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UK-ENSC-2000012 May 2020

FRAILTY AND SARCOPENIA IN OLDER ADULTS

Potential for Nutrition and Exercise Strategies to Counteract Disabling Conditions

Dr Adrian Slee

Conclusions

Frailty and sarcopenia are leading causes of disability in older people. The ability to accurately screen for sarcopenia and physical frailty in routine clinical practice is of paramount importance. Use of simple, non-invasive, inexpensive and portable methods is recommended which can be used in all settings (e.g. hospital, care home, GP clinic, community and remote). Nutrition is of particular importance for prevention and treatment with focus on energy and protein intake, and diet quality (and Mediterranean type diets). Physical activity and exercise may also play an important role and may have synergistic effects with nutritional intake, although more research needs to be performed to confirm with certainty.

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The ‘Malnutrition Universal Screening Tool’ (‘MUST’) is reproduced within the RMAPP APP with the kind permission of BAPEN (British Association for Parenteral and Enteral Nutrition). For further information on ‘MUST’, see: www.bapen.org.uk/ Permission for the reproduction of ‘MUST’ is not an endorsement or recommendation for any commercially available manufactured products.

References:

1. Krznaric Z, Vranesic Bender D, Laviano A, et al. (2020) A simple remote nutritional tool and practical guidance for nutritional care in primary practice during the COVID-19 pandemic. Clin Nutr 39(7): 1983–87. 2. Stratton R, Smith T, Gabe S (2018) Managing malnutrition to improve lives and save money. Available online: www.bapen.org.uk/pdfs/reports/mag/managingmalnutrition.pdf. 3. Matheson E et al. Euro Geri Med 2016; 7(1):S3, abstract O-010. 2. Ekinci O et al. Nutr Clin Pract 2016; 31(6):829-835.