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Background & aims The high prevalence of disease-related malnutrition is a major public health issue worldwide despite the fact that the efficacy of nutritional care has been extensively documented. Therefore, it is needed to move forward on stronger public health policies. The aim of our article is to analyze the link between nutritional care and human rights. We wonder whether it is possible to consider nutritional care as a human right. Methods We examine the relationship between nutritional care and human rights by using the human rights-based approach. It allows us to determine the grounding of the nutritional care as a human right, the duty-bearers and its content or scope. Results The difficulties in the conception and realization of the right to food in the clinical context and the possibility to define a specific scope for nutritional care within the care-giving context shows that the right to nutritional care can be considered as a human right by itself and closely related to the right to food and the right to health. The human right to nutritional care implies that the patient has the right to beneficiate from the right to be screened for malnutrition and receive a malnutrition diagnosis, to receive regular hospital diet, therapeutic diet and medical nutrition therapy administrated by a team of experts, and the government has the duty to guarantee it. Conclusion The right to nutritional care can be considered as a human right by itself. Violating the right to nutritional care may often impair the enjoyment of other human rights, such as the rights to health or food and vice versa. The main impact of this recognition is attended to be at the national and international policies level. Knowing that the relation between human rights and nutritional care is a new issue, more research is warranted to ascertain its precise nature.

Malnutrition is a public health problem in the world. Malnutrition associated with socioeconomic factors falls within the scope of the right to adequate food. The approach to this type of malnutrition is achieved through the two aspects of this right: the right to be protected against hunger and the right to adequate food, wich implies the need to constitute an economic, political and social environment that allows people to achieve food security by their own means. However, malnutrition associated with the disease cannot be defined within the scope of the right to food. In this context, a human right to nutritional care should be considered where the person at risk or in a state of malnutrition can receive nutritional care including nutritional therapy in an optimal and timely manner. This new emerging human right must be studied and defined from the human rights approach to be recognized before international and national human rights institutions. ; La desnutrición es un problema de salud pública en el mundo. La desnutrición asociada a factores socioeconómicos es competencia del ámbito del derecho a la alimentación adecuada. El abordaje de este tipo de desnutrición se logra a través de las dos vertientes de este derecho: el derecho a estar protegido contra el hambre y el derecho a una alimentación adecuada que implica la necesidad de constituir un entorno económico, político y social que permita a las personas alcanzar la seguridad alimentaria por sus propios medios. Sin embargo, la desnutrición asociada a la enfermedad no puede definirse dentro del alcance del derecho a la alimentación. En este contexto, debe considerarse como un derecho humano al cuidado nutricional donde la persona en riesgo o en estado de desnutrición pueda recibir cuidado nutricional incluyendo la terapia nutricional de manera óptima y oportuna. Este nuevo derecho humano emergente debe ser estudiado y definido desde el enfoque de los derechos humanos para que sea reconocido ante las instituciones de derechos humanos internacionales y ...

The Cartagena Declaration recognizes that nutritional care is a human right. To make this human right effective, the Declaration provides a coherent framework of thirteen principles which provide a structure for promoting the development of nutritional care in the clinical setting, allowing all sick people to receive nutritional therapy in dignified conditions. The Declaration, through its principles, may also serve as an instrument to promote, through governments, the formulation of policies and laws in the field of clinical nutrition. The general framework of principles can contribute to raising awareness about the magnitude of this problem and to promote cooperation networks among Latin-American countries. Thus, the Cartagena Declaration should be considered a framework document whose principles constitute the basis for promoting the development of nutritional care in the clinical field, and raising awareness among public authorities, academic bodies, and the pharmaceutical industry. This article presents the definition, context, scope, perspective and some key concepts for each of the principles. ; La Declaración de Cartagena reconoce que el cuidado nutricional es un derecho humano. Para lograr que este derecho sea efectivo, la Declaración propone trece Principios, los cuales proporcionan un marco de referencia para promover el desarrollo del cuidado nutricional en el ámbito clínico que permita que todas las personas enfermas reciban terapia nutricional en condiciones de dignidad. La Declaración por medio de los principios, podrá servir como un instrumento para que se promuevan, a través de los gobiernos, la formulación de políticas y legislaciones en el campo de la nutrición clínica. También, se pretende que el marco general de principios ayude a crear conciencia acerca de la magnitud de este problema y a forjar redes de cooperación entre los países de la región. Por lo tanto, la Declaración de Cartagena debe considerarse un documento marco cuyos principios constituyen la base para promover el desarrollo de ...

Considering the high prevalence of malnutrition associated with disease and the need to advance education and research in clinical nutrition, the Cartagena Declaration was signed in May 2019. This is the International Declaration on the right to nutritional care which is addressed to societies, colleges and associations affiliated with FELANPE, and to any organization or institution that promotes the fight against malnutrition. The Declaration provides a coherent framework of 13 Principles which can serve as a guide in the development of action plans. In addition, it will serve as an instrument for states to formulate policies and legislate in the field of clinical nutrition. We believe that the general framework of principles proposed by the Declaration can contribute to raising awareness about the magnitude of this problem and forging cooperation networks between the countries of the region, and why not, the world. It will be, then, contributing to achieving the United Nations Sustainable Development Goals that seek, by 2030, to end all forms of malnutrition. ; Frente a la alta prevalencia de malnutrición asociada a la enfermedad y la necesidad de avanzar en la educación e investigación en nutrición clínica, se firmó en mayo de 2019 la Declaración de Cartagena. Se trata de la Declaración Internacional sobre el derecho al cuidado nutricional la cual va dirigida a las sociedades, colegios y asociaciones afiliadas a la FELANPE, y a toda organización o institución que promueva la lucha contra la malnutrición. La Declaración proporciona un marco coherente de 13 Principios los cuales podrán servir de guía en el desarrollo de los planes de acción. Además, servirá como un instrumento para que los Estados formulen políticas y legislen en el campo de la nutrición clínica. Consideramos que el marco general de principios propuesto por la Declaración puede contribuir a crear conciencia acerca de la magnitud de este problema y a forjar redes de cooperación entre los países de la región, y por qué no del mundo. Se estará, ...

Faced with the need to promote the right to nutritional care, to fight against malnutrition and to advance in education and research in clinical nutrition, all the FELANPE's societies signed on May 3 during an extraordinary assembly in the city of Cartagena, the International Declaration on the Right to Nutritional Care and the fight against Malnutrition, "Declaration of Cartagena". The Declaration provides a coherent framework of thirteen principles which can serve as a guide for societies, schools and associations affiliated to FELANPE in the development of action plans. In addition, it will serve as an instrument to promote, through governments, the formulation of policies and legislation in the field of clinical nutrition. We believe that the general framework of principles proposed by the Declaration can contribute to raise awareness about the magnitude of this problem and to forge cooperation networks among Latin-American countries. Although this Declaration does not have a binding legal effect, it has undeniable moral force and can provide practical guidance to States. We will then be contributing to achieving the United Nations Sustainable Development Goals which aim to put an end to all forms of malnutrition by 2030. ; Frente a la necesidad de promover el derecho al cuidado nutricional, de luchar contra la malnutrición y de avanzar en temas de educación e investigación en nutrición clínica, las sociedades que constituyen la FELANPE firmaron la Declaración Internacional sobre el Derecho al Cuidado Nutricional y la lucha contra la Malnutrición, "Declaración de Cartagena", en la asamblea extraordinaria que tuvo lugar el 3 de mayo del presente año en la ciudad de Cartagena. La Declaración proporciona un marco coherente de trece principios los cuales podrán servir de guía a las sociedades, los colegios y las asociaciones afiliadas a la FELANPE en el desarrollo de los planes de acción. Además, servirá como un instrumento para que promuevan, a través de los gobiernos, la formulación de políticas y ...

investigación en nutrición clínica, las sociedades que constituyen la FELANPE firmaron la Declaración Internacional sobre el Derecho al Cuidado Nutricional y la Lucha contra la Malnutrición, "Declaración de Cartagena", el 3 de mayo del presente año en la ciudad de Cartagena, en el marco del 33º Congreso de la Asociación Colombiana de Nutrición Clínica. La Declaración proporciona un marco coherente de 13 principios, los cuales podrán servir de guía a las sociedades afiliadas a la FELANPE en el desarrollo de los planes de acción. Además, servirá como un instrumento para que promuevan, a través de los gobiernos, la formulación de políticas y legislaciones en el campo de la nutrición clínica. Consideramos que el marco general de principios propuesto por la Declaración puede contribuir a crear conciencia acerca de la magnitud de este problema y a forjar redes de cooperación entre los países de la región. Aunque esta Declaración no tiene un efecto jurídico vinculante (obligatorio), tiene una fuerza moral innegable y puede proporcionar orientación práctica a los estados. Un plan de implementación permitirá desarrollar la caja de herramientas necesaria para transformar los principios en acciones. ; The need to promote the right to nutritional care, to fight against malnutrition and to advance in education and research in clinical nutrition has led all the FELANPE's societies to sign on May 3rd, during the 33rd Congress of the Colombian Clinical Nutrition Association (ACNC) in the city of Cartagena, the International Declaration on the Right to Nutritional Care and the Fight against Malnutrition, "Declaration of Cartagena". The Declaration provides a coherent framework of 13 principles which can serve as a guide for societies, schools and associations affiliated to FELANPE in the development of action plans. In addition, it will serve as an instrument to promote, through governments, the formulation of policies and legislation in the field of clinical nutrition. We believe that the general framework of principles proposed by the Declaration can contribute to raise awareness about the magnitude of this problem and to promote cooperation networks among Latin-American countries. Although this Declaration does not have a binding legal effect, it has an undeniable moral strength and it can provide practical guidance to States. An implementation program will allow developing a toolkit to transform principles into actions.