Meeting quality standards in nutritional care. 2010. (accessed 7 December 2021)

The cost of malnutrition in England and potential cost savings from nutritional interventions (full report). 2015. (accessed 15 December 2021)

Gossier S, Guyonnet S, Volkert D. The role of nutrition in frailty: an overview. J Frailty Aging. 2016; 5:(2)74-77

Managing Adult Nutrition. A community healthcare professional guide to the nutritional management of patients during and after COVID-19 illness. 2020. (accessed 15 December 2021)

Managing Adult Nutrition. Managing malnutrition in COPD. 2020. (accessed 15 December 2021)

Meijers JMM, Halfers RJG, Neyens JCL Predicting falls in elderly receiving home care: the role of malnutrition and impaired mobility. J Nutr Health Aging. 2012; 16:(7)654-658

Morley J, Vellas B, Abellan van Kan G Frailty consensus: a call to action. J Am Med Dir Assoc. 2013; 14:(6)391-397

Stratton RJ, Green CJ, Marinos E. Disease-related malnutrition: an evidence-based approach to treatment.Oxford: CABI publishing; 2003

Managing malnutrition to improve lives and save money. 2018. (accessed 7 December 2021)

Evidence-based management of disease-related malnutrition: updated guidance

02 January 2022
Volume 27 · Issue 1


This article outlines the updated guidelines produced by the Managing Adult Malnutrition in the Community panel, which aims to assist and support health and social care professionals working in the community to identify and manage malnutrition, particularly that related to ageing, disease and long-term medical conditions.

The clinical consequences of malnutr ition can be profound. Studies have repeatedly demonstrated that undetected and untreated malnutrition reduces muscle strength, contributes to frailty, increases falls risk, slows recovery from illness and surgery, and impairs psychosocial function, immune response and wound healing, all of which are associated with poorer clinical outcomes (Stratton et al, 2003; Bowling et al, 2010; Meijers et al, 2012; Morley et al, 2013; Gossier et al, 2016). The cost of malnutrition in the UK exceeds £23.5 billion per annum (Elia, 2015). At an individual level, it costs three times more, on average, to manage a malnourished patient than a non-malnourished individual (£7408 versus £2155) (Stratton et al, 2018). Therefore, action to detect, treat and prevent malnutrition are justified on both a clinical and cost basis.

Register now to continue reading

Thank you for visiting Community Nursing and reading some of our peer-reviewed resources for district and community nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month