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Nutritional management interventions and multi-dimensional outcomes in frail and pre-frail older adults: A systematic review and meta-analysis.
Li, Weina; Wu, Zhiyuan; Liao, Xiaoqin; Geng, Dandan; Yang, Jiechao; Dai, Mengqiao; Talipti, Muksar.
Afiliación
  • Li W; School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai 56 Mailbox, China.
  • Wu Z; Shuguang Hospital, China.
  • Liao X; School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai 56 Mailbox, China. Electronic address: pomeliao@aliyun.com.
  • Geng D; School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai 56 Mailbox, China.
  • Yang J; School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai 56 Mailbox, China.
  • Dai M; School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai 56 Mailbox, China.
  • Talipti M; School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cailun Road, Pudong, Shanghai 56 Mailbox, China.
Arch Gerontol Geriatr ; 125: 105480, 2024 Oct.
Article en En | MEDLINE | ID: mdl-38776700
ABSTRACT

BACKGROUND:

Frailty, a prevalent geriatric syndrome, presents challenges exacerbated by malnutrition. Nutritional Management Interventions (NMIs) offer hope in frailty reversal, necessitating exploration of their multi-dimensional outcomes.

OBJECTIVES:

Assess NMIs' impact on frail and pre-frail older adults across diverse outcomes.

METHODS:

A systematic review and meta-analysis of 13 studies (2012-2023) evaluated NMIs' effects on physical, dietary, psychological, and frailty aspects. Literature quality was assessed, and data analyzed with Review Manager 5.3.

RESULTS:

A total of 13 studies involving participants were included in the analysis. Participants numbered 968, with the intervention group averaging 77.05±0.77 years and the control group 78.75±0.8 years. Compared to control groups,NMIs significantly increased body weight (SMD = 0.26, P = 0.03) and improved gait speed (SMD = 0.18, P = 0.03). Protein intake showed significance for interventions≤12 weeks (SMD = 1.04, P < 0.001). No significant differences in energy intake (SMD = 0.20, P = 0.60), but >12 weeks NMIs reduced energy intake (SMD = -0.73, P = 0.006). No significant differences in depressive symptoms, frailty scores, BMI, TUG, Handgrip Strength, or SPPB.

CONCLUSION:

This meta-analysis underscores NMIs' potential benefits for frail and pre-frail older adults. Personalized, multidimensional interventions are recommended despite study limitations, emphasizing extended interventions and diverse assessments for holistic care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anciano Frágil Límite: Aged / Female / Humans / Male Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anciano Frágil Límite: Aged / Female / Humans / Male Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos