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Cited by 528Clinical Nutrition and GastroenterologyNutrition and Health in AgingDietetics, Nutrition, and Education

Adult Starvation and Disease‐Related Malnutrition: A Proposal for Etiology‐Based Diagnosis in the Clinical Practice Setting From the International Consensus Guideline Committee

Jensen, Gordon L., Mirtallo, Jay, Compher, Charlene, Dhaliwal, Rupinder, Forbes, Alastair, Grijalba, Rafael Figueredo, Hardy, Gil, Kondrup, Jens +4 more·2010·Journal of Parenteral and Enteral Nutrition
DOI 10.1177/0148607110361910
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Abstract

Background & Aims: Multiple definitions for malnutrition syndromes are found in the literature resulting in confusion. Recent evidence suggests that varying degrees of acute or chronic inflammation are key contributing factors in the pathophysiology of malnutrition that is associated with disease or injury. Methods: An International Guideline Committee was constituted to develop a consensus approach to defining malnutrition syndromes for adults in the clinical setting. Consensus was achieved through a series of meetings held at the A.S.P.E.N. and ESPEN Congresses. Results: It was agreed that an etiology‐based approach that incorporates a current understanding of inflammatory response would be most appropriate. The Committee proposes the following nomenclature for nutrition diagnosis in adults in the clinical practice setting. “Starvation‐related malnutrition”, when there is chronic starvation without inflammation, “chronic disease‐related malnutrition”, when inflammation is chronic and of mild to moderate degree, and “acute disease or injury‐related malnutrition”, when inflammation is acute and of severe degree. Conclusions: This commentary is intended to present a simple etiology‐based construct for the diagnosis of adult malnutrition in the clinical setting. Development of associated laboratory, functional, food intake, and body weight criteria and their application to routine clinical practice will require validation.

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  • The lack of consensus on nutrition concepts and terminology has hindered development of a common nutrition language to support sharing prevalence data, testing targeted interventions, and monitoring outcomes globally.

    “The lack of consensus has hindered the development of a common nutrition language to support sharing of meaningful prevalence data, the testing of targeted interventions, and the monitoring of outcomes across the globe.”

    From GLIM consensus approach to diagnosis of malnutrition: A 5‐year update (2025) · cites this paper as [1]

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Authors
Jensen, G. L., Mirtallo, J., Compher, C., Dhaliwal, R., Forbes, A., Grijalba, R. F., Hardy, G., Kondrup, J., Labadarios, D., Nyulasi, I., Castillo Pineda, J. C., & Waitzberg, D.
Affiliations
  • Pennsylvania State University (US)
  • The Ohio State University Wexner Medical Center (US)
  • University of Pennsylvania (US)
  • Kingston General Hospital (CA)
  • University College Hospital (GB)
  • Universidad Nacional de Asunción (PY)
  • University of Auckland (NZ)
  • University of Copenhagen (DK)
  • Human Sciences Research Council (ZA)
  • The Alfred Hospital (AU)
  • Universidade de São Paulo (BR)
Corresponding author
Jensen, Gordon L.
ORCID
Venue
Journal of Parenteral and Enteral Nutrition
Publisher
Wiley
Published
2010-03
Volume
34
Issue
2
Pages
156-159
ISSN
  • 0148-6071 (ISSN-L)
  • 1941-2444
DOI
10.1177/0148607110361910
OpenAlex
W2088209109
Cited by
528
References
1
Citations by year
2026: 25 · 2025: 32 · 2024: 42 · 2023: 33 · 2022: 27 · 2021: 33 · 2020: 39 · 2019: 37 · 2018: 25 · 2017: 25 · 2016: 24 · 2015: 44 · 2014: 35 · 2013: 45 · 2012: 35
FWCI
32.17
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 37 d)
Locations
  • Journal of Parenteral and Enteral Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • Scientific Electronic Library Online (São Paulo Research Foundation, Latin American and Caribbean Center on Health Sciences Information, Conselho Nacional de Desenvolvimento Científico e Tecnológico) (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
Keywords
adult malnutrition, inflammation, nutritional diagnosis
MeSH terms
Acute Disease, Adult, Chronic Disease, Humans, Inflammation, Terminology as Topic, Starvation, Wounds and Injuries, Malnutrition

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