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Publications (319)
Background
Malnutrition (i.e., protein-energy malnutrition) in older adults is associated with significant complications and increased mortality, highlighting the need for effective treatments. Many randomised controlled trials (RCTs) testing the effectiveness of nutritional interventions for the treatment of malnutrition showed mixed results and t...
Objectives
This is a protocol for a Cochrane Review (intervention). The objectives are as follows:
To assess in hospitalised older people with (risk of) malnutrition the effects of different nutrition interventions (e.g. supportive interventions, nutritional counselling, food modifications, oral nutritional supplements, comprehensive individualise...
Zusammenfassung
Ziel der Studie Subjektive Gründe, Barrieren sowie Unterstützungsbedarfe älterer Menschen mit Adipositas hinsichtlich einer Gewichtsreduktion sind bisher wenig bekannt und wurden daher in einer qualitativen Studie untersucht.
Methodik Leitfadengestützte, problemzentrierte Interviews wurden mit 13 Teilnehmenden (selbständig,≥65 Jahre...
Obesity and sarcopenic obesity (SO) are characterized by excess body fat with or without low muscle mass affecting bio‐psycho‐social health, functioning, and subsequently quality of life in older adults. We mapped outcomes addressed in randomized controlled trials (RCTs) on lifestyle interventions in community‐dwelling older people with (sarcopenic...
Älteren Menschen wird ein relativ hohes Ernährungsbewusstsein zugeschrieben.
Bisher ist jedoch nicht bekannt, welche Bedeutung sie einzelnen
Aspekten einer gesundheitsförderlichen Ernährung beimessen. Mittels
standardisierter Fragebögen wurden 159 gesunde und rüstige SeniorInnen
(78 ± 3 Jahre, 50 % weiblich) zur Wichtigkeit und Beachtung von 15 Ern...
Purpose
To conduct a scoping review to provide a systematic overview of outcomes used in nutritional intervention studies focused on the treatment of protein-energy malnutrition in older adults.
Methods
A systematic search of four electronic databases (Medline, EMBASE, CINAHL and Cochrane Central Register of Controlled Trials (CENTRAL) was perform...
Background/Objectives
Malnutrition (MN) in nursing home (NH) residents is associated with poor outcome. In order to identify those with a high risk of incident MN, the knowledge of predictors is crucial. Therefore, we investigated predictors of incident MN in older NH-residents.
Subjects/Methods
NH-residents participating in the nutritionDay-proje...
Rationale: As in younger ages, obesity is highly prevalent in older people and lifestyle-interventions (LSI) are recommended as first-line treatment. We conducted a systematic review of randomized-controlled trials (RCTs) with network meta-analyses (NMA) to describe effects of LSI on body weight (BW) and fat-free mass (FFM) in older people with obe...
Rationale: In nursing home (NH) residents, obesity (OB) is associated with an increased risk of poor health outcomes, e.g. care complications, infections, falls. However, about the prevalence of OB in European NH-residents through the years and potential regional differences little is known.
Purpose
Individualised interventions are recommended to tackle malnutrition in older adults, but approaches for nursing home (NH) residents are scarce. This study investigated the effects of an individualised nutritional intervention in NH residents with (risk of) malnutrition.
Methods
In a pre-post study, 6 weeks (w) of usual care were followed b...
Malnutrition (MN) is widespread in nursing homes. Sometimes, but not always, nutritional interventions (NIs) are made, and the reasons for or against NIs are unknown. The aim of this cross-sectional study was to describe these reasons for residents with and without MN according to nurses’ subjective judgement and according to objective signs of MN....
In the area of dementia care, Serious Games are seen as an opportunity to boost cognitive capabilities and to stabilize the ability to independently perform Activities of Daily Living (ADLs). We developed a Serious Game based on the popular boardgame chess to target the elderly and dementia patients through incorporating dementia relevant requireme...
Der Umgang mit Adipositas im Alter gewinnt aufgrund steigender Prävalenzzahlen, weitreichender Folgen und damit verbundenen Gesundheitskosten zunehmend an Bedeutung. Da biologische Alterungsprozesse individuell sehr unterschiedlich verlaufen, ist die Gruppe älterer Menschen (mit Adipositas) hinsichtlich Gesundheit und Leistungsfähigkeit sehr hetero...
Hintergrund: Die zunehmende Prävalenz von Adipositas im höheren Lebensalter erfordert zielgruppenorientierte the-rapeutische Ansätze. Subjektiv wahrgenommene Barrieren sowie Unterstützungsbedarfe von älteren Menschen mit Adipositas bei der Gewichtsreduktion sind bisher wenig bekannt und wurden in dieser qualitativen Studie untersucht.
Methoden: Zwi...
Hintergrund: Aufgrund des demographischen Wandels und der weltweiten Zunahme von Adipositas, auch in höheren Al-tersgruppen, gewinnt der Umgang mit Adipositas im Alter zunehmend an Bedeutung. Die Gründe, warum sich ältere Menschen für oder gegen eine Gewichtreduktion entscheiden, sind bisher wenig bekannt und wurden in der vorliegen-den qualitative...
Abstract:
SGLT1 (Natrium/Glukose-Co-Transporter 1; SLC5A1) ist der wichtigste Transporter in den Enterozyten für die Aufnahme der Monosaccharide Glukose und Galaktose. Mutationen im SGLT1-Carrier verursachen quantitative Änderungen in der Transportleistung von Monosacchariden und sind mit einer verzögerten Kalorienaufnahme assoziiert [1]. Zwar si...
Introduction
Obesity is highly prevalent in older adults aged 65 years or older. Different lifestyle interventions (diet, exercise, self-management) are available but benefits and harms have not been fully quantified comparing all available health promotion interventions. Special consideration must be given to functional outcomes and possible adver...
Zusammenfassung
Malnutrition und Dehydration zählen zu den häufigsten geriatrischen Syndromen mit weitreichenden klinischen Folgen. Zudem gewinnt die Problematik der Adipositas auch im hohen Alter zunehmend an Bedeutung. Dieser Beitrag präsentiert zentrale evidenzbasierte Empfehlungen zur Prävention und Therapie der genannten Ernährungsprobleme aus...
Rationale: Malnutrition (MN) is a widespread problem in nursing homes. Sometimes, but not always measures are taken, whereby the reasons for or against nutritional intervention (NI) have never been examined so far. The aim of the study was to describe these reasons based on caregivers’ subjective judgement of the residents’ (RE) nutritional status.
Malnutrition, dehydration and obesity are relevant health problems with far-reaching consequences for older people. Routine screening for malnutrition and dehydration should be carried out in order to identify vulnerable and affected persons at an early stage and to be able to take timely countermeasures. In many cases, adequate nutrition and hydra...
Metabolische Veränderungen einer SGLT-1 Transportergenvariante in einer Bevölkerungskohorte im Raum Freising: eine enable Studie.
SGLT1 (Natrium/Glukose-Co-Transporter 1; SLC5A1) ist der wichtigste Transporter in den Enterozyten für die Aufnahme der Monosaccharide Glukose und Galaktose. Mutationen im SGLT1-Carrier verursachen quantitative Änderung...
This work focuses on design concepts, including the goal to motivate interaction with mobile applications for the target group elderly people and with an extended set of guidelines for Alzheimer patients. At the outset, understanding the symptoms of Alzheimer’s disease is necessary when focusing on usability issues during interaction with touchscre...
Background:
Patients with cancer have an increased risk of malnutrition which is associated with poor outcome. The Mini Nutritional Assessment (MNA®) is often used in older patients with cancer but its relation to outcome is not known.
Methods:
Four databases were systematically searched for studies relating MNA-results with any reported outcome...
Hintergrund/Fragestellung: Adipositas tritt bei ca 35% der Personen über 65 Jahren auf und kann - v. a. in Kombination mit Sarkopenie - schwerwiegende gesundheitliche Auswirkungen haben. Für die Therapie stehen Lebensstilinterventionen (LSI) in den Bereichen: Ernährung, Bewegung, Verhalten (und deren Kombination) im Vordergrund, die primär auf eine...
Objectives:
Nursing home (NH) residents receiving texture-modified diet (TMD) are at risk of inadequate nutritional intake and subsequent malnutrition. It is essential to monitor dietary intake to take corrective actions, if necessary. Plate diagrams (PDs) are widely used to assess dietary intake in institutions but little is known about their val...
Zusammenfassung
Der Leitfaden Ernährungstherapie in Klinik und Praxis (LEKuP) stellt eine grundlegende Überarbeitung des zuletzt im Jahr 2004 von der Deutschen Akademie für Ernährungsmedizin e. V. (DAEM) herausgegebenen Rationalisierungsschemas dar. Dabei erfolgte die Erstellung des LEKuP in enger Zusammenarbeit der verschiedenen Fachgesellschaften...
Disease-related malnutrition (DRM) is prevalent in hospitals and is associated with increased care needs, prolonged hospital stay, delayed rehabilitation and death. Nutrition care process related activities such as screening, assessment and treatment has been advocated by scientific societies and patient organizations but implementation is variable...
Purpose:
The Joint Action Malnutrition in the Elderly (MaNuEL) Knowledge Hub was established to extend scientific knowledge, strengthen evidence-based practice, build a sustainable, transnational network of experts and harmonize research and clinical practice in the field of protein-energy malnutrition in older persons. This paper aims to summariz...
Disease related malnutrition (DRM) is prevalent in hospitals and is associated with increased care needs, prolonged hospital stay, delayed rehabilitation and death. Nutrition care process related activities such as screening, assessment and treatment has been advocated by scientific societies and patient organizations but implementation is variable...
Background/objectives:
The Refeeding Syndrome (RFS) is a serious complication in patients receiving nutrition support after a period of severe malnutrition. We frequently recognize and diagnose the RFS due to increased awareness. Thus, we observe that many physicians do not know the RFS and that it is rarely diagnosed. The aim of the study was to...
Objective
Animal protein sources are considered to be of higher quality than plant protein sources in terms of stimulating muscle metabolism. Our objective was to investigate whether protein intake from animal and plant sources on a daily and per-meal basis differs between healthy older adults with normal and with low muscle mass.
Methods
In this...
Malnutrition is widespread in older people and represents a major geriatric syndrome with multifactorial etiology and severe consequences for health outcomes and quality of life. The aim of the present paper is to describe current approaches and evidence regarding malnutrition treatment and to highlight relevant knowledge gaps that need to be addre...
In older persons, the origin of malnutrition is often multifactorial with a multitude of factors involved. Presently, a common understanding about potential causes and their mode of action is lacking, and a consensus on the theoretical framework on the etiology of malnutrition does not exist. Within the European Knowledge Hub “Malnutrition in the E...
Recently we introduced a modified Mini Nutritional Assessment (MNA) Short Form (MNA-SF) and Long Form (MNA-SF) with operationalization of the ‘mobility’ and ‘neuropsychological problems’ items of the MNA using scores on Barthel Index mobility item and Mini Mental State Examination and Geriatric Depression Scale scores. We have now evaluated the abi...
This proof-of-concept study investigated the effects of an innovative nutrition concept, comprising texture modification, enrichment, and reshaping, on dietary intake and nutritional status of 16 nursing home residents with chewing and/or swallowing problems (mean age 86.5 ± 7.4 years) in a pre-test post-test design. During 6 weeks with usual textu...
With this contribution we want to give insights into the development of a drinking gadget which is useable by the elderly and dementia patients with the goal to create an automated drinking protocol. Through the literature and available smart cups, we deduced important strategies for the design of a drinking aid. Our natural solution is integrated...
We investigate the combination of a drinking gadget with Serious Games, designed to entice elderly/dementia patients to drink more water - with potential benefit for both, the elderlies and their caregivers. We present several strategies that are essential towards developing a Combined Evaluation Process needed to determine user acceptance. We repo...
Objective:
Poor oral health might be a modifiable determinant of malnutrition in older age. We aimed to investigate the associations of multiple oral health characteristics with incident malnutrition in community-dwelling older adults.
Methods:
This exploratory analysis is based on prospective data from 893 participants, aged 55-80 years without...
Background
Sarcopenia, frailty, cachexia and malnutrition are widespread syndromes in older people, characterized by loss of body tissue and related to poor outcome. The aim of the present cross-sectional study was to assess the prevalence of these syndromes and their overlap in older medical inpatients.
Methods
Patients aged 70 years or older who...
The relationship between hypophosphatemia (HP) and malnutrition in older hospitalized patients has received little attention. We sought to investigate this association among this population. The study participants were consecutively admitted to a geriatric acute care ward in six hospitals. Malnutrition screening was conducted by Mini Nutritional As...
Background:
Following a timely update process, the nutrition societies of Germany, Austria, and Switzerland (D-A-CH) revised the reference values for the intake of protein in 2017. The Working Group conducted a structured literature search in PubMed considering newly published papers (2000- 2017).
Summary:
For infants < 4 months, the estimated v...
Hintergrund:
PatientInnen mit Krebserkrankungen haben ein erhöhtes Risiko für Mangelernährung, was wiederum mit einem schlechteren Überleben oder Therapieabbruch verbunden ist. Das Mini Nutritional Assessment (MNA®) wird häufig bei PatientInnen mit Krebserkrankungen eingesetzt und weist, verglichen mit anderen Screeninginstrumenten, eine hohe inhal...
Gaining a better understanding which motives play a role in daily eating is crucial in order to develop personalized interventions promoting adequate diet. The Eating Motivation Survey (TEMS) is a comprehensive tool to assess manifold reasons for eating but has not been specifically applied in an older sample including very old persons and persons...
Purpose
Malnutrition is a condition which is highly prevalent, especially in older persons. Physicians play an important role in multidisciplinary nutritional management, but often feel inadequately prepared to provide nutritional information/therapy to their patients. The aim of this study was to gather information on curricular content on malnutr...
Background & aims:
Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic revi...
INTRODUCTION:
We aimed to perform a review of SRs of non-pharmacological interventions in older patients with well-defined malnutrition using relevant outcomes agreed by a broad panel of experts.
METHODS:
PubMed, Cochrane, EMBASE, and CINHAL databases were searched for SRs. Primary studies from those SRs were included. Quality assessment was under...
Background & aims:
Malnutrition is widespread among older people and related to poor outcome. Reported prevalences vary widely, also because of different diagnostic criteria used. This study aimed to describe prevalences in several populations of older persons in different settings using harmonized definitions.
Methods:
Available studies within...
Older adults are at increased risk of malnutrition which is associated with poorer health, quality of life, and worse disease outcomes. This study identifies predictors of incident malnutrition using data from a sub-sample (n=1,841) of The Irish Longitudinal Study on Ageing (TILDA). Participants were excluded if they were <65 years, missing BMI dat...
Background: Dietary behavior encompasses many aspects, terms for which are used inconsistently across different disciplines and research traditions. This hampers communication and comparison across disciplines and impedes the development of a cumulative science. We describe the conceptual analysis of the fuzzy umbrella concept “dietary behavior” an...
Various aspects of protein intake are thought to be crucial for the prevention of sarcopenia in older adults. Information about the day-to-day variation in these aspects is lacking. Our objective was to examine whether daily protein intake, protein distribution across meals, number of meals providing adequate protein, and protein sources vary acros...
Objectives
To identify determinants of incident malnutrition in community‐dwelling older adults.
Design
Meta‐analysis of 6 community‐based longitudinal datasets with follow‐up of 1 to 3 years.
Setting
Datasets from MaNuEL (MalNutrition in the Elderly) partners were included: 3 studies from Germany and 1 each from Ireland, the Netherlands, and New...
Background & aims:
Protein-energy malnutrition is a health concern among older adults. Improving nutritional status by increasing energy and protein intake likely benefits health. We therefore aimed to investigate effects of nutritional interventions in older adults (at risk of malnutrition) on change in energy intake and body weight, and explore...
