Evidence map›Paper›PMID 32022999›Full record

SynthesisNutrition & dietetics : the journal of the Dietitians Association of Australia2020

Nutrition interventions implemented in hospital to lower risk of sarcopenia in older adults: A systematic review of randomised controlled trials.

Grace E Rus, Judi Porter, Alexandra Brunton, Meghan Crocker, Zoe Kotsimbos, Jessica Percic, Louise Polzella, Natasha Willet, Catherine E Huggins

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
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  11. Review
  12. Observational
  13. Article
  14. Functionality of Bread and Beverage Added withFoods (Basel, Switzerland) · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Grace E RusThe Mornington Centre, Peninsula Health, Melbourne, Victoria, Australia.
Judi PorterDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-7535-1919
Alexandra BruntonDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.
Meghan CrockerDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.
Zoe KotsimbosDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.
Jessica PercicDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.
Louise PolzellaDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.
Natasha WilletDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.
Catherine E HugginsDepartment of Nutrition, Dietetics and Food, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0003-3929-7756
Monash University · AUEastern Health · AUPeninsula Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThere is no standardised interventional approach to preventing or treating sarcopenia in older adults in hospital. The aim of this review was to systematically identify and synthesise the effects of nutritional interventions on markers of sarcopenia in hospitalised patients aged 65 years and older.

methodsFour databases were searched using terms for intervention, population and setting. Eligibility screening of title and abstract and then full-text papers was competed in duplicate, independently. The final included papers were assessed for quality, and outcome data extracted independently and in duplicate. Outcome data were synthesised by meta-analysis, where possible, or narratively.

resultsSeven hundred and thirty-two articles were screened for eligibility yielding six studies for inclusion. All studies provided oral nutritional support that aimed to increase protein intake ranging from an additional 10 to 40 g/d, each with a unique formulation of amino acids and/or micronutrients; three studies combined nutritional intervention with an enhanced physical activity program. Five studies measured hand grip strength, the mean difference was 1.97 kg (95% CI 0.55-3.39, P = .006) greater in the intervention group (n = 166) compared with control group (n = 165). Assessment of muscle mass and activities of daily living were heterogeneous and the changes inconsistent between studies.

conclusionsFew studies inform nutritional management of inpatients with sarcopenia or at risk of sarcopenia. High quality, large intervention trials are needed urgently to identify the optimal nutrition and physical activity intervention combinations to manage sarcopenia in older hospitalised adults. These studies need to include outcome measures of physical function and muscle quality.

Indexed as

Databases, FactualActivities of Daily LivingAgedDietary ProteinsDietary SupplementsExerciseFemaleGeriatric AssessmentHand StrengthHospitalizationHumansInpatientsMaleMeta-Analysis as TopicMicronutrientsNutritional StatusDietary ProteinsMicronutrientsexercisegeriatricinpatientsinterventionnutritional supplementrehabilitationsarcopenia

Identifiers

PMID32022999
PMCPMC7383582
OpenAlexW3004628026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.