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The Challenge of Managing Undernutrition in Older People with Frailty

1
Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, Southampton SO16 6YD, UK
2
NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK
3
NIHR Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Wessex, University of Southampton, Southampton SO16 7NP, UK
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(4), 808; https://doi.org/10.3390/nu11040808
Received: 19 March 2019 / Revised: 5 April 2019 / Accepted: 8 April 2019 / Published: 10 April 2019
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PDF [264 KB, uploaded 10 April 2019]

Abstract

Many older people with frailty are at risk of malnutrition and poor health, yet there is evidence that improving nutrition and weight loss can reduce frailty. This will become more important as the number of older people with frailty increases worldwide in future. Identifying those at risk is challenging due to the difficulty of reaching and screening those older people most at risk, the large number of nutritional assessment tools used, and the lack of consensus on the criteria to make a diagnosis of malnutrition. The management of older people with or at risk of malnutrition should be multi-modal and multi-disciplinary, and all care staff have an important role in delivering appropriate nutritional advice and support. This paper will highlight a number of practical approaches that clinicians can take to manage malnutrition in older people with frailty in community and acute settings, including environmental changes to enhance mealtime experience, food fortification and supplementation. View Full-Text
Keywords: malnutrition; older; frail; screening; appetite; mealtime; food fortification; nutritional supplement malnutrition; older; frail; screening; appetite; mealtime; food fortification; nutritional supplement
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Roberts, H.C.; Lim, S.E.R.; Cox, N.J.; Ibrahim, K. The Challenge of Managing Undernutrition in Older People with Frailty. Nutrients 2019, 11, 808.

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