Aging-related frailty and sarcopenia. Nutrition intervention for individuals with frailty and sarcopenia
Nishioka, S.
Clinical Calcium 28(9): 1241-1247
2018
ISSN/ISBN: 0917-5857 PMID: 30146511 Document Number: 694955
Malnutrition results in frailty and sarcopenia, and its prevalence in individuals with frailty and sarcopenia is 16%~18%and 50%, respectively. A lower protein intake exacerbates the risk for frailty onset. Previous studies reporting nutritional intervention in older adults with frailty recommended screening for unintentional weight loss, providing adequate energy and protein, and correcting vitamin D deficiency. In contrast, several clinical trials reported that the effects of nutritional intervention for individuals with sarcopenia were diverse and depended on the nutrients used for each study and outcomes. The 2017 version of the clinical practice guidelines for sarcopenia weakly recommends nutritional therapy, particularly using essential amino acids. It is imperative that older adults with frailty and sarcopenia receive the best nutritional care based on personalized nutritional assessment.