Nutritional interventions in older people with COVID-19: an overview of the evidence

2021 ◽  
Author(s):  
Stacey Jones ◽  
Elizabeth Archer ◽  
Dilek Ongan ◽  
Cecilia Morais ◽  
Robert Speer ◽  
...  
Keyword(s):  
Older People ◽  
Nutritional Interventions

scholarly journals Nutritional interventions for the management of frailty in older adults: systematic review and meta-analysis of randomized clinical trials

2020 ◽  
Author(s):  
Mariana B de Moraes ◽  
Christina Avgerinou ◽  
Fernanda B Fukushima ◽  
Edison I O Vidal
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Muscle Strength ◽  
Older People ◽  
Meta Analysis ◽  
Nutritional Supplements ◽  
Cochrane Central Register ◽  
Nutritional Education ◽  
Nutritional Interventions ◽  
Meta Analyses

Abstract Context Although nutrition is considered an important intervention for the management of frailty, the actual effectiveness of interventions addressing nutrition in frail older people remains unclear. Objective The aim for this systematic review was to appraise the evidence regarding the effectiveness of nutritional interventions for the management of frailty in older adults. Data Extraction We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, Web of Science, and Latin American and Caribbean Health Sciences Literature databases were searched from January 2001 to November 2019. Two independent reviewers extracted relevant data. From 2370 initial records, 19 publications presenting data from 17 studies (1564 individuals; follow-up: 7–96 weeks) were included. Data Analysis None of the Bayesian random-effects meta-analyses comparing nutritional supplements with placebo regarding mortality, body mass index, weight, frailty status, muscle strength, gait speed, body composition, and cognitive function showed statistically significant differences. The same applies to a single meta-analysis comparing nutritional education with general health advice regarding muscle strength. Conclusion Our results suggest, mostly with low to very low degrees of certainty, that nutritional supplements or nutritional education delivered in isolation may not be effective for the management of frailty in older people. Review registration number CRD42018111510 (PROSPERO).

Hospital readmissions in frail older people

2015 ◽  
Vol 25 (2) ◽  
pp. 107-116 ◽  
Author(s):  
Emily Craven ◽  
Simon Conroy
Keyword(s):  
Risk Factors ◽  
Older People ◽  
Discharge Planning ◽  
Hospital Readmissions ◽  
Cochrane Library ◽  
Post Discharge ◽  
Nutritional Interventions ◽  
Increased Risk ◽  
Poor Functional Status ◽  
The Cochrane Library

SummaryThe majority of hospital in-patients are older people, and many of these are at increased risk of readmission, which can be an adverse outcome for the patient. Currently there is poor understanding as to how best to reduce the risk of readmission. We searched MEDLINE, EMBASE and the Cochrane library for high quality review articles about readmissions. Each review was quality assessed by two reviewers. Grouped data and evidence from original papers is cited with 95% confidence intervals when possible. Nine review studies of sufficient quality were included. Two addressed risk factors for readmission, which included: age, poor functional status prior to admission, length of stay during the index admission, depression, cognitive impairment, malnutrition, social support and social networks/support. The seven other reviews addressed interventions to reduce readmission, which included: discharge planning, post-discharge support, post-discharge case management, and nutritional supplementation. It is possible to identify older people at risk of readmission using well-established risk factors; discharge planning, post-discharge support and nutritional interventions appear to be effective in reducing readmission. Combined interventions appear to be more effective than isolated interventions.

scholarly journals Effectiveness of nutritional interventions on healthy aging in older people: an umbrella review

2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
S Milovanovic ◽  
A Collamati ◽  
DI La Milia ◽  
R Falvo ◽  
M Duplaga ◽  
...  
Keyword(s):  
Older People ◽  
Healthy Aging ◽  
Umbrella Review ◽  
Nutritional Interventions

scholarly journals Analysis of the Impact of Selected Vitamins Deficiencies on the Risk of Disability in Older People

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3163
Author(s):  
Wassim Gana ◽  
Arnaud De Luca ◽  
Camille Debacq ◽  
Fanny Poitau ◽  
Pierre Poupin ◽  
...  
Keyword(s):  
Older People ◽  
Healthy Aging ◽  
Significant Risk ◽  
Nutritional Deficiencies ◽  
Nutritional Interventions ◽  
Vitamin Deficiencies ◽  
Nutrient Assimilation ◽  
Age Related ◽  
Poor Nutritional Status ◽  
The Impact

Vitamin deficiencies have a serious impact on healthy aging in older people. Many age-related disorders have a direct or indirect impact on nutrition, both in terms of nutrient assimilation and food access, which may result in vitamin deficiencies and may lead to or worsen disabilities. Frailty is characterized by reduced functional abilities, with a key role of malnutrition in its pathogenesis. Aging is associated with various changes in body composition that lead to sarcopenia. Frailty, aging, and sarcopenia all favor malnutrition, and poor nutritional status is a major cause of geriatric morbidity and mortality. In the present narrative review, we focused on vitamins with a significant risk of deficiency in high-income countries: D, C, and B (B6/B9/B12). We also focused on vitamin E as the main lipophilic antioxidant, synergistic to vitamin C. We first discuss the role and needs of these vitamins, the prevalence of deficiencies, and their causes and consequences. We then look at how these vitamins are involved in the biological pathways associated with sarcopenia and frailty. Lastly, we discuss the critical early diagnosis and management of these deficiencies and summarize potential ways of screening malnutrition. A focused nutritional approach might improve the diagnosis of nutritional deficiencies and the initiation of appropriate clinical interventions for reducing the risk of frailty. Further comprehensive research programs on nutritional interventions are needed, with a view to lowering deficiencies in older people and thus decreasing the risk of frailty and sarcopenia.

The Care of Older People

1952 ◽  
Vol 36 (2) ◽  
pp. 569-583 ◽  
Author(s):  
R. Ian Macdonald
Keyword(s):  
Older People

Self and Meaning in the Lives of Older People

2015 ◽  
Author(s):  
Peter G. Coleman ◽  
Christine Ivani-Chalian ◽  
Maureen Robinson
Keyword(s):  
Older People

The Relationship Between Antioxidant Nutrient Intake and Cataracts in Older People

2006 ◽  
Vol 76 (6) ◽  
pp. 359-366 ◽  
Author(s):  
Rodríguez-Rodríguez ◽  
Ortega ◽  
López-Sobaler ◽  
Aparicio ◽  
Bermejo ◽  
...  
Keyword(s):  
Vitamin C ◽  
Older People ◽  
Dietary Intake ◽  
Protective Effect ◽  
Elderly People ◽  
Nutrient Intake ◽  
Institutionalized Elderly ◽  
Weighing Method ◽  
The Relationship

This study investigated the relationship between the intake of antioxidant nutrients and the suffering of cataracts in 177 institutionalized elderly people (61 men and 116 women) aged ≥ 65 years. Dietary intake was monitored for 7 consecutive days using a "precise individual weighing" method. Subjects, who during their earlier years were exposed by their work to sunlight, had a greater risk of suffering cataracts (OR = 3.2; Cl: 1.1–9.3, P < 0.05) than those who worked indoors. A relationship was found between increased vitamin C intake and a reduced prevalence of cataracts (i.e., when comparing those above P95 for vitamin C intake with those below P5; (OR = 0.08; Cl: 0.01–0.75, P 0.05). Among subjects with cataracts, 12.1% had vitamin C intakes of < 61 mg/day (P10) and only 2.2% had intakes of > 183 mg/day (P95) (p < 0.01). Subjects who consumed > 3290 μg/day (P95) of lutein were less likely to have cataracts (OR = 0.086; Cl: 0.007–1.084; p < 0.05) than those whose consumption was < 256 μg/day (P5). In men, high intakes of zeaxanthin seemed to provide a protective effect against the problem (OR = 0.96; Cl: 0.91–0.99; p < 0.05). The results suggest an association exists between exposure to sunlight and the development of cataracts, and that vitamin C, lutein, and zeaxanthin offer some protection against this disorder.

Sign in / Sign up

Export Citation Format

Share Document