ESPEN practical short micronutrient guideline

Trace elements and vitamins, named together micronutrients (MNs), are essential for human metabolism. The importance of MNs in common pathologies is recognized by recent research, with deficiencies significantly impacting the outcome. This short version of the guideline aims to provide practical rec...

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Veröffentlicht in:Clinical nutrition (Edinburgh, Scotland) Scotland), 2024-03, Vol.43 (3), p.825-857
Hauptverfasser: Berger, Mette M., Shenkin, Alan, Dizdar, Oguzhan Sıtkı, Amrein, Karin, Augsburger, Marc, Biesalski, Hans-Konrad, Bischoff, Stephan C., Casaer, Michael P., Gundogan, Kursat, Lepp, Hanna-Liis, de Man, Angélique M.E., Muscogiuri, Giovanna, Pietka, Magdalena, Pironi, Loris, Rezzi, Serge, Schweinlin, Anna, Cuerda, Cristina
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container_issue 3
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container_title Clinical nutrition (Edinburgh, Scotland)
container_volume 43
creator Berger, Mette M.
Shenkin, Alan
Dizdar, Oguzhan Sıtkı
Amrein, Karin
Augsburger, Marc
Biesalski, Hans-Konrad
Bischoff, Stephan C.
Casaer, Michael P.
Gundogan, Kursat
Lepp, Hanna-Liis
de Man, Angélique M.E.
Muscogiuri, Giovanna
Pietka, Magdalena
Pironi, Loris
Rezzi, Serge
Schweinlin, Anna
Cuerda, Cristina
description Trace elements and vitamins, named together micronutrients (MNs), are essential for human metabolism. The importance of MNs in common pathologies is recognized by recent research, with deficiencies significantly impacting the outcome. This short version of the guideline aims to provide practical recommendations for clinical practice. An extensive search of the literature was conducted in the databases Medline, PubMed, Cochrane, Google Scholar, and CINAHL for the initial guideline. The search focused on physiological data, historical evidence (for papers published before PubMed release in 1996), and observational and/or randomized trials. For each MN, the main functions, optimal analytical methods, impact of inflammation, potential toxicity, and provision during enteral or parenteral nutrition were addressed. The SOP wording was applied for strength of recommendations. The limited number of interventional trials prevented meta-analysis and led to a low level of evidence for most recommendations. The recommendations underwent a consensus process, which resulted in a percentage of agreement (%): strong consensus required of >90 % of votes. Altogether the guideline proposes 3 general recommendations and specific recommendations for the 26 MNs. Monitoring and management strategies are proposed. This short version of the MN guideline should facilitate handling of the MNs in at-risk diseases, whilst offering practical advice on MN provision and monitoring during nutritional support.
doi_str_mv 10.1016/j.clnu.2024.01.030
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subjects B-vitamins
Consensus
Copper
Databases, Factual
Deficiency
Diagnosis
Humans
Iron
Micronutrients
Monitoring
Prescription
Selenium
Thiamin
Trace Elements
Vitamin
Vitamins
Vitamins-A- C-D- E- K
Zinc
title ESPEN practical short micronutrient guideline
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