Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention

Duque, Gustavo; Lord, Stephen R.; Mak, Jenson; Ganda, Kirtan; Close, Jacqueline C.T.; Ebeling, Peter R.; Παπαϊωάννου, Αλεξάνδρα; Inderjeeth, Charles

doi:10.1016/j.jamda.2016.05.011

Cited by 29 publications

(36 citation statements)

References 69 publications

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“…Older adults living in nursing homes are at a higher risk of fracture than community‐dwelling older adults; however, there is underdiagnosis and undertreatment in these settings . Nursing homes present an opportunity to maximize osteoporosis treatment and adherence . Fracture risk assessment should be undertaken even if BMD assessment is not possible.…”

Section: Special Populationsmentioning

confidence: 99%

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Osteoporosis in Older Persons: Old and New Players

Zanker

Duque

2018

J American Geriatrics Society

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Osteoporosis is the most common bone disease in humans. Older persons are at higher risk of osteoporotic fractures that also result in poor quality of life, disability, loss of independence, institutionalization, and higher mortality. Osteoporosis shares a distinct pathophysiologic relationship with sarcopenia, an age‐related disease comprising declines in muscle mass, strength, or function. The combination of these two diseases is known as osteosarcopenia. Understanding the pathophysiology of osteosarcopenia, in addition to its diagnostic and therapeutic approaches, is key in providing older adults with the best falls and fractures prevention strategies. This review provides updated information on new discoveries on the combined pathophysiology of osteoporosis and sarcopenia that have led to the development of novel therapeutic approaches. New recommendations for the use of risk calculators and densitometry are also presented in this review as well as evidence on current and upcoming pharmacologic treatments to prevent falls and fractures in older persons. J Am Geriatr Soc 67:831–840, 2019.

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Section: Special Populationsmentioning

confidence: 99%

“…72 Nursing homes present an opportunity to maximize osteoporosis treatment and adherence. 73 Fracture risk assessment should be undertaken even if BMD assessment is not possible. Falls risk factors should also be addressed coupled with an individualized management approach involving patient, caregivers, and staff.…”

Section: Special Populationsmentioning

confidence: 99%

Osteoporosis in Older Persons: Old and New Players

Zanker

Duque

2018

J American Geriatrics Society

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“…• The British Dietetic Association issued a policy statement highlighting the growing issue of malnutrition in older people living in care homes, and the dietitian's role in prevention [16]. These findings and recommendations are not new, they are just the most recent publications representing a plethora of reports attempting to address this crucial area, and this is not only limited to the UK (see for example: [17][18][19][20][21]).…”

Section: • the British Association For Parenteral And Enteral Nutritimentioning

confidence: 99%

“…Malnutrition is a risk factor for sarcopenia and frailty [21,24,25], and both conditions increase vulnerability to adverse outcomes and limit quality of life, health and well-being [26][27][28]. An estimated 90% of older care home residents have osteoporosis and one third are vitamin D deficient [14,19,29,30]. Blood vitamin C concentrations indicative of scurvy are present in 40% of residents [4].…”

Section: • the British Association For Parenteral And Enteral Nutritimentioning

confidence: 99%

Dehydration and Malnutrition in Residential Care: Recommendations for Strategies for Improving Practice Derived from a Scoping Review of Existing Policies and Guidelines

Bunn

Hooper²

2018

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Preventing malnutrition and dehydration in older care home residents is complex, with both conditions remaining prevalent, despite numerous guidelines spanning several decades. This policy-mapping scoping review used snowballing search methods to locate publicly-available policies, reports and best practice guidelines relating to hydration and nutrition in UK residential care homes, to describe the existing knowledge base and pinpoint gaps in practice, interpretation and further investigation. Findings were synthesised narratively to identify solutions. Strategies for improvements to nutritional and hydration care include: development of age and population-specific nutrient and fluid intake guidelines; statutory regulation, contractual obligations for commissioners, appropriate menu-planning, implementation and auditing of care, acknowledgment of residents’ eating and drinking experiences, effective screening, monitoring and treatment and staff training. The considerable body of existing knowledge is failing to influence practice, relating to translational issues of implementing knowledge into care at the point of delivery, and this is where future research and actions should focus.

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“…The consequences of osteoporosis for individual nursing home residents are an increased risk of fractures, pain and disability (Zarowitz, 2014). More than 80 % of institutionalized old people have osteoporosis and approximately 40 % of them had hip fractures (Duque, 2016). Many of them need continuing care, and it has been show that the mortality after hip fracture is nearly 20 % (Johnell, 2006).…”

Section: Introductionmentioning

confidence: 99%

Characteristics of calcium intake in nursing home residents in Zagreb

2020

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Elderly people, especially those who live in nursing homes, are at high risk for getting osteoporosis and bone fractures. Knowing that an adequate calcium intake is important for prevention and therapy of osteoporosis, we aimed to estimate calcium intake in old people living in nursing homes in Zagreb. In a cross-sectional study, calcium intake was estimated using previously validated food frequency questionnaire especially designed for calcium intake, among 292 nursing homes residents (232 women and 60 men), mean age 82.4±6.5 years. Mean dietary calcium intake in men was 653±297 mg/day and in women 528±279 mg/day (p=0.004). Only 10 % of women and no men were taking calcium supplements. Calcium intake below the 750 mg/day was present in 67.3 % of men and 77.5 % of women. Very low calcium intake, below the half of the recommended value, was present in 18.3 % of men and 31.0 % of women. Milk and dairy products were the main source of calcium intake in our study and contributed more than 80% of total daily calcium intake. No significant correlation was found between the body mass index and calcium intake in both genders. We conclude that the mean calcium intake in nursing home residents was below the recommended values.

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Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention

Abstract: Background-Older people living in residential aged care facilities (RACFs) are at a higher risk of suffering fractures than the community-dwelling older population. The first Consensus

Cited by 29 publications

References 69 publications

Osteoporosis in Older Persons: Old and New Players

Osteoporosis in Older Persons: Old and New Players

Dehydration and Malnutrition in Residential Care: Recommendations for Strategies for Improving Practice Derived from a Scoping Review of Existing Policies and Guidelines

Characteristics of calcium intake in nursing home residents in Zagreb

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