scholarly journals Effectiveness of eHealth nutritional interventions for middle-aged and older adults: a systematic review and meta-analysis (Preprint)

10.2196/15649 ◽  
2019 ◽  
Author(s):  
Caroline Robert ◽  
Mojisola Erdt ◽  
James Lee ◽  
Yuanyuan Cao ◽  
Nurhazimah Binte Naharudin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Meta Analysis ◽  
Middle Aged ◽  
Nutritional Interventions

scholarly journals Effectiveness of eHealth Nutritional Interventions for Middle-Aged and Older Adults: Systematic Review and Meta-analysis (Preprint)

2019 ◽  
Author(s):  
Caroline Robert ◽  
Mojisola Erdt ◽  
James Lee ◽  
Yuanyuan Cao ◽  
Nurhazimah Binte Naharudin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Health Services ◽  
Clinical Outcomes ◽  
Meta Analysis ◽  
Behavioral Outcomes ◽  
Health Interventions ◽  
Significant Heterogeneity ◽  
Middle Aged ◽  
Nutritional Interventions

BACKGROUND The risk of development of chronic diseases related to poor nutrition increases with age. In the face of an aging population, it is important for health care sectors to find solutions in delivering health services efficiently and effectively to middle-aged and older adults. OBJECTIVE The aim of this systematic review and meta-analysis was to consolidate the literature that reported the effectiveness of eHealth apps in delivering nutritional interventions for middle-aged and older adults. METHODS A literature search from five databases (PubMed, CINAHL, Cochrane, Web of Science, and Global Health) from the past 5 years was performed. Studies were selected for inclusion that used eHealth to deliver nutritional interventions to adults aged 40 years and above, and reported health and behavioral outcomes. Two independent reviewers searched for research articles and assessed the eligibility of studies to be included in the review. A third reviewer resolved disagreements on study inclusion. We also assessed the quality of the included studies using the CONSORT 2010 checklist. RESULTS A total of 70 studies were included for analysis. The study quality ranged from 44% to 85%. The most commonly used eHealth intervention type was mobile apps (22/70, 31%). The majority of studies (62/70, 89%) provided multicomponent health interventions, which aimed to improve nutrition and other health behaviors (eg, exercise, smoking cessation, medication adherence). Meta-analysis results indicated high and significant heterogeneity; hence, conclusions based on these results should be considered with caution. Nonetheless, the results generally showed that eHealth interventions improved anthropometric and clinical outcomes, but not behavioral outcomes such as fruit and vegetable consumption. CONCLUSIONS The use of eHealth apps to deliver health interventions has been increasing in recent years, and these apps have the potential to deliver health services to a larger group of people. Our findings showed that the effectiveness of eHealth apps to deliver health interventions for middle-aged to older adults was supported by the improvement of anthropometric and clinical outcomes. Future work could aim to develop research frameworks in administering eHealth interventions to address heterogeneity in this field of research.

scholarly journals Nutritional interventions for the management of frailty in older adults: systematic review and meta-analysis of randomized clinical trials

2020 ◽  
Author(s):  
Mariana B de Moraes ◽  
Christina Avgerinou ◽  
Fernanda B Fukushima ◽  
Edison I O Vidal
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Muscle Strength ◽  
Older People ◽  
Meta Analysis ◽  
Nutritional Supplements ◽  
Cochrane Central Register ◽  
Nutritional Education ◽  
Nutritional Interventions ◽  
Meta Analyses

Abstract Context Although nutrition is considered an important intervention for the management of frailty, the actual effectiveness of interventions addressing nutrition in frail older people remains unclear. Objective The aim for this systematic review was to appraise the evidence regarding the effectiveness of nutritional interventions for the management of frailty in older adults. Data Extraction We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, Web of Science, and Latin American and Caribbean Health Sciences Literature databases were searched from January 2001 to November 2019. Two independent reviewers extracted relevant data. From 2370 initial records, 19 publications presenting data from 17 studies (1564 individuals; follow-up: 7–96 weeks) were included. Data Analysis None of the Bayesian random-effects meta-analyses comparing nutritional supplements with placebo regarding mortality, body mass index, weight, frailty status, muscle strength, gait speed, body composition, and cognitive function showed statistically significant differences. The same applies to a single meta-analysis comparing nutritional education with general health advice regarding muscle strength. Conclusion Our results suggest, mostly with low to very low degrees of certainty, that nutritional supplements or nutritional education delivered in isolation may not be effective for the management of frailty in older people. Review registration number CRD42018111510 (PROSPERO).

scholarly journals Physical activity and successful aging among middle-aged and older adults: a systematic review and meta-analysis of cohort studies

Aging ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 7704-7716 ◽  
Author(s):  
Yi-Hsuan Lin ◽  
Yi-Chun Chen ◽  
Yen-Chiang Tseng ◽  
Shih-tzu Tsai ◽  
Yen-Han Tseng
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Cohort Studies ◽  
Successful Aging ◽  
Meta Analysis ◽  
Middle Aged
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