Preventive Effect of Protein-Energy Supplementation on the Functional Decline of Frail Older Adults With Low Socioeconomic Status: A Community-Based Randomized Controlled Study

Kim, Chang-O; Lee, Kyung-Ryun

doi:10.1093/gerona/gls167

Cited by 150 publications

(187 citation statements)

References 9 publications

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“…The way subjects are defined as malnourished or frail differs greatly among studies. Some studies use the phenotype model of frailty (Abizanda et al 2015;Tieland et al 2012), nutritional assessment or screening tools (Abizanda et al 2015;Kim et al 2013;Smoliner et al 2008;Stange et al 2013), or specific characteristics (e.g., BMI, reported weight loss) (Edington et al 2004;Neelemaat et al 2010;Payette et al 2002;Wouters-Wesseling et al 2003) for patient recruitment. Other studies simply report using frail populations without clearly defining the criteria for classification (Bonnefoy et al 2003;Gray-Donald et al 1995;Paw et al 2002;Payette et al 2002).…”

Section: Participants Included In Efficacy Studiesmentioning

confidence: 99%

“…Although standardized assessment or screening tools may be used for eligibility criteria, they are rarely used as outcome measures (Kim et al 2013;Tieland et al 2012). Further, researchers rarely explicitly state malnutrition or frailty as an outcome, but rather use a combination of measures relating to both concepts (e.g., function, falls) without connecting them to the specific condition (Edington et al 2004;Neelemaat et al 2010).…”

Section: Choice Of Outcome Measuresmentioning

confidence: 99%

“…A range of outcome measures relating to physical function in these complementary intervention studies include performance battery tests (Abizanda et al 2015;Kim et al 2013), HGS or gait velocity tests (Abizanda et al 2015;Bonnefoy et al 2003;Edington et al 2004;Fiatarone et al 1994;Kim et al 2013;Payette et al 2002;Stange et al 2013), and muscle mass and strength (Bonnefoy et al 2003;Fiatarone et al 1994;Neelemaat et al 2010;Tieland et al 2012;Wouters-Wesseling et al 2003). While many of these outcomes relate to both concepts of frailty and malnutrition, research questions seem to focus on only the frailty concept, leading to possible gaps or missed opportunities in their understanding of the effect of these complementary interventions on malnutrition.…”

Section: Complementary Interventionsmentioning

confidence: 99%

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Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Laur

McNicholl

Valaitis

et al. 2017

Appl. Physiol. Nutr. Metab.

123

116

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Abstract:There is increasing awareness of the detrimental health impact of frailty on older adults and of the high prevalence of malnutrition in this segment of the population. Experts in these 2 arenas need to be cognizant of the overlap in constructs, diagnosis, and treatment of frailty and malnutrition. There is a lack of consensus regarding the definition of malnutrition and how it should be assessed. While there is consensus on the definition of frailty, there is no agreement on how it should be measured. Separate assessment tools exist for both malnutrition and frailty; however, there is intersection between concepts and measures. This narrative review highlights some of the intersections within these screening/assessment tools, including weight loss/decreased body mass, functional capacity, and weakness (handgrip strength). The potential for identification of a minimal set of objective measures to identify, or at least consider risk for both conditions, is proposed. Frailty and malnutrition have also been shown to result in similar negative health outcomes and consequently common treatment strategies have been studied, including oral nutritional supplements. While many of the outcomes of treatment relate to both concepts of frailty and malnutrition, research questions are typically focused on the frailty concept, leading to possible gaps or missed opportunities in understanding the effect of complementary interventions on malnutrition. A better understanding of how these conditions overlap may improve treatment strategies for frail, malnourished, older adults.Key words: frailty, malnutrition, screening, assessment, diagnosis, handgrip strength, oral nutritional supplements, older adult.Résumé : Les effets néfastes de la fragilité des personnes âgées sur leur santé ainsi que la forte prévalence de malnutrition dans cette strate de la population suscitent une prise de conscience grandissante. Les experts dans ces deux domaines doivent être au fait du chevauchement des construits, du diagnostic et du traitement de la fragilité et de la malnutrition. Il n'y a pas encore de consensus au sujet de la définition de la malnutrition et de son évaluation. Concernant la fragilité, on s'entend sur sa définition, mais pas sur sa mesure. Il existe pourtant des outils distincts de mesure de la malnutrition et de la fragilité et, d'ailleurs, les concepts et mesures présentent une intersection. Cette revue narrative souligne les intersections entre les outils de dépistage et d'évaluation comme la perte de poids/diminution de la masse corporelle, de la capacité fonctionnelle et la faiblesse (force de préhension manuelle). En guise de tentative, on propose un ensemble minimal de mesures objectives pour la détermination ou, à tout le moins, l'identification d'un risque dans les deux conditions. La fragilité et la malnutrition aboutissent, études à l'appui, à des problèmes de santé similaires justifiant des stratégies communes de traitement tels les suppléments nutritionnels oraux. Alors que plusieurs résultats du traitement c...

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Section: Participants Included In Efficacy Studiesmentioning

confidence: 99%

Section: Choice Of Outcome Measuresmentioning

confidence: 99%

Section: Complementary Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Laur

McNicholl

Valaitis

et al. 2017

Appl. Physiol. Nutr. Metab.

123

116

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“…A total of 16 studies enrolling 999 subjects extracted from 11.754 articles met the inclusion criteria and were enclosed for meta-analyses (25,32,(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47). The detailed steps of the systematic article search and selection process are given as a flow chart in Figure 2.…”

Section: Literature Search and Study Characteristicsmentioning

confidence: 99%

Effects of leucine-rich protein supplements on anthropometric parameter and muscle strength in the elderly: A systematic review and meta-analysis

Komar

Schwingshackl

Hoffmann

2015

The Journal of nutrition, health and aging

132

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It is concluded that leucine supplementation was found to exert beneficial effects on body weight, body mass index, and lean body mass in older persons in those subjects already prone to sarcopenia, but not muscle strength. However, due to the heterogeneity between the trials included in this systematic review, further studies adopting a homogenous design with respect to participant characteristics duration as well as the kind and amount of daily supplement in use are required.

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“…Food security is not only influenced by the availability of food but also influenced by access to and utilization of food that is reflected from household food consumption patterns (Dubowitz 2008; Kim and Lee 2012;Raffensperger 2010). Food consumption patterns or eating habits is the arrangement of the number, type and frequency of food consumed by a person or group of people at a specific time to meet their eating needs which also become the characteristic of a particular group of people on the pattern of food and nutrition consumption (Mead et al 2010;Puri et al 2008;Schefske et al 2010;Wilson, Adolph and Butte 2009).…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Socioeconomic Status and The Patterns of Food and Nutrition Consumption of the Household in Rural Areas of Muaro Jambi Regency

Suandi

Damayanti²

2016

komunitas

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The objective of this research is to analyze the relationship between family socioeconomic status and nutritional adequacy rate in rural areas of Muaro Jambi, Jambi Province. The study design was cross-sectional. The study was conducted in rural areas of Muaro Jambi, Jambi province by selecting three districts, namely: district of Sekernan, Kumpeh Ulu, and Mestong. The research was conducted from July to December 2014. The sample was 180 families and were taken by purposive and simple random sampling. Data were tested by descriptive and Product Moment Correlation. The results showed that consumption of food and nutrition in the study area is almost close to the recommended nutrition adequacy standard. Results of the analysis showed that the variables of household head age, family size and income are positively and significantly correlated to energy and protein consumption adequacy of the family, while the factor of household head education was unrelated.

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Preventive Effect of Protein-Energy Supplementation on the Functional Decline of Frail Older Adults With Low Socioeconomic Status: A Community-Based Randomized Controlled Study

Abstract: The results indicate that protein-energy supplementation administered to frail older adults with low socioeconomic status shows evidence of reducing the progression of functional decline.

Cited by 150 publications

References 9 publications

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Malnutrition or frailty? Overlap and evidence gaps in the diagnosis and treatment of frailty and malnutrition

Effects of leucine-rich protein supplements on anthropometric parameter and muscle strength in the elderly: A systematic review and meta-analysis

The Relationship between Socioeconomic Status and The Patterns of Food and Nutrition Consumption of the Household in Rural Areas of Muaro Jambi Regency

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