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FROM THE ACADEMY

Of Nutrition and Dietetics ( ACADEMY )/American Society for Parenteral and Enteral Nutrition ( ) clinical characteristics that the clinician canobtain and document to support a diagnosis of malnutritionabClinical characteristicMalnutrition in the Context of Acute Illness orInjuryMalnutrition in the Context of ChronicIllnessMalnutrition in the Context of Social orEnvironmental CircumstancesNon-severe(moderate)malnutr itionSevere malnutritionNon-severe(moderate)malnutri tionSeveremalnutritionNon-severe(moderat e)malnutritionSevere malnutrition(1) Energy intake (reference 30) 75% ofestimatedenergyrequirement for 7 days 50% of estimatedenergyrequirement for 5 days 75% ofestimatedenergyrequirement for 1 month 75% ofestimatedenergyrequirement for 1 month 75% ofestimatedenergyrequirement for 3 months 50% of estimatedenergyrequirement for 1 monthMalnutrition is the result of inadequatefood and nutrient intake orassimilation; thus, recent intakecompared to estimatedrequirements is a primary criteriondefining malnutrition.

vulvar/scrotal edema or ascites). Weight loss is often masked by generalized fluid retention (edema) and weight gain may be observed. Mild Moderate to severe Mild Severe Mild Severe (6) Reduced grip strength (reference 42) N/Ac Measurably reduced N/A Measurably reduced N/A Measurably Reduced Consult normative standards supplied by the ...

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