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Screening adults for malnutrition using the MUST: an update
Wendy Milligan1, Jane Fletcher2
1Lecturer in Nursing Education, King's College London.
British Journal of Nursing (Mark Allen Publishing)
|April 16, 2026
Summary
Disease-related malnutrition in adults is a significant health issue. The Malnutrition Universal Screening Tool (MUST) aids early detection, improving patient outcomes and reducing healthcare costs.
Area of Science:
- Clinical Nutrition
- Healthcare Management
- Public Health
Background:
- Disease-related malnutrition is a prevalent and costly issue in adults.
- It leads to increased morbidity and mortality, often remaining undiagnosed.
- Early recognition and intervention are crucial for managing malnutrition.
Purpose of the Study:
- To review the evidence supporting the use of the Malnutrition Universal Screening Tool (MUST).
- To discuss practical challenges encountered when using MUST in clinical settings.
- To provide resources for effective implementation of MUST.
Main Methods:
- Literature review of current evidence on MUST.
- Analysis of common challenges in MUST application.
- Compilation of practical guidance and resources.
Main Results:
- MUST is a validated and widely used tool for identifying malnutrition risk in adults.
- Evidence supports its effectiveness across diverse healthcare settings.
- Common implementation challenges are identified and addressed.
Conclusions:
- MUST is an effective tool for early malnutrition risk screening in adults.
- Addressing practical challenges can optimize its use in clinical practice.
- Continued use and support for MUST are recommended to combat malnutrition.
