Numbers Which Count

Clin Nutr. 2016 Feb; 35(1):5-6. doi: 10.1016/j.clnu.2016.01.011.
Laviano A.


Malnutrition and reduced food intake are strong predictors of negative outcome in hospitalized patients. In contrast, whether nutrition support is an effective therapy to treat disease-related
malnutrition and improve clinical outcome of malnourished hospitalized patients remains to be robustly demonstrated by large, prospective, randomized clinical trials. Although seemingly obvious, reducing weight loss or restoring body weight gain by nutrition support, i.e., counseling, oral nutritional supplements (ONS), enteral nutrition or parenteral nutrition, is not necessarily associated
with improved clinical outcome, i.e., morbidity, quality of life, mortality. This sort of misunderstanding might have contributed to the insufficient implementation of nutritional care in hospitals across the planet. Indeed, clinicians may value the role of nutritional status in preserving healthy conditions, but they may also prioritize other outcome measures in hospitalized patients rather than only body weight. Therefore, it appears that clinical trials targeting clinical rather than only nutritional outcome measures could have amajor impact on changing daily practice.

Information NutriBib

Reference work for leading, current and selected literature in the field of clinical nutrition

Publications on clinical nutrition have grown steadily in recent years and the scientific evidence has been improved by numerous observational as well as intervention studies. Various umbrella organisations, such as the Swiss Society for Clinical Nutrition (GESKES), the German Society for Nutritional Medicine (DGEM) or the European Society for Clinical Nutrition and Metabolism (ESPEN) publish guidelines on nutrition in various clinical situations at regular intervals. Thus, a large amount of literature is available for evidence-based nutritional medicine.

The NutriBib aims to filter out authoritative publications in the various fields of nutritional medicine and thus to provide an overview of the abundance of literature. A large number of experienced nutrition experts contributed to the selection of relevant sources and allow a broadly based selection. Nevertheless, the literature selection cannot be considered exhaustive. Specific literature can be found by entering search words (using the magnifying glass at the top right) or by searching the table of contents.

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List of abbreviations

DGEM German Society for Nutritional Medicine (German Deutsche Gesellschaft für Ernährungsmedizin)
GESKES  Swiss Society for Clinical Nutrition (German Gesellschaft für klinische Ernährung der Schweiz) 
ESPEN European Society of Clinicl Nutrition and Metabolism