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Malnutrition in Europe The Forgotten Health Agenda Olle Ljungqvist Chairman ESPEN, Co-chair ENHA Professor of Surgery, Nutrition & Metabolism Karolinska Institutet Stockholm, Sweden. Outline. The scope of the problem – film EU health strategy 2008-2013 ESPEN – the experts ready to help
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Malnutrition in EuropeThe Forgotten Health AgendaOlle LjungqvistChairman ESPEN, Co-chair ENHAProfessor of Surgery, Nutrition & MetabolismKarolinska InstitutetStockholm, Sweden
Outline • The scope of the problem – film • EU health strategy 2008-2013 • ESPEN – the experts ready to help • Proposal for actions
Poor eating – higher risk nutritionDay 2006 3200 patients Ages 78 - 103
Outline • The scope of the problem – film • EU health strategy 2008-2013 • ESPEN – the experts ready to help • Proposal for actions
EU parliament October 2008 The European Parliament: • Malnutrition & obesity key priorities in the 2008 – 2013 EU Health Strategy
Pointing directions • Urges the Commission to take a more holistic approach to nutrition and make malnutrition, alongside obesity, a key priority in the field of health, incorporating it wherever possible into EU-funded research, education and health promotion initiatives and EU-level partnerships;
Call to all: • Calls on Member States, along with regional and local authorities, to use the cooperation mechanism to improve the exchange of best practice; calls on the Commission to be proactive in producing guidelines and recommendations based on such good practice;
Outline • The scope of the problem – film • EU health strategy 2008-2013 • ESPEN – the experts ready to help • Proposal for actions
Multiprofessional society – 2500 members Throughout EuropeAims:1. Science – congress, journals, funding2. Education - Web based LLL Leonardo daVinci3. Implementation – GuidelinesPartner of European Nutrition of Health Alliance
ESPEN Faculty • >250 World Experts • Creators of the knowledge • Authors of the Guidelines and the Textbooks • The Leading Educators • All National Experts – all diciplines • Leading physicians, dieticians, nutritionists, nurses, pharmacists
European ESPEN campaign National nutrition care plans in every member state • Nutritional sceening all patients • Education in Basic Nutrition • Nutritional care basic for ackredication of care (all types)
Outline • The scope of the problem – film • EU health strategy 2008-2013 • ESPEN – the experts ready to help • Proposal for actions
Keys to improve practice • Awareness • Identify best practice - Guidelines • Educate – promote • Support – training, legislation • Audit Further development • Funding for research
Primary goals Mandatory screening in all EU member states Including nutrition in the curricula of all health professionals Accreditation: All care units should include standards for the basic nutritional care including guidelines, training & audits.
Conclusions • Malnutrition is a major health problem in Europe To improve practice we need to • Educate all health professionals • Screen patients • Secure basic nutrition care ESPEN/ENHA can help
Conclusions • Malnutrition is a major health problem in Europe To improve practice we need to • Educate all health profesionals - LLL • Screen patients – ESPEN screening tools • Secure basic nutrition care - Guidelines ESPEN/ENHA can help – network of experts