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“Food is Medicine” – M2E Toolkit is now live!

Updated: Nov 10, 2020

“I think that More-2-Eat is just a start, and after the study is over we need to continue and that is something that speaks to me loud and clear, that this isn’t just something that stops after the study is over. We’ve got to keep going and figuring out how we can continue making it important, and that nutrition is important and that food is medicine.” – Dietitian & More-2-Eat Research Assistant

Food is medicine. This statement is particularly relevant when 1 in 3 patients are already at risk of malnutrition on admission to hospital in the UK [1]. Following an extensive study by the Canadian Malnutrition Task Force on the prevalence of malnutrition, barriers to intake, etc., a consensus-based pathway for hospital nutrition care was developed. This algorithm, the Integrated Nutrition Pathway for Acute Care (INPAC) focuses on the prevention, detection and treatment of malnutrition [2].

To test INPAC in the real world, the More-2-Eat project was designed, that spanned five sites across Canada working towards implementing INPAC for one year. More-2-Eat was a great success and all five sites have integrated nutrition screening into their practice by using the subjective global assessment to triage at-risk patients and accurately monitor food intake.

As a Key Collaborator on this project, NNEdPro is proud of announce the launch of the INPAC Implementation ToolkitAfter months of consolidation, graphic design and collaboration, all of the resources used and practical learnings in this project are now online, available for open access by those interested in improving nutrition care in their practice.

The toolkit focuses on “what” to do, highlighting all areas of INPAC. Understanding “how” to change practice is just as important as what to change, so the toolkit also includes sections on:


More-2-Eat project is led by Prof Heather Keller, Schlegel-University of Waterloo Research Institute for Aging and the University of Waterloo, in Waterloo, Canada. It is funded by Canadian Frailty Network (known previously as Technology Evaluation in the Elderly Network, TVN), supported by Government of Canada through Networks of Centres of Excellence (NCE) Program. Celia Laur, Co-Lead on NNEdPro Global Innovation Panel, is one of the main researchers on More-2-Eat and Prof Sumantra Ray and Pauline Douglas RD are Project co-Investigators along with assistance from Shivani Bhat in toolkit development.

INPAC Implementation Toolkit:


[1] Nutrition screening surveys in hospitals in the UK, 2007-2011,” BAPEN, accessed May 2017,, p.41

[2] Keller H, McCullough J, Davidson B, Vesnaver E, Laporte M, Gramlich L, et al. The Integrated Nutrition Pathway for Acute Care (INPAC): Building consensus with a modified Delphi. Nutrition J. 2015;14(63).

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