Nutritional determinants of frailty in older adults: a systematic review
| Autor: | José Carlos Millán-Calenti, Laura Regueiro-Folgueira, Carmen de Labra, Laura Lorenzo-López, Ana Maseda, José Luis Rodríguez-Villamil |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 0301 basic medicine Gerontology Aging medicine.medical_treatment geriatría Frailty syndrome nutrición Motor Activity lcsh:Geriatrics Lower risk 03 medical and health sciences 0302 clinical medicine Nutritional status actividad motora medicine Humans 030212 general & internal medicine Micronutrients envejecimiento Aged anciano 030109 nutrition & dietetics Rehabilitation Frailty business.industry Protein medicine.disease Micronutrient Frail elderly estado nutricional Malnutrition lcsh:RC952-954.6 Cross-Sectional Studies Systematic review Geriatrics Female Observational study Macronutrients Geriatrics and Gerontology Energy Intake business Research Article |
| Zdroj: | BMC Geriatrics, Vol 17, Iss 1, Pp 1-13 (2017) RUC. Repositorio da Universidade da Coruña instname BMC Geriatrics RUNA. Repositorio da Consellería de Sanidade e Sergas Servizo Galego de Saúde (SERGAS) |
| Popis: | Background Frailty is a geriatric syndrome that affects multiple domains of human functioning. A variety of problems contributes to the development of this syndrome; poor nutritional status is an important determinant of this condition. The purpose of this systematic review was to examine recent evidence regarding the association between nutritional status and frailty syndrome in older adults. Methods PubMed, Web of Science, and Scopus electronic databases were searched using specific key words, for observational papers that were published during the period from 2005 to February 2017 and that studied the association or relationship between nutritional status and frailty in older adults. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was followed to assess the quality of the included articles. Results Of the 2042 studies found, nineteen met the inclusion criteria. Of these studies, five provided data on micronutrients and frailty, and reported that frailty syndrome is associated with low intakes of specific micronutrients. Five studies provided data on macronutrients and frailty, and among those studies, four revealed that a higher protein intake was associated with a lower risk of frailty. Three studies examined the relationship between diet quality and frailty, and showed that the quality of the diet is inversely associated with the risk of being frail. Two studies provided data on the antioxidant capacity of the diet and frailty, and reported that a high dietary antioxidant capacity is associated with a lower risk of developing frailty. Finally, seven studies evaluated the relationship between scores on both the Mini Nutritional Assessment (MNA) and the MNA-SF (Short Form) and frailty, and revealed an association between malnutrition and/or the risk of malnutrition and frailty. Conclusions This systematic review confirms the importance of both quantitative (energy intake) and qualitative (nutrient quality) factors of nutrition in the development of frailty syndrome in older adults. However, more longitudinal studies on this topic are required to further understand the potential role of nutrition in the prevention, postponement, or even reversion of frailty syndrome. Electronic supplementary material The online version of this article (doi:10.1186/s12877-017-0496-2) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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