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Cited by 6Dietetics, Nutrition, and EducationClinical Nutrition and GastroenterologyNursing Roles and Practices

Actualización del rol del nutricionista clínico: Estándares de práctica

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Ferrand, Susanne, Onfray, Maria Paulina, Medina, Maria Gabriela·2021·Revista chilena de nutrición
DOI 10.4067/s0717-75182021000300437
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Abstract

RESUMENEl propósito del presente ensayo es definir estándares de práctica para el nutricionista clínico con el objetivo de determinar un Gold Standard que permita un abordaje sistematizado de pacientes en establecimientos de salud.Se analizó la evidencia nacional e internacional, desde el año 2005 hasta el 2019, en cuanto a estándares de práctica o funciones del nutricionista clínico, considerando población objetivo y rendimiento, es decir, la cantidad de pacientes por Nutricionista o el tiempo asignado por atención.De los resultados obtenidos, destacaron un total de 11 instituciones, organizaciones o programas de salud que describieron estándares de práctica o funciones del nutricionista, donde todos indicaron población objetivo y sólo 9 rendimiento.En la actualidad, la ASPEN-ADA, ha sido las única entidad que ha publicado estándares de práctica para nutricionistas clínicos, clasificados además en niveles de competencia técnica, aunque sin indicar rendimiento.En síntesis, el presente trabajo determina los estándares de práctica publicados por la ASPEN-ADA como el Gold Standard de práctica en nutrición clínica, sirviendo como herramienta diagnóstica para determinar un índice de nutricionistas/paciente pertinente.

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  • Traditionally, assessment methods were grouped under the ABCD acronym (Anthropometric, Biochemical, Clinical, and Dietary), which established core parameters for identifying nutritional status across diverse populations.

    “Traditionally, assessment methods were grouped under the ABCD acronym (Anthropometric, Biochemical, Clinical, and Dietary), which established core parameters for identifying nutritional status across diverse populations [2,3].”

    From The Seven Methods for the Evaluation of Nutritional Status—ABCDEFG: Narrative Review (2026) · cites this paper as [3]

    The Materials and Methods table (page unavailable) lists nutritional assessment among clinical nutritionists’ functions, but does not describe its methods as an ABCD grouping. Searches for “ABCD” and the anthropometric, biochemical, clinical, and dietary categories found no passage establishing the claimed traditional framework or its use across diverse populations. (LLM, conf=0.75)

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Research works printed but not linked: 11

  1. Pérez J, Chávez M, Larios Y, García J, Rendón F, Salazar M et al. Nutritional status assessment at hospital admission and its association with morbidity and mortality in Mexican patients. Nutr Hosp. 2016; 33: 872-878.
  2. Montejo J, Culebras J, García A. Recommendations for the nutritional assessment of critically ill patients. Rev Med Chile. 2006; 134: 1049-1056.
  3. Castillo J, Gómez A, Velasco N, Díaz J, Matos A, Miján A. Nutritional assessment of hospitalized patients in Latin America: association with prognostic variables. The ENHOLA study. Nutr Hosp. 2016; 33: 655-662.
  4. Jiménez D, Rodríguez A, Jiménez R. Social determinants analysis of malnutrition in Latin America. Nutr Hosp. 2010; 25: 18-25.
  5. De la Cruz J, Figueredo R, Dugloszewski C, Ruy J, Spolidoro J, Matos A, et al. Declaration of Cancun: international declaration of Cancun on the nutrition right in hospitals. Nutr Hosp. 2008; 23: 413-417.
  6. Salgado C. Organization plan of clinical nutrition and dietetic unite. Endocrinol Nutr. 2016; 63: 509-574.
  7. Russell M, Stieber M, Brantley S, Freeman A, Lefton J, Malone A, et al. American Society for Parenteral and Enteral Nutrition (A.S.P.E.N) and American Dietetic Association (A.D.A): Standards of Practice and Standards of Professional Performance for Registered Dieticians (Generalist, Specialist and Advance) in Nutritional Support. J Acad Nutr Diet. 2007; 107: 1815-1822.
  8. Federación latinoamericana de Terapia Nutricional y Nutrición Clínica y Metabolismo (FELANPE). Consensus document of functions and performance of clinical nutritionist, Rev Cubana Aliment Nutr. 2013; 23: 146-172.
  9. Outomuro D, Actis A. Analysis of ambulatory consultation length in medical clinics. Rev Med Chile. 2013; 141: 361-366.
  10. Ulibarrí J, Lobo G, Pérez A. Clinic malnutrition and nutritional risk in 2015. Nutr Clin Med. 2015; 9: 231-254.
  11. Benítez N. The dietitian-nutritionist within the Spanish National Health System: facing hospital malnutrition. Rev Esp Nutr Hum Diet. 2017; 21: 199-208.

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Authors
Ferrand, S., Onfray, M. P., & Medina, M. G.
Affiliations
  • Hospital Dr. Gustavo Fricke (CL)
  • Universidad Santo Tomás (CL)
  • Hospital Provincial de Ovalle (CL)
Corresponding author
Ferrand, Susanne
Venue
Revista chilena de nutrición
Publisher
SciELO Agencia Nacional de Investigacion y Desarrollo (ANID)
Published
2021-06
Volume
48
Issue
3
Pages
437-446
ISSN
  • 0716-1549 (ISSN-L)
  • 0717-7518
DOI
10.4067/s0717-75182021000300437
OpenAlex
W3174985168
Cited by
6
References
0
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 1
FWCI
0.44
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Revista chilena de nutrición (publishedVersion, cc-by)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
Topics
  • Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
Keywords
clinical nutrition services, health institutions

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