Nutrition support in clinical practice: Review of published data and recommendations for future research directions: Summary of a conference sponsored by the National Institutes of Health, American Society for Parenteral and Enteral Nutrition, and American Society for Clinical Nutrition

Samuel Klein, John Kinney, Khursheed Jeejeebhoy, David Alpers, Mark Hellerstein, Michael Murray, Patrick Twomey

Research output: Contribution to journalArticle

359 Citations (Scopus)

Abstract

In the last 30 years, marked advances in enteral feeding techniques, venous access, and enteral and parenteral nutrient formulations have made it possible to provide nutrition support to almost all patients. Despite the abundant medical literature and widespread use of nutritional therapy, many areas of nutrition support remain controversial. Therefore, the leadership at the national Institute of Health, The American Society for Parenteral and Enteral Nutrition, and The American Society for Clinical Nutrition convened an advisory committee to perform a critical review of the current medical literature evaluating the clinical use of nutrition support; the goal was to assess our current body of knowledge and to identify the issues that deserve further investigation. The panel was divided into five groups to evaluate the following areas: nutrition assessment, nutrition support in patients with gastrointestinal diseases, nutrition support in wasting diseases, nutrition support in critically ill patients, and perioperative nutrition support. The findings from each group are summarized in this report. This document is not meant to establish practice guidelines for nutrition support. The use of nutritional therapy requires a careful integration of data from pertinent clinical trials, clinical expertise in the illness or injury being treated, clinical expertise in nutritional therapy, and input from the patient and his/her family.

Original languageEnglish (US)
Pages (from-to)133-156
Number of pages24
JournalJournal of Parenteral and Enteral Nutrition
Volume21
Issue number3
StatePublished - May 1997
Externally publishedYes

Fingerprint

National Institutes of Health
clinical nutrition
National Institutes of Health (U.S.)
nutrition
diet therapy
Wasting Syndrome
Nutrition Assessment
Gastrointestinal Diseases
Enteral Nutrition
Advisory Committees
Practice Guidelines
Critical Illness
Small Intestine
Therapeutics
Clinical Trials
wasting syndrome
Food
nutrition assessment
Direction compound
leadership

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

Cite this

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abstract = "In the last 30 years, marked advances in enteral feeding techniques, venous access, and enteral and parenteral nutrient formulations have made it possible to provide nutrition support to almost all patients. Despite the abundant medical literature and widespread use of nutritional therapy, many areas of nutrition support remain controversial. Therefore, the leadership at the national Institute of Health, The American Society for Parenteral and Enteral Nutrition, and The American Society for Clinical Nutrition convened an advisory committee to perform a critical review of the current medical literature evaluating the clinical use of nutrition support; the goal was to assess our current body of knowledge and to identify the issues that deserve further investigation. The panel was divided into five groups to evaluate the following areas: nutrition assessment, nutrition support in patients with gastrointestinal diseases, nutrition support in wasting diseases, nutrition support in critically ill patients, and perioperative nutrition support. The findings from each group are summarized in this report. This document is not meant to establish practice guidelines for nutrition support. The use of nutritional therapy requires a careful integration of data from pertinent clinical trials, clinical expertise in the illness or injury being treated, clinical expertise in nutritional therapy, and input from the patient and his/her family.",
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AU - Hellerstein, Mark

AU - Murray, Michael

AU - Twomey, Patrick

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