Nutritional Status Assessment Full nutritional status assessment is reserved for seriously ill patients and those at very high nutritional risk when the cause of malnutrition is still uncertain after initial clinical evaluation and dietary assessment. It involves multiple dimensions, including documentation of dietary intake, anthropometric measurements, biochemical measurements of blood and urine, clinical examination, health history, and functional status. For further discussion of nutritional assessment, see Chap. 72. Global Considerations New nutrient-based terminologies with dietary reference intakes have been developed not only in North America, but in the United Kingdom and Europe, and by the World Health Organization/Food and Agricultural Organization of the United Nations. | Chapter 070. Nutritional Requirements and Dietary Assessment Part 7 Nutritional Status Assessment Full nutritional status assessment is reserved for seriously ill patients and those at very high nutritional risk when the cause of malnutrition is still uncertain after initial clinical evaluation and dietary assessment. It involves multiple dimensions including documentation of dietary intake anthropometric measurements biochemical measurements of blood and urine clinical examination health history and functional status. For further discussion of nutritional assessment see Chap. 72. Global Considerations New nutrient-based terminologies with dietary reference intakes have been developed not only in North America but in the United Kingdom and Europe and by the World Health Organization Food and Agricultural Organization of the United Nations WHO FAO . These different standards have many similarities in their basic concepts definitions and levels of nutrients recommended but there are some differences owing to assumptions made functional criteria chosen the timeliness of the evidence reviewed and expert judgment. Further Readings Gibson RS Principles of Nutritional Assessment 2d ed. Oxford University Press London 2005 Murphy SP et al Multivitamin-multimineral supplements effect on total nutrient intake. Am J Clin Nutr 85 1 280S 2007 Shils ME et al eds Modern Nutrition in Health and Disease 10th ed. Philadelphia Lippincott Williams and Wilkins 2005 Bibliography Standing Committee on the Scientific Evaluation of Dietary Reference Intakes Food and Nutrition Board Institute of Medicine Dietary Reference Intakes for Vitamin A Vitamin K Arsenic Boron Chromium Copper Iodine Iron Manganese Molybdenum Nickel Silicon Vanadium and Zinc. Washington National Academy Press 2001 ------------- Dietary Reference Intakes Applications in Dietary Assessment. Washington National Academy Press 2000 ------------- Dietary Reference Intakes for Calcium Phosphorus Magnesium Vitamin D and .
