Disease-related malnutrition occurs when nutrient intake is insufficient to meet nutrient needs. It occurs in the presence or absence of inflammation and can be related to starvation, chronic illness, or acute illness or injury.

Good nutrition is an integral component of patient care.

Nutrition Matter_TH Simple pathway for nutrition care

Nutrition Matter_TH Malnutriition infographic

The ESPEN poster: SECONDARY ANALYSIS OF THE EFFORT TRIAL

Clinical summary overview ONS Summary

Nutritional status is a strong predictor of postoperative outcomes

Enhanced Recovery After Surgery (ERAS) Programs Over the last decade, Enhanced Recovery After Surgery (ERAS) programs have been adopted as the standard of perioperative care across the world. 

The lecture Video

The case study video

Maintain or improve muscle through good nutrition including oral nutrition supplements

The important of nutrition in surgery and learn more on ESPEN’s complete guidelines on Clinical Nutrition in Surgery.

In this infographic, see the role muscle plays in overall health, and why maintaining muscle matters

COVID-19 patients often suffered from malnutrition and sarcopenia. In addition, patients may have other complications of organs and gastrointestinal symptoms, resulting in the risk of malnutrition which can compromise their immune system and the severity of disease complications, leading to unfavorable clinical outcomes in both short- and long-terms.

Early nutrition intervention help support patients:

Improve nutrition intake, fast recovery and muscle strength.

Reduce the disease complications

The Role of Amino Acids and Their Metabolites in Supporting Muscle Health in Aging and Illness

Video HMB mechanism of action Thai version

HMB (ß-hydroxy-ß-methylbutyrate): A scientific review New Perspective on Lean Body Mass

HMB supplementation reduces post exercise muscle damage, and thuscaccelerates recovery. It also allows for increases in lean body mass, improved strength and aerobic capacity.

The branched-chain amino acid (BCAA) leucine acts as both a ‘trigger’ for the initiation of protein synthesis, and as a substrate for newly synthesized protein.The observation that HMB enhances muscle protein anabolismmay partly (or wholly) underlie its pre-defined anabolic/anti-catabolic supplemental efficacy in humans

Undernutrition and resultant muscle loss (muscle atrophy), as associated with aging and disease, can lead to adverse health and economic consequences. Nutrition and exercise are key to growth and maintenance of muscle promoting overall health, well-being, and recovery from disease.

HMB can prevent the development of sarcopenia in elderly subjects and that the optimal action of HMB on muscle growth and strength occurs when it is combined with exercise.

Sarcopenia is defined as skeletal muscle disorders due to aging processes leading to decreased muscle strength, increased functional impairment and disability, raised mortality, and lessened quality of life.

Sarcopenia often overlaps with malnutrition, especially in older patients.

Exercise and nutrition can fight with sarcopenia

Nutrition Therapy as Part of Multimodal Intervention for the Management of Frail Elderly Patients-case study 1

Nutrition Therapy as Part of Multimodal Intervention for the Management of Frail Elderly Patients-case study 2

The Asian working group for sarcopenia (AWGS) is established and work with collaboration in Taiwan, Japan, Korea, Hongkong, China and Southeast Asian countries such as Thailand. The special interest groups of AWGS studied sarcopenia in the following categories: definition, epidemiology, diagnosis, and intervention. The AWGS consensus (AWGS 2014 and AWGS 2019) has been widely accepted and cited in many important medical journals about sarcopenia.

This systematic review shows that HMB can improve lean body mass and preserve muscle strength and function in older people with sarcopenia and frailty.

The effective amount of HMB (3 g/day) is extremely difficult to obtain from the normal diet, given the low quantities of HMB available in foods and the low conversion rate of leucine to HMB. Several studies have shown positive effects of HMB supplementation on body composition, muscle mass and strength, and physical function in older adults.

HMB supplementation seems to be a feasible alternative for the maintenance of muscle mass in the population over 65 years, especially in bedridden or sedentary elderly, aiding in the reduction of muscle catabolism. Three grams of HMB seem to be the optimal dose to promote these benefits.

Nutrition Matter_ Video Malnutrition in the Healthcare Setting from an Asian Perspective