NutriLive: An Integrated Nutritional Approach as a Sustainable Tool to Prevent Malnutrition in Older People and Promote Active and Healthy Ageing—The EIP-AHA Nutrition Action Group

Abstract

The present document describes a nutritional approach that is nested in the European Innovation Partnership for Active and Healthy Aging (EIP-AHA) and aims to provide the first common European program translating an integrated approach to nutritional frailty in terms of a multidimensional and transnational methodology. The document has been developed by the A3 Nutrition Action Area of the EIP-AHA and aims at providing a stepwise approach to malnutrition in older citizens, identifying adequate interventions based on a unified assessment and ICT-supported solutions. “NutriLive” is an integrated nutritional approach, represented by a structured Screening-Assessment-Monitoring-Action-Pyramid-Model (SAM-AP). Its core concept is the stratification of the nutritional needs, considered by the working group as the key for targeted, effective, and sustainable interventions. “NutriLive” tries to close gaps in epidemiological data within an aging population, creating a unified language to deal with the topic of nutrition and malnutrition in Europe. By assembling all the validated screening, assessment, and monitoring tools on malnutrition in a first pyramid, which is interrelated to a second intervention pyramid, the A3 Nutrition WG identifies a common, integrated vision on the nutritional approach to frailty, which applies to the various health care settings.

An Innovative Approach to Designing Digital Health Solutions Addressing the Unmet Needs of Obese Patients in Europe

“…In particular, the European Commission [ 86 , 87 ] is trying to respond to the global rise of overweight and obesity by adopting the White Paper on a Strategy for Europe on Nutrition, Overweight and Obesity-related health issues [ 88 ], Indeed, the EIP on AHA’s Action Group A3 on Frailty has developed a gradual approach to malnutrition in the elderly population, which links assessment to adequate interventions (primary, secondary, tertiary) and aims to implement innovative tools for effective measures of prevention, detection, and treatment of obesity and malnutrition [ 89 ]. Meanwhile, the “Blueprint on Digital Transformation of Health and Care for the Ageing Society” deals with the challenging aspects on how innovation can transform health and care provision in our aging society in key health and care topic areas that benefit from digital transformation using a life-course approach [ 68 ].…”

Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases

“…Optimal PFC is the result of integrated care in which many stakeholders are involved, including the persons themselves and their family caregivers. PFC was first described by EIP/AHA (Illario et al, 2016) as an indispensable part of the food-andnutritional approach to nutritional frailty in elderly (Illario et al, 2016). However, all aspects of PFC are also equally as important in PC: QOL, symptom management, patient autonomy and attention to psychosocial, emotional and spiritual aspects, including cultural needs, not only for the persons with PC needs but also those important to them.…”

Development of a nutritional documentation tool: a Delphi study

“…The initiatives created by the European Innovation Partnership on Active and Healthy Ageing confirmed the importance of this recommendation for nutritional documentation ( 15 ) and were, therefore, also included during the development of the template.…”

“…Illario et al (15) 2016 'NutriLive' aims to provide a stepwise approach to treating malnutrition in older citizens and identify adequate interventions…”