A Human rights approach to clinical nutrition : addressing the challenges of disease-related malnutrition in resource limited settings
Keywords:
IHWRG, vienna declaration, international human rights working group, disease‐related malnutrition
Abstract
A human rights-based approach can be the cornerstone in the field of clinical nutrition. By endorsing the five principles of the Vienna Declaration, the global clinical nutrition network is developing initiatives and strategies for implementing programmes for improving awareness, advocacy, education, research and collaboration. The prevalence of disease-related malnutrition in hospitalized patients is higher in Asian resource limited countries than in Europe with unacceptably high nutrition risks in cancer, tuberculosis and intestinal failure in Indonesia. The international human rights working group has recommended practical steps involving evaluation of the applicability of the current international guidelines, and development of new resource-stratified guidelines followed by promotion and implementation.Downloads
Download data is not yet available.
References
WHO/EURO:2013-4439-44202-62417 Implementation of the United Nations Decade of Action on Nutrition (2016–2025): report of the Secretary-General. New York: United Nations; 2022 (https://digitallibrary.un.org/record/3969161?ln=en).
2. Cardenas D, Correia I, Hardy G et al. The international declaration on the human right to nutritional care: A global commitment to recognize nutritional care as a human right. Clin Nutr. 2023;42:909-918.
3. Cardenas D, Correia M, Ochoa JB, Hardy G, et al. Clinical nutrition and human rights. An international position paper. Clin Nutr. 2021;40(6):4029-36
4. Cárdenas D, Correia M, Hardy G et al Nutritional care is a human right: Translating principles to clinical practice. Nutr. Clin. Pract. 2022; 37:743–751.
5. https://www.pensa-online.org
6. Cardenas D, Ferreira I, Correia I et al. Tackling disease-related malnutrition in resource-limited settings: an international positionpaper. Nutr Clin Pract 2025
7. Schuetz P, Fehr R, Baechli V, et al. Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial. Lancet. 2019;393:2312-21.
8. Bargetzi L, Brack C, Herrmann J, et al. Nutritional support during the hospital stay reduces mortality in patients with different types of cancers: secondary analysis of a prospective randomized trial. Ann Oncol. 2021;32(8):1025-33.
9. Ford KL, Nasser R, Basualdo-Hammond C, et al. Exploring gaps, opportunities, barriers and enablers in malnutrition policy through key informant interviews: a qualitative inquiry from the CANDReaM initiative. BMJ Nutrition, Prevention & Health. 2024:e000891.
10. Cárdenas D, Pérez Cano AM, Díaz G, et al. Nutrition care as a health policy in the 21st century: A phenomenological study. Clin Nutr ESPEN. 2022;47:306-14
11. Hiesmayr M, Tarantino S, Moick S, et al. Hospital Malnutrition, a Call for Political Action: A Public Health and NutritionDay Perspective. J Clin Med. 2019;8(12).
12. Survei Kesehatan Indonesia (SKI 2023)
13. Global tuberculosis report 2022. Geneva: World Health Organization; 2022
14. (https://iris.who.int/handle/10665/363752)
15. Ferreyra M, Ocana M, Hardy G. Intestinal Rehabilitation of Enteroperitoneal Tuberculosis: a rare lethal disease requiring Nutritional Therapy. Clin Nutr ESPEN 2024
16. Guideline: nutritional care and support for patients with tuberculosis. Geneva:
17. World Health Organization; 2013 (https://iris.who.int/handle/10665/94836).
18. Jeppesen PB. The long road to the development of effective strategies for the short gut syndrome: a personal perspective Dig Dis Sci 2019; 64:2717-2735
2. Cardenas D, Correia I, Hardy G et al. The international declaration on the human right to nutritional care: A global commitment to recognize nutritional care as a human right. Clin Nutr. 2023;42:909-918.
3. Cardenas D, Correia M, Ochoa JB, Hardy G, et al. Clinical nutrition and human rights. An international position paper. Clin Nutr. 2021;40(6):4029-36
4. Cárdenas D, Correia M, Hardy G et al Nutritional care is a human right: Translating principles to clinical practice. Nutr. Clin. Pract. 2022; 37:743–751.
5. https://www.pensa-online.org
6. Cardenas D, Ferreira I, Correia I et al. Tackling disease-related malnutrition in resource-limited settings: an international positionpaper. Nutr Clin Pract 2025
7. Schuetz P, Fehr R, Baechli V, et al. Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial. Lancet. 2019;393:2312-21.
8. Bargetzi L, Brack C, Herrmann J, et al. Nutritional support during the hospital stay reduces mortality in patients with different types of cancers: secondary analysis of a prospective randomized trial. Ann Oncol. 2021;32(8):1025-33.
9. Ford KL, Nasser R, Basualdo-Hammond C, et al. Exploring gaps, opportunities, barriers and enablers in malnutrition policy through key informant interviews: a qualitative inquiry from the CANDReaM initiative. BMJ Nutrition, Prevention & Health. 2024:e000891.
10. Cárdenas D, Pérez Cano AM, Díaz G, et al. Nutrition care as a health policy in the 21st century: A phenomenological study. Clin Nutr ESPEN. 2022;47:306-14
11. Hiesmayr M, Tarantino S, Moick S, et al. Hospital Malnutrition, a Call for Political Action: A Public Health and NutritionDay Perspective. J Clin Med. 2019;8(12).
12. Survei Kesehatan Indonesia (SKI 2023)
13. Global tuberculosis report 2022. Geneva: World Health Organization; 2022
14. (https://iris.who.int/handle/10665/363752)
15. Ferreyra M, Ocana M, Hardy G. Intestinal Rehabilitation of Enteroperitoneal Tuberculosis: a rare lethal disease requiring Nutritional Therapy. Clin Nutr ESPEN 2024
16. Guideline: nutritional care and support for patients with tuberculosis. Geneva:
17. World Health Organization; 2013 (https://iris.who.int/handle/10665/94836).
18. Jeppesen PB. The long road to the development of effective strategies for the short gut syndrome: a personal perspective Dig Dis Sci 2019; 64:2717-2735
Submitted
2025-08-27
Published
2025-08-29
Section
Articles
Copyright (c) 2025 Gil Hardy, Luciana B Sutanto
This work is licensed under a Creative Commons Attribution 4.0 International License.
World Nutrition Journal provides immediate open access to its content under the Creative Commons Attribution License (CC BY 4.0). This permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
