BACKGROUND: Older @entity1 suffering from @entity303 are at increased risk of @entity3147 due to various nutritional problems, and the question arises which interventions are effective in maintaining adequate nutritional intake and nutritional status in the course of the disease. It is of further interest whether supplementation of energy and/or specific nutrients is able to prevent further @entity73 or even correct @entity73 , and in which situations artificial nutritional support is justified. OBJECTIVE: It is the purpose of these guidelines to cover these issues with evidence-based recommendations. METHODS: The guidelines were developed by an international multidisciplinary working group in accordance with officially accepted standards. The GRADE system was used for assigning strength of evidence. Recommendations were discussed, submitted to Delphi rounds and accepted in an online survey among ESPEN members. RESULTS: 26 recommendations for nutritional care of older @entity1 with @entity303 are given. In every @entity1 with @entity303 , screening for @entity3147 and close monitoring of body weight are recommended. In all stages of the disease, oral nutrition may be supported by provision of adequate, attractive food in a pleasant environment, by adequate nursing support and elimination of potential causes of @entity3147 . Supplementation of single nutrients is not recommended unless there is a sign of deficiency. Oral nutritional supplements are recommended to improve nutritional status but not to correct @entity73 or prevent @entity73 . Artificial nutrition is suggested in @entity1 with mild or moderate @entity303 for a limited period of time to overcome a crisis situation with markedly insufficient @entity1697 , if low nutritional intake is predominantly caused by a potentially reversible condition, but not in @entity1 with severe @entity303 or in the terminal phase of life. CONCLUSION: Nutritional care and support should be an integral part of @entity303 management. In all stages of the disease, the decision for or against nutritional interventions should be made on an individual basis after carefully balancing expected benefit and potential burden, taking the (assumed) @entity1 will and general prognosis into account.

ESPEN guidelines on nutrition in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'person', 'people', 'persons'] @entity1697 :: ('MESH:D009062', 'Disease') :: ['oral intake'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment', 'cognitive decline'] @entity3147 :: ('MESH:D044342', 'Disease') :: ['malnutrition']
@entity303 :: (MESH:D003704,Disease) :: ['dementia']
