About “United for clinical nutrition” | Clinical Nutrition LAM Initiative

About “United for clinical nutrition”

United in the Fight Against Disease-Related Malnutrition

Worldwide, one in four hospital patients is at risk of disease-related malnutrition.1,2,3,4,5,6,7 Particularly in Latin America up to 50 percent of hospitalized patients are malnourished.8,9,10,11,12,13 Disease-related malnutrition negatively impacts patients’ outcomes and increases long-term costs.14

Up to 50 percent of patients in LatAm hospitals are malnourished

“United for clinical nutrition” was created by Fresenius Kabi as an initiative to work with health care professionals and authorities to fight disease-related malnutrition, particularly in Latin American countries. This website serves as an information center for detecting, handling and treating hospital malnutrition, featuring in-depth learnings on proper nutrition diagnosis and risk screening, administration, mixing and handling of parenteral nutrition (PN) and the benefits of treatment. This will be coupled with hospital screenings, on- and offline trainings and educational events that address clinical nutrition, focusing on PN.

Making a Difference for Disease-Related Malnutrition Patients

The first step is to increase awareness of clinical nutrition and disease-related malnutrition by addressing this problem. Adequate clinical nutrition has the beneficial impact of reducing health care costs and lessens the burden on resources. Using this website, health care professionals can access articles, news, videos, webinars, downloads, interactive quick-learns, and practical guides to learn about hospital malnutrition and how to detect and treat it. Opportunities for ongoing training and regional events will also be available through this website.

The “United for clinical nutrition” Mission: Fighting Hospital Malnutrition

The mission of “United for clinical nutrition” is to support therapy success and quality of life. With the information on clinical nutrition provided here, we hope to help health care professionals to reduce patient hospital stays and the risk for hospital readmissions. The use of nutrition risk screenings, nutritional assessments, appropriate nutrition support and regular follow-ups to improve clinical nutrition can significantly reduce disease-related malnutrition.5,15,16,17 Recent studies have shown that adequate nutrition support can lower complication rates up to 56 percent for surgical, orthopedic, elderly care and neurology hospital patients compared to standard care.18,19

Why Fresenius Kabi Supports “United for clinical nutrition”

Fresenius Kabi’s corporate philosophy is "caring for life." By launching the initiative “United for clinical nutrition”, the company is living its commitment to clinical nutrition and helping health care professionals to find the best answers to the challenges they face. Fresenius Kabi wants to support the health care professionals to understand, identify, and treat disease-related malnutrition so patients can benefit from improved nutritional care.

  • 1. Russell C, Elia M. Nutrition screening survey in the UK. Redditch, BAPEN 2008.
  • 2. Russell C, Elia M. Nutrition screening survey in the UK. Redditch, BAPEN 2009.
  • 3. Russell C, Elia M. Nutrition screening survey in the UK. Redditch, BAPEN 2011.
  • 4. Russell C, Elia M. Nutrition screening survey in the UK. Redditch, BAPEN 2012.
  • 5. a. b. Meijers JM, Schols JM, van Bokhorst-de van der Schueren MA et al. Malnutrition prevalence in The Netherlands: results of the annual dutch national prevalence measurement of care problems. Br J Nutr 2009;101(3):417-423.
  • 6. Imoberdorf R, Mayer R, Krebs P et al. Prevalence of undernutrition on admission to Swiss hospitals. Clin Nutr 2010;29(1):38-41.
  • 7. Schindler K, Pernicka E, Laviano A et al. How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007-2008 cross-sentinel nurtritionDay survey. Clin Nutr 2010;29(5):552-559.
  • 8. Correia MI, Campos AC, ELAN Cooperative Study. Prevalence of Hospital Malnutrition in Latin America: The Multicenter ELAN Study Nutrition 2003;19:823–825.
  • 9. Fontes D, Generoso Sde V, Toulson Davisson Correia MI. Subjective global assessment: a reliable nutritional assessment tool to predict outcomes in critically ill patients. Clin Nutr 2014;33(2):291-295.
  • 10. Garcia RS, Tavares LR, Pastore CA. Nutritional screening in surgical patients of a teaching hospital from Southern Brazil: the impact of nutritional risk in clinical outcomes. Einstein 2013;11(2):147-52.
  • 11. Prado C, Campos J. Nutritional status of patients with gastrointestinal cancer receiving care in a public hospital; 2010-2011. Nutr Hosp 2013;28(2):405-411.
  • 12. Waitzberg DL. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition 2001;17(7-8): 573-80.
  • 13. De Souza VC, Duradob KF, Limaa ALC et al. Relationship between nutritional status and immediate complications in patients undergoing colorectal surgery. J Coloproc 2013;(33)2:83–91.
  • 14. Norman K, Pichard C, Lochs H et al. Prognostic impact of disease-related malnutrition. Clin Nutr 2008;27(1):5-15.
  • 15. Hiesmayr M, Schindler K, Pernicka E et al. Decreased food intake is a risk factor for mortality in hospitalised patients: the NutritionDay survey 2006. Clin Nutr 2009;28(5):484-491.
  • 16. Kruizenga HM, Van Tulder MW, Seidell JC et al. Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. Am J Clin Nutr 2005;82(5):1082-1089.
  • 17. De van der Schueren M, Elia M, Gramlich L et al. Clinical and economic outcomes of nutrition interventions across the continuum of care. Ann NY Acad Sci 2014;1321:20-40.
  • 18. Stratton RJ, Green CJ, Elia M. Disease-related malnutrition: an evidence based approach to treatment. Wallingford: CABI Publishing, 2003.
  • 19. Sorensen J, Kondrup J, Prokopowicz J et al. EuroOOPS: an international, multicentre study to implement nutritional risk screening and evaluate clinical outcome. Clin Nutr 2008;27(3):340-349.


Dr. Roger Riofrio sitting in front of a United for clinical nutrition roll-up during ESPEN Congress.

Dr. Roger Riofrio

(mp4, 33.63 MB)
Dr. Dan Linetzky Waitzberg

Dr. Mario Ignacio Perman

(mp4, 64.25 MB)
Dr. Karin Papapietro sitting in front of a United for clinical nutrition roll-up during ESPEN Congress

Dr. Karin Papapietro

(mp4, 32.2 MB)