TY - JOUR
T1 - Malnutrition in older adults
AU - Dent, Elsa
AU - Wright, Olivia R. L.
AU - Woo, Jean
AU - Hoogendijk, Emiel O.
N1 - Funding Information: We thank Jessica Tyndall, Librarian at Torrens University, Wakefield Street Campus, Adelaide (SA, Australia), for her invaluable assistance in developing our literature search strategy. We also wish to thank Dr Marc Sim, Edith Cowan University, Perth (WA, Australia), for his review of the final version of the manuscript. Publisher Copyright: © 2023 Elsevier Ltd
PY - 2023/3/18
Y1 - 2023/3/18
N2 - Malnutrition is a highly prevalent condition in older adults, and poses a substantial burden on health, social, and aged-care systems. Older adults are vulnerable to malnutrition due to age-related physiological decline, reduced access to nutritious food, and comorbidity. Clinical guidelines recommend routine screening for malnutrition in all older adults, together with nutritional assessment and individually tailored nutritional support for older adults with a positive screening test. Nutritional support includes offering individualised nutritional advice and counselling; oral nutritional supplements; fortified foods; and enteral or parenteral nutrition as required. However, in clinical practice, the incorporation of nutritional guidelines is inadequate and low-value care is commonplace. This Review discusses the current evidence on identification and treatment of malnutrition in older adults, identifies gaps between evidence and practice in clinical care, and offers practical strategies to translate evidence-based knowledge into improved nutritional care. We also provide an overview of the prevalence, causes, and risk factors of malnutrition in older adults across health-care settings.
AB - Malnutrition is a highly prevalent condition in older adults, and poses a substantial burden on health, social, and aged-care systems. Older adults are vulnerable to malnutrition due to age-related physiological decline, reduced access to nutritious food, and comorbidity. Clinical guidelines recommend routine screening for malnutrition in all older adults, together with nutritional assessment and individually tailored nutritional support for older adults with a positive screening test. Nutritional support includes offering individualised nutritional advice and counselling; oral nutritional supplements; fortified foods; and enteral or parenteral nutrition as required. However, in clinical practice, the incorporation of nutritional guidelines is inadequate and low-value care is commonplace. This Review discusses the current evidence on identification and treatment of malnutrition in older adults, identifies gaps between evidence and practice in clinical care, and offers practical strategies to translate evidence-based knowledge into improved nutritional care. We also provide an overview of the prevalence, causes, and risk factors of malnutrition in older adults across health-care settings.
UR - http://www.scopus.com/inward/record.url?scp=85148725582&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/S0140-6736(22)02612-5
DO - https://doi.org/10.1016/S0140-6736(22)02612-5
M3 - Review article
C2 - 36716756
SN - 0140-6736
VL - 401
SP - 951
EP - 966
JO - Lancet
JF - Lancet
IS - 10380
ER -