Dietary protein intake in older adults undergoing cardiac surgery
| Autor: | Victoria Hayman, Julia Chronopoulos, Amanda Trnkus, Donna Schafer, Michael Goldfarb, Jonathan Afilalo, Yamileth Marcano |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Food intake Time Factors Frail Elderly Endocrinology Diabetes and Metabolism Nutritional Status Medicine (miscellaneous) 030209 endocrinology & metabolism 030204 cardiovascular system & hematology Recommended Dietary Allowances Body weight Tertiary care 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Humans Prospective Studies Registries Cardiac Surgical Procedures Perioperative Period Geriatric Assessment Aged Nutrition and Dietetics Frailty Kilogram business.industry Age Factors Feeding Behavior Middle Aged Protein intake Cardiac surgery Treatment Outcome Dietary Reference Intake Female Dietary Proteins Energy Intake Cardiology and Cardiovascular Medicine business Nutritive Value Dietary protein intake |
| Zdroj: | Nutrition, Metabolism and Cardiovascular Diseases. 29:1095-1100 |
| ISSN: | 0939-4753 |
| DOI: | 10.1016/j.numecd.2019.06.009 |
| Popis: | Older adults undergoing major surgery have increased protein requirements in the postoperative period, but there are limited data describing actual protein intake following cardiac surgery.We performed a prospective sub-study within a registry of older adults ≥60 years of age undergoing cardiac surgery at a tertiary care centre. A dietician administered a food frequency questionnaire before surgery and 1-4 months after surgery. In-hospital food intake was recorded by direct observation for 3 days in the early postoperative period. Food intake was analyzed to calculate the protein intake per kilogram of body weight per day (g/kg/d) during the three phases of care, compared to the dietary reference intake. Frailty was measured by a questionnaire and physical performance tests before surgery. There were 22 patients (8 females, 14 males; 59% frail) enrolled in the study with a mean age of 72.0 ± 7.8 years. The mean protein intake was 1.3 ± 0.5 g/kg/d, 0.7 ± 0.3 g/kg/d, and 1.3 ± 0.6 g/kg/d in the preoperative, early postoperative, and postdischarge periods, respectively (P 0.0001 for early postoperative compared to other periods). Compared to the targeted dietary reference intake of 1.5 g/kg/d, there was a mean protein deficit of 0.8 g/kg/d in the early postoperative period. Only one patient (5%) met the protein dietary reference intake in the early postoperative period.In older adults undergoing cardiac surgery, dietary protein intake was substantially lower than the recommended target in the early postoperative period. Strategies to improve protein intake, particularly in frail older patients, may be considered as a therapeutic target. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect