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The science of micronutrients in clinical practice – Report on the ESPEN symposium

2024-01Journal article Open access
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dc.contributor.authorBerger, Mette M.
dc.contributor.authorAmrein, Karin
dc.contributor.authorBarazzoni, Rocco
dc.contributor.authorBindels, Laure
dc.contributor.authorBretón, Irene
dc.contributor.authorCalder, Philip C.
dc.contributor.authorCappa, Stefano
dc.contributor.authorCuerda, Cristina
dc.contributor.authorD'Amelio, Patrizia
dc.contributor.authorMan, Angélique de
dc.contributor.authorDelzenne, Nathalie M.
dc.contributor.authorForbes, Alastair
dc.contributor.authorGenton, Laurence
dc.contributor.authorGombart, Adrian F.
dc.contributor.authorJoly, Francisca
dc.contributor.authorLaviano, Alessandro
dc.contributor.authorMatthys, Christophe
dc.contributor.authorPhyo, Pyi Pyi
dc.contributor.authorRavasco, Paula
dc.contributor.authorSerlie, Mireille J.
dc.contributor.authorShenkin, Alan
dc.contributor.authorStoffel, Nicole U.
dc.contributor.authorTalwar, Dinesh
dc.contributor.authorZanten, Arthur R. H. Van
dc.date.accessioned2024-01-03T17:35:39Z
dc.date.available2024-01-03T17:35:39Z
dc.date.issued2024-01
dc.description.abstractBackground & aims: The European Society for Clinical Nutrition and Metabolism published its first clinical guidelines for use of micronutrients (MNs) in 2022. A two-day web symposium was organized in November 2022 discussing how to apply the guidelines in clinical practice. The present paper reports the main findings of this symposium. Methods: Current evidence was discussed, the first day being devoted to clarifying the biology underlying the guidelines, especially regarding the definition of deficiency, the impact of inflammation, and the roles in antioxidant defences and immunity. The second day focused on clinical situations with high prevalence of MN depletion and deficiency. Results: The importance of the determination of MN status in patients at risk and diagnosis of deficiencies is still insufficiently perceived, considering the essential role of MNs in immune and antioxidant defences. Epidemiological data show that deficiencies of several MNs (iron, iodine, vitamin D) are a global problem that affects human health and well-being including immune responses such as to vaccination. Clinical conditions frequently associated with MN deficiencies were discussed including cancer, obesity with impact of bariatric surgery, diseases of the gastrointestinal tract, critical illness, and aging. In all these conditions, MN deficiency is associated with worsening of outcomes. The recurrent problem of shortage of MN products, but also lack of individual MN-products is a worldwide problem. Conclusion: Despite important progress in epidemiology and clinical nutrition, numerous gaps in practice persist. MN depletion and deficiency are frequently insufficiently searched for in clinical conditions, leading to inadequate treatment. The symposium concluded that more research and continued education are required to improve patient outcome.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1016/j.clnu.2023.12.006pt_PT
dc.identifier.eid85180323357
dc.identifier.issn0261-5614
dc.identifier.pmid38104489
dc.identifier.urihttp://hdl.handle.net/10400.14/43474
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectDeficiencypt_PT
dc.subjectEpidemiologypt_PT
dc.subjectImmunitypt_PT
dc.subjectInflammationpt_PT
dc.subjectTrace elementpt_PT
dc.subjectVitaminpt_PT
dc.titleThe science of micronutrients in clinical practice – Report on the ESPEN symposiumpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage283pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage268pt_PT
oaire.citation.titleClinical Nutritionpt_PT
oaire.citation.volume43pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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