American Journal of Clinical Nutrition, Vol 66, 683-706, Copyright © 1997 by The American Society for Clinical Nutrition, Inc

REVIEW ARTICLES

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

S Klein, J Kinney, K Jeejeebhoy, D Alpers, M Hellerstein, M Murray and P Twomey

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 Institutes 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. (Journal of Parenteral and Enteral Nutrition 21:133- 156, 1997).

This article has been cited by other articles:

				H. Sungurtekin, U. Sungurtekin, O. Oner, and D. Okke Nutrition Assessment in Critically Ill Patients Nutr Clin Pract, December 1, 2008; 23(6): 635 - 641. [Abstract] [Full Text] [PDF]

				J. N. Keith Bedside Nutrition Assessment Past, Present, and Future: A Review of the Subjective Global Assessment Nutr Clin Pract, August 1, 2008; 23(4): 410 - 416. [Abstract] [Full Text] [PDF]

				S. Hengstermann, A. Fischer, E. Steinhagen-Thiessen, and R.-J. Schulz Nutrition Status and Pressure Ulcer: What We Need for Nutrition Screening JPEN J Parenter Enteral Nutr, July 1, 2007; 31(4): 288 - 294. [Abstract] [Full Text] [PDF]

				R. D. Loberg, D. A. Bradley, S. A. Tomlins, A. M. Chinnaiyan, and K. J. Pienta The Lethal Phenotype of Cancer: The Molecular Basis of Death Due to Malignancy CA Cancer J Clin, July 1, 2007; 57(4): 225 - 241. [Abstract] [Full Text] [PDF]

				W. F. Schwenk II The Infusion Heard 'Round the World Nutr Clin Pract, April 1, 2007; 22(2): 155 - 158. [Full Text] [PDF]

				G. Mantovani, A. Maccio, C. Madeddu, G. Gramignano, M. R. Lusso, R. Serpe, E. Massa, G. Astara, and L. Deiana A Phase II Study with Antioxidants, Both in the Diet and Supplemented, Pharmaconutritional Support, Progestagen, and Anti-Cyclooxygenase-2 Showing Efficacy and Safety in Patients with Cancer-Related Anorexia/Cachexia and Oxidative Stress. Cancer Epidemiol. Biomarkers Prev., May 1, 2006; 15(5): 1030 - 1034. [Abstract] [Full Text] [PDF]

				N. R. Parekh and E. Steiger Criteria for the Use of Recombinant Human Growth Hormone in Short Bowel Syndrome Nutr Clin Pract, October 1, 2005; 20(5): 503 - 508. [Abstract] [Full Text] [PDF]

				D. Harris and N. Haboubi Malnutrition screening in the elderly population J R Soc Med, September 1, 2005; 98(9): 411 - 414. [Full Text] [PDF]

				C. W. Compher, C. Spencer, and B. P. Kinosian Perioperative Parenteral Nutrition: Impact on Morbidity and Mortality in Surgical Patients Nutr Clin Pract, August 1, 2005; 20(4): 460 - 467. [Full Text] [PDF]

				H. Sungurtekin, U. Sungurtekin, C. Balci, M. Zencir, and E. Erdem The Influence of Nutritional Status on Complications after Major Intraabdominal Surgery J. Am. Coll. Nutr., June 1, 2004; 23(3): 227 - 232. [Abstract] [Full Text] [PDF]

				S. Gariballa Editorial Comment: Protein-Energy Undernutrition and Acute Stroke Outcome Stroke, June 1, 2003; 34(6): 1455 - 1456. [Full Text] [PDF]

				I. B. Hirsch, A. Coviello, J. E. Mazuski, J. A. Bailey, M. J. Shapiro, K. C. McCowen, J. A. Maykel, B. R. Bistrian, N. J. Nusbaum, G. van den Berghe, et al. Intensive Insulin Therapy in Critically Ill Patients N. Engl. J. Med., May 16, 2002; 346(20): 1586 - 1588. [Full Text] [PDF]

				A. Inui Cancer Anorexia-Cachexia Syndrome: Current Issues in Research and Management CA Cancer J Clin, March 1, 2002; 52(2): 72 - 91. [Abstract] [Full Text] [PDF]

				L. J. Hoffer Clinical nutrition: 1. Protein-energy malnutrition in the inpatient Can. Med. Assoc. J., November 1, 2001; 165(10): 1345 - 1349. [Full Text] [PDF]

				K. N Jeejeebhoy Total parenteral nutrition: potion or poison? Am. J. Clinical Nutrition, August 1, 2001; 74(2): 160 - 163. [Abstract] [Full Text] [PDF]

				F. Pacelli, M. Bossola, V. Papa, M. Malerba, C. Modesti, A. Sgadari, R. Bellantone, G. B. Doglietto, C. Modesti, and for the EN-TPN Study Group Enteral vs Parenteral Nutrition After Major Abdominal Surgery: An Even Match Arch Surg, August 1, 2001; 136(8): 933 - 936. [Abstract] [Full Text] [PDF]

				I. Bourdel-Marchasson, P.-A. Joseph, P. Dehail, M. Biran, P. Faux, M. Rainfray, J.-P. Emeriau, P. Canioni, and E. Thiaudiere Functional and metabolic early changes in calf muscle occurring during nutritional repletion in malnourished elderly patients Am. J. Clinical Nutrition, April 1, 2001; 73(4): 832 - 838. [Abstract] [Full Text] [PDF]

				I. Sermet-Gaudelus, A.-S. Poisson-Salomon, V. Colomb, M.-C. Brusset, F. Mosser, F. Berrier, and C. Ricour Simple pediatric nutritional risk score to identify children at risk of malnutrition Am. J. Clinical Nutrition, July 1, 2000; 72(1): 64 - 70. [Abstract] [Full Text] [PDF]

				U. E. Westfall How Enteral Feeding Options Influence Corticosterone Patterns in Rats Biol Res Nurs, January 1, 2000; 1(3): 233 - 244. [Abstract] [PDF]

				T. E. Finucane, C. Christmas, and K. Travis Tube Feeding in Patients With Advanced Dementia: A Review of the Evidence JAMA, October 13, 1999; 282(14): 1365 - 1370. [Abstract] [Full Text] [PDF]

				A. Strawford, T. Barbieri, M. Van Loan, E. Parks, D. Catlin, N. Barton, R. Neese, M. Christiansen, J. King, and M. K. Hellerstein Resistance Exercise and Supraphysiologic Androgen Therapy in Eugonadal Men With HIV-Related Weight Loss: A Randomized Controlled Trial JAMA, April 14, 1999; 281(14): 1282 - 1290. [Abstract] [Full Text] [PDF]