• Medientyp: E-Artikel
  • Titel: Macronutrient Intake and Inadequacies of Community-Dwelling Older Adults, a Systematic Review
  • Beteiligte: ter Borg, Sovianne; Verlaan, Sjors; Mijnarends, Donja M.; Schols, Jos M.G.A.; de Groot, Lisette C.P.G.M.; Luiking, Yvette C.
  • Erschienen: S. Karger AG, 2015
  • Erschienen in: Annals of Nutrition and Metabolism
  • Sprache: Englisch
  • DOI: 10.1159/000435862
  • ISSN: 0250-6807; 1421-9697
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;/i&gt;&lt;/b&gt; Anorexia of ageing may predispose older adults to under-nutrition and protein energy malnutrition. Studies, however, report a large variation in nutrient inadequacies among community-dwelling older adults. &lt;b&gt;&lt;i&gt;Summary:&lt;/i&gt;&lt;/b&gt; This systematic review provides a comprehensive overview of the energy and macronutrient intakes and possible inadequacies in community-dwelling older adults. PubMed and EMBASE were screened up to December 2013; data from national nutrition surveys were added. Forty-six studies were included, following the PRISMA guideline. &lt;b&gt;&lt;i&gt;Key Messages:&lt;/i&gt;&lt;/b&gt; Mean daily energy intake was 8.9 MJ in men and 7.3 MJ in women. Mean daily carbohydrate and protein intakes were 46 and 15 En% in men and 47 and 16 En% in women, respectively. Mean daily total fat, saturated fatty acid (SFA), mono-unsaturated fatty acid (MUFA) and poly-unsaturated fatty acid intakes were respectively 34, 13, 13 and 5-6 En%. The carbohydrates and MUFA intakes are below the acceptable macronutrient distribution ranges (AMDR). Fat intake is relatively high, and SFA intake exceeds the upper-AMDR. Based on the estimated average requirement (EAR) cut-point method, 10-12% of older adults do not meet the EAR for protein. To interpret a possible energy imbalance additional information is needed on physical activity, energy expenditure and body weight changes. This systematic review indicates a suboptimal dietary macronutrient distribution and a large variation in nutrient intakes among community-dwelling older adults.</jats:p>