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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><b><i>Background:</i></b> 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. <b><i>Summary:</i></b> 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. <b><i>Key Messages:</i></b> 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>