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The role of nutrition in geriatric rehabilitation

Diekmann, Rebecca; Wojzischke, Julia

Current Opinion in Clinical Nutrition and Metabolic Care: January 2018 - Volume 21 - Issue 1 - p 14–18
doi: 10.1097/MCO.0000000000000433
AGEING: BIOLOGY AND NUTRITION: Edited by Jürgen M. Bauer and John E. Morley
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Purpose of review To highlight the importance of nutrition in older adults undergoing a rehabilitation program. Geriatric rehabilitation aims at the recovery of physical abilities for a largely independent life in the community. The term ‘geriatric rehabilitation’ is wide and includes inpatient and ambulatory care as well as rehabilitation programs in hospitals, also outside geriatric wards. The role of nutrition is therefore not clearly defined, but an association between declined functional status and low nutritional status is evident.

Recent findings An association has been identified between malnutrition and low physical function or lower rehabilitation effect, respectively. In intervention trials with nutritional care (additional energy or protein), a number of benefits for muscle mass, muscle strength, physical function, or the outcomes quality of life and rehospitalization were identified. In this context, the combination of exercise and adequate nutrition seems to be beneficial.

Summary Geriatric patients undergoing a rehabilitation program outside inpatient, ambulatory, or hospitalization care need an adequate supply of energy and nutrients. Malnutrition must be avoided, ideally before starting rehabilitation. Nutritional interventions are most beneficial in combination with exercise training.

Department for Health Services Research, Assistance Systems and Medical Devices, Carl von Ossietzky University Oldenburg, Oldenburg, Germany

Correspondence to Rebecca Diekmann, PhD, Department for Health Services Research, Assistance Systems and Medical Devices, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstraße 140, Oldenburg D-26129, Germany. Tel: +49 0 441 798 4359; e-mail: rebecca.diekmann@uol.de

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