Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Berger, MM; Shenkin, A; Dizdar, OS; Amrein, K; Augsburger, M; Biesalski, HK; Bischoff, SC; Casaer, MP; Gundogan, K; Lepp, HL; de, Man, AME; Muscogiuri, G; Pietka, M; Pironi, L; Rezzi, S; Schweinlin, A; Cuerda, C.
ESPEN practical short micronutrient guideline.
Clin Nutr. 2024; 43(3):825-857
Doi: 10.1016/j.clnu.2024.01.030
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Amrein Karin
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- Abstract:
- BACKGROUND: 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. OBJECTIVE: This short version of the guideline aims to provide practical recommendations for clinical practice. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
- Find related publications in this database (Keywords)
- Trace elements
- Vitamin
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- Iron
- Selenium
- Zinc
- Thiamin
- B-vitamins
- Vitamins-A-C-D-E-K