Protein and energy supplementation in elderly people at risk from malnutrition.
TLDR
No evidence of improvement in functional benefit or reduction in length of hospital stay with supplements is found, although Mortality may be reduced in older people who are undernourished.Abstract:
Evidence for the effectiveness of nutritional supplements containing protein and energy, often prescribed for older people, is limited. Malnutrition is more common in this age group and deterioration of nutritional status can occur during illness. It is important to establish whether supplementing the diet is an effective way of improving outcomes for older people at risk from malnutrition. This review examined trials for improvement in nutritional status and clinical outcomes when extra protein and energy were provided, usually as commercial 'sip-feeds'.read more
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Frailty Consensus: A Call to Action
John E. Morley,Bruno Vellas,G. Abellan Van Kan,Stefan D. Anker,Juergen M. Bauer,Roberto Bernabei,Matteo Cesari,Wm. Cameron Chumlea,Wolfram Doehner,Jonathan Evans,Linda P. Fried,Jack M. Guralnik,Paul R. Katz,Theodore K. Malmstrom,Roger McCarter,Luis Miguel Francisco Gutierrez Robledo,Kenneth Rockwood,Stephan von Haehling,Maurits Vandewoude,Jeremy D. Walston +19 more
TL;DR: For the purposes of optimally managing individuals with physical frailty, all persons older than 70 years and all individuals with significant weight loss (>5%) due to chronic disease should be screened for frailty.
Journal ArticleDOI
Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group
Juergen M. Bauer,Gianni Biolo,Tommy Cederholm,Matteo Cesari,Alfonso J. Cruz-Jentoft,John E. Morley,Stuart M. Phillips,Cornel C. Sieber,Peter Stehle,Daniel Teta,Renuka Visvanathan,Elena Volpi,Yves Boirie +12 more
TL;DR: To help older people (>65 years) maintain and regain lean body mass and function, the PROT-AGE study group recommends average daily intake at least in the range of 1.2 g protein per kilogram of body weight per day.
Journal ArticleDOI
ESPEN guidelines on definitions and terminology of clinical nutrition
Tommy Cederholm,Rocco Barazzoni,P. Austin,P. Austin,Peter E. Ballmer,Gianni Biolo,Stephan C. Bischoff,Charlene Compher,I. Correia,Takashi Higashiguchi,Mette Holst,Gordon L. Jensen,Ainsley Malone,Maurizio Muscaritoli,Ibolya Nyulasi,Matthias Pirlich,Elisabet Rothenberg,Karin Schindler,Stéphane M. Schneider,M.A.E. de van der Schueren,M.A.E. de van der Schueren,Cornel C. Sieber,Luzia Valentini,Jian-Chun Yu,A. Van Gossum,Pierre Singer +25 more
TL;DR: An agreement of basic nutritional terminology to be used in clinical practice, research, and the ESPEN guideline developments has been established and may help to support future global consensus efforts and updates of classification systems such as the International Classification of Disease.
Journal ArticleDOI
Diagnostic criteria for malnutrition – An ESPEN Consensus Statement
Tommy Cederholm,Ingvar Bosaeus,Rocco Barazzoni,Juergen M. Bauer,A. Van Gossum,Stanislaw Klek,Maurizio Muscaritoli,Ibolya Nyulasi,J. Ockenga,Stéphane M. Schneider,M.A.E. de van der Schueren,M.A.E. de van der Schueren,Pierre Singer +12 more
TL;DR: In individuals identified by screening as at risk of malnutrition, the diagnosis of malnutrition should be based on either a low BMI (<18.5 kg/m(2)), or on the combined finding of weight loss together with either reduced BMI (age-specific) or a low FFMI using sex-specific cut-offs.
References
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