Clinical nutrition by Elia, Marinos

By Elia, Marinos

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5 cm2 for women). Limb cross-sectional area = 4π Anthropometry in the form of limb circumferences is incorporated into certain screening tools; for example, upper-arm circumference in ‘MUST’ and calf circumference in MNA. 5 cm suggests that a BMI <20 kg/m2 is likely, whereas a value >32 cm suggests that obesity (BMI >30 kg/m2) is likely. However, since limb-circumference measurements depend on the presence of several tissues, mainly muscle, adipose tissue, and bone, this cannot be used to accurately assess the composition of the limb.

Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment Short-Form (MNA®-SF): A practical tool for identification of nutritional status. J Nutr Health Aging. 2009; 13:782–788. , Vevey, Switzerland, Trademark Owners © Nestlé, 1994, Revision 2009. , 2006). , Vevey, Switzerland; Trademark Owners © Nestlé, 1994, Revision 2009. N67200 12/99 10 M. com. g. g. imminent death. Record malnutrition risk category, presence of obesity and/or need for special diets and follow local policy.

Oxford: CABI Publishing, 2003. Vellas B, Garry PJ, Guigoz Y. Mini Nutritional Assessment (MNA): research and practice in the elderly. Karger, Basel: Nestle Nutrition Services, 1999. Vellas B, Villars H, Abellan G, et al. Overview of the MNA – its history and challenges. J Nutr Health Aging 2006; 10: 456–465. ® ® ® 3 Water and Electrolytes Abeed H Chowdhury and Dileep N Lobo Nottingham University Hospitals, Queen’s Medical Centre, Nottingham, UK Key messages •• Nutrition and fluid/electrolyte balance are closely linked.

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