2023 2022 2021 2020 2019


Topics and Modules Updated in 2023:

Topic 4 Nutritional Support in Paediatric Patients (1)

Module 4.1 Food Allergy: Prevention and Treatment of Cow's Milk Allergy
Module 4.2 Nutrition and Dietary Therapy in Paediatric Inflammatory Bowel Disease
Module 4.4 Principles of Feeding the Preterm Infant

Topic 9 Approach to Parenteral Nutrition

Module 9.1 Indications and Contraindications for Parenteral Nutrition
Module 9.2 Techniques of Parenteral Nutrition
Module 9.3 Compounding and Ready-to-use Preparations of PN: Pharmaceutical Aspects. Compatibility and Stability Considerations; Drug Admixing
Module 9.4 Monitoring and Complications of Parenteral Nutrition

Topic 11 Organisation of Nutritional Care. Ethic and Legal Aspects

Module 11.1 Organisation of Nutritional Care

Topic 12 Nutritional Support in Gastrointestinal Diseases

Module 12.2 Challenges in Treating the Patient with Short Bowel
Module 12.2 Challenges in Treating the Patient with Short Bowel
Module 12.3 Nutrition and Gastrointestinal Fistulas
Moduel 12.4 Nutrition in Inflammatory Bowel Disease (IBD)

Topic 15 Nutrition Support in Renal Disease

Module 15.1 Acute Kidney Injury
Module 15.2 Nutrition Support in Chronic Kidney Disease (CKD)
Module 15.3 Nutrition Support in End-stage Kidney Disease Patients on Haemodialysis (ESKD-HD)
Module 15.4 Nutrition Support in Peritoneal Dialysis Patients


Modules Updated in 2022:

Topic 11 Organisation of Nutritional Care. Ethic and Legal Aspects

Module 11.1 Organisation of a Nutritional Support Team

Topic 13 Nutritional Support in Liver Disease

Module 13.1 Nutritional Support in Acute Liver Failure
Module 13.2 Nutritional Support in Chronic Liver Disease

Topic 14 Nutrition in Pancreatic Disease

Module 14.1 Nutrition in Acute Pancreatitis
Module 14.2 Chronic Pancreatitis

Topic 20 Nutrition and Prevention of Diseases

Module 20.1 Nutrients in the Prevention of Cardiovascular Diseases
Module 20.2 Nutrition in the Prevention of Osteoporosis
Module 20.3 Nutrition in the Prevention of Cancer
Module 20.4 Nutrition in the Prevention of Neurological Diseases

Topic 21 Consequences of Diabetes Mellitus on the Nutritional Status

Module 21.1 Medical Nutrition in Diabetes Mellitus
Module 21.2 Nutritional Support in Diabetes Type 1 and 2

Topic 22 Nutrition in Lipidemias

Module 22.1 Dyslipidemia: Targeting the Management of Cardiovascular Risk Factors
Module 22.2 Prescription of Artificial Nutrition in Patients with Dyslipidaemia

Topic 38 Nutritional Support in Pulmonary Diseases

Module 38.1 Mechanisms of Wasting in Chronic Respiratory Diseases and the Impact of Disease Exacerbations
Module 38.2 Issues Related to Obesity in COPD
Module 38.3 Evidence Based Management of Pulmonary Cachexia. Current Evidence for Nutritional Support, Multimodal Approaches and Future Directions
Module 38.4 Nutrition as a Modifiable Factor in the Onset of Respiratory Disease


Modules Updated in 2021:

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Topic 3 Nutritional Assessment and Techniques

Module 3.1 Nutritional Screening and Assessment
Module 3.2 Body Composition
Module 3.3 Energy Balance

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Topic 10 Nutritional Support in Pediatric Patients (2)

Module 10.1 Parenteral Nutritional Evaluation of Hospitalized Children
Module 10.2 Parenteral Nutrition in Pediatric Patients
Module 10.3 Enteral Nutrition in Pediatric Patients
Module 10.4 Principles of Feeding in Pediatric ICU

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Topic 24 Nutritional Support in Metabolic Syndrome

Module 24.1 Diagnostic Criteria for Metabolic Syndrome
Module 24.2 Insulin Resistance: from Pathophysiology to Clinical Assessment
Module 24.3 Lifestyle Interventions in Metabolic Syndrome
Module 24.4 Drugs as Disease Modifiers in the Metabolic Syndrome: Change of Paradigm

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Topic 25 Nutritional Support in Neurological Diseases

Module 25.1 Nutritional and Metabolic Consequences of Neurological Diseases
Module 25.2 Nutritional Support in Strok
Module 25.3 Nutritional Support in Chronic Neurological Diseases
Module 25.4 Nutritional Support in Dementia

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Topic 40 Presentation and Publication Skills

Module 40.1 How to Develop a Protocol and Write a Grant?
Module 40.2 How to Present a Paper?
Module 40.3 What You Need to Know How to Get Your Paper Published?
Module 40.4 Publication Governance: Pitfalls to Avoid


Application for the Teach the Teachers Webinar

WEBINAR-TLLL COURSE on 22nd of January 2021

Dear Colleague,
The LLL - Board invites you to join a WEBINAR-TLLL course for trainers!

If you are already a TLLL certified teacher, you can upgrade your "know-how" for LLL Webinars. To participate in the course, you have to send the email to:
Prof. Alessandro Laviano (Alessandro.Laviano@uniroma1.it) and
Prof. Regina Komsa (rkomsa@gmail.com)

If you are not a TLLL certified teacher and you are interested to join the TLLL team you have to be:

  1. an ESPEN member for the current year (2021)
  2. older than 35 years
  3. member of a national PEN society, which is ESPEN block member and ESPEN council member
  4. have completed successfully 3 LLL live courses (12 credits) and 3 online LLL topics (8 credits)

If you comply with these pre-requisites, please send your application to Prof. Alessandro Laviano (Alessandro.Laviano@uniroma1.it) and to Prof. Regina Komsa (rkomsa@gmail.com) with the following documents:

  1. short CV summarizing your educational experience
  2. letter of recommendation signed by the chairman of the national PEN society
  3. proof of payed ESPEN membership

Please note, that due to the limited number of participants, those who are already experienced in LLL teaching will have priority.
Please, send your application to Prof. Laviano and Prof. Komsa not later than January 01, 2021.

Only an official communication by any of the LLL Board members (i.e., Prof. Laviano, Prof. Komsa, Prof. Meier) will confirm your acceptance to the webinar TLLL course. No other communication allows eligibility to the TLLL course.
Please note that failure to submit any of the requested documents will result in rejection of the application to the TLLL course. Also, all submitted documents will be checked by the LLL Board.
Participants will benefit from the TLLL course by acquiring teaching skills using a virtual environment and innovative methodologies. Also, after successful completion of the T-LLL course, participants will become ESPEN-certified teachers of the LLL programme in Clinical Nutrition and Metabolism.
Hope to see many of you at the TLLL Webinar Course.

LLL Board:

Prof. Alessandro Laviano
Prof. Remy Meier
Prof. Regina Komsa-Penkova

December, 2020

Modules Updated in 2020:

Topic 8 Approach to Oral and Enteral Nutrition in Adults

Module 8.1 Indications, Contraindications, Complications and Monitoring of EN
Module 8.2 Hospital Diet and Oral Nutritional Supplements (Sip Feeds)
Module 8.3 Techniques of Enteral Nutrition
Module 8.4 Formulae for Enteral Nutrition

Topic 19 Chronic Intestinal Failure and Home Parenteral Nutrition (HPN) in Adults

Module 19.1 Indications and Outcome
Module 19.2 HPN: Training and Monitoring Chronic Intestinal Failure: Medical Treatment
Module 19.3 Central Venous Access Device Complications
Module 19.4 Metabolic Complications of Home Parenteral Nutrition and Indications for Intestinal Transplantation in Chronic Intestinal Failure

Topic 36 Nutrition in Obesity

Module 36.1 Epidemiology, Aetiology and Consequences of Malnutrition in Older Adults
Module 36.2 Nutritional Screening, Assessment and Diagnosis. Dietary Advice and Oral Nutritional Supplements in Older Adults
Module 36.3 Enteral and Parenteral Nutrition in Older Adults
Module 36.4 Age-Related Sarcopenia

Topic 37 Nutrition and Physical Activity

Module 37.1 Physical Activity and Health: Energy Balance Regulation
Module 37.2 Physical Activity in Chronic Diseases
Module 37.3 Nutrition for Endurance and Strength Sports
Module 37.4 Fluid, Electrolyte Balance and Ergogenic Aids


Modules Updated in 2019:

Topic 17 Nutritional Support in the Perioperative Period

Module 17.1 Metabolic Responses to Surgical Stress
Module 17.2 Managing Surgical Stress: Principles of Enhanced Recovery and Effect on Outcomes
Module 17.3 Nutritional Therapy in the Perioperative Period
Module 17.4 Making the Gut Work

Topic 18 ICU Nutrition: Treatment and Problem Solving

Module 18.1 Energy in the ICU
Module 18.2 Protein Requirements in the ICU
Module 18.3 Lipids and Carbohydrates: How to Prescribe
Module 18.4 How to Choose the Best Route of Feeding

Topic 18 ICU Nutrition: Treatment and Problem Solving

Module 18.1 Energy in the ICU
Module 18.2 Protein Requirements in the ICU
Module 18.3 Lipids and Carbohydrates: How to Prescribe
Module 18.4 How to Choose the Best Route of Feeding

Topic 23 Nutrition in Obesity

Module 23.1 Obesity - Aetiopathogenesis and Complications
Module 23.2 Obesity: Assessment and Prevention
Module 23.3 Obesity Therapy
Module 23.4 Bariatric surgery - nutritional and metabolic complications

Topic 26 Nutritional Support in Cancer

Module 26.1 Nutritional and Metabolic Consequences of Cancer and its Treatments
Module 26.2 Nutritional Treatment Strategies in Cancer Patients
Module 26.3 Physical Activity and Exercise Training in Cancer Patients
Module 26.4 Multimodal Care

ESPEN Congress was a success

During the 41st ESPEN Congress held in Krakow, 21 LLL live courses have been successfully delivered. Some of them have been presented as pre-congress activity whereas the newly updated LLL courses have been included in the main programme of the congress.
More than 1000 participants registered for the courses, and 875 of them took the test and received the LLL certificates.
During the congress, the final exam to receive the ESPEN Diploma in Clinical Nutrition and Metabolism was also organized. In the previous months, 33 candidates had completed the requested LLL curriculum and were admitted to the final exam. Twenty-five candidates passed the exam and were awarded by the ESPEN LLL Board with the ESPEN Diploma in Clinical Nutrition, which acknowledges the achieved advanced competencies in clinical nutrition and metabolism.
Finally, after successfully completing the TLLL course, 35 new LLL teachers joined the ESPEN Faculty.


You are cordially invited to participate in a LLL course organized together with the European Federation of the Associations of Dietitians (EFAD) as a pre-congress workshop in Berlin, on the 31th October, 2019.
Nutritional assessment is of utmost importance to diagnose malnutrition and sarcopenia, as well as to evaluate effectiveness of dietary interventions.
You can now expand your expertise and skills on nutritional assessment and techniques by participating in the live ESPEN LLL Course on Nutritional assessment and techniques on 31 October, 2019 in Berlin.
This course is part of the LLL programme in Clinical Nutrition and Metabolism, which is an innovative and effective educational programme for healthcare professionals, including dietitians, medical doctors, nurses, pharmacists etc. Participation in this live LLL course grants 4 CME credits. For more information please see https://efadconference.com/thursday-pre-conference/.

The LLL Courses are an important part of ESPEN educational Programme which is expanding educational opportunities in the field of Clinical Nutrition and Metabolism of medical doctors and health professionals.
Since 2005 more than 1500 LLL Live Courses have been organized in more than 140 countries, 53'898 participants have attended LLL Live Courses 48'880 participants are registered on the LLL-Programme on-line!

The 14th ACCN Course of Clinical Nutrition took place in Ohrid on April 5-7th 2019

With an international turnout from more than ten European countries, sixteen lecturers and fifty-five participants took part in the course. Slovenia, Turkey, Romania, Hungary, Serbia, Croatia, Bulgaria, North Macedonia, Greece, Kosovo, Bosnia and Herzegovina and Albania were all represented.


Last modified: Wednesday, 17 January 2024, 3:11 PM