Current Clinical Guidelines for the Management of Children Over One Year of Age with Malnutrition (Protein-Energy Malnutrition)

In May 2026, the Ministry of Health of the Russian Federation approved new clinical guidelines for the management of children over one year of age with protein-energy malnutrition. The document establishes unified rules for diagnosis, assessment of severity based on weight loss and body mass index, as well as standards for nutritional management and medical care. The guidelines provide a legitimate legal basis for prescribing specialized enteral and parenteral nutrition within the framework of compulsory health insurance, which significantly expands access to nutritional support. The document was developed by members of the Union of Pediatricians of Russia, the Association of Professional Participants in Hospice Care, the Russian Gastroenterological Association, the Autonomous Non-Profit Organization “Society of Pediatric Gastroenterologists, Hepatologists and Nutritionists”, the National Association of Pediatric Rehabilitologists, the Interregional Public Organization “Scientific Community for Promoting the Clinical Study of the Human Microbiome”, and the Russian Organization of Dietitians, Nutritionists and Food Industry Specialists.

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