Journal of Nutrition and Metabolism / 2010 / Article / Figbox 1

Review Article

Nutritional Rehabilitation: Practical Guidelines for Refeeding the Anorectic Patient

Box 1

NICE guidelines for identification of patients at high risk for refeeding syndrome.
Patient has one or more of:
BMI <16 kg/m2
Unintentional weight loss of >15% in the previous 3–6 months
Little or no nutritional intake for >10 days
Low levels of potassium, phosphorus, or magnesium before refeeding
-or- Patient has two or more of:
BMI <18.5 kg/m2
Unintentional weight loss of >10% in the previous 3–6 months
Little or no nutritional intake for >5 days
History of alcohol misuse or drugs, including insulin, chemotherapy, antacids, or diuretics

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