Kiesswetter Eva
Institut für Evidenz in der Medizin, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Deutschland.
Ther Umsch. 2023 Jun;80(5):211-216. doi: 10.1024/0040-5930/a001439.
Screening and Assessment for an Early Identification of Malnutrition in Older People Malnutrition is common among older people and leads to numerous negative clinical consequences due to changes in body composition and body function. A prerequisite for successful prevention and treatment is the early identification of older persons with (risk of) malnutrition. Therefore, in geriatric settings, routine malnutrition screening with a validated tool (e.g., Mini Nutritional Assessment or Nutritional Risk Screening) is recommended at regular intervals. In case of a positive screening result, a subsequent nutritional assessment is performed to confirm the diagnosis, to clarify the causes and to determine the energy and protein deficit, in order to initiate a targeted nutritional therapy and to improve the nutritional status of the older persons and thereby the overall prognosis.
老年人营养不良的筛查与评估 营养不良在老年人中很常见，由于身体成分和身体功能的变化，会导致许多负面的临床后果。成功预防和治疗的前提是早期识别有营养不良（风险）的老年人。因此，在老年护理环境中，建议定期使用经过验证的工具（如微型营养评定法或营养风险筛查）进行常规营养不良筛查。如果筛查结果为阳性，则进行后续营养评估，以确诊、明确病因并确定能量和蛋白质缺乏情况，从而启动有针对性的营养治疗，改善老年人的营养状况，进而改善总体预后。
