fletcher, J., Laviano, A., Norman, K., Poulia, K.-A., et al. (2018) · Clinical Nutrition · doi:10.1016/j.clnu.2017.06.025 · Cited by 363 · see citing works
Self-citationDeutz, N. E. P., Pereira, S. L., Hays, N. P., Oliver, J. S., Edens, N. K., Evans, C. M., & Wolfe, R. R. (2013) · Clinical Nutrition · doi:10.1016/j.clnu.2013.02.011 · Cited by 287 · see citing works
Sarcopenic obesity: time to meet the challenge
Barazzoni, R., Bischoff, S. C., Boirie, Y., Busetto, L., Cederholm, T., Dicker, D., Toplak, H., Van Gossum, A., Yumuk, V., & Vettor, R. (2018) · Clinical Nutrition · doi:10.1016/j.clnu.2018.04.018 · Cited by 260 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 30
- [6]Greenhalgh T. Koh G.C.H. Car J. Covid-19: a remote assessment in primary care BMJ 368 2020 m1182 32213507
- [8]Krupinski Bernard J. Healthcare 2 2014 74 93 PMC4934495 27429261
- [10]Saqui O. Chang A. McGonigle S. Purdy B. Fairholm L. Baun M. Telehealth videoconferencing: improving home parenteral nutrition patient care to rural areas of Ontario, Canada J Parenter Enteral Nutr 31 3 2007 234 239 17463150
- [11]Marinschek S. Dunitz-Scheer M. Pahsini K. Geher B. Scheer P. Weaning children off enteral nutrition by net coaching versus onsite treatment: a comparative study J Paediatr Child Health 50 2014 902 907 10.1111/jpc.12662 24946136 · DOI
- [12]Kim H. Spaulding R. Werkowitch M. Yadrich D. Piamjariyakul U. Gilroy R. Costs of multidisciplinary parenteral nutrition care provided at a distance via mobile tablets J Parenter Enteral Nutr 38 2 2014 50S 57S PMC4231785 25245253
- [13]Raphael B.P. Schumann C. Garrity-Gentille S. McClelland J. Rosa C. Tascione C. Telemedicine and e-Health. Virtual telemedicine visits in pediatric home parenteral nutrition patients: a quality improvement initiative Telemed J e Health 25 1 2019 60 65 10.1089/tmj.2017.0298 29727261 PMC6352551 · DOI
- [14]Nelson E.L. Yadrich D.M. Thompson N. Wright S. Stone K. Adams N. Telemedicine support groups for home parenteral nutrition users Nutr Clin Pract 32 6 2017 789 798 10.1177/0884533617735527 29016235 · DOI
- [17]Creditor M.C. Hazards of hospitalization of the elderly Ann Intern Med 118 3 1993 Feb 1 219e23 8417639
- [18]Ferrando A.A. Lane H.W. Stuart C.A. Davis-Street J. Wolfe R.R. Prolonged bed rest decreases skeletal muscle and whole body protein synthesis Am J Phys 270 4 Pt 1 1996 Apr E627e33 8928769
- [21]Greenhalgh T. Choon Huat Koh G. Car J. Covid-19: a remote assessment in primary care BMJ 368 2020 m1182 10.1136/bmj.m1182 32213507 · DOI · Paper page
- [22]Caccialanza R. Laviano A. Lobascio F. Montagna E. Bruno R. Ludovisi S. Early nutritional supplementation in non-critically ill patients hospitalized for the 2019 novel coronavirus disease (COVID-19): rationale and feasibility of a shared pragmatic protocol Nutrition 74 2020 110835 10.1016/j.nut.2020.110835 ISSN 0899-9007 32280058 PMC7194616 · DOI
- [24]Malmstrom T.K. Morley J.E. Sarcopenia: the target population J Frailty Aging 2 2013 55e6 27070457
- [25]Malmstrom T.K. Morley J.E. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia J Am Med Dir Assoc 14 2013 531e2 23810110
- [26]Stratton R.J. Hackston A. Longmore D. Dixon R. Price S. Stroud M. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the “malnutrition universal screening tool” (‘MUST’) for adults Br J Nutr 2004 799 808 15533269
- [27]Biolo G. Cederholm T. Muscaritoli M. Muscle contractile and metabolic dysfunction is a common feature of sarcopenia of aging and chronic diseases: from sarcopenic obesity to cachexia Clin Nutr 33 5 2014 737 748 24785098
- [28]Anker S.D. Coats A.J. Morley J.E. Rosano G. Bernabei R. von Haehling S. Muscle wasting disease: a proposal for a new disease classification J Cachexia Sarcopenia Muscle 5 1 2014 1 3 24595459 PMC3953318
- [29]Cederholm T. Barazzoni R. Austin P. Ballmer P. Biolo G. Bischoff S.C. ESPEN guidelines on definitions and terminology of clinical nutrition Clin Nutr 36 2017 49 64 27642056
- [30]Cederholm T. Jensen G.L. Correia M.I.T.D. Gonzalez M.C. Fukushima R. Higashiguchi T. GLIM Core Leadership Committee GLIM Working Group GLIM criteria for the diagnosis of malnutrition – a consensus report from the global clinical nutrition community Clin Nutr 38 2019 1 9 30181091
- [31]Barazzoni R. Bischoff S.C. Breda J. Wickramasinghe K. Krznaric Z. Nitzan D. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection Clin Nutr 2020 10.1016/j.clnu.2020.03.022 PMC7138149 32305181 · DOI
- [32]Volkert D. Beck A.M. Cederholm T. Cruz-Jentoft A. Goisser S. Hooper L. ESPEN guideline on clinical nutrition and hydration in geriatrics Clin Nutr 38 2019 10 47 30005900
- [34]Arends J. Bachmann P. Baracos V. Barthelemy N. Bertz H. Bozzetti F. ESPEN guidelines on nutrition in cancer patients Clin Nutr 36 1 2017 11 48 27637832
- [36]Plauth M. Bernal W. Dasarathy S. Merli M. Plank L.D. Schütz T. ESPEN guideline on clinical nutrition in liver disease Clin Nutr 38 2 2019 Apr 485 521 30712783 PMC6686849
- [37]Meier R. Ockenga J. Pertkiewicz M. Pap A. Milinic N. Macfie J. DGEM (German society for nutritional medicine), Löser C, Keim V; ESPEN (European society for parenteral and enteral nutrition). ESPEN guidelines on enteral nutrition: pancreas Clin Nutr 25 2 2006 275 284 16678943
- [38]Burgos R. Bretón I. Cereda E. Desport J.C. Dziewas R. Genton L. ESPEN guideline clinical nutrition in neurology Clin Nutr 37 1 2018 Feb 354 396 29274834
- [39]Cano N. Fiaccadori E. Tesinsky P. Toigo G. Druml W. DGEM (German society for nutritional medicine), Kuhlmann M, Mann H, Hörl WH; ESPEN (European society for parenteral and enteral nutrition). ESPEN guidelines on enteral nutrition: adult renal failure Clin Nutr 25 2 2006 Apr 295 310 16697495
- [40]Vranešić Bender D. Krznarić Ž. Nutritional issues and considerations in the elderly: an update Croat Med J 61 2020 10.3325/cmj.2020.61 PMC7230422 32378386 · DOI
- [42]Belafsky P.C. Mouadeb D.A. Rees C.J. Pryor J.C. Postma G.N. Allen J. Validity and reliability of the Eating assessment tool (EAT-10) Ann Otol Rhinol Laryngol 117 12 2008 919 924 19140539
- [43]Fontaine J. Raynaud-Simon A. Pressure sores in geriatric medicine: the role of nutrition Presse Med 37 2008 1150 1157 10.1016/j.lpm.2007.11.016 18313887 · DOI
- [44]Singer P. Nutritional care to prevent and heal pressure ulcers Isr Med Assoc J 4 2002 713 716 12440237
- [45]Alexander D.D. Bylsma L.C. Elkayam L. Nguyen D.L. Nutritional and health benefits of semi-elemental diets: a comprehensive summary of the literature World J Gastrointest Pharmacol Therapeut 7 2 2016 306 PMC4848254 27158547
Cited by
Sorted by citations
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Prado, C. M., Landi, F., Chew, S. T. H., Atherton, P. J., Molinger, J., Ruck, T., & Gonzalez, M. C. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.07.041 · Cited by 237 · see citing works
Self-citationNonalcoholic fatty liver disease and sarcopenia: Where do we stand?
Mikolasevic, I., Pavic, T., Filipec Kanizaj, T., Bender, D. V., Domislovic, V., & Krznaric, Z. (2020) · Canadian Journal of Gastroenterology and Hepatology · doi:10.1155/2020/8859719 · Cited by 30 · see citing works
Evolution of the diagnosis of malnutrition in adults: a primer for clinicians
Hegazi, R., Miller, A., & Sauer, A. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1169538 · Cited by 26 · see citing works
- Authors
- Krznarić, Ž., Bender, D. V., Laviano, A., Cuerda, C., Landi, F., Monteiro, R., Pirlich, M., & Barazzoni, R.
- Affiliations
- University Hospital Centre Zagreb (HR)
- Sapienza University of Rome (IT)
- Hospital General Universitario Gregorio Marañón (ES)
- Agostino Gemelli University Polyclinic (IT)
- University of Trieste (IT)
- Corresponding author
- Krznarić, Željko
- ORCID
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 39
- Issue
- 7
- Pages
- 1983-1987
- ISSN
- 0261-5614 (ISSN-L)
- PMC
- PMC7227572
- OpenAlex
- W3025426989
- Cited by
- 79
- References
- 7
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 6 · 2023: 11 · 2022: 21 · 2021: 19 · 2020: 15
- FWCI
- 9.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion, cc-by-nc-nd)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Funders
- Abbott Nutrition
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- malnutrition, COVID-19 pandemic, telemedicine, primary care, dietary management, Malnutrition Universal Screening Tool, SARC-F, muscle mass and function, nutritional risk, digital health apps, general practitioners
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Humans, Nutritional Status, Pneumonia, Viral, Nutrition Assessment, Practice Guidelines as Topic, Coronavirus Infections, Remote Consultation, Malnutrition, Pandemics
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