Nutritional physical examination
historical, methodological and applied approach
Keywords:Nutritional physical examination, Nutritional focused physical assessment, Nutrition care
The historical interest in the use of physical evaluation skills in clinical settings gained new notoriety at the end of the 20th century with evidence that patients in intensive care units experienced increased morbidity and mortality related to poor nutritional status before and/or during their admission. This awareness of the adverse effects of malnutrition led to the need for screening and evaluation tools to identify nutritional risk. no clinical finding of EFN should be considered a diagnosis per se. It is academic, scientific and clinical consensus that its results should be interpreted as suggestive, being crucial to consider the other methods of clinical evaluation of the patient's nutritional status for the correct global nutritional diagnosis. However, the systematic and periodic repetition of the test may help to follow the evolution of the individual's nutritional status, especially in the long term. In summary, although it requires specialized training and continuous practice of the evaluator and/or the team – in addition to requiring complementary nutritional information – the physical nutritional examination can still be considered an effective adjuvant method in the clinical evaluation of the patient’s nutritional status.
ASBRAN. FIDELIX, M. S. P. Guidance manual: systematisation of nutrition care. São Paulo: Asbran; 2014.
ASPEN. ESPER, Dema Halasa. Utilization of nutrition‐focused physical assessment in identifying micronutrient deficiencies. Nutrition in Clinical Practice, v. 30, n. 2, p. 194-202, 2015.
BARBAN, Juliana Bernardo et al. Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplantation: Adults. Einstein (São Paulo), v. 18, 2020.
CEDERHOLM, Tommy et al. GLIM criteria for the diagnosis of malnutrition–a consensus report from the global clinical nutrition community. Journal of cachexia, sarcopenia and muscle, v. 10, n. 1, p. 207-217, 2019.
DETSKY, Allan S. et al. What is subjective global assessment of nutritional status?. Journal of parenteral and enteral nutrition, v. 11, n. 1, p. 8-13, 1987.
HAMMOND, Kathy A. The nutritional dimension of physical assessment. Nutrition (Burbank, Los Angeles County, Calif.), v. 15, n. 5, p. 411-419, 1999.
HAMMOND, KATHY. Nutrition-focused physical assessment. Home Healthcare Nurse, v. 17, n. 6, p. 354-355, 1999.
How to Cite
Copyright (c) 2020 Luis Henrique Almeida Castro, Geanlucas Mendes Monteiro, Ygor Thiago Cerqueira de Paula, Vanessa de Souza Ferraz, Flavia Soares Bezerra Okumoto Nery de Mello, Dayane Aparecida Moisés Caetano Bottini, Nelson Thiago Andrade Ferreira, Tayla Borges Lino, Juliana Vicente de Souza, Gildiney Penaves de Alencar, João Vitor Alves dos Santos, Fernanda Viana de Carvalho Moreto
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Submission of an article implies that the work described has not been published previously (except in the form of an abstract or as part of a published lecture or academic thesis), that it is not under consideration for publication elsewhere, that its publication is approved by all authors and tacitly or explicitly by the responsible authorities where the work was carried out, and that, if accepted, will not be published elsewhere in the same form, in English or in any other language, without the written consent of the Publisher. The Editors reserve the right to edit or otherwise alter all contributions, but authors will receive proofs for approval before publication.
Copyrights for articles published in IJIER journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.