According to the 2012 ASPEN/AND consensus definitions, which combination of criteria is required to diagnose malnutrition in adults in the context of chronic illness?
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AInadequate energy intake AND one of: weight loss, loss of muscle mass, loss of subcutaneous fat, localized fluid accumulation, or reduced grip strength
BSerum albumin < 3.5 g/dL AND BMI < 20 kg/m²
CUnintentional weight loss > 5% in 6 months AND serum prealbumin < 10 mg/dL
DMUST score ≥ 2 AND 24-hour dietary recall below 75% of estimated needs
✓ Correct answer: A. Inadequate energy intake AND one of: weight loss, loss of muscle mass, loss of subcutaneous fat, localized fluid accumulation, or reduced grip strengthThe 2012 ASPEN/AND consensus framework requires inadequate energy intake plus at least one of five physical findings: weight loss, loss of muscle, loss of subcutaneous fat, fluid accumulation, or diminished functional status. Lab values alone do not diagnose malnutrition under this framework.
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