84510 - Clinical Nutrition

Learning outcomes

Compare and evaluate food intake and nutritional status in different life periods (childhood, maturity, aging), and discuss changes according to different needs. Discuss the link between nutritional status and health of the individual.

Course contents

Learning outcomes

To know the key areas related to clinical nutrition: concepts; procedures; organisation; delivery; and products.

Course contents

Lecture 1. CLINICAL NUTRITION CONCEPTS. Malnutrition/undernutrition: disease-related malnutrition (DRM) with (eq. cachexia) and without inflammation, malnutrition/undernutrition without disease, e.g. hunger-related malnutrition; over-nutrition (overweight and obesity); sarcopenia and frailty.

Lecture 2. THE NUTRITION CARE PROCESS: nutritional procedures. Screening for subjects at nutritional risk, nutritional assessment, diagnostic procedures for body composition assessment, diagnosis of malnutrition.

Lecture 3. THE NUTRITION CARE PROCESS: nutritional care plan. Artificial nutrition: enteral and parenteral nutrition

Lecture 4. THE NUTRITION CARE PROCESS: nutritional care plan. Nutritional care plan. Energy, nutrient and fluid requirements; measurable nutrition goals (immediate and long-term); Complications, refeeding syndrome, monitoring; Intestinal failure

Readings/Bibliography

Suggested texbook:

ESPEN (European Society for Clinical Nutrition and Metabolism) Book - Basics in Clinical Nutrition, to be ordered at https://www.espen.org/education/espen-blue-book

Suggested bibliography:

Cederholm T; GLIM Core Leadership Committee; GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clin Nutr. 2019 Feb;38(1):1-9.

Cederholm T. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017 Feb;36(1):49-64. doi: 10.1016/j.clnu.2016.09.004. Epub 2016 Sep 14. PMID: 27642056.

Cruz-Jentoft AJ, European Working Group on Sarcopenia in Older People. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010 Jul;39(4):412-23. doi: 10.1093/ageing/afq034. Epub 2010 Apr 13. PMID: 20392703; PMCID: PMC2886201.

Kondrup J, Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN). ESPEN guidelines for nutrition screening 2002. Clin Nutr. 2003 Aug;22(4):415-21. doi: 10.1016/s0261-5614(03)00098-0. PMID: 12880610.

Teaching methods

Slide supported lectures with interactive discussion. Attendance and active participation in classroom activities are essential to promote critical thinking, knowledge of topics, problem solving skills and the overall learning process

Assessment methods

The final exam will be an oral summative assessment consisting of questions pertinent to the Learning Outcomes and Course Contents of all units comprising the Endocrine and Metabolic Diseases integrated course. Professors of all course units participate in an overall collegial assessment of the student's final profit. The credits (6 CFU) of the integrated Endocrine and Metabolic Diseases course are awarded after passing the final summative assessment with a minimum grade of 18/30. Honors (cum laude) may be awarded to students who have achieved a maximal grade of 30/30 in the final summative assessment and have demonstrated exceptional learning outcomes.

Teaching tools

The teaching material discussed during the lectures will be made available through the designated University of Bologna websites. Students are encouraged to access the teaching material prior to and during lectures in order to facilitate interactions with the teacher. Access is reserved to University of Bologna students registered to the Medicine & Surgery degree program

Office hours

See the website of Loris Pironi