中国全科医学htp:/hewwchinagpnet E-mail-zgqkyx@chinagpnet.cn1·指南·共识·营养不良老年人非药物干预临床实践指南中国老年护理联盟，国家老年疾病临床医学研究中心（湘雅医院），国家老年疾病临床医学研究中心（北京医院），中南大学湘雅泛海健康管理研究院【摘要】老年人是营养不良的高发人群，营养不良与众多不良临床结局密切相关，严重影响老年人的身体健康和生活质量，给家庭和社会造成沉重负担。因此，采取有效措施改善老年人的营养不良至关重要，非药物干预是改善营养状况的重要措施。然而，国内尚无专门针对营养不良老年人的非药物干预临床实践指南，因此，中国老年护理联盟、国家老年医学中心和国家老年疾病临床医学研究中心的营养专家，通过对老年人营养不良最新的国内外文献的全面检索与分析，采用推荐意见评估、制定及评价(The Grading of Recommendation Assessment,Development and Evaluation,GRADE)分级体系制订了本指南，针对营养不良老年人非药物干预提出9条推荐意见，以期能够改善老年人营养不良状况，提高生活质量。本指南侧重于可经口进食的营养不良老年人，聚焦于肠内营养，肠外营养不在本指南讨论范围内。【关键词】营养不良；老年人；非药物干预；临床实践指南【中图分类号】R591【文献标识码】AD0I:10.12114,issn.1007-9572.2023.0074中国老年护理联盟，国家老年疾病临床医学研究中心（湘雅医院），国家老年疾病临床医学研究中心（北京医院），等.营养不良老年人非药物干预临床实践指南[J].中国全科医学，2023.[Epub ahead of print].[www.chinagp.net]China Gerontological Nursing Alliance,National Clinical Research Center for Geriatric Disorders (XiangYa Hospital )National Clinical Research Center for Geriatric Disorders Beijing Hospital),et al.Clinical practice guideline for non-pharmacological interventionsfor malnourished elderly J].Chinese General Practice,2023.Epub ahead of print ]Clinical Practice Guideline for Non-pharmacological Interventionsfor Malnourished Elderly China GerontologicalNursing Alliance,National Clinical Research Center for Geriatric Disorders XiangYa Hospital )National Clinical ResearchCenter for Geriatric Disorders (Beijing Hospital),Xiang Ya Oceanwide Health Management Research Institute of Central SouthUniversityWriters:LI Mengqi,WU Lina,NING Hongting,FENG HuiCentral South University,Xiangya School of Nursing,Changsha 410000,ChinaCorresponding author:FENG Hui,Professor;E-mail:feng.hui@esu.edu.cn[Abstract The older adults are high risk populationfor malnutrition.Malnutrition is closely associated with numerousadverse clinical outcomes,which may seriously affect the physicalhealth and life qualityof the older adults,causing heavyburdens on families and society.Therefore,it is ofgreat importance to take effective measures to improve malnutritionin theolder adults,and non-pharmacological interventions have been proved to be important measures to improve nutritional status.However,there is no domesticclinical practice guideline for non-pharmacological interventionsspecifically for malnourished olderadults.Therefore,nutrition experts from China Geriatric Care Alliance,National Geriatric Medicine Center and National ClinicalMedical Research Center for Geriatric Diseases developedthe guidelinebased on the Grading of Recommendation Assessment,Development and Evaluation (GRADE including9 recommendations of non-pharmacological intervention formalnourishedolder adultsthrougha comprehensive search and analysis of the latest domestic and international literature on malnutrition in theelderly,in order toimprove malnutrition and quality of life in the older adults.This guideline focuses on malnourished older adultswho can be fed orally and enteral nutrition,parenteral nutrition is not coveredby the scopeofthis guideline.Key words Malnutrition;Old
