SynthesisThe journal of nutrition, health & aging2016
Effectiveness of Food-Based Fortification in Older People. A Systematic Review and Meta-Analysis.
Synthesis in The journal of nutrition, health & aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Impact of food-based fortification on nutritional outcomes and acceptability in older adults: systematic literature review.Frontiers in nutrition · 2023Pooled it
- Interventions to optimise nutrition in older people in hospitals and long-term care: Umbrella review.Scandinavian journal of caring sciences · 2022Pooled it
- Community-based supplementary feeding for food insecure, vulnerable and malnourished populations - an overview of systematic reviews.The Cochrane database of systematic reviews · 2018Pooled it
- Cost-effectiveness of protein-rich meals and snacks for increasing protein intake in older adults.The journal of nutrition, health & aging · 2024Trial
- Trial
- Oral nutrition supplements and between-meal snacks for nutrition therapy in patients with COPD identified as at nutritional risk: a randomised feasibility trial.BMJ open respiratory research · 2019Trial
- Unlocking the Functional Properties of Plant Proteins in Designing Food Formulations for Senior Adults.Comprehensive reviews in food science and food safety · 2026Review
- Prevention, Assessment, and Management of Malnutrition in Older Adults with Early Stages of Cognitive Disorders.Nutrients · 2024Review
- Are Energy and Protein Intakes Lower Than Requirements in Older Adults? An Urgent Issue in Hospitals and Nursing Homes.Nutrients · 2023Article
- Recommending ultra-processed oral nutrition supplements for unintentional weight loss: Are there risks?Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2023Review
- Promoting Protein Intake in an Ageing Population: Product Design Implications for Protein Fortification.Nutrients · 2022Article
- Chinese expert consensus on prevention and intervention for the elderly with malnutrition (2022).Aging medicine (Milton (N.S.W)) · 2022Article
- Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H.Annals of geriatric medicine and research · 2022Article
- Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management.Nutrients · 2022Review
- Article
- Article
- Influence of Age and Individual Differences on Mouthfeel Perception of Whey Protein-Fortified Products: A Review.Foods (Basel, Switzerland) · 2021Review
- Consistent Effects of Whey Protein Fortification on Consumer Perception and Liking of Solid Food Matrices (Cakes and Biscuits) Regardless of Age and Saliva Flow.Foods (Basel, Switzerland) · 2020Article
- The Journal of Cachexia, Sarcopenia and Muscle stays the front-runner in geriatrics and gerontology.Journal of cachexia, sarcopenia and muscle · 2019Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly intervention with nutritional support has been found to stop weight loss in older people malnourished or at risk of malnutrition. Enriched food could be a more attractive alternative to improve meals, than conventional oral nutritional supplements.
aimsTo determine the effectiveness of food-based fortification to prevent risk of malnutrition in elderly patients in community or institutionalized elderly patients.
methodsA systematic review was conducted of randomized controlled trials, quasi-experimental, and interrupted time series including a longitudinal analysis.
participantsElderly patients who are institutionalized, hospitalized or community-dwelling, with a minimum average age of 65 years. All type of patient groups, with the exception of people in critical care, or those who were recovering from cancer treatment, were included.
interventionStudies had to compare food-based fortification against alternatives. Studies that used oral nutritional supplementation such as commercial sip feeds, vitamin or mineral supplements were excluded. The search was conducted in Cochrane, CINAHL, PubMed, EMBASE, LILACS, and Cuiden. An independent peer review was carried out.
resultsFrom 1011 studies obtained, 7 were included for the systematic review, with 588 participants. It was possible to perform meta-analysis of four studies that provided results on caloric and protein intake. Food-based fortification yielded positive results in the total amount of ingested calories and protein. Nevertheless, due to the small number of participants and the poor quality of some studies, further high quality studies are required to provide reliable evidence. IMPLICATIONS FOR PRACTICE: Despite the limited evidence, due to their simplicity, low cost, and positive results in protein and calories intake, simple dietary interventions based on the food-based fortification or densification with protein or energy of the standard diet could be considered in patients at risk of malnutrition.
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Registered trials
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