The Challenge of Managing Undernutrition in Older People with Frailty

Many older people with frailty are at risk of malnutrition and poor health, yet there is evidence that improving nutrition and weight loss can reduce frailty. This will become more important as the number of older people with frailty increases worldwide in future. Identifying those at risk is challe...

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Bibliographic Details
Published in:Nutrients 2019-04, Vol.11 (4), p.808
Main Authors: Roberts, Helen C, Lim, Stephen E R, Cox, Natalie J, Ibrahim, Kinda
Format: Article
Language:English
Subjects:
Absorption
Activities of daily living
Age
Aged
Aged, 80 and over
Anorexia
Appetite
Body mass
Body mass index
Body size
Body weight loss
Communication
Costs
Criteria
Dementia
Diagnostic systems
Dietary supplements
Endoscopy
Energy requirements
Etiology
Female
food fortification
Food intake
frail
Frail Elderly
Frailty
Frailty - etiology
Funding
Geriatric Assessment
Hospitals
Humans
Illnesses
Leadership
Low income groups
Male
Malnutrition
Malnutrition - complications
mealtime
Medicine
Mortality
Muscles
Nutrition
Nutrition Assessment
nutritional supplement
older
Older people
Ostomy
Proteins
Quality of life
Sarcopenia
screening
Systematic review
Undernutrition
Weight loss
Wound healing
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Summary:Many older people with frailty are at risk of malnutrition and poor health, yet there is evidence that improving nutrition and weight loss can reduce frailty. This will become more important as the number of older people with frailty increases worldwide in future. Identifying those at risk is challenging due to the difficulty of reaching and screening those older people most at risk, the large number of nutritional assessment tools used, and the lack of consensus on the criteria to make a diagnosis of malnutrition. The management of older people with or at risk of malnutrition should be multi-modal and multi-disciplinary, and all care staff have an important role in delivering appropriate nutritional advice and support. This paper will highlight a number of practical approaches that clinicians can take to manage malnutrition in older people with frailty in community and acute settings, including environmental changes to enhance mealtime experience, food fortification and supplementation.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu11040808