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Nutritional Management for Diseases-Related Malnutrition and Sarcopenia in Elderly People

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

Deadline for manuscript submissions: closed (10 January 2024) | Viewed by 8968

Special Issue Editor


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Guest Editor
Department of Geriatric Medicine, National Center for Geriatrics and Gerontology(NCGG), Obu, Japan
Interests: geriatric nutrition; rehabilitation nutrition
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Disease-related malnutrition is one reason for poor outcomes in older adults. Disease-related malnutrition is caused by severe diseases with inflammation, such as cancer, heart failure, hepatic failure, kidney disease, collagen diseases, and so forth. Disease-related malnutrition is also caused by conditions without inflammation, such as stroke, neurogenerative diseases, and so forth. Thus, older adults with comorbidities face nutritional issues.

The goal of this Special Issue is to focus on the importance of management for disease-related malnutrition of older adults. The Issue welcomes dedicated articles such as systematic reviews, narrative reviews, intervention studies, and observation studies.

Dr. Keisuke Maeda
Guest Editor

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Published Papers (2 papers)

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Review

19 pages, 4815 KiB  
Review
Ultrasonography for Eating and Swallowing Assessment: A Narrative Review of Integrated Insights for Noninvasive Clinical Practice
by Keisuke Maeda, Motoomi Nagasaka, Ayano Nagano, Shinsuke Nagami, Kakeru Hashimoto, Masaki Kamiya, Yuto Masuda, Kenichi Ozaki and Koki Kawamura
Nutrients 2023, 15(16), 3560; https://doi.org/10.3390/nu15163560 - 12 Aug 2023
Cited by 3 | Viewed by 4908
Abstract
Dysphagia is a syndrome of abnormal eating function resulting from a variety of causative diseases, and is associated with malnutrition. To date, the swallowing function has been difficult to examine without the use of invasive and expensive methods, such as the videofluorographic swallowing [...] Read more.
Dysphagia is a syndrome of abnormal eating function resulting from a variety of causative diseases, and is associated with malnutrition. To date, the swallowing function has been difficult to examine without the use of invasive and expensive methods, such as the videofluorographic swallowing study or fiberoptic endoscopic evaluation of swallowing. In recent years, progress has been made in the clinical application of ultrasound equipment for the evaluation of body compositions near the body surface, including the assessment of nutritional status. Ultrasound examination is a noninvasive procedure and relatively inexpensive, and the equipment required is highly portable thanks to innovations such as wireless probes and tablet monitoring devices. The process of using ultrasound to visualize the geniohyoid muscle, digastric muscle, mylohyoid muscle, hyoid bone, tongue, masseter muscle, genioglossus muscle, orbicularis oris muscle, temporalis muscle, pharynx, esophagus, and larynx, and the methods used for evaluating these structures, are provided in this study in detail. This study also aims to propose a protocol for the assessment of swallowing-related muscles that can be applied in real-world clinical practice for the diagnosis of sarcopenic dysphagia, which can occur in elderly patients with sarcopenia, and has received much attention in recent years. Full article
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17 pages, 2055 KiB  
Review
Prevalence of Malnutrition in People with Dementia in Long-Term Care: A Systematic Review and Meta-Analysis
by Emma Perry, Karen Walton and Kelly Lambert
Nutrients 2023, 15(13), 2927; https://doi.org/10.3390/nu15132927 - 28 Jun 2023
Cited by 10 | Viewed by 3507
Abstract
Dementia is a common syndrome in older people. Dementia alters eating behaviors, hunger and thirst cues, swallow function, ability to self-feed, and recognition and interest in food. There is significant variation in the reported prevalence of malnutrition among older people who live in [...] Read more.
Dementia is a common syndrome in older people. Dementia alters eating behaviors, hunger and thirst cues, swallow function, ability to self-feed, and recognition and interest in food. There is significant variation in the reported prevalence of malnutrition among older people who live in long-term care. The aim was to conduct a systematic literature review and meta-analysis of the prevalence of malnutrition in those with dementia living in long-term care using a validated nutrition assessment tool. Scopus, Web of Science, CINAHL, and Medline were searched. A random effects model was used to determine the prevalence and risk of malnutrition. Data were retrieved from 24 studies. Most of the studies were from Europe or South Asia. The prevalence of malnutrition ranged from 6.8 to 75.6%, and the risk of malnutrition was 36.5–90.4%. The pooled prevalence of malnutrition in those with dementia in long-term care was 26.98% (95% CI 22.0–32.26, p < 0.0001, I2 = 94.12%). The pooled prevalence of the risk of malnutrition in those with dementia was 57.43% (95% CI 49.39–65.28, p < 0.0001, I2 = 97.38%). Malnutrition is widespread in those with dementia living in long-term care. Further research exploring malnutrition in other industrialized countries using validated assessment tools is required. Full article
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