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The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans.
Jyväkorpi, S K; Ramel, A; Strandberg, T E; Piotrowicz, K; Blaszczyk-Bebenek, E; Urtamo, A; Rempe, H M; Geirsdóttir, Ó; Vágnerová, T; Billot, M; Larreur, A; Savera, G; Soriano, G; Picauron, C; Tagliaferri, S; Sanchez-Puelles, C; Cadenas, V Sánchez; Perl, A; Tirrel, L; Öhman, H; Weling-Scheepers, C; Ambrosi, S; Costantini, A; Pavelková, K; Klimkova, M; Freiberger, E; Jonsson, P V; Marzetti, E; Pitkälä, K H; Landi, F; Calvani, R.
Afiliación
  • Jyväkorpi SK; Clinicum, Department of General Practice, Helsinki University Central Hospital, University of Helsinki, Tukholmankatu 8 B, 00014, Helsinki, Finland. satu.jyvakorpi@gery.fi.
  • Ramel A; The Icelandic Gerontological Research Center, The National University Hospital of Iceland, Reykjavik, Iceland.
  • Strandberg TE; Clinicum, Department of General Practice, Helsinki University Central Hospital, University of Helsinki, Tukholmankatu 8 B, 00014, Helsinki, Finland.
  • Piotrowicz K; University of Oulu, Center for Life Course Health Research, Oulu, Finland.
  • Blaszczyk-Bebenek E; Faculty of Medicine, Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland.
  • Urtamo A; Department of Nutrition and Drug Research, Institute of Public Health, Faculty of Health Science, Jagiellonian University Medical College, Krakow, Poland.
  • Rempe HM; Clinicum, Department of General Practice, Helsinki University Central Hospital, University of Helsinki, Tukholmankatu 8 B, 00014, Helsinki, Finland.
  • Geirsdóttir Ó; Institute for Biomedicine of Aging, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany.
  • Vágnerová T; The Icelandic Gerontological Research Center, The National University Hospital of Iceland, Reykjavik, Iceland.
  • Billot M; 1St Faculty of Medicine, Department of Gerontology & Geriatrics, Charles University in Prague, General University Hospital Prague, Nové Mesto, Czech Republic.
  • Larreur A; PRISMATICS Lab (Predictive Research In Spine/Neuromodulation Management And Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, France.
  • Savera G; Department of Geriatrics, University Hospital of Limoges, Limoges, France.
  • Soriano G; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Picauron C; Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
  • Tagliaferri S; Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
  • Sanchez-Puelles C; Department of Medicine and Surgery, University of Parma, Parma, Italy.
  • Cadenas VS; University Hospital Getafe, Madrid, Spain.
  • Perl A; University Hospital Ramon Y Cajal Madrid, Madrid, Spain.
  • Tirrel L; Medical University of Graz, Graz, Austria.
  • Öhman H; Diabetes Frail, Medici Medical Practice, Luton, UK.
  • Weling-Scheepers C; Clinicum, Department of General Practice, Helsinki University Central Hospital, University of Helsinki, Tukholmankatu 8 B, 00014, Helsinki, Finland.
  • Ambrosi S; Maastricht University Medical Center, Maastricht, The Netherlands.
  • Costantini A; IRCCS INRCA, Ancona, Italy.
  • Pavelková K; IRCCS INRCA, Ancona, Italy.
  • Klimkova M; Silesian Hospital, Opava, Czech Republic.
  • Freiberger E; Silesian Hospital, Opava, Czech Republic.
  • Jonsson PV; 1St Faculty of Medicine, Department of Gerontology & Geriatrics, Charles University in Prague, General University Hospital Prague, Nové Mesto, Czech Republic.
  • Marzetti E; The Icelandic Gerontological Research Center, The National University Hospital of Iceland, Reykjavik, Iceland.
  • Pitkälä KH; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Landi F; Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
  • Calvani R; Clinicum, Department of General Practice, Helsinki University Central Hospital, University of Helsinki, Tukholmankatu 8 B, 00014, Helsinki, Finland.
Eur Geriatr Med ; 12(2): 303-312, 2021 04.
Article en En | MEDLINE | ID: mdl-33583000
BACKGROUND: The "Sarcopenia and Physical Frailty in Older People: Multicomponent Treatment Strategies" (SPRINTT) project sponsored a multi-center randomized controlled trial (RCT) with the objective to determine the effect of physical activity and nutrition intervention for prevention of mobility disability in community-dwelling frail older Europeans. We describe here the design and feasibility of the SPRINTT nutrition intervention, including techniques used by nutrition interventionists to identify those at risk of malnutrition and to carry out the nutrition intervention. METHODS: SPRINTT RCT recruited older adults (≥ 70 years) from 11 European countries. Eligible participants (n = 1517) had functional limitations measured with Short Physical Performance Battery (SPPB score 3-9) and low muscle mass as determined by DXA scans, but were able to walk 400 m without assistance within 15 min. Participants were followed up for up to 3 years. The nutrition intervention was carried out mainly by individual nutrition counseling. Nutrition goals included achieving a daily protein intake of 1.0-1.2 g/kg body weight, energy intake of 25-30 kcal/kg of body weight/day, and serum vitamin D concentration ≥ 75 mmol/L. Survey on the method strategies and feasibility of the nutrition intervention was sent to all nutrition interventionists of the 16 SPRINTT study sites. RESULTS: Nutrition interventionists from all study sites responded to the survey. All responders found that the SPRINTT nutrition intervention was feasible for the target population, and it was well received by the majority. The identification of participants at nutritional risk was accomplished by combining information from interviews, questionnaires, clinical and laboratory data. Although the nutrition intervention was mainly carried out using individual nutritional counselling, other assisting methods were used as appropriate. CONCLUSION: The SPRINTT nutrition intervention was feasible and able to adapt flexibly to varying needs of this heterogeneous population. The procedures adopted to identify older adults at risk of malnutrition and to design the appropriate intervention may serve as a model to deliver nutrition intervention for community-dwelling older people with mobility limitations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sarcopenia / Fragilidad Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Aged / Humans Idioma: En Revista: Eur Geriatr Med Año: 2021 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sarcopenia / Fragilidad Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Aged / Humans Idioma: En Revista: Eur Geriatr Med Año: 2021 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Suiza