Nutritional management for institutionalized elderly people with sarcopenia: Integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v13i12.47843

Keywords:

Diet therapy; Aged; Homes for the Aged; Sarcopenia.

Abstract

Objective: To identify the scientific evidence available on nutritional conducts to prevent the aggravation and treat institutionalized elderly people with sarcopenia. Methods: Integrative review conducted in the databases: LILACS, PUBMED, EBSCO and SciELO, from the descriptors: Diet Therapy; Elderly; Long-Stay Institution for the Elderly; Sarcopenia. The PICO strategy was used to develop the guiding question. Articles that answered the guiding question "what is the available evidence on nutritional management for institutionalized elderly people with sarcopenia to prevent the worsening and treatment of the disease" were included. Literature review: Six articles that responded to the theme were included in the integrative review. It was found that oral supplements plus high quality protein, vitamin D, Medium Chain Triglycerides (MCTs), beta-hydroxy-beta-methylbutyric acid (HMB) and leucine were nutritional interventions used to prevent the aggravation and treat sarcopenia in institutionalized elderly people. The practice of physical exercises was considered as an alternative intervention combined with nutritional conducts in order to improve results. Conclusion: Nutritional interventions of oral supplementation of high quality protein, vitamin D, TCMs, HMB and leucine may be beneficial to prevent the onset of sarcopenia and to treat institutionalized elderly people with sarcopenia.

References

Abe, S., Ezaki, O., & Suzuki, M. (2016). Medium-Chain Triglycerides in Combination with Leucine and Vitamin D Increase Muscle Strength and Function in Frail Elderly Adults in a Randomized Controlled Trial. The Journal of Nutrition, 146(5), 1017–1026. https://doi.org/10.3945/jn.115.228965

Abe, S., Ezaki, O., & Suzuki, M. (2019). Medium-chain triglycerides (8:0 and 10:0) are promising nutrients for sarcopenia: A randomized controlled trial. The American Journal of Clinical Nutrition, 110(3), 652–665. https://doi.org/10.1093/ajcn/nqz138

Abreu, W. C., Franceschini, S. C. C., Tinoco, A. L. A., Pereira, C. A. S., & Silva, M. M. S. (2008). Inadequação no consumo alimentar e fatores interferentes na ingestão energética de idosos matriculados no programa municipal da terceira idade de Viçosa (MG). Revista Baiana de Saúde Pública, 32(2), 190–192. http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=LILACS&lang=p&nextAction=lnk&exprSearch=516003&indexSearch=ID

Allaert, F. A., Guérin-Deremaux, L., Mauray-Soulier, A., & Saniez-Degrave, M. H. (2016). Evaluation of adherence by elderly nursing home patients to regular consumption of apple compote enriched with protein and soluble fiber. Aging Clinical and Experimental Research, 28(2), 189–195. https://doi.org/10.1007/s40520-015-0415-3

Bublitz, C., Ribeiro da Costa, A., Teixeira Panza, B., Ribeiro Antonelli, L., Aparecida Novelli Sanfelice, F., & Prado Bereta Vilela, R. (2020). Déficit de mobilidade em idosa senil e em depressão: Relato de caso. CuidArte, Enferm, 14(2), 276–281. http://www.webfipa.net/facfipa/ner/sumarios/cuidarte/2020v2/p.276-281.pdf

Caixeta, T. R. (2020). Alimentação de idosos institucionalizados no Brasil: Uma revisão integrativa da literatura [Trabalho de Conclusão de Curso – Bacharelado em Nutrição]. Universidade de Brasília. https://bdm.unb.br/handle/10483/25636

Chou, C. H., Hwang, C. L., & Wu, Y. T. (2012). Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: A meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(2), 237–244. https://doi.org/10.1016/j.apmr.2011.08.042

Cruz-Jentoft, A. J., Baeyens, J. P., Bauer, J. M., Boirie, Y., Cederholm, T., Landi, F., ... & Zamboni, M. (2010). Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age and Ageing, 39(4), 412–423. https://doi.org/10.1093/ageing/afq034

Damo, C. C., Doring, M., Alves, A. N. S., & Portella, M. R. (2018). Risco de desnutrição e fatores associados em idosos institucionalizados. Revista Brasileira

de Geriatria e Gerontologia, 21(6), 735–742. https://doi.org/10.1590/1981-22562018021.180152

Duarte, B. S. N. (2021). O papel da vitamina D em indivíduos com sarcopenia [Trabalho de Conclusão de Curso – Bacharelado em Nutrição]. Universidade do Porto. https://repositorio-aberto.up.pt/bitstream/10216/135964/2/492525.pdf

Giuliani, C. A., Gruber-Baldini, A. L., Park, N. S., Schrodt, L. A., Rokoske, F., & Sloane, P. D. (2008). Physical performance characteristics of assisted living residents and risk for adverse health outcomes. The Gerontologist, 48(2), 203–212. https://doi.org/10.1093/geront/48.2.203

Grönstedt, H. K., Vikström, S., Cederholm, T., Franzén, E., Luiking, Y. C., & Seiger, A. (2020). Effect of sit-to-stand exercises combined with protein-rich oral supplementation in older persons: The Older Person's Exercise and Nutrition Study. Journal of the American Medical Directors Association, 21(9), 1229–1237. https://doi.org/10.1016/j.jamda.2020.03.030

Karlsson, E. S., Grönstedt, H. K., Faxén-Irving, G., Franzén, E., Luiking, Y. C., Seiger, A., et al. (2021). Response and adherence of nursing home residents to a nutrition/exercise intervention. Journal of the American Medical Directors Association (JAMDA), 22(9), 1939–1945. https://doi.org/10.1016/j.jamda.2021.04.001

Lee, S. Y., Tung, H. H., Liu, C. Y., & Chen, L. K. (2018). Physical activity and sarcopenia in the geriatric population: A systematic review. Journal of the American Medical Directors Association (JAMDA), 19(5), 378–383. https://doi.org/10.1016/j.jamda.2018.02.003

Mantovani, L. M., Viebig, R. F., & Morimoto, J. M. (2018). Associação entre estado nutricional e vulnerabilidade em idosos institucionalizados. BRASPEN Journal, 33(2), 181–187. http://arquivos.braspen.org/journal/abr-mai-jun-2018/12-AO-Associacao-entre-estado-nutricional.pdf

Ministério da Saúde (Brasil), Agência Nacional de Vigilância Sanitária. (2005). Resolução – RDC n. 283, de 26 de setembro de 2005. Brasília: Ministério da Saúde. https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2005/res0283_26_09_2005.html

Morley, J. E. (1997). Anorexia of aging: Physiologic and pathologic. The American Journal of Clinical Nutrition, 66(4), 760–773. https://doi.org/10.1093/ajcn/66.4.760

Oxford Centre for Evidence-Based Medicine. (2009). Levels of evidence. Oxford: CEBM. http://www.cebm.net/oxford-centre-evidence-basedmedicine-levels-evidence-march-2009/

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, 1–9. https://doi.org/10.1136/bmj.n71

Papamandjaris, A. A., MacDougall, D. E., & Jones, P. J. (1998). Medium chain fatty acid metabolism and energy expenditure: Obesity treatment implications. Life Sciences, 62(14), 1203–1215. https://doi.org/10.1016/s0024-3205(97)01143-0

Papaléo Netto, M. (2002). O estudo da velhice no século XX: Histórico, definição do campo e termos básicos. In F. A. X. Cançado, E. V. Freitas, M. L. Gorzoni, L. Py, & A. L. Neri (Eds.), Tratado de geriatria e gerontologia (pp. 1–12). Rio de Janeiro: Guanabara Koogan.

Pereira, D. S., Oliveira, A. C. S., Pereira, M. H. Q., & Pereira, M. L. A. S. (2017). Mini Avaliação Nutricional: Utilização e panorama nos diferentes cenários de atenção ao idoso. Revista Saúde.com, 13(1), 824–832. https://doi.org/10.22481/rsc.v13i1.426

Pereira, M. L. A. S., & Oliveira, C. A. (2016). Drug-drug interactions and adverse drug reactions in polypharmacy among older adults: An integrative review. Revista Latino-Americana de Enfermagem, 24, 1–17. https://doi.org/10.1590/1518-8345.1316.2800

Reiss, J., Iglseder, B., Alzner, R., Mayr-Pirker, B., Pirich, C., Kässmann, H., et al. (2019). Consequences of applying the new EWGSOP2 guideline instead of the former EWGSOP guideline for sarcopenia case finding in older patients. Age and Ageing, 48(5), 719–724. https://doi.org/10.1093/ageing/afz035

Rodrigues, M. C. S., & Oliveira, C. (2016). Drug-drug interactions and adverse drug reactions in polypharmacy among older adults: An integrative review. Revista Latino-Americana de Enfermagem, 24, 1–17. https://doi.org/10.1590/1518-8345.1316.2800

Sura, L., Madhavan, A., Carnaby-Mann, G., & Crary, M. (2012). Dysphagia in the elderly: Management and nutritional considerations. Clinical Interventions in Aging, 7, 287–298. https://doi.org/10.2147/CIA.S23404

Tomasi, E., Nunes, B. P., Thumé, E., Siqueira, F. V., Duro, S. M. S., Dilélio, A. S., et al. (2014). Utilização de serviços de saúde no Brasil: Associação com indicadores de excesso de peso e gordura abdominal. Cadernos de Saúde Pública, 30(7), 1515–1524. https://doi.org/10.1590/0102-311X00078413

Vieira, R. A., Gomes, M. S., & Menezes, T. N. (2015). Indicadores antropométricos de obesidade como preditores de risco para doenças crônicas em idosos. Revista Brasileira de Cineantropometria e Desempenho Humano, 17(3), 269–279. https://doi.org/10.5007/1980-0037.2015v17n3p269

Villareal, D. T., Apovian, C. M., Kushner, R. F., & Klein, S. (2005). Obesity in older adults: Technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obesity Research, 13(11), 1849–1863. https://doi.org/10.1038/oby.2005.228

Volkert, D., Chourdakis, M., Faxen-Irving, G., Frühwald, T., Landi, F., Suominen, M. H., et al. (2015). ESPEN guidelines on nutrition in dementia. Clinical Nutrition, 34(6), 1052–1073. https://doi.org/10.1016/j.clnu.2015.09.004

Wanderley, V. B., Bezerra, I. N. M., Pimenta, I. D. S. F., da Silva, G., Machado, F. C. de A., Nunes, V. M. de A., & Piuvezam, G. (2020). Long-stay institutions for the elderly: The reality in Brazil. J. Health NPEPS, 5(1), 321–337. Retrieved from https://periodicos.unemat.br/index.php/jhnpeps/article/view/4183

WHO (World Health Organization). (2002). Active ageing: A policy framework. Geneva: WHO. https://www.who.int/ageing/publications/active_ageing/en/

WHO (World Health Organization). (2017). Integrated care for older people: Guidelines on community-level interventions to manage declines in intrinsic capacity. Geneva: WHO. https://www.who.int/publications/i/item/9789241550109

Yamada, M., Nishiguchi, S., Fukutani, N., Tanigawa, T., Yukutake, T., Kayama, H., et al. (2013). Prevalence of sarcopenia in community-dwelling Japanese older adults. Journal of the American Medical Directors Association (JAMDA), 14(12), 911–915. https://doi.org/10.1016/j.jamda.2013.08.015

Yang, L. J., Wu, G. H., Yang, Y. L., Wu, Y. H., Zhang, L., Wang, M. H., et al. (2019). Effects of exercise on physical performance in older adults: A randomized controlled trial. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 25, 4390–4399. https://doi.org/10.12659/MSM.914031

Yoshimura, Y., Wakabayashi, H., & Nagano, F. (2020). Sarcopenia and nutritional status in older patients with cardiovascular disease. Journal of Clinical Medicine, 9(8), 2555. https://doi.org/10.3390/jcm9082555

Zamboni, M., Mazzali, G., Fantin, F., Rossi, A., & Di Francesco, V. (2008). Sarcopenic obesity: A new category of obesity in the elderly. Nutrition, Metabolism and Cardiovascular Diseases, 18(5), 388–395. https://doi.org/10.1016/j.numecd.2007.10.002

Published

16/12/2024

How to Cite

PUPIN, C. de F. .; DEGANI, G. C. . Nutritional management for institutionalized elderly people with sarcopenia: Integrative review. Research, Society and Development, [S. l.], v. 13, n. 12, p. e172131247843, 2024. DOI: 10.33448/rsd-v13i12.47843. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/47843. Acesso em: 5 jan. 2025.

Issue

Section

Review Article