Benefits of Nutritional Supplementation in Free-living, Frail, Undernourished Elderly People

Payette, Hélène; Boutier, V; Coulombe, Carole; Gray‐Donald, Katherine

doi:10.1016/s0002-8223(02)90245-2

Cited by 143 publications

(62 citation statements)

References 38 publications

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“…Similar improvement in nutritional status has also been described previously 16,36 in studies that used nutritional supplements as the intervention strategy for 2 months. Studies using nutritional supplements have also shown improvement in weight 16,36,37 and functional status, 38 but these results were not observed in the current study.…”

Section: Discussioncontrasting

confidence: 89%

Individualized Nutritional Intervention During and After Hospitalization: The Nutrition Intervention Study Clinical Trial

Feldblum

German

Castel

et al. 2010

Journal of the American Geriatrics Society

108

122

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Section: Discussioncontrasting

confidence: 89%

Individualized Nutritional Intervention During and After Hospitalization: The Nutrition Intervention Study Clinical Trial

Feldblum

German

Castel

et al. 2010

Journal of the American Geriatrics Society

108

122

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“…A systematic review showed that sustained nutritional supplementation had no significant effect on pulmonary function, respiratory muscle strength, and functional exercise capacity in patients with stable COPD 111. Individual nutrition supplementation may not be able to reverse the decline in muscle strength and function if the intervention is given too late 112,113. Further research is needed to determine what constitutes effective nutrition interventions 114…”

Section: Interventionmentioning

confidence: 99%

Frailty assessment in older adults with chronic obstructive respiratory diseases

Guan¹,

Huang²

2018

CIA

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The number of patients with chronic obstructive pulmonary disease (COPD) has been rising with continued exposure to environmental risk factors and aging of populations around the world. Frailty is a geriatric syndrome with a decline in physiological reserve and often coexists with chronic diseases such as COPD. Frailty is an independent risk factor for the development and progression of COPD, and COPD can lead to frailty; treating one might improve the other. Thus, there is an increasing interest in the assessment of frailty in patients with COPD. Furthermore, early identification and assessment of frailty in patients with COPD may affect the choice of intervention and improve its effectiveness. Based on the current literature, the intent of this review was to summarize and discuss frailty assessment tools used for COPD patients and the relevant clinical practices for predicting outcomes. We ascertain that using suitable frailty assessment tools could facilitate physicians to screen and stratify physically frail patients with COPD. Screening appropriately targeted population can achieve better intervention outcomes and pulmonary rehabilitation among frail COPD patients.

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“…However, the majority of these studies failed to increase muscle strength [4, 13, 19, 20]. Furthermore, findings from previously published studies showed that nutritional supplementation in combination with strength training did not increase muscle strength more than strength training alone [13, 14, 21, 22].…”

Section: Introductionmentioning

confidence: 99%

Impact of a Home-Based Physical and Nutritional Intervention Program Conducted by Lay-Volunteers on Handgrip Strength in Prefrail and Frail Older Adults: A Randomized Control Trial

et al. 2017

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A randomized controlled trial was performed to compare the effects of a home-based physical and nutritional intervention program carried out by lay-volunteers to home visits with social support alone. Buddies visited 80 prefrail or frail older persons at home twice a week for 12 weeks. The physical training and nutrition group (PTN, n = 39) performed two sets of six strength exercises, discussed nutritional topics and received social support. The social support group (SoSu, n = 41) received home visits with social support only. In the PTN group, handgrip strength increased significantly by 2.4 kg (95% CI: 1.0–3.8). In the SoSu group we did not see a significant improvement. However, no significant between-group difference was found. Physical performance increased in both groups, although with a higher increase of 1.0 point (95% CI: 0.1–2.0) in the PTN group. In none of the groups muscle mass changed. Further results showed that frail individuals benefit more from the intervention than prefrail individuals (OR: 2.78; 95% CI: 1.01–7.66). Handgrip strength in the intervention group increased by a clinically relevant value and this effect is comparable to that obtained by health-care professionals. Therefore, home visits with a physical training and nutritional program could offer a new perspective in the care of community-dwelling prefrail and frail older persons.

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Benefits of Nutritional Supplementation in Free-living, Frail, Undernourished Elderly People

Cited by 143 publications

References 38 publications

Individualized Nutritional Intervention During and After Hospitalization: The Nutrition Intervention Study Clinical Trial

Individualized Nutritional Intervention During and After Hospitalization: The Nutrition Intervention Study Clinical Trial

Frailty assessment in older adults with chronic obstructive respiratory diseases

Impact of a Home-Based Physical and Nutritional Intervention Program Conducted by Lay-Volunteers on Handgrip Strength in Prefrail and Frail Older Adults: A Randomized Control Trial

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