Assessment and Treatment of the Anorexia of Aging: A Systematic Review

Cox, Natalie; Ibrahim, Kinda; Sayer, Avan A.; Robinson, Siân; Roberts, Helen

doi:10.3390/nu11010144

Cited by 130 publications

(75 citation statements)

References 81 publications

(387 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is estimated that ~25% of home dwellers suffer from anorexia of aging and up to 85% in nursing home populations (Roy, Gaudreau, & Payette, 2016). This phenomenon could be explained by several factors including alteration of the sensitivity of satiety, anorectic and hunger hormones, aging of the gut, diminished smell, taste and salivary secretion but also social and environmental factors (loneliness, difficulties with cooking, eating) (Cox, Ibrahim, Sayer, Robinson, & Roberts, 2019). To the best of the authors' knowledge, to date no information exists about appetite of master compared to younger athletes.…”

Section: Challenge N°1: Resisting To Reduced Energy Intakementioning

confidence: 99%

Nutrition for Master Athletes: Is There a Need for Specific Recommendations?

Louis¹,

Vercruyssen²,

Dupuy³

et al. 2020

Journal of Aging and Physical Activity

View full text Add to dashboard Cite

Master athletes are often considered exemplars of successful aging, thanks to their capacity to maintain a high sports performance during their entire life. A high training capacity, regular participation in sporting competitions, and delayed alterations in body composition and physiological capacities have been listed among the main factors contributing to impressive master athletes’ performances. However, there is a paucity of data on the metabolism and dietary habits of master athletes, and the question of whether they need to adapt their nutrition to the aging process remains open. Herein, the authors presented a contemporary overview of the metabolic challenges associated with aging, including the risk of low energy availability, anabolic resistance, and periods of metabolic crisis due to forced immobilization. After assembling scientific evidence to show that master athletes must adapt their dietary intake, the authors proposed a summary of nutritional recommendations for master athletes and suggested the next stage of research.

show abstract

Section: Challenge N°1: Resisting To Reduced Energy Intakementioning

confidence: 99%

Nutrition for Master Athletes: Is There a Need for Specific Recommendations?

Louis¹,

Vercruyssen²,

Dupuy³

et al. 2020

Journal of Aging and Physical Activity

View full text Add to dashboard Cite

show abstract

“…Loss of appetite, or the Anorexia of Ageing, is a known major contributor to malnutrition and may be measurable prior to weight change [3,32,52]. A recent systematic review [53] of current methods to assess appetite in older people when determining the efficacy of potential interventions reported a lack of consensus of how to assess appetite. Achieving a standardised approach to the assessment of appetite may be a useful route to identify those at risk of subsequent weight loss.…”

Section: Screening and Identification Of Malnutritionmentioning

confidence: 99%

The Challenge of Managing Undernutrition in Older People with Frailty

et al. 2019

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…Geriatric syndromes including frailty, sarcopenia, cognitive impairment, and AA either in isolation or combination are associated with increased risk of adverse outcomes including hospitalization, falls, functional decline, institutionalization, and mortality ( 26 – 29 ). Current healthcare is based on traditional disease-based model which is no longer sustainable in countries with a fast aging population where rise in multimorbidity and associated consequences will require proactive, upstream, person-centered care, multidisciplinary primary care approach to early identification of geriatric syndrome, assessment, and management ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

Rapid Geriatric Assessment Using Mobile App in Primary Care: Prevalence of Geriatric Syndromes and Review of Its Feasibility

et al. 2020

View full text Add to dashboard Cite

With the aging population and consequent increase in associated prevalence of frailty, dementia, and multimorbidity, primary care physicians will be overwhelmed with the complexity of the psychosocial and clinical presentation. Geriatric syndromes including frailty, sarcopenia, cognitive impairment, and anorexia of aging (AA) either in isolation or in combination are associated with an increased risk of adverse outcomes and if recognized early, and appropriately managed, will lead to decreased disability. Primary care practices are often located in residential settings and are in an ideal position to incorporate preventive screening and geriatric assessment with personalized management. However, primary care physicians lack the time, multidisciplinary resources, or skills to conduct geriatric assessment, and the limited number of geriatricians worldwide further complicates the matter. There is no one effective strategy to implement geriatric assessment in primary care which is rapid, cost-effective, and do not require geriatricians. Rapid Geriatric Assessment (RGA) takes <5 min to complete. It screens for frailty, sarcopenia, AA, and cognition with assisted management pathway without the need of a geriatrician. We developed RGA iPad application for screening with assisted management in two primary care practices and explored the feasibility and overall prevalence of frailty, sarcopenia, and AA. The assessment was conducted by trained nurses and coordinators. Among 2,589 older patients ≥65 years old, the prevalence of frailty was 5.9%, pre-frail 31.2%, and robust 62.9%. Fatigue was present in 17.8%, and among them, the prevalence of undiagnosed depression as assessed by the Patient Health Questionnaire (PHQ)-9 was 76.4% and 13.5% of total. The prevalence of sarcopenia was 15.4%, and 13.9% experienced at least one fall in the past year. AA was prevalent in 10.9%. The time taken to do the assessment with defined algorithm was on average 5 min or less per patient, and 96% managed to complete the assessment prior to seeing their doctor in the same session. The RGA app is a rapid and feasible tool to be used by any healthcare professional in primary care for identification of geriatric syndrome with assisted management.

show abstract

Assessment and Treatment of the Anorexia of Aging: A Systematic Review

Cited by 130 publications

References 81 publications

Nutrition for Master Athletes: Is There a Need for Specific Recommendations?

Nutrition for Master Athletes: Is There a Need for Specific Recommendations?

The Challenge of Managing Undernutrition in Older People with Frailty

Rapid Geriatric Assessment Using Mobile App in Primary Care: Prevalence of Geriatric Syndromes and Review of Its Feasibility

Contact Info

Product

Resources

About