Wakabayashi Hidetaka
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Review article
Language English
Peer review Peer reviewed
Title The concept of aggressive nutrition therapy and clinical indication: A position paper.
Journal Formal name：Clinical nutrition ESPEN
Abbreviation：Clin Nutr ESPEN
ISSN code：24054577/24054577
Domestic / ForeginForegin
Volume, Issue, Page 52,pp.322-330
Author and coauthor Nishioka Shinta, Nakahara Saori, Takasaki Miyuki, Shiohama Nahoko, Kokura Yoji, Suzuki Tatsuro, Yokoi-Yoshimura Yuri, Nii Maria, Maeda Keisuke, Wakabayashi Hidetaka
Authorship Last author
Publication date 2022/12
Summary Aggressive nutrition therapy is a nutritional management method that sets energy intake requirements by adding the amount of energy accumulated to energy consumption. It is used to treat patients with undernutrition and sarcopenia. However, evidence for aggressive nutrition therapy is insufficient, and validation through high-quality clinical research is essential. Therefore, this paper aimed to clarify the concept of aggressive nutrition therapy, present indications and contraindications; and describe the effects, limitations, and the need to individualize aggressive nutrition therapy for different pathological conditions. Aggressive nutrition therapy should be accompanied by the etiology of undernutrition, sarcopenia, and nutritional metabolism in various states. In addition to calculating nutritional requirements, the nutritional management methods of oral intake, tube feeding, and parenteral nutrition should be appropriately selected. A nutrition plan with the amount of energy accumulated should also be a vital issue. This position paper was authored by the Registered Dietitian Subcommittee of the Japanese Association of Rehabilitation Nutrition and was approved by the Japanese Association of Rehabilitation Nutrition.
DOI 10.1016/j.clnesp.2022.09.013
PMID 36513472