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Anabolic competence: Assessment and integration of the multimodality interventional approach in disease-related malnutrition

Reckman, G. A. R., Gomes-Neto, A. W., Vonk, R. J., Ottery, F. D., van der Schans, C. P., Navis, G. J. & Jager-Wittenaar, H., Sep-2019, In : Nutrition. 65, p. 179-184 6 p.

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  • Anabolic competence Assessment and integration of the multimodality interventional approach in disease-related malnutrition

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DOI

Disease-related malnutrition (DRM) is a frequent clinical problem, characterized by loss of lean body mass and decreased function, including muscle function and immunocompetence. In DRM, nutritional intervention is necessary, but it has not consistently been shown to be sufficient. Other factors, for example, physical activity and hormonal or metabolic influencers of the internal milieu, are also important in the treatment of DRM. A prerequisite for successful treatment of DRM is the positive balance between anabolism and catabolism. The aim of this review was to approach DRM using this paradigm of anabolic competence, for conceptual and practical reasons. Anabolic competence is defined as "that state which optimally supports protein synthesis and lean body mass, global aspects of muscle and organ function, and immune response." Anabolic competence and interdisciplinary, multimodality interventions create a practical foundation to approach DRM in a proactive comprehensive way. Here, we describe the paradigm of anabolic competence, and its operationalization by measuring factors related to anabolic competence and suited for clinical management of patients with DRM. (C) 2019 Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)179-184
Number of pages6
JournalNutrition
Volume65
Publication statusPublished - Sep-2019

    Keywords

  • Anabolic competence, Disease-related malnutrition, Nutrition, Physical activity, Internal milieu, Proteins, SUBJECTIVE GLOBAL ASSESSMENT, QUALITY-OF-LIFE, NUTRITIONAL-STATUS, PHYSICAL-ACTIVITY, MOLECULAR-MECHANISMS, PROTEIN-METABOLISM, MUSCLE, EXERCISE, CANCER, RECOMMENDATIONS

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