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Aktuelle Ernährungsmedizin 2003; 28: 10-25
DOI: 10.1055/s-2003-36934
Ernährungsstatus
© Georg Thieme Verlag Stuttgart · New York

DGEM-Leitlinie Enterale Ernährung:
Ernährungsstatus

DGEM Guidelines Enteral Nutrition: Nutritional StatusM.  Pirlich1 , A.  Schwenk2 , M.  J.  Müller3 , unter Mitarbeit von J. Ockenga, S. Schmidt, T. Schütz, O. Selberg, D. Volkert
  • 1Medizinische Klinik, Gastroenterologie, Hepatologie und Endokrinologie, Universitätsklinikum Charité, Berlin
  • 2Department of Infectious & Tropical Diseases, Royal Free Hospital, London
  • 3Institut für Humanernährung u. Lebensmittelkunde, Christian-Albrechts-Universität Kiel
Further Information

Publication History

Publication Date:
27 January 2003 (online)

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See also:

2 ErnährungsstatusAktuelle Ernährungsmedizin 2007; 32(S 1): S7-S7
DOI: 10.1055/s-2006-951871

Schlüsselwörter

Sondenernährung - Ernährungsstatus - Mangelernährung - Erhebung des Ernährungszustandes

Key words

Enteral nutrition - nutritional status - malnutrition - nutritional assessment

Literatur

  • 1 Klein S, Kinney J, Jeejeebhoy K. et al . 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.  Am J Clin Nutr . 1997;  66 683-706
    PubMedSearch in Google Scholar
  • 2 Hebebrand J, Heseker H, Himmelmann W, Schäfer H, Remschmidt H. Altersperzentilen für den Body-Mass-Index aus Daten der Nationalen Verzehrsstudie einschließlich einer Übersicht zu relevanten Einflussfaktoren.  Akt Ernähr Med. 1994;  19 259-265
    PubMedSearch in Google Scholar
  • 3 WHO .Report of a WHO consultation on obesity. Obesity: preventing and managing the global epidemic. WHO. 894. Genf; Ref Type: Report 2000
    Search in Google Scholar
  • 4 Kromeyer-Hauschild K, Wabitsch M, Kunze D. et al . Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben.  Monatschr Kinderheilkunde. 2001;  149 807-818
    CrossrefPubMedSearch in Google Scholar
  • 5 WHO .Report of a WHO Expert Committee. Physical status: the use and interpretation of anthropometry. WHO. 854. Genf; Ref Type: Report 1995
    Search in Google Scholar
  • 6 Rolland-Cachera M F, Sempe M, Guilloud-Bataille M, Patois E, Pequignot-Guggenbuhl F, Fautrad V. Adiposity indices in children.  Am J Clin Nutr. 1982;  36 178-184
    PubMedSearch in Google Scholar
  • 7 Reinken L, Stolley H, Droese W, van Oost G. Longitudinal data of physical growth of healthy children. II. Height, weight, skinfold thickness of children aged 1.5 - 16 years (author's transl).  Klin Padiatr. 1980;  192 25-33
    PubMedSearch in Google Scholar
  • 8 Frisancho A R. New norms of upper limb fat and muscle areas for assessment of nutritional status.  Am J Clin Nutr. 1981;  34 2540-2545
    CrossrefPubMedSearch in Google Scholar
  • 9 Pirlich M, Luhmann N, Schütz T, Plauth M, Lochs H. Mangelernährung bei Klinikpatienten: Diagnostik und klinische Bedeutung.  Akt Ernähr Med. 1999;  24 260-266
    PubMedSearch in Google Scholar
  • 10 Campbell A J, Borrie M J, Spears G F, Jackson S L, Brown J S, Fitzgerald J L. Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study.  Age Ageing. 1990;  19 136-141
    CrossrefPubMedSearch in Google Scholar
  • 11 Herndon J E, Fleishman S, Kornblith A B, Kosty M, Green M R, Holland J. Is quality of life predictive of the survival of patients with advanced nonsmall cell lung carcinoma?.  Cancer. 1999;  85 333-340
    CrossrefPubMedSearch in Google Scholar
  • 12 Cunningham D, Pyrhonen S, James R D. et al . Randomised trial of irinotecan plus supportive care versus supportive care alone after fluorouracil failure for patients with metastatic colorectal cancer.  Lancet. 1998;  352 1413-1418
    CrossrefPubMedSearch in Google Scholar
  • 13 Persson C, Sjoden P O, Glimelius B. The Swedish version of the patient-generated subjective global assessment of nutritional status: gastrointestinal vs urological cancers.  Clin Nutr. 1999;  18 71-77
    CrossrefPubMedSearch in Google Scholar
  • 14 Dawson N A, Conaway M, Halabi S. et al . A randomized study comparing standard versus moderately high dose megestrol acetate for patients with advanced prostate carcinoma: cancer and leukemia group B study 9181.  Cancer. 2000;  88 825-834
    CrossrefPubMedSearch in Google Scholar
  • 15 Andreyev H J, Norman A R, Oates J, Cunningham D. Why do patients with weight loss have a worse outcome when undergoing chemotherapy for gastrointestinal malignancies?.  Eur J Cancer. 1998;  34 503-509
    CrossrefPubMedSearch in Google Scholar
  • 16 Schols A M, Slangen J, Volovics L, Wouters E F. Weight loss is a reversible factor in the prognosis of chronic obstructive pulmonary disease.  Am J Respir Crit Care Med. 1998;  157 1791-1797
    CrossrefPubMedSearch in Google Scholar
  • 17 Morrison G, Hark L. Medical Nutrition & Disease. Blackwell Science 1999
    Search in Google Scholar
  • 18 Naber T H, Schermer T, de Bree A. et al . Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications.  Am J Clin Nutr. 1997;  66 1232-1239
    PubMedSearch in Google Scholar
  • 19 Selberg O. The adjunctive value of routine biochemistry in nutritional assessment of hospitalized patients.  Clin Nutr. 2001;  20 477-485
    PubMedSearch in Google Scholar
  • 20 Heseker H, Schneider R, Moch K J, Kohlmeier M, Kübler W. Vitaminversorgung Erwachsener in der Bundesrepublik Deutschland. Niederkleen; Wissenschaftlicher Fachverlag Dr. Fleck 1992
    Search in Google Scholar
  • 21 Heseker H, Adolf T, Hartmann S, Schneider R. Der Vitaminstatus der deutschen Bevölkerung.  Vita Min Spur. 1994;  9 11-19
    PubMedSearch in Google Scholar
  • 22 WHO .Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. WHO. 843. Genf; Ref Type: Report 1994
    Search in Google Scholar
  • 23 Meguid M, Laviano A. Nutritional status: Clinical Examination. In: Sadler MJ (ed) Encyclopedia of human nutrition. New York; Academic Press 1999
    Search in Google Scholar
  • 24 Newton J M, Halsted C H. Clinical and functional assessment of adults. In: Shils ME, Olson JA, Shike M, Ross AC (eds) Modern nutrition in health and disease. Baltimore; Williams & Wilkins 1999: 895-902
    Search in Google Scholar
  • 25 Cunha D F, Cunha S F, Unamuno M R, Vannucchi H. Serum levels assessment of vitamin A, E, C, B2 and carotenoids in malnourished and non-malnourished hospitalized elderly patients.  Clin Nutr. 2001;  20 167-170
    PubMedSearch in Google Scholar
  • 26 Pichard C, Kyle U G, Bracco D, Slosman D O, Morabia A, Schutz Y. Reference values of fat-free and fat masses by bioelectrical impedance analysis in 3393 healthy subjects.  Nutrition. 2000;  16 245-254
    CrossrefPubMedSearch in Google Scholar
  • 27 ASPEN Board of Directors and The Clinical Guidelines Task Force . Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients.  JPEN J Parenter Enteral Nutr. 2002;  26 9SA-12SA
    PubMedSearch in Google Scholar
  • 28 Selberg O, Muller M J. Ernährungsmedizinische Untersuchungen. In: Muller MJ (Hrsg) Ernährungsmedizinische Praxis: Methoden - Prävention - Behandlung. Berlin, Heidelberg; Springer-Verlag 1998: 29-202
    Search in Google Scholar
  • 29 Deutsche Gesellschaft für Ernährung, Österreichische Gesellschaft für Ernährung, Schweizerische Gesellschaft für Ernährungsforschung, Schweizerische Vereinigung für Ernährung (Hrsg) .Referenzwerte für die Nährstoffzufuhr. Frankfurt; Umschau/Baus 2000
    Search in Google Scholar
  • 30 Harris J A, Benedict F B. A biometric study of basal metabolism in man. Harris JA and Benedict FB. 270. Washington DC; Carnegie Institut of Washington DC. Ref Type: Report 1919
    Search in Google Scholar
  • 31 WHO .From energy and protein requirements: report of a Joint FAO/WHO/UNO Expert Consultation. WHO. 724. Genf; Ref Type: Report 1985
    Search in Google Scholar
  • 32 Durnin J V, Womersley J. Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years.  Br J Nutr. 1974;  32 77-97
    CrossrefPubMedSearch in Google Scholar
  • 33 Heymsfield S B, McManus C, Smith J, Stevens V, Nixon D W. Anthropometric measurement of muscle mass: revised equations for calculating bone-free arm muscle area.  Am J Clin Nutr. 1982;  36 680-690
    PubMedSearch in Google Scholar
  • 34 Bannerman E, Ghosh S. The prognostic value of the corrected arm-muscle area.  Clin Nutr. 2000;  19 70-71
    PubMedSearch in Google Scholar
  • 35 Friedman P J, Campbell A J, Caradoc-Davies T H. Prospective trial of a new diagnostic criterion for severe wasting malnutrition in the elderly.  Age Ageing. 1985;  14 149-154
    PubMedSearch in Google Scholar
  • 36 Frost G S, Corish C. Reproducibility of upper-arm anthropometry in subjects of differing body mass.  J Hum Nutr Diet. 1998;  2 403-406
    PubMedSearch in Google Scholar
  • 37 NIH Conference . Bioelectrical impedance analysis in body composition measurement: National Institute of Health Technology Assessment Conference Statement.  Am J Clin Nutr. 1996;  64 524S-532S
    PubMedSearch in Google Scholar
  • 38 Pirlich M, Plauth M, Lochs H. Bioelektrische Impedanzanalyse: Fehlerquellen und methodische Grenzen bei der klinischen Anwendung zur Analyse der Körperzusammensetzung.  Akt Ernähr Med. 1999;  24 81-90
    PubMedSearch in Google Scholar
  • 39 Kyle U G, Genton L, Slosman D O, Pichard C. Fat-free and fat mass percentiles in 5225 healthy subjects aged 15 to 98 years.  Nutrition. 2001;  17 534-541
    CrossrefPubMedSearch in Google Scholar
  • 40 Kyle U G, Morabia A, Slosman D O, Mensi N, Unger P, Pichard C. Contribution of body composition to nutritional assessment at hospital admission in 995 patients: a controlled population study.  Br J Nutr. 2001;  86 725-731
    PubMedSearch in Google Scholar
  • 41 Schutz Y, Kyle U U, Pichard C. Fat-free mass index and fat mass index percentiles in Caucasians aged 18 - 98 y.  Int J Obes Relat Metab Disord. 2002;  26 953-960
    CrossrefPubMedSearch in Google Scholar
  • 42 Pichard C, Kyle U G, Slosman D O. Fat-free mass in chronic illness: comparison of bioelectrical impedance and dual-energy x-ray absorptiometry in 480 chronically ill and healthy subjects.  Nutrition. 1999;  15 668-676
    CrossrefPubMedSearch in Google Scholar
  • 43 Mast M, Sonnichsen A, Langnase K. et al . Inconsistencies in bioelectrical impedance and anthropometric measurements of fat mass in a field study of prepubertal children 1.  Br J Nutr. 2002;  87 163-175
    PubMedSearch in Google Scholar
  • 44 Williams C A, Bale P. Bias and limits of agreement between hydrodensitometry, bioelectrical impedance and skinfold calipers measures of percentage body fat.  Eur J Appl Physiol Occup Physiol. 1998;  77 271-277
    CrossrefPubMedSearch in Google Scholar
  • 45 Heath E M, Adams T D, Daines M M, Hunt S C. Bioelectric impedance and hydrostatic weighing with and without head submersion in persons who are morbidly obese.  J Am Diet Assoc. 1998;  98 869-875
    CrossrefPubMedSearch in Google Scholar
  • 46 Beshyah S A, Freemantle C, Thomas E, Johnston D G. Comparison of measurements of body composition by total body potassium, bioimpedance analysis, and dual-energy X-ray absorptiometry in hypopituitary adults before and during growth hormone treatment.  Am J Clin Nutr. 1995;  61 1186-1194
    PubMedSearch in Google Scholar
  • 47 Paton N I, Elia M, Jennings G, Ward L C, Griffin G E. Bioelectrical impedance analysis in human immunodeficiency virus-infected patients: comparison of single frequency with multifrequency, spectroscopy, and other novel approaches.  Nutrition. 1998;  14 658-666
    CrossrefPubMedSearch in Google Scholar
  • 48 Kotler D P, Burastero S, Wang J, Pierson R N. Prediction of body cell mass, fat-free mass, and total body water with bioelectrical impedance analysis: effects of race, sex, and disease.  Am J Clin Nutr. 1996;  64 489S-497S
    CrossrefPubMedSearch in Google Scholar
  • 49 Selberg O, Bottcher J, Tusch G, Pichlmayr R, Henkel E, Muller M J. Identification of high- and low-risk patients before liver transplantation: a prospective cohort study of nutritional and metabolic parameters in 150 patients.  Hepatology. 1997;  25 652-657
    CrossrefPubMedSearch in Google Scholar
  • 50 Suttmann U, Ockenga J, Selberg O, Hoogestraat L, Deicher H, Muller M J. Incidence and prognostic value of malnutrition and wasting in human immunodeficiency virus-infected outpatients.  J Acquir Immune Defic Syndr Hum Retrovirol. 1995;  8 239-246
    PubMedSearch in Google Scholar
  • 51 Schwenk A, Eschner W, Kremer G, Ward L C. Assessment of intracellular water by whole body bioelectrical impedance and total body potassium in HIV-positive patients.  Clin Nutr. 2000;  19 109-113
    PubMedSearch in Google Scholar
  • 52 Heymsfield S B, Arteaga C, McManus C, Smith J, Moffitt S. Measurement of muscle mass in humans: validity of the 24-hour urinary creatinine method.  Am J Clin Nutr. 1983;  37 478-494
    PubMedSearch in Google Scholar
  • 53 Pirlich M, Selberg O, Boker K, Schwarze M, Muller M J. The creatinine approach to estimate skeletal muscle mass in patients with cirrhosis.  Hepatology. 1996;  24 1422-1427
    CrossrefPubMedSearch in Google Scholar
  • 54 Bistrian B R, Blackburn G L, Sherman M, Scrimshaw N S. Therapeutic index of nutritional depletion in hospitalized patients.  Surg Gynecol Obstet. 1975;  141 512-516
    PubMedSearch in Google Scholar
  • 55 Bistrian B R. Nutritional assessment and therapy of protein-calorie malnutrition in the hospital.  J Am Diet Assoc. 1977;  71 393-397
    PubMedSearch in Google Scholar
  • 56 Gershwin M E, Borchers A T, Keen C L. Phenotypic and functional considerations in the evaluation of immunity in nutritionally compromised hosts.  J Infect Dis. 2000;  182, Suppl 1 S108-S114
    CrossrefPubMedSearch in Google Scholar
  • 57 Blackburn G L, Bistrian B R, Maini B S, Schlamm H T, Smith M F. Nutritional and metabolic assessment of the hospitalized patient.  JPEN J Parenter Enteral Nutr. 1977;  1 11-22
    PubMedSearch in Google Scholar
  • 58 DeJong P CM, Wesdorp R ICO, Volovics A. et al . The value of objective measurements to select patients who are malnourished.  Clin Nutr. 1985;  4 61-66
    PubMedSearch in Google Scholar
  • 59 Buzby G P, Williford W O, Peterson O L. et al . A randomized clinical trial of total parenteral nutrition in malnourished surgical patients: the rationale and impact of previous clinical trials and pilot study on protocol design.  Am J Clin Nutr. 1988;  47 357-365
    PubMedSearch in Google Scholar
  • 60 Guigoz Y, Vellas B, Garry P J. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation.  Nutr Rev. 1996;  54 S59-S65
    PubMedSearch in Google Scholar
  • 61 Detsky A S, McLaughlin J R, Baker J P. et al . What is subjective global assessment of nutritional status?.  JPEN J Parenter Enteral Nutr. 1987;  11 8-13
    CrossrefPubMedSearch in Google Scholar
  • 62 Hirsch S, de Obaldia N, Petermann M. et al . Subjective global assessment of nutritional status: further validation.  Nutrition. 1991;  7 35-37
    PubMedSearch in Google Scholar
  • 63 Hasse J, Strong S, Gorman M A, Liepa G. Subjective global assessment: alternative nutrition-assessment technique for liver-transplant candidates.  Nutrition. 1993;  9 339-343
    PubMedSearch in Google Scholar
  • 64 Lawson J A, Lazarus R, Kelly J J. Prevalence and prognostic significance of malnutrition in chronic renal insufficiency.  J Ren Nutr. 2001;  11 16-22
    PubMedSearch in Google Scholar
  • 65 Mensink G BM, Burger M, Beitz R, Henschel T, Hinzpeter B. Beiträge zur Gesundheitsberichtserstattung des Bundes. Was essen wir heute?. Berlin; Robert-Koch-Institut 2002
    Search in Google Scholar
  • 66 Remer T, Neubert A, Maser-Gluth C. Anthropometry-based reference values for 24-h urinary creatinine excretion during growth and their use in endocrine and nutritional research.  Am J Clin Nutr. 2002;  75 561-569
    PubMedSearch in Google Scholar

Dr. med. M. Pirlich

Medizinische Klinik · Gastroenterologie, Hepatologie und Endokrinologie · Universitätsklinikum Charité

10098 Berlin

Email: matthias.pirlich@charite.de