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Updated: Jul 1, 2026

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake

Published on: September 18, 2018

A rational approach to nutritional assessment.

Peter B Soeters¹, Petronella L M Reijven, Marian A E van Bokhorst-de van der Schueren

¹Faculty of Health, Medicine and Life Sciences, Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. pb.soeters@ah.unimaas.nl

Clinical Nutrition (Edinburgh, Scotland)

|September 12, 2008

Summary

This study proposes a new definition for malnutrition, considering overnutrition, undernutrition, and inflammation. Operationalizing this definition provides a framework for consistent nutritional assessment and outcome prediction.

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Last Updated: Jul 1, 2026

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake

Published on: September 18, 2018

Area of Science:

Nutrition Science
Biochemistry
Clinical Medicine

Background:

Lack of consensus on malnutrition definitions and assessment methods hinders research and clinical practice.
Existing definitions do not fully capture the complex pathophysiology of malnutrition.

Purpose of the Study:

To propose a novel, pathophysiology-based definition of malnutrition.
To operationalize this definition into measurable components for nutritional assessment.

Main Methods:

Formulated a definition based on the pathophysiology of malnutrition.
Reviewed metabolic and physiological characteristics of malnourished populations.
Developed operational measures for nutritional assessment.

Main Results:

Defined malnutrition as a state of "a subacute or chronic state of nutrition in which a combination of varying degrees of over- or undernutrition and inflammatory activity has led to a change in body composition and diminished function".
Operationalization identified four key assessment elements: nutrient balance, body composition, inflammatory activity, and functional measures (muscle, immune, cognitive).
Emphasized validation with gold standards, population-specific normal values, and outcome correlation for at-risk individuals.

Conclusions:

The proposed definition reflects malnutrition's pathophysiology.
Operationalized measures provide a basis for consistent and reproducible nutritional assessment.
This approach aims to improve comparability of malnutrition rates and degrees across populations and individuals.