Show simple item record

dc.contributor.authorCorrea-Pérez, A
dc.contributor.authorAbraha, I
dc.contributor.authorCherubini, A
dc.contributor.authorCollinson, Avril
dc.contributor.authorDardevet, D
dc.contributor.authorde Groot, LCPGM
dc.contributor.authorde van der Schueren, MAE
dc.contributor.authorHebestreit, A
dc.contributor.authorHickson, Mary
dc.contributor.authorJaramillo-Hidalgo, J
dc.contributor.authorLozano-Montoya, I
dc.contributor.authorO'Mahony, D
dc.contributor.authorSoiza, RL
dc.contributor.authorVisser, M
dc.contributor.authorVolkert, D
dc.contributor.authorWolters, M
dc.contributor.authorJentoft, AJC
dc.date.accessioned2018-12-17T16:10:05Z
dc.date.issued2019-01
dc.identifier.issn1568-1637
dc.identifier.issn1872-9649
dc.identifier.urihttp://hdl.handle.net/10026.1/13084
dc.description.abstract

INTRODUCTION: We aimed to perform a review of SRs of non-pharmacological interventions in older patients with well-defined malnutrition using relevant outcomes agreed by a broad panel of experts. METHODS: PubMed, Cochrane, EMBASE, and CINHAL databases were searched for SRs. Primary studies from those SRs were included. Quality assessment was undertaken using Cochrane and GRADE criteria. RESULTS: Eighteen primary studies from seventeen SRs were included. Eleven RCTs compared oral nutritional supplementation (ONS) with usual care. No beneficial effects of ONS treatment, after performing two meta-analysis in body weight changes (six studies), mean difference: 0.59 (95%CI -0.08, 1.96) kg, and in body mass index changes (two studies), mean difference: 0.31 (95%CI -0.17, 0.79) kg/m2 were found. Neither in MNA scores, muscle strength, activities of daily living, timed Up&Go, quality of life and mortality. Results of other intervention studies (dietary counselling and ONS, ONS combined with exercise, nutrition delivery systems) were inconsistent. The overall quality of the evidence was very low due to risk of bias and small sample size. CONCLUSIONS: This review has highlighted the lack of high quality evidence to indicate which interventions are effective in treating malnutrition in older people. High quality research studies are urgently needed in this area.

dc.format.extent27-48
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherElsevier
dc.subjectElderly, dietary supplementation
dc.subjectProtein energy malnutrition
dc.subjectReview, systematic
dc.titleEfficacy of non-pharmacological interventions to treat malnutrition in older persons: A systematic review and meta-analysis. The SENATOR project ONTOP series and MaNuEL knowledge hub project.
dc.typejournal-article
dc.typeJournal Article
dc.typeMeta-Analysis
dc.typeResearch Support, Non-U.S. Gov't
dc.typeSystematic Review
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/30391755
plymouth.volume49
plymouth.publication-statusPublished
plymouth.journalAgeing Research Reviews
dc.identifier.doi10.1016/j.arr.2018.10.011
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Health Professions
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2018-10-25
dc.rights.embargodate2019-11-2
dc.identifier.eissn1872-9649
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.arr.2018.10.011
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-01
rioxxterms.typeJournal Article/Review


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record


All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV