Association between nutritional deficiencies and sarcopenia in the elderly: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.9638

Keywords:

Sarcopenia; Nutrients; Food consumption.

Abstract

Sarcopenia is characterized by reduced muscle mass, associated with decreased muscle strength or physical performance and presents itself as an important problem that affects individuals over the years. In the current context, nutrition and physical activity have stood out as important pillars for the prevention and treatment of this frailty syndrome. The study aimed to analyze how good consumption related tô the diagnosis of sarcopenia, the food consumption of the elderly and their relationship with the diagnosis of sarcopenia, noting which are the main nutrients that are involved in this process. It is an integrative review, with a systematic search, carried out through the Pubmed databases; Scientific Electronic Scientific Library Online (SCIELO) scientific library; Latin American and Caribbean Literature on Health Sciences (LILACS) and Web of Science. The search terms were “Elderly, Nutrients, Sarcopenia and Eating”. Initially, a total of 530 publications was obtained, after careful evaluation the final sample consisted of 6 articles. Despite the lack of standardization of studies, it was observed that the consumption of inadequate proteins, micronutrients and minerals, especially vitamin D, E, A, B, magnesium, selenium, potassium, calcium and zinc, are involved in the diagnosis of sarcopenia, as well as a Mediterranean eating pattern is associated with reduced risk. The need for studies using standardized methods is emphasized in order to enable more reliable comparisons between results and of a longitudinal character.

Author Biographies

Raíra Kirlly Cavalcante Bezerra, Universidade do Estado do Rio Grande do Norte

Nutricionista graduada pelo Instituto Federal de Educação, Ciência e Tecnologia do Ceará (IFCE); Pós-Graduada em Saúde da Família pela Universidade da Integração Internacional da Lusofonia Afro-brasileira (UNILAB); Especialista em Saúde da Família e Comunidade na Categoria de Residência Integrada em Saúde pela Escola de Saúde Pública do Ceará (ESP/CE); atualmente Mestranda e bolsista CAPES em Saúde e Sociedade pelo Programa de Pós-Graduação da Universidade do Estado do Rio Grande do Norte (PPGSS-UERN) e Membro do  Grupo de Pesquisa Atenção à Saúde do Adulto e do Idoso (UERN).

Priscilla Ferreira Lemos, Universidade do Estado do Rio Grande do Norte

Fisioterapeuta pelo Centro Universitário de João; Especialista em Fisioterapia Intensiva pela Associação Brasileira de Terapia Intensiva; Aperfeiçoamento e formação no Método Pilates Clínico e Fitness com ênfase em distúrbios da coluna vertebral pela CIRP; Trabalhou como docente na Universidade Potiguar - Campus Mossoró e na Universidade Regional da Bahia (UNIRB); atualmente é Mestranda e bolsista CAPES pelo Programa de Pós-Graduação de Saúde e Sociedade (PPGSS- UERN) e Membro do Grupo de Pesquisa Atenção à Saúde do Adulto e do Idoso (UERN).

Francisca Patrícia Barreto de Carvalho, Universidade do Estado do Rio Grande do Norte

Enfermeira graduada em licenciatura e bacharelado pela Universidade do Estado do Rio Grande do Norte (UERN); Doutora em Enfermagem pelo Programa de Pós-Graduação em Enfermagem da Universidade Federal do Rio Grande do Norte (UFRN); Mestra pelo Programa de Pós-Graduação do Centro de Ciências da Saúde/Enfermagem da Universidade Federal do Rio Grande do Norte (UFRN); Especialista em Ensino de Saúde/Enfermagem pela Fundação Oswaldo Cruz (FIOCRUZ); Professora Adjunto IV da Universidade do Estado do Rio Grande do Norte (UERN); possui experiência como enfermeira do Programa de Saúde da Família e da Atenção Básica; atualmente exerce a atividade de Analista Técnico na Fundação de Apoio a Pesquisa do Rio Grande do Norte; Membro do Grupo de Pesquisa Atenção à Saúde do Adulto e do Idoso (UERN) com experiência de pesquisas em Doenças Crônicas, Envelhecimento Humano e Saúde do Idoso.

References

American Dietetic Association. (2000). Position of the American dietetic association: nutrition, aging, and the continuum of care. Journal of the American Dietetic Association, 100(5), 580-595.

Bauer, J., Biolo, G., Cederholm, T., Cesari, M., Cruz-Jentoft, A. J., Morley, J. E., ... & Visvanathan, R. (2013). Evidence-based recommendations for optimal dietary protein intake in older people: a position paper from the PROT-AGE Study Group. Journal of the american Medical Directors association, 14(8), 542-559.

Bauer, J. M., & Sieber, C. C. (2008). Sarcopenia and frailty: a clinician’s controversial point of view. Experimental gerontology, 43(7), 674-678.

Beard, J. L. (2001). Iron biology in immune function, muscle metabolism and neuronal functioning. The Journal of nutrition, 131(2), 568-580.

Beaudart, C., Locquet, M., Touvier, M., Reginster, J. Y., & Bruyère, O. (2019). Association between dietary nutrient intake and sarcopenia in the SarcoPhAge study. Aging clinical and experimental research, 31(6), 815-824.

Beaudart, C., Rizzoli, R., Bruyère, O., Reginster, J. Y., & Biver, E. (2014). Sarcopenia: burden and challenges for public health. Archives of Public Health, 72(1), 45.

Bhattoa, H. P., Konstantynowicz, J., Laszcz, N., Wojcik, M., & Pludowski, P. (2017). Vitamin D: musculoskeletal health. Reviews in Endocrine and Metabolic Disorders, 18(3), 363-371.

Bonaccio, M., Pounis, G., Cerletti, C., Donati, M. B., Iacoviello, L., & de Gaetano, G. (2017). Mediterranean diet, dietary polyphenols and low grade inflammation: results from the MOLI‐SANI study. British journal of clinical pharmacology, 83(1), 107-113.

Buckinx, F., Allepaerts, S., Paquot, N., Reginster, J. Y., De Cock, C., Petermans, J., & Bruyère, O. (2017). Energy and nutrient content of food served and consumed by nursing home residents. The journal of nutrition, health & aging, 21(6), 727-732.

Cederholm, T., Barazzoni, R. O. C. C. O., Austin, P., Ballmer, P., Biolo, G. I. A. N. N. I., Bischoff, S. C., ... & Jensen, G. L. (2017). ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical nutrition, 36(1), 49-64.

Cesari, M., Leeuwenburgh, C., Lauretani, F., Onder, G., Bandinelli, S., Maraldi, C., ... & Ferrucci, L. (2006). Frailty syndrome and skeletal muscle: results from the Invecchiare in Chianti study. The American journal of clinical nutrition, 83(5), 1142-1148.

Chaput, J. P., Lord, C., Cloutier, M., & Aubertin-Leheudre, M. (2007). Relationship between antioxidant intakes and class I sarcopenia in elderly men and women. The journal of nutrition, health & aging, 11(4), 363.

Cruz-Jentoft, A. J. (2010). European Working Group on Sarcopenia in Older People: Sarcopenia: European consensus on definition and diagnosis. Report of the European Workign Group on Sarcopenia in Older People. Age Ageing, 39, 412-423.

Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., ... & Schneider, S. M. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and ageing, 48(1), 16-31.

Cruz-Jentoft, A. J., Landi, F., Schneider, S. M., Zúñiga, C., Arai, H., Boirie, Y., ... & Sieber, C. (2014). Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age and ageing, 43(6), 748-759.

De Baaij, J. H., Hoenderop, J. G., & Bindels, R. J. (2015). Magnesium in man: implications for health and disease. Physiological reviews, 95(1),1-46.

Deutz, N. E., Bauer, J. M., Barazzoni, R., Biolo, G., Boirie, Y., Bosy-Westphal, A., ... & Singer, P. (2014). Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clinical nutrition, 33(6), 929-936.

Ercole, F. F., Melo, L. D., & Alcoforado, C. L. G. C. (2014). Integrative review versus systematic review. Rev Min Enferm, 18(1), 9-12.

Esmaillzadeh, A., Kimiagar, M., Mehrabi, Y., Azadbakht, L., Hu, F. B., & Willett, W. C. (2007). Dietary patterns and markers of systemic inflammation among Iranian women. The Journal of nutrition, 137(4), 992-998.

Ferreira-Nunes, P. M., Papini, S. J., & Corrente, J. E. (2018). Eating patterns and nutrient intake for older people: analysis with different methodological approaches. Ciência & Saúde Coletiva, 23, 4085-4094.

Granic, A., Mendonça, N., Sayer, A. A., Hill, T. R., Davies, K., Siervo, M., ... & Jagger, C. (2020). Effects of dietary patterns and low protein intake on sarcopenia risk in the very old: The Newcastle 85+ study. Clinical Nutrition, 39(1), 166-173.

Hashemi, R., Motlagh, A. D., Heshmat, R., Esmaillzadeh, A., Payab, M., Yousefinia, M., ... & Baygi, F. (2015). Diet and its relationship to sarcopenia in community dwelling Iranian elderly: a cross sectional study. Nutrition, 31(1), 97-104.

Huang, R. Y., Yang, K. C., Chang, H. H., Lee, L. T., Lu, C. W., & Huang, K. C. (2016). The association between total protein and vegetable protein intake and low muscle mass among the community-dwelling elderly population in Northern Taiwan. Nutrients, 8(6), 373.

Iuliano, S., Olden, A., & Woods, J. (2013). Meeting the nutritional needs of elderly residents in aged-care: are we doing enough?. The journal of nutrition, health & aging, 17(6), 503-508.

Kim, J., Lee, Y., Kye, S., Chung, Y. S., & Kim, K. M. (2015). Association of vegetables and fruits consumption with sarcopenia in older adults: the Fourth Korea National Health and Nutrition Examination Survey. Age and ageing, 44(1), 96-102.

Kuo, Y. H., Wang, T. F., Liu, L. K., Lee, W. J., Peng, L. N., & Chen, L. K. (2019). Epidemiology of sarcopenia and factors associated with it among community-dwelling older adults in Taiwan. The American Journal of the Medical Sciences, 357(2), 124-133.

Loney, P. L., Chambers, L. W., Bennett, K. J., Roberts, J. G., & Stratford, P. W. (1998). Critical appraisal of the health research literature: prevalence or incidence of a health problem. Chronic Dis Can, 19(4), 170-6.

Malafarina, V., Uriz-Otano, F., Gil-Guerrero, L., & Iniesta, R. (2013). The anorexia of ageing: physiopathology, prevalence, associated comorbidity and mortality. A systematic review. Maturitas, 74(4), 293-302.

Monteiro, M. A. M. (2009). Percepção sensorial dos alimentos em idosos. Espaç. saúde (Online), 34-42.

Pereira, A.S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. 1ª. ed. Santa Maria, RS: UFSM, NTE.

Reis Filho, A. D. D., Coelho, C. D. F., Voltarelli, F. A., Ferrari Junior, J., Ravagnani, F. C. D. P., Fett, W. C. R., & Fett, C. A. (2011). Associação entre variáveis antropométricas, perfil glicêmico e lipídico em mulheres idosas. Revista Brasileira de Geriatria e Gerontologia, 14(4), 675-686.

Reis, S.D.S., Landim, L.A.S.R. (2020) O processo de envelhecimento e sua relação entre sarcopenia, consumo de proteína e estado nutricional: uma revisão de literatura. Research, Society and Development, 9(11), e2009119671.

Robinson, S. M., Jameson, K. A., Batelaan, S. F., Martin, H. J., Syddall, H. E., Dennison, E. M., ... & Hertfordshire Cohort Study Group. (2008). Diet and its relationship with grip strength in community‐dwelling older men and women: the Hertfordshire cohort study. Journal of the American Geriatrics Society, 56(1), 84-90.

Rodríguez-Rejón, A. I., Ruiz-López, M. D., & Artacho, R. (2019). Dietary Intake and Associated Factors in Long-Term Care Homes in Southeast Spain. Nutrients, 11(2), 266.

Rondanelli, M., Faliva, M., Monteferrario, F., Peroni, G., Repaci, E., Allieri, F., & Perna, S. (2015). Novel insights on nutrient management of sarcopenia in elderly. BioMed research international, 2015.

Scott, D., Blizzard, L., Fell, J., Giles, G., & Jones, G. (2010). Associations between dietary nutrient intake and muscle mass and strength in community‐dwelling older adults: the Tasmanian Older Adult Cohort study. Journal of the American Geriatrics Society, 58(11), 2129-2134.

Schacht, S.R., Lind, M.V., Bechshøft, R. L., Højfeldt, G., Reitelseder, S., Jensen, T., ... & Tetens, I. (2019). Investigating risk of suboptimal macro and micronutrient intake and their determinants in older Danish adults with specific focus on protein intake—a cross-sectional study. Nutrients, 11(4), 795.

Shlisky, J., Bloom, D. E., Beaudreault, A. R., Tucker, K. L., Keller, H. H., Freund-Levi, Y., ... & Meydani, S. N. (2017). Nutritional considerations for healthy aging and reduction in age-related chronic disease. Advances in Nutrition, 8(1), 17-26.

Silva, R. B. (2017). Dieta mediterrânea e desfechos músculo-funcionais em idosos não institucionalizados: revisão sistemática e meta análise.

Sociedade Brasileira de Nutrição Parenteral e Enteral (BRASPEN) (2019). Reprinted from: 3o Suplemento Diretrizes BRASPEN de Terapia Nutricional, v.34, p. 2-58.

Ter Borg, S., de Groot, L. C., Mijnarends, D. M., de Vries, J. H., Verlaan, S., Meijboom, S., ... & Schols, J. M. (2016). Differences in nutrient intake and biochemical nutrient status between sarcopenic and nonsarcopenic older adults—results from the Maastricht Sarcopenia Study. Journal of the American Medical Directors Association, 17(5), 393-401.

Ter Borg, S., Verlaan, S., Hemsworth, J., Mijnarends, D. M., Schols, J. M., Luiking, Y. C., & de Groot, L. C. (2015). Micronutrient intakes and potential inadequacies of community-dwelling older adults: a systematic review. British Journal of Nutrition, 113(8), 1195-1206.

Van Dronkelaar, C., van Velzen, A., Abdelrazek, M., van der Steen, A., Weijs, P. J., & Tieland, M. (2018). Minerals and sarcopenia; the role of calcium, iron, magnesium, phosphorus, potassium, selenium, sodium, and zinc on muscle mass, muscle strength, and physical performance in older adults: a systematic review. Journal of the American Medical Directors Association, 19(1), 6-11.

Verlaan, S., Aspray, T. J., Bauer, J. M., Cederholm, T., Hemsworth, J., Hill, T. R., ... & Ter Borg, S. (2017). Nutritional status, body composition, and quality of life in community-dwelling sarcopenic and non-sarcopenic older adults: A case-control study. Clinical Nutrition, 36(1), 267-274.

Wells, G. A., Shea, B., O’Connell, D., Peterson, J., Welch, V., Losos, M., & Tugwell, P. (2000). The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses.

Yago Torregrosa, M.D.. Martínez de Victoria, E.; Mañas Almendros, M (2017). Evaluación del estado nutricional: Valoración dietética. In Tratado de Nutrición. Tomo IV. Nutrición Humana en el Estado de Salud, 3rd ed.; Gil-Campos, M., Martínez de Victoria, E., Maldonado, J., Eds.; Panamericana, S.A.: Madrid, España.

Zhao, Y., Zhang, Y., Hao, Q., Ge, M., & Dong, B. (2019). Sarcopenia and hospital-related outcomes in the old people: a systematic review and meta-analysis. Aging Clinical and Experimental Research, 31(1), 5-14.

Published

15/11/2020

How to Cite

Bezerra, R. K. C., Lemos, P. F., & Carvalho, F. P. B. de. (2020). Association between nutritional deficiencies and sarcopenia in the elderly: an integrative review. Research, Society and Development, 9(11), e3099119638. https://doi.org/10.33448/rsd-v9i11.9638

Issue

Section

Health Sciences