Nutritional management interventions and multi-dimensional outcomes in frail and pre-frail older adults: A systematic review and meta-analysis.
Arch Gerontol Geriatr
; 125: 105480, 2024 10.
Article
in 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 (SMDâ¯=â¯0.26, Pâ¯=â¯0.03) and improved gait speed (SMDâ¯=â¯0.18, Pâ¯=â¯0.03). Protein intake showed significance for interventions≤12 weeks (SMDâ¯=â¯1.04, Pâ¯<â¯0.001). No significant differences in energy intake (SMDâ¯=â¯0.20, Pâ¯=â¯0.60), but >12 weeks NMIs reduced energy intake (SMDâ¯=â¯-0.73, Pâ¯=â¯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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Frail Elderly
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
En
Journal:
Arch Gerontol Geriatr
/
Arch. gerontol. geriatr
/
Archives of gerontology and geriatrics
Year:
2024
Document type:
Article
Affiliation country:
China
Country of publication:
Países Bajos