ESPEN guideline clinical nutrition in neurology

Rosa Burgos*, Irene Bretón, Emanuele Cereda, Jean Claude Desport, Rainer Dziewas, Laurence Genton, Filomena Gomes, Pierre Jésus, Andreas Leischker, Maurizio Muscaritoli, Kalliopi Anna Poulia, Jean Charles Preiser, Marjolein Van der Marck, Rainer Wirth, Pierre Singer, Stephan C. Bischoff

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Neurological diseases are frequently associated with swallowing disorders and malnutrition. Moreover, patients with neurological diseases are at increased risk of micronutrient deficiency and dehydration. On the other hand, nutritional factors may be involved in the pathogenesis of neurological diseases. Multiple causes for the development of malnutrition in patients with neurological diseases are known including oropharyngeal dysphagia, impaired consciousness, perception deficits, cognitive dysfunction, and increased needs. The present evidence- and consensus-based guideline addresses clinical questions on best medical nutrition therapy in patients with neurological diseases. Among them, management of oropharyngeal dysphagia plays a pivotal role. The guideline has been written by a multidisciplinary team and offers 88 recommendations for use in clinical practice for amyotrophic lateral sclerosis, Parkinson's disease, stroke and multiple sclerosis.

Original languageEnglish
Pages (from-to)354-396
Number of pages43
JournalClinical Nutrition
Issue number1
StatePublished - Feb 2018


FundersFunder number
European Society for Clinical Nutrition and Metabolism


    • Amyotrophic lateral sclerosis
    • Multiple sclerosis
    • Oropharyngeal dysphagia
    • Parkinson's disease
    • Stroke


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