nutrients-logo

Journal Browser

Journal Browser

Malnutrition, Acute Sarcopenia and Wasting Syndromes during Hospital Stay

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Geriatric Nutrition".

Deadline for manuscript submissions: closed (25 April 2024) | Viewed by 1959

Special Issue Editor


E-Mail Website
Guest Editor
Unit of General Medicine and Advanced Care, IRCCS San Raffaele Institute, 20132 Milan, Italy
Interests: frailty; respiratory dysfunction; sarcopenia; geriatrics
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Despite acute disease resolutions, more than half of older people do not to recover preadmission functional levels after hospitalization. Bedrest and inflammation can cause acute sarcopenia, which is a risk factor for nosocomial-related disability. Mechanisms underpinning acute sarcopenia, its long-term consequences, screening and treatments have not yet been completely clarified.

It has recently become evident that the preservation of muscle health and functional status during hospital stay would be of paramount importance for older people. In this vulnerable population, hospitalizations represent major risks for adverse outcomes. Despite acute disease resolution, more than half of older people do not recover preadmission functional levels, even 1 year after hospital discharge. Moreover, their risk of novel disabilities, institutionalization and death increases after hospital discharge.

Poor patient mobility is one of the main causes of the development of nosocomial-related disability. Bedrest can induce skeletal muscle loss both in young and (to a greater extent) older individuals. In addition, inflammation, immune–endocrine dysregulations and reduced caloric intake further concur to acute muscle insufficiency during hospital stay. When this muscle insufficiency satisfies the criteria for the diagnosis of sarcopenia, it is named acute sarcopenia. Few studies have evaluated acute sarcopenia thus far, and further research on this topic is needed. 

Dr. Sarah Damanti
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • wasting
  • malnutrition
  • loss of muscle mass
  • inflammation
  • hospitalization

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

12 pages, 810 KiB  
Article
Prevalence and Characteristics of the Course of Dysphagia in Hospitalized Older Adults
by Ayano Nagano, Masami Onaka, Keisuke Maeda, Junko Ueshima, Akio Shimizu, Yuria Ishida, Shinsuke Nagami, Shuzo Miyahara, Keiji Nishihara, Akiyuki Yasuda, Shosuke Satake and Naoharu Mori
Nutrients 2023, 15(20), 4371; https://doi.org/10.3390/nu15204371 - 15 Oct 2023
Cited by 1 | Viewed by 1788
Abstract
Sarcopenic dysphagia (SD) is an emerging concern in geriatric medicine. This study aimed to identify the prevalence, progression, and distinct attributes of SD in patients in the Department of Geriatric Medicine. Older adult patients admitted between 2021 and 2022 were enrolled. The department [...] Read more.
Sarcopenic dysphagia (SD) is an emerging concern in geriatric medicine. This study aimed to identify the prevalence, progression, and distinct attributes of SD in patients in the Department of Geriatric Medicine. Older adult patients admitted between 2021 and 2022 were enrolled. The department conducts a comprehensive geriatric assessment (CGA) combined with a multidisciplinary team-based intervention, setting the standard for medical care. We diligently assessed the occurrence and development of dysphagia at both the admission and discharge phases. Of the 180 patients analyzed (38.9% male, mean age 86.0 ± 6.6 years), 22.8% were diagnosed with SD at admission, thrice the rate of other dysphagia variants. Only one patient had new-onset dysphagia during hospitalization, attributed to SD. Patients with SD showed a better recovery rate (18.9%) than those with other dysphagia types. Patients with diminished swallowing capacity had compromised nutritional profiles, diminished energy and protein consumption, and extended fasting durations. Although sarcopenia is a prevalent inducer of dysphagia in older adults, an integrated approach in geriatric medicine involving rehabilitation, nutrition, and dentistry is pivotal. Strategies rooted in CGA promise potential for addressing dysphagia. Full article
Show Figures

Figure 1

Back to TopTop