Healthcare inequalities are particularly pronounced in resource-limited settings (RLSs), where disease-related malnutrition (DRM) remains a neglected issue. Despite global efforts like the UN Sustainable Development Goals, DRM—especially in hospitals—lacks adequate policy attention. To tackle this, the International Working Group for Patients' Right to Nutrition Care (WG) convened experts to propose actionable strategies.
A survey of 58 respondents from low- and middle-income countries highlighted key barriers: limited awareness of DRM, inadequate screening, lack of reimbursement, and insufficient access to nutrition therapies. These gaps were further discussed by 30 experts at the 2024 ESPEN Congress, leading to consensus on three critical needs: (1) better epidemiological data, (2) enhanced training, and (3) stronger health systems.
The WG recommends a three-step strategy: First, assess the applicability of existing guidelines like ESPEN’s in RLSs through targeted surveys. Second, develop Resource-Sensitive Guidelines (RSGs) tailored to four resource levels—basic, limited, enhanced, and maximal. Finally, promote and implement these RSGs in collaboration with clinical nutrition societies.
Addressing DRM in RLSs demands sustained, rights-based action. By prioritizing patient-centered care and stakeholder responsibility, this approach aims to reduce nutrition care disparities and improve outcomes for vulnerable populations.
Malnutrition among hospitalized patients has long been a neglected issue in China. Two decades ago, clinical nutrition awareness was limited, and enteral feeding—a fundamental aspect of medical nutrition therapy—was not widely practiced. Recognizing this gap, Beijing Lingze was established in 2001 to introduce and promote enteral nutrition in China.
Over the years, Chinese healthcare professionals have increasingly recognized the importance of nutrition in patient care. This growing awareness led to the establishment of the Chinese Society for Parenteral and Enteral Nutrition (CSPEN), which has played a crucial role in advancing clinical nutrition practices. Today, more hospitals incorporate nutrition screening and intervention protocols, reflecting significant progress in integrating nutrition into medical care.
While challenges remain—particularly in resource-limited regions—China’s evolving approach to clinical nutrition demonstrates a commitment to improving patient outcomes through evidence-based practices. Continued efforts in education, policy, and innovation will further strengthen malnutrition management in healthcare settings.
Post time: Jul-15-2025