{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:44:29Z","timestamp":1789105469382,"version":"build-2803163510"},"reference-count":23,"publisher":"Akademiai Kiado Zrt.","issue":"45","license":[{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,11,9]]},"abstract":"<jats:p>A n\u00e9pess\u00e9g \u00f6reged\u00e9se, a kr\u00f3nikus betegs\u00e9gek \u00e9s a multimorbidit\u00e1s terjed\u00e9se,\n                    valamint ezek k\u00f6lts\u00e9gei multidiszciplin\u00e1ris megk\u00f6zel\u00edt\u00e9st tesznek sz\u00fcks\u00e9gess\u00e9 a\n                    betegell\u00e1t\u00e1sban. A t\u00e1pl\u00e1lkoz\u00e1ssal \u00f6sszef\u00fcgg\u0151 legfontosabb geri\u00e1triai kih\u00edv\u00e1sok,\n                    mint p\u00e9ld\u00e1ul az id\u0151skori anorexia \u00e9s malnutritio, a dysphagia, a sarcopenia, az\n                    esend\u0151s\u00e9g (frailty), a sarcopeni\u00e1s obesitas, a metabolikus szindr\u00f3ma, valamint a\n                    gy\u00f3gyszeres interakci\u00f3k \u00e9s a iatrogenia \u00f6nront\u00f3 k\u00f6r\u00f6ket k\u00e9peznek, \u00e9s a\n                    t\u00e1pl\u00e1l\u00e1ster\u00e1pia legfontosabb f\u00f3kuszter\u00fcleteit jelentik. Az Eur\u00f3pai Klinikai\n                    T\u00e1pl\u00e1l\u00e1si \u00e9s Anyagcsere T\u00e1rsas\u00e1g 2023-ban a multimorbid k\u00f3rh\u00e1zi betegek\n                    t\u00e1pl\u00e1l\u00e1s\u00e1r\u00f3l \u00faj ir\u00e1nyelvet dolgozott ki, majd 2024-ben egyszer\u0171s\u00edtett, praktikus\n                    algoritmusokat tartalmaz\u00f3 \u00f6sszefoglal\u00f3t jelentetett meg. A kiadv\u00e1ny 15,\n                    klinikailag relev\u00e1ns k\u00e9rd\u00e9s k\u00f6r\u00e9 csoportos\u00edtott 32 aj\u00e1nl\u00e1st fogalmaz meg a\n                    malnutritio sz\u0171r\u00e9s\u00e9r\u0151l \u00e9s az egy\u00e9nre szabott t\u00e1pl\u00e1l\u00e1st\u00e1mogat\u00e1sr\u00f3l, annak\n                    indik\u00e1ci\u00f3ir\u00f3l, az id\u0151z\u00edt\u00e9s \u00e9s a kivitelez\u00e9s m\u00f3djair\u00f3l, monitoroz\u00e1s\u00e1r\u00f3l. A\n                    t\u00e1pl\u00e1l\u00e1si terv le\u00edr\u00e1sa r\u00e9szletesen kit\u00e9r az energia-, feh\u00e9rje-,\n                    mikronutriens-bevitel \u00e9s a betegs\u00e9gspecifikus t\u00e1pl\u00e1l\u00e1s szempontjainak\n                    meghat\u00e1roz\u00e1s\u00e1ra. Az aj\u00e1nl\u00e1sok k\u00e9tharmada gyenge\/k\u00f6zepes min\u0151s\u00e9g\u0171 evidenci\u00e1kon,\n                    szak\u00e9rt\u0151i \u00e1ll\u00e1sfoglal\u00e1son vagy klinikai tapasztalaton alapul, mert a\n                    rendelkez\u00e9sre \u00e1ll\u00f3 vizsg\u00e1latokb\u00f3l a multimorbid id\u0151sek igen heterog\u00e9n\n                    popul\u00e1ci\u00f3j\u00e1t rendszerint kiz\u00e1rt\u00e1k, ez\u00e9rt felt\u00e9tlen\u00fcl sz\u00fcks\u00e9g van tov\u00e1bbi\n                    klinikai kutat\u00e1sokra. A nemzetk\u00f6zi aj\u00e1nl\u00e1s \u00f6sszhangban \u00e1ll a multimorbid\n                    geri\u00e1triai betegek ell\u00e1t\u00e1s\u00e1r\u00f3l \u00e9s kezel\u00e9s\u00e9r\u0151l sz\u00f3l\u00f3 hazai ir\u00e1nyelvvel, vez\u00e9relve\n                    az aktu\u00e1lis \u00e9letmin\u0151s\u00e9g \u00e9s funkcion\u00e1lis kapacit\u00e1s jav\u00edt\u00e1sa, restrikt\u00edv di\u00e9t\u00e1k\n                    helyett az egy\u00e9nre szabott t\u00e1pl\u00e1l\u00e1ster\u00e1pia. A multimorbid betegek valamennyi\n                    \u00e1llapot\u00e1t (aktu\u00e1lis teljes\u00edt\u0151k\u00e9pess\u00e9g\u00e9t, aktivit\u00e1s\u00e1t) \u00e9s kezel\u00e9s\u00e9t \u00e9rt\u00e9kelni \u00e9s\n                    m\u00e9rlegelni kell, figyelembe v\u00e9ve az ell\u00e1tottak szempontjait, preferenci\u00e1it \u00e9s az\n                    ell\u00e1t\u00f3rendszer saj\u00e1ts\u00e1gait. Orv Hetil. 2025; 166(45): 1769\u20131776.<\/jats:p>","DOI":"10.1556\/650.2025.33415","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T15:33:18Z","timestamp":1762702398000},"page":"1769-1776","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["A multimorbid id\u0151s betegek k\u00f3ros t\u00e1pl\u00e1lts\u00e1gi \u00e1llapot\u00e1nak t\u00e1pl\u00e1l\u00e1ster\u00e1pi\u00e1val t\u00f6rt\u00e9n\u0151 kezel\u00e9se a k\u00f3rh\u00e1zi ell\u00e1t\u00e1s sor\u00e1n"],"prefix":"10.1556","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3673-8491","authenticated-orcid":true,"given":"Erika","family":"P\u00e9terv\u00e1ri","sequence":"first","affiliation":[{"name":"P\u00e9csi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Transzl\u00e1ci\u00f3s Medicina Int\u00e9zet, K\u00eds\u00e9rletes Gerontol\u00f3giai Kutat\u00f3csoport P\u00e9cs, Szigeti \u00fat 12., 7624 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Doktori Iskola, Eg\u00e9szs\u00e9gtudom\u00e1nyi Tagozat, Interdiszciplin\u00e1ris alkalmazott eg\u00e9szs\u00e9gtudom\u00e1nyok program Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Bak\u00f3 G, \u00c1d\u00e1m I, Blaskovich E, et al. Professional healthcare\n                    guideline of the Ministry of Interior on the care and treatment of multimorbid\n                    geriatric patients. [A Bel\u00fcgyminiszt\u00e9rium eg\u00e9szs\u00e9g\u00fcgyi szakmai ir\u00e1nyelve a\n                    multimorbid geri\u00e1triai betegek ell\u00e1t\u00e1s\u00e1r\u00f3l \u00e9s kezel\u00e9s\u00e9r\u0151l.] E\u00fcK 2025; 75:\n                    154-223. [Hungarian]"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Steiner CA, Friedman B. Hospital utilization, costs, and mortality\n                    for adults with multiple chronic conditions. Nationwide Inpatient Sample 2009.\n                    Prev Chronic Dis. 2013; 10: E62.\n                    https:\/\/doi.org\/10.5888\/pcd10.120292","DOI":"10.5888\/pcd10.120292"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Volkert D, Delzenne N, Demirkan K, et al. Nutrition for the older\n                    adult - Current concepts. 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Overweight and obesity - BMI statistics, 2022. Available\n                    from:\n                        https:\/\/ec.europa.eu\/eurostat\/statistics-explained\/index.php?title=Overweight_and_obesity_-_BMI_statistics&oldid=655035#Obesity_by_age_group\n                    [accessed: Dec 10, 2024]."},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Donini LM, Busetto L, Bischoff SC, et al. Definition and diagnostic\n                    criteria for sarcopenic obesity: ESPEN and EASO consensus statement. Clin Nutr.\n                    2022; 41: 990-1000.\n                    https:\/\/doi.org\/10.1016\/j.clnu.2021.11.014","DOI":"10.1016\/j.clnu.2021.11.014"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Eitmann S, M\u00e1trai P, Hegyi P, et al. 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[A Bel\u00fcgyminiszt\u00e9rium\n                    eg\u00e9szs\u00e9g\u00fcgyi szakmai ir\u00e1nyelve - \u00fajabb szempontok a k\u00f3rh\u00e1zi, az eg\u00e9szs\u00e9g\u00fcgyi\n                    \u00e1pol\u00e1si otthonokban \u00e9l\u0151 \u00e9s az otthoni ell\u00e1t\u00e1sra szorul\u00f3 feln\u0151tt betegek\n                    t\u00e1pl\u00e1lts\u00e1gi \u00e1llapot\u00e1nak felm\u00e9r\u00e9s\u00e9r\u0151l \u00e9s a t\u00e1pl\u00e1lts\u00e1gi zavarok t\u00e1pl\u00e1l\u00e1ster\u00e1pi\u00e1val\n                    t\u00f6rt\u00e9n\u0151 kezel\u00e9s\u00e9r\u0151l.] E\u00fcK 2023; 73: 1346-1381. [Hungarian]"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Pourhassan M, Cederholm T, Donini LM, et al. Severity of\n                    inflammation is associated with food intake in hospitalized geriatric patients -\n                    a merged data analysis. 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