Anabolic competence: Assessment and integration of the multimodality interventional approach in disease-related malnutrition

•Anabolic competence is vital for patients with disease-related malnutrition.•Adequate nutrition alone does not resolve catabolism or increase anabolism.•The paradigm of “anabolic competence” has been developed to address malnutrition.•The paradigm domains are nutrition, physical activity, and the internal milieu.