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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0261-5614</identifier><identifier>EISSN: 1532-1983</identifier><identifier>DOI: 10.1016/j.clnu.2024.01.030</identifier><identifier>PMID: 38350290</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>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</subject><ispartof>Clinical nutrition (Edinburgh, Scotland), 2024-03, Vol.43 (3), p.825-857</ispartof><rights>2024 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>Copyright © 2024 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-fb7cbc4babaeba4df1d1f8da20bfbcfacd893f7c979e589ed2d1675355a86a513</citedby><cites>FETCH-LOGICAL-c400t-fb7cbc4babaeba4df1d1f8da20bfbcfacd893f7c979e589ed2d1675355a86a513</cites><orcidid>0000-0002-7081-622X ; 0000-0002-1773-8330 ; 0000-0002-7087-0795 ; 0000-0003-3580-2022 ; 0000-0002-8809-4931 ; 0000-0001-9259-7024 ; 0000-0002-5606-3831 ; 0000-0002-0691-2153 ; 0000-0002-1752-1924 ; 0000-0003-2614-5948 ; 0000-0001-5427-1648 ; 0000-0001-8738-8295 ; 0000-0001-8422-915X ; 0000-0003-0915-085X ; 0000-0003-3255-0114</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clnu.2024.01.030$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38350290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berger, Mette M.</creatorcontrib><creatorcontrib>Shenkin, Alan</creatorcontrib><creatorcontrib>Dizdar, Oguzhan Sıtkı</creatorcontrib><creatorcontrib>Amrein, Karin</creatorcontrib><creatorcontrib>Augsburger, Marc</creatorcontrib><creatorcontrib>Biesalski, Hans-Konrad</creatorcontrib><creatorcontrib>Bischoff, Stephan C.</creatorcontrib><creatorcontrib>Casaer, Michael P.</creatorcontrib><creatorcontrib>Gundogan, Kursat</creatorcontrib><creatorcontrib>Lepp, Hanna-Liis</creatorcontrib><creatorcontrib>de Man, Angélique M.E.</creatorcontrib><creatorcontrib>Muscogiuri, Giovanna</creatorcontrib><creatorcontrib>Pietka, Magdalena</creatorcontrib><creatorcontrib>Pironi, Loris</creatorcontrib><creatorcontrib>Rezzi, Serge</creatorcontrib><creatorcontrib>Schweinlin, Anna</creatorcontrib><creatorcontrib>Cuerda, Cristina</creatorcontrib><title>ESPEN practical short micronutrient guideline</title><title>Clinical nutrition (Edinburgh, Scotland)</title><addtitle>Clin Nutr</addtitle><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.</description><subject>B-vitamins</subject><subject>Consensus</subject><subject>Copper</subject><subject>Databases, Factual</subject><subject>Deficiency</subject><subject>Diagnosis</subject><subject>Humans</subject><subject>Iron</subject><subject>Micronutrients</subject><subject>Monitoring</subject><subject>Prescription</subject><subject>Selenium</subject><subject>Thiamin</subject><subject>Trace Elements</subject><subject>Vitamin</subject><subject>Vitamins</subject><subject>Vitamins-A- C-D- E- K</subject><subject>Zinc</subject><issn>0261-5614</issn><issn>1532-1983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EoqXwAyxQlmwSxnach8QGVeUhVYAErC0_xuAqTYqdIPH3pGphyWo2517dOYScU8go0OJqlZmmHTIGLM-AZsDhgEyp4CyldcUPyRRYQVNR0HxCTmJcAYDgZXVMJrziAlgNU5IuXp4Xj8kmKNN7o5okfnShT9behK4d-uCx7ZP3wVtsfIun5MipJuLZ_s7I2-3idX6fLp_uHuY3y9TkAH3qdGm0ybXSCrXKraOWusoqBtpp45SxVc1daeqyRlHVaJmlRSm4EKoqlKB8Ri53vZvQfQ4Ye7n20WDTqBa7IUpWs0KwuoRyRNkOHQfHGNDJTfBrFb4lBbnVJFdyq0luNUmgctQ0hi72_YNeo_2L_HoZgesdgOOXXx6DjGZUYdD6gKaXtvP_9f8AC1R5kw</recordid><startdate>202403</startdate><enddate>202403</enddate><creator>Berger, Mette M.</creator><creator>Shenkin, Alan</creator><creator>Dizdar, Oguzhan Sıtkı</creator><creator>Amrein, Karin</creator><creator>Augsburger, Marc</creator><creator>Biesalski, Hans-Konrad</creator><creator>Bischoff, Stephan C.</creator><creator>Casaer, Michael P.</creator><creator>Gundogan, Kursat</creator><creator>Lepp, Hanna-Liis</creator><creator>de Man, Angélique M.E.</creator><creator>Muscogiuri, Giovanna</creator><creator>Pietka, Magdalena</creator><creator>Pironi, Loris</creator><creator>Rezzi, Serge</creator><creator>Schweinlin, Anna</creator><creator>Cuerda, Cristina</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7081-622X</orcidid><orcidid>https://orcid.org/0000-0002-1773-8330</orcidid><orcidid>https://orcid.org/0000-0002-7087-0795</orcidid><orcidid>https://orcid.org/0000-0003-3580-2022</orcidid><orcidid>https://orcid.org/0000-0002-8809-4931</orcidid><orcidid>https://orcid.org/0000-0001-9259-7024</orcidid><orcidid>https://orcid.org/0000-0002-5606-3831</orcidid><orcidid>https://orcid.org/0000-0002-0691-2153</orcidid><orcidid>https://orcid.org/0000-0002-1752-1924</orcidid><orcidid>https://orcid.org/0000-0003-2614-5948</orcidid><orcidid>https://orcid.org/0000-0001-5427-1648</orcidid><orcidid>https://orcid.org/0000-0001-8738-8295</orcidid><orcidid>https://orcid.org/0000-0001-8422-915X</orcidid><orcidid>https://orcid.org/0000-0003-0915-085X</orcidid><orcidid>https://orcid.org/0000-0003-3255-0114</orcidid></search><sort><creationdate>202403</creationdate><title>ESPEN practical short micronutrient guideline</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-fb7cbc4babaeba4df1d1f8da20bfbcfacd893f7c979e589ed2d1675355a86a513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>B-vitamins</topic><topic>Consensus</topic><topic>Copper</topic><topic>Databases, Factual</topic><topic>Deficiency</topic><topic>Diagnosis</topic><topic>Humans</topic><topic>Iron</topic><topic>Micronutrients</topic><topic>Monitoring</topic><topic>Prescription</topic><topic>Selenium</topic><topic>Thiamin</topic><topic>Trace Elements</topic><topic>Vitamin</topic><topic>Vitamins</topic><topic>Vitamins-A- C-D- E- K</topic><topic>Zinc</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berger, Mette M.</creatorcontrib><creatorcontrib>Shenkin, Alan</creatorcontrib><creatorcontrib>Dizdar, Oguzhan Sıtkı</creatorcontrib><creatorcontrib>Amrein, Karin</creatorcontrib><creatorcontrib>Augsburger, Marc</creatorcontrib><creatorcontrib>Biesalski, Hans-Konrad</creatorcontrib><creatorcontrib>Bischoff, Stephan C.</creatorcontrib><creatorcontrib>Casaer, Michael P.</creatorcontrib><creatorcontrib>Gundogan, Kursat</creatorcontrib><creatorcontrib>Lepp, Hanna-Liis</creatorcontrib><creatorcontrib>de Man, Angélique M.E.</creatorcontrib><creatorcontrib>Muscogiuri, Giovanna</creatorcontrib><creatorcontrib>Pietka, Magdalena</creatorcontrib><creatorcontrib>Pironi, Loris</creatorcontrib><creatorcontrib>Rezzi, Serge</creatorcontrib><creatorcontrib>Schweinlin, Anna</creatorcontrib><creatorcontrib>Cuerda, Cristina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berger, Mette M.</au><au>Shenkin, Alan</au><au>Dizdar, Oguzhan Sıtkı</au><au>Amrein, Karin</au><au>Augsburger, Marc</au><au>Biesalski, Hans-Konrad</au><au>Bischoff, Stephan C.</au><au>Casaer, Michael P.</au><au>Gundogan, Kursat</au><au>Lepp, Hanna-Liis</au><au>de Man, Angélique M.E.</au><au>Muscogiuri, Giovanna</au><au>Pietka, Magdalena</au><au>Pironi, Loris</au><au>Rezzi, Serge</au><au>Schweinlin, Anna</au><au>Cuerda, Cristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ESPEN practical short micronutrient guideline</atitle><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle><addtitle>Clin Nutr</addtitle><date>2024-03</date><risdate>2024</risdate><volume>43</volume><issue>3</issue><spage>825</spage><epage>857</epage><pages>825-857</pages><issn>0261-5614</issn><eissn>1532-1983</eissn><abstract>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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38350290</pmid><doi>10.1016/j.clnu.2024.01.030</doi><tpages>33</tpages><orcidid>https://orcid.org/0000-0002-7081-622X</orcidid><orcidid>https://orcid.org/0000-0002-1773-8330</orcidid><orcidid>https://orcid.org/0000-0002-7087-0795</orcidid><orcidid>https://orcid.org/0000-0003-3580-2022</orcidid><orcidid>https://orcid.org/0000-0002-8809-4931</orcidid><orcidid>https://orcid.org/0000-0001-9259-7024</orcidid><orcidid>https://orcid.org/0000-0002-5606-3831</orcidid><orcidid>https://orcid.org/0000-0002-0691-2153</orcidid><orcidid>https://orcid.org/0000-0002-1752-1924</orcidid><orcidid>https://orcid.org/0000-0003-2614-5948</orcidid><orcidid>https://orcid.org/0000-0001-5427-1648</orcidid><orcidid>https://orcid.org/0000-0001-8738-8295</orcidid><orcidid>https://orcid.org/0000-0001-8422-915X</orcidid><orcidid>https://orcid.org/0000-0003-0915-085X</orcidid><orcidid>https://orcid.org/0000-0003-3255-0114</orcidid><oa>free_for_read</oa></addata></record> |
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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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