Effects of Nutritional Interventions on Nutritional and Functional Outcomes in Geriatric Rehabilitation Patients: A Systematic Review and Meta-Analysis

Wijngaarden, J.P. van; Wojzischke, Julia; Berg, C. van den; Cetinyurek-Yavuz, Aysun; Diekmann, Rebecca; Luiking, Yvette C.; Bauer, Jürgen

doi:10.1016/j.jamda.2020.04.012

Cited by 19 publications

(11 citation statements)

References 41 publications

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“…MNA ® fulfill the two steps, screening followed by assessment, required by the GLIM criteria procedure for the diagnosis of protein-energy malnutrition in elderly (376, 377), and provides guidance for nutritional intervention. Elderly with malnutrition or at risk of malnutrition should have a nutritional intervention with multidisciplinary team in order to support adequate dietary intake, maintain or increase body weight and/or improve functional and clinical outcome (184,189,190,363,392).…”

Section: Figurementioning

confidence: 99%

Nutritional Assessment in Older Adults: MNA® 25 years of a Screening Tool & a Reference Standard for Care and Research; What Next?

Guigoz

Vellas

2021

The Journal of nutrition, health and aging

114

105

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A tool to assess nutritional status in older persons was really needed. It took 5 years to design the MNA® (Mini Nutrition Assessment) tool, complete the first validations studies both in Europe and in the U.S. and to publish it. After the full MNA®, the MNA® short form and the self-MNA® have been validated. As well as Chinese and other national MNA® forms. Now more than 2000 clinical research have used the MNA® all over the world from community care to hospital. At least 22 Expert groups included the MNA® in new clinical practice guidelines, national or international registries. The MNA® is presently included in almost all geriatric and nutrition textbook and part of the teaching program for medicine and other health care professional worldwide. The urgent need is to target the frail older adults more likely to have weight loss and poor appetite and to prevent frailty and weight loss in the robust. We present in this paper the review of 30 years of clinical research and practice using the MNA® worldwide.

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Section: Figurementioning

confidence: 99%

Nutritional Assessment in Older Adults: MNA® 25 years of a Screening Tool & a Reference Standard for Care and Research; What Next?

Guigoz

Vellas

2021

The Journal of nutrition, health and aging

114

105

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“…This is supported by a recent study in geriatric rehabilitation patients showing that protein intake was <0.8 in 46% and <1.2 g/(kg/day) in 92% of the patients [15], whereas the recommended protein intake for older people with acute or chronic disease is between 1.2 and 1.5 g/ (kg/day) [58]. While the efficacy of nutritional and exercise interventions on clinical outcomes in geriatric rehabilitation inpatients needs to be further established, protein supplementation can increase protein intake [59] and muscle mass in older adults [20,60].…”

Section: Association Between Malnutrition and Sarcopenia Stagesmentioning

confidence: 99%

Association between malnutrition and stages of sarcopenia in geriatric rehabilitation inpatients: RESORT

et al. 2021

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Background & aims: Malnutrition and sarcopenia coexist in older adults, yet they remain largely undiagnosed and untreated, despite available interventions. This study aimed to assess the prevalence, the coexistence of, and the association between malnutrition and sarcopenia in geriatric rehabilitation inpatients. Methods: REStORing health of acutely unwell adulTs (RESORT) is an observational, longitudinal cohort of geriatric rehabilitation inpatients. The association between malnutrition, diagnosed according to the Global Leadership Initiative on Malnutrition (GLIM) criteria and sarcopenia according to the revised definition of the European Working Group on Sarcopenia in Older People (EWGSOP2) (no sarcopenia, probable sarcopenia, confirmed sarcopenia and severe sarcopenia) was determined using multinomial logistic regression analyses, adjusted for age, sex, comorbidities and cognitive impairment. Results: Out of 506 geriatric rehabilitation inpatients, 51% were malnourished, 49% had probable sarcopenia, 0.4% had confirmed sarcopenia (non-severe) and 19% had severe sarcopenia. Malnutrition and probable sarcopenia and malnutrition and confirmed/severe sarcopenia coexisted in 23% and 13% of the 506 patients respectively. Malnutrition was not associated with probable sarcopenia (OR ¼ 0.91, 95% CI ¼ 0.58e1.42, p ¼ 0.674) but with severe sarcopenia (OR ¼ 2.07, 95% CI ¼ 1.13e3.81, p ¼ 0.019). Conclusion:The prevalence, coexistence of, and the association between malnutrition and severe sarcopenia in geriatric rehabilitation inpatients warrant diagnosis at admission. Further research into feasible and effective interventions to counteract both conditions to improve geriatric rehabilitation outcomes is needed.

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“…It has been shown that nutritional status is associated with functional outcomes in geriatric rehabilitation patients [ 1 , 2 ] and malnutrition was associated with a decreased improvement in activities of daily living (ADL) over the course of geriatric rehabilitation [ 2 ]. However, the relevance of obesity for functional outcomes has only rarely been investigated in this setting, although this seems particularly relevant in view of the obesity pandemic in old age.…”

Section: Introductionmentioning

confidence: 99%

The Relevance of Obesity for Activities of Daily Living in Geriatric Rehabilitation Patients

et al. 2021

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The obesity pandemic has reached old age but the effect of obesity on functional recovery in geriatric rehabilitation patients has not been investigated to date. In this prospective cohort study, patients admitted into geriatric rehabilitation were consecutively included between September 2015 and September 2016, aged ≥ 70 years. Individual activities of daily living were documented by the Barthel index (BI, 0-100 points). Obesity was assessed by the measurement of body mass index (BMI, kg/m²), waist circumference (WC, cm) and percentage of body fat mass (%FM) based on triceps’ skinfold thickness at admission (t1), discharge (t2) and six months after discharge (t3). A total of 122 patients were included in the analysis. Prevalence of obesity according to BMI, WC and %FM was 33.6%, 83.6% and 71.3% respectively. Patients with a high WC and patients with a high BMI had lower BI values at t1, t2, t3 and the improvement in BI (t1 - t2, t2 - t3) was lower than in those with low WC and low BMI, but without statistical significance. In multiple regression analysis, BMI, WC and %FM were not associated with BI at t3 and improvement of BI (t2 - t3). Obesity was highly prevalent in geriatric rehabilitation patients, but it was not associated with BI during the 6-month follow-up.

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Effects of Nutritional Interventions on Nutritional and Functional Outcomes in Geriatric Rehabilitation Patients: A Systematic Review and Meta-Analysis

Cited by 19 publications

References 41 publications

Nutritional Assessment in Older Adults: MNA® 25 years of a Screening Tool & a Reference Standard for Care and Research; What Next?

Nutritional Assessment in Older Adults: MNA® 25 years of a Screening Tool & a Reference Standard for Care and Research; What Next?

Association between malnutrition and stages of sarcopenia in geriatric rehabilitation inpatients: RESORT

The Relevance of Obesity for Activities of Daily Living in Geriatric Rehabilitation Patients

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