Frailty and Sarcopenia in Older Adults
Frailty is a common and important geriatric syndrome characterized by age-associated declines in physiologic reserve and function across multiorgan systems, leading to increased vulnerability for adverse health outcomes including falls, disability, hospitalisation and mortality. This article by Dr Adrian Slee, PhD, BSc, describes the potential for nutrition and exercise strategies to counteract disabling conditions in frailty.
The Value of Muscle in Improving Clinical Outcomes
This article by Dr Ione Ashurst, discusses the importance of muscle mass in improving clinical outcomes and quality of life. There is a need to change the current malnutrition management approach from a focus on weight to targeting muscle mass. Screening tools should include assessment of muscle mass, and there should be a focus on the maintenance of muscle mass as a malnutrition management strategy.
Vitamin D and Protein for Muscle Health
This article by Richie Kirwan, discusses the casual effect that Vitamin D potentially has in increasing muscle mass. There is emerging evidence for the importance of vitamin D in musculoskeletal health. Therefore, ensuring adequate serum vitamin D levels is a realistic and easy strategy to improve muscle health. Vitamin D, combined with resistance exercise and adequate protein intake could help improve quality of life and reducing the risk of common, chronic diseases of ageing.
BENEFITS OF DIETARY FIBRE FOR CHILDREN IN HEALTH AND DISEASE
This consensus article from Iva Hojsak and colleagues highlights the importance of dietary fibre, an essential nutrient that is crucial for children in health and disease. Differing functional properties according to fibre type, whether bulking or fermentable, are discussed and benefits for health explained. Practical information is provided for clinicians and practitioners to help children meet their fibre needs.
IS A STANDARD ORAL NUTRITIONAL SUPPLEMENT RIGHT FOR ALL PATIENTS?
This article by Catherine Rabess BSc (Hons) RD, highlights the importance of using specialist oral nutritional supplements when indicated, to suit the individual patient’s needs. Additionally, it explores assessment tools on how to identify this as early as possible in the patient’s journey.
READMISSION AND MORTALITY IN MALNOURISHED, OLDER, HOSPITALISED ADULTS TREATED WITH A SPECIALISED ORAL NUTRITIONAL SUPPLEMENT: A RANDOMISED CLINICAL TRIAL
The NOURISH (Nutritional effect on unplanned readmissions and survival in hospitalised patients) study evaluates the impact of a high protein oral nutritional supplement containing β-hydroxy-β-methylbutyrate (HMB) on mortality and hospital readmission rates in malnourished hospitalised older adults with a range of cardiopulmonary conditions up to 90 days post-discharge.
WHAT IS ALL THE FUSS ABOUT THE GUT MICROBIOME AND 2′‐FL?
This article from Dr Akshay Batra, MBBS, MD, MRCPCH, highlights the impact of human milk oligosaccharides (HMOs) on the microbiome and their synergistic relationship; explains the diversity of probiotics in the infant microbiome; and discusses the current research regarding reduction in infant mortality and morbidities.
NEW GUIDELINES & POSITION PAPERS IN PAEDIATRIC NUTRITION: A 2015-2020 OVERVIEW
The aim of this overview is to provide the latest information from the past five years, concerning major nutritional recommendations and systematic reviews in children in general and in specific diseases and to discuss progression in the field of paediatric evidence-based nutrition practice.
GLIM Consensus Paper on Diagnosing Malnutrition
The Global Leadership Initiative in Malnutrition (GLIM) is focused on building a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings. In 2018, the GLIM leadership committee and working group published its strong support for a two-stem approach to malnutrition diagnosis, detailed in this consensus paper.
THE UNDERAPPRECIATED ROLE OF LOW MUSCLE MASS IN THE MANAGEMENT OF MALNUTRITION
This opinion article, published in Journal of American Medical Directors Association (JAMDA), addresses the role of muscle mass in improving health outcomes in a variety of disease states. It also offers strategies you can use to help patients manage low muscle mass and prevent muscle loss.