Overcoming protein-energy malnutrition in older adults in the residential care setting: A narrative review of causes and interventions

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Autor(es): dc.contributorUniversity of Birmingham-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity of Nottingham-
Autor(es): dc.contributorUniversity Hospitals of Derby and Burton NHS Foundation Trust-
Autor(es): dc.contributorUniversity Hospitals Birmingham NHS Foundation Trust and the University of Birmingham-
Autor(es): dc.creatorMathewson, Sophie L.-
Autor(es): dc.creatorAzevedo, Paula S.-
Autor(es): dc.creatorGordon, Adam L.-
Autor(es): dc.creatorPhillips, Bethan E.-
Autor(es): dc.creatorGreig, Carolyn A.-
Data de aceite: dc.date.accessioned2025-08-21T15:12:38Z-
Data de disponibilização: dc.date.available2025-08-21T15:12:38Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2021-09-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.arr.2021.101401-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/229104-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/229104-
Descrição: dc.descriptionMalnutrition, in particular protein-energy malnutrition, is a highly prevalent condition in older adults, and is associated with low muscle mass and function, and increased prevalence of physical frailty. Malnutrition is often exacerbated in the residential care setting due to factors including lack of dentition and appetite, and increased prevalence of dementia and dysphagia. This review aims to provide an overview of the available literature in older adults in the residential care setting regarding the following: links between sarcopenia, frailty, and malnutrition (in particular, protein-energy malnutrition (PEM)), recognition and diagnosis of malnutrition, factors contributing to PEM, and the effectiveness of different forms of protein supplementation (in particular, oral nutritional supplementation (ONS) and protein-fortified foods (PFF)) to target PEM. This review found a lack of consensus on effective malnutrition diagnostic tools and lack of universal requirement for malnutrition screening in the residential care setting, making identifying and treating malnutrition in this population a challenge. When assessing the use of protein supplementation in the residential care setting, the two primary forms of supplementation were ONS and PFF. There is evidence that ONS and PFF increase protein and energy intakes in residential care setting, yet compliance with supplementation and their impact on functional status is unclear and conflicting. Further research comparing the use of ONS and PFF is needed to fully determine feasibility and efficacy of protein supplementation in the residential care setting.-
Descrição: dc.descriptionSchool of Sport Exercise and Rehabilitation Sciences University of Birmingham, Edgbaston-
Descrição: dc.descriptionMedical Research Council-Versus Arthritis Centre for Musculoskeletal Ageing University of Birmingham-
Descrição: dc.descriptionDepartment of Internal Medicine São Paulo State University (Unesp) Medical School-
Descrição: dc.descriptionMedical Research Council-Versus Arthritis Centre for Musculoskeletal Ageing and NIHR Nottingham Biomedical Research Centre University of Nottingham-
Descrição: dc.descriptionUniversity Hospitals of Derby and Burton NHS Foundation Trust-
Descrição: dc.descriptionNIHR Birmingham Biomedical Research Centre University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham-
Descrição: dc.descriptionDepartment of Internal Medicine São Paulo State University (Unesp) Medical School-
Idioma: dc.languageen-
Relação: dc.relationAgeing Research Reviews-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectFrailty-
Palavras-chave: dc.subjectProtein-energy malnutrition-
Palavras-chave: dc.subjectResidential care setting-
Palavras-chave: dc.subjectSarcopenia-
Palavras-chave: dc.subjectSupplementation-
Título: dc.titleOvercoming protein-energy malnutrition in older adults in the residential care setting: A narrative review of causes and interventions-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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