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The Role of Nutrition in Rehabilitation of Older Adults

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Part of the book series: Practical Issues in Geriatrics ((PIG))

Abstract

Malnutrition or the risk of being malnourished is high among orthogeriatric patients. A poor nutritional status is associated with negative health outcomes. Comprehnesive pre- and postoperative management of nutritional and fluid intake improves rehabilitative results in orthogeriatrics patients.

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References

  1. Nuotio M, Tuominen P, Luukkaala T (2016) Association of nutritional status as measured by the Mini-Nutritional Assessment Short Form with changes in mobility, institutionalization and death after hip fracture. Eur J Clin Nutr 70:393–398

    Article  CAS  PubMed  Google Scholar 

  2. Goisser S, Schrader E, Singler K et al (2015) Malnutrition according to Mini Nutritional Assessment (MNA) is associated with severe functional impairment in geriatric patients before and up to 6 months after hip fracture. J Am Med Dir Assoc 16:661–667

    Article  PubMed  Google Scholar 

  3. Drevet S, Bioteau C, Mazière S et al (2014) Prevalence of protein-energy malnutrition in hospital patients over 75 years of age admitted for hip fracture. Orthop Traumatol Surg Res 100:669–674

    Article  CAS  PubMed  Google Scholar 

  4. Kaiser MJ et al; MNA-International Group (2009) Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 13:782–788

    Google Scholar 

  5. Hooper L et al (2014) Water-loss dehydration and aging. Mech Ageing Dev 136–137:50–58

    Article  PubMed  Google Scholar 

  6. Koren-Hakim T et al (2012) The relationship between nutritional status of hip fracture operated elderly patients and their functioning, comorbidity and outcome. Clin Nutr 31:917–921

    Article  PubMed  Google Scholar 

  7. Rosenberg IH (1997) Sarcopenia: origins and clinical relevance. J Nutr 127(5 Suppl):990S–991S

    CAS  PubMed  Google Scholar 

  8. Baumgartner R, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147:755–763

    Article  CAS  PubMed  Google Scholar 

  9. Janssen I, Heymsfield SB, Robert R (2002) Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc 50:889–896

    Article  PubMed  Google Scholar 

  10. Cruz-Jentoft A, Baeyens JP, Bauer J et al (2010) Sarcopenia: European consensus on definition and diagnosis. Age Ageing 39:412–423

    Article  PubMed  PubMed Central  Google Scholar 

  11. Muscaritoli M, Anker SD, Argiles J et al (2010) Consensus definition of sarcopenia, cachexia and pre-cachexia: joint document elaborated by Special Interest Groups (SIG) “cachexia-anorexia in chronic wasting diseases” and “nutrition in geriatrics”. Clin Nutr 29:154–159

    Article  CAS  PubMed  Google Scholar 

  12. Zamboni M, Mazzali G, Fantin F et al (2008) Sarcopenic obesity: a new category of obesity in the elderly. Nutr Metab Cardiovasc Dis 18:388–395

    Article  CAS  PubMed  Google Scholar 

  13. Goisser S, Kemmler W, Porzel S et al (2015) Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review. Clin Interv Aging 10:1267–1282

    PubMed  PubMed Central  Google Scholar 

  14. Drey M, Sieber CC, Bertsch T et al (2016) Osteosarcopenia is more than sarcopenia and osteoporosis alone. Aging Clin Exp Res 28:895–899

    Article  PubMed  Google Scholar 

  15. Fried LP, Tangen CM, Walston J et al; Cardiovascular Health Study Collaborative Research Group (2001) J Gerontol A Biol Sci Med Sci 56:M146–M156

    Google Scholar 

  16. Rockwood K, Mogilner A, Mitnitski A (2004) Changes with age in the distribution of a frailty index. Mech Ageing Dev 125:517–519

    Article  PubMed  Google Scholar 

  17. Bartali B, Frongillo EA, Bandinelli S et al (2006) Low nutrient intake is an essential component of frailty in older persons. J Gerontol Med Sci 61A:589–593

    Article  CAS  Google Scholar 

  18. Drey M, Wehr H, Wehr G et al (2011) The frailty syndrome in general practitioner care: a pilot study. Z Gerontol Ger 44:48–54

    Article  CAS  Google Scholar 

  19. Rockwood K, Andrew M, Mitnitski A (2007) A comparison of two approaches to measuring frailty in elderly people. J Gerontol A Biol Sci Med Sci 62(7):738–743

    Article  PubMed  Google Scholar 

  20. Evans WJ, Morley JE, Argiles J et al (2008) Cachexia: a new definition. Clin Nutr 27:793–799

    Article  CAS  PubMed  Google Scholar 

  21. Bauer J, Biolo G, Cederholm T et al (2013) Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. J Am Med Dir Assoc 14:542–549

    Article  PubMed  Google Scholar 

  22. Goisser S, Schrader E, Singler K et al (2015) Low postoperative intake is associated with worse functional course in geriatric patients up to 6 months after hip fracture. Br J Nutr 113:1940–1950

    Article  CAS  PubMed  Google Scholar 

  23. Paddon-Jones D, Rasmussen HH (2009) Dietary protein recommendations and the prevention of sarcopenia. Curr Opin Clin Nutr Metab 12:86–90

    Article  CAS  Google Scholar 

  24. Milne AC, Potter J, Vivanti A et al (2009) Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev 2:CD003288

    Google Scholar 

  25. Bauer JM, Verlaan S, Bautmans I et al (2015) Effects of a vitamin D and leucine-enriched whey protein nutritional supplement on measures of sarcopenia in older adults, the PROVIDE study: a randomized, double-blind, placebo-controlled trial. J Am Med Dir Assoc 16:740–747

    Article  PubMed  Google Scholar 

  26. Kondrup J, Rasmussen HH, Hamberg O et al (2003) Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 22:321–336

    Article  PubMed  Google Scholar 

  27. Cederholm T, Barazzoni R, Austin P et al (2016) ESPEN guidelines on definitions and terminology in clinical nutrition. Clin Nutr 36(1):49–64. pii: S0251-5614(16)31242-0

    Article  PubMed  Google Scholar 

  28. Volkert D et al (2013) Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) in Zusammenarbeit mit der GESKES, der AKE und der DG: Klinische Ernährung in der Geriatrie. Aktuell Ernährungsmedizin 38:e1–e48

    Article  Google Scholar 

  29. Huxtable S, Palmer M (2013) The efficacy of protected mealtimes in reducing mealtime interruptions and improving mealtime assistance in adult inpatients in an Australian hospital. Eur J Clin Nutr 67:904–910

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Cornel C. Sieber .

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Sieber, C.C. (2018). The Role of Nutrition in Rehabilitation of Older Adults. In: Masiero, S., Carraro, U. (eds) Rehabilitation Medicine for Elderly Patients. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-57406-6_21

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  • DOI: https://doi.org/10.1007/978-3-319-57406-6_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57405-9

  • Online ISBN: 978-3-319-57406-6

  • eBook Packages: MedicineMedicine (R0)

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