Effectiveness of food-based fortification in older people a systematic review and meta-analysis

Morilla‐Herrera, Juan Carlos; Martín-Santos, Francisco Javier; Caro‐Bautista, Jorge; Figueredo, María del Carmen Saucedo; García‐Mayor, Silvia; Morales-Asencio, José Miguel

doi:10.1007/s12603-015-0591-z

Cited by 64 publications

(67 citation statements)

References 22 publications

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“…In general, protein-containing supplements result in small improvements in outcomes that are more marked when combined with programs of rehabilitation/physical activity (82). In malnourished or undernourished patients, some outcomes are improved, and meta-analyses have shown (84, 85) improved nutritional status. The interventions used in the trials (84, 85) aimed to provide between 175 additional kcal/day and up to a maximum of 1,350 additional kcal/day.…”

Section: Pressure Ulcers and Acute And Chronic Illnessmentioning

confidence: 99%

“…In malnourished or undernourished patients, some outcomes are improved, and meta-analyses have shown (84, 85) improved nutritional status. The interventions used in the trials (84, 85) aimed to provide between 175 additional kcal/day and up to a maximum of 1,350 additional kcal/day. Additional protein was between 10 and 50 g protein/day (84, 85).…”

Section: Pressure Ulcers and Acute And Chronic Illnessmentioning

confidence: 99%

“…The interventions used in the trials (84, 85) aimed to provide between 175 additional kcal/day and up to a maximum of 1,350 additional kcal/day. Additional protein was between 10 and 50 g protein/day (84, 85). Some outcomes were improved with protein/energy supplementation (85).…”

Section: Pressure Ulcers and Acute And Chronic Illnessmentioning

confidence: 99%

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Current Concepts and Unresolved Questions in Dietary Protein Requirements and Supplements in Adults

Phillips

2017

Front. Nutr.

109

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Protein needs for otherwise healthy individuals older than 19 years are defined by the recommended dietary allowance (RDA) at 0.80 g protein/kg/day. There is no recommendation in the current RDA for subpopulations of older adults or people in various pathological situations. Despite the lack of a separate recommendation, there exists a growing body of evidence that is strongly suggestive of an increased need and/or benefit for protein in older persons. That is, intakes beyond the RDA are, in older persons, associated with benefits. In addition, a number of catabolic states including critical illness also result in a sharp elevation in the needs for protein and amino acids. An underappreciated issue in protein nutrition is the impact of protein quality on clinically relevant outcomes. The introduction of a new protein scoring system—the digestible indispensable amino acid score (DIAAS)—for protein quality has raised a forgotten awareness of protein quality. The DIAAS, which replaces the protein digestibility-corrected amino acid score (PDCAAS), is based on ileal digestibility of protein and a different test protein than PDCAAS and has values greater than 1.0. The aim of this article is a brief review and summary recommendations for protein nutrition and protein requirements in populations who would benefit from more protein than the RDA. The emphasis of the review is on muscle protein turnover, and there is a discussion of the impact of protein quality, particularly as it applies to commercially available protein sources. The evidence for more optimal protein intakes is considered in light of the potential health risks of consumption of protein at levels greater than the RDA.

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Section: Pressure Ulcers and Acute And Chronic Illnessmentioning

confidence: 99%

Section: Pressure Ulcers and Acute And Chronic Illnessmentioning

confidence: 99%

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Current Concepts and Unresolved Questions in Dietary Protein Requirements and Supplements in Adults

Phillips

2017

Front. Nutr.

109

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“…A summary of the results was member checked and quotes typical of the themes and subthemes identified for reporting. Qualitative methods were used to gain an in‐depth understanding of the meaningfulness of the program, what needed improving and the feasibility of making changes in the workplace . Results from the questionnaires, focus groups and individual interviews were triangulated to identify consistent responses and to gain a clearer understanding .…”

Section: Methodsmentioning

confidence: 99%

Engaging food service providers to change food service practices in aged care facilities

Matwiejczyk

Roberts

Farrer

et al. 2018

Nutrition & Dietetics

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“…13 Meta-analysis (4 studies) demonstrated that food fortification advice increased the consumption of energy (200kcal/day, 95% CI 133 to 267; p<0.00001) and protein (7g/day, 95% CI 1 to 13; p<0.00001). 13 However, the authors noted that most studies were of poor methodological quality.…”

Section: Dietary Advice and Food Fortificationmentioning

confidence: 99%

What role for oral nutritional supplements in primary care?

2018

DTB

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Malnutrition, a deficiency of energy, protein and other nutrients, is a cause of health problems and adverse clinical outcomes. It has been estimated that a significant number of people have, or are at risk of, malnutrition and the National Institute for Heaxlth and Care Excellence (NICE) has recognised the need to improve healthcare professionals' knowledge of the causes, effects and treatment of malnutrition. However, NICE acknowledged that "there is no clear evidence available as to whether screening is really beneficial or how it should be carried out". One of the key elements to improve or maintain nutritional intake for people with malnutrition is the provision of nutrition support, including dietary advice, the use of fortified food and additional snacks. Although for some people oral nutritional supplements (ONS) may be needed, their use can be limited by poor compliance due to low palatability or unwanted effects such as nausea and diarrhoea. Without appropriate assessment, treatment goals and regular review processes, the provision of ONS products may be ineffective and waste NHS resources. Here, we discuss the place of nutritional supplements in the management of malnutrition.

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Effectiveness of food-based fortification in older people a systematic review and meta-analysis

Cited by 64 publications

References 22 publications

Current Concepts and Unresolved Questions in Dietary Protein Requirements and Supplements in Adults

Current Concepts and Unresolved Questions in Dietary Protein Requirements and Supplements in Adults

Engaging food service providers to change food service practices in aged care facilities

What role for oral nutritional supplements in primary care?

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