Nutritional interventions among community-dwelling frail elderly : a systematic review

2013 ◽  
Author(s):  
Miranda Wang
Keyword(s):  
Systematic Review ◽  
Frail Elderly ◽  
Community Dwelling ◽  
Nutritional Interventions

Impact of interventions to reduce overnutrition on healthcare costs related to obesity and type 2 diabetes: a systematic review

2019 ◽  
Vol 78 (5) ◽  
pp. 412-435
Author(s):  
Michaela Olm ◽  
Renée G Stark ◽  
Nathanael Beck ◽  
Christina Röger ◽  
Reiner Leidl
Keyword(s):  
Systematic Review ◽  
Type 2 Diabetes ◽  
Economic Evaluation ◽  
Healthcare Costs ◽  
Health Economic Evaluation ◽  
Economic Modeling ◽  
Community Dwelling ◽  
Nutritional Interventions ◽  
Healthcare Needs

Abstract Context In recent decades, obesity and type 2 diabetes mellitus (T2DM) have both become global epidemics associated with substantial healthcare needs and costs. Objective The aim of this review was to critically assess nutritional interventions for their impact on healthcare costs to community-dwelling individuals regarding T2DM or obesity or both, specifically using CHEERS (Consolidated Health Economic Evaluation Reporting Standards) criteria to assess the economic components of the evidence. Data Sources Searches were executed in Embase, EconLit, AgEcon, PubMed, and Web of Science databases. Study Selection Studies were included if they had a nutritional perspective, reported an economic evaluation that included healthcare costs, and focused on obesity or T2DM or both. Studies were excluded if they examined clinical nutritional preparations, dietary supplements, industrially modified dietary components, micronutrient deficiencies, or undernutrition; if they did not report the isolated impact of nutrition in complex or lifestyle interventions; or if they were conducted in animals or attempted to transfer findings from animals to humans. Data Extraction A systematic review was performed according to PRISMA guidelines. Using predefined search terms, 21 studies evaluating food habit interventions or taxation of unhealthy foods and beverages were extracted and evaluated using CHEERS criteria. Results Overall, these studies showed that nutrition interventions and taxation approaches could lead to cost savings and improved health outcomes when compared with current practice. All of the included studies used external sources and economic modeling or risk estimations with population-attributable risks to calculate economic outcomes. Conclusions Most evidence supported taxation approaches. The effect of nutritional interventions has not been adequately assessed. Controlled studies to directly measure economic impacts are warranted.

Nutritional interventions in community-dwelling Alzheimer patients with (risk of) undernutrition: a systematic review

2014 ◽  
Vol 26 (9) ◽  
pp. 1445-1453 ◽  
Author(s):  
Erika Droogsma ◽  
Dieneke van Asselt ◽  
Jolanda van Steijn ◽  
Nic Veeger ◽  
Ingeborg van Dusseldorp ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nutritional Supplements ◽  
Cochrane Collaboration ◽  
Risk Of Bias ◽  
Community Dwelling ◽  
Nutritional Interventions ◽  
Oral Nutritional Supplements ◽  
The Cochrane Collaboration ◽  
Negative Health Outcomes ◽  
Current Guidelines

ABSTRACTBackground:Weight loss and undernutrition are common in patients with Alzheimer's disease (AD) and associated with negative health outcomes. In the current guidelines on diagnosis and treatment of AD, no recommendations for treatment of (risk of) undernutrition in community-dwelling AD patients are given.Methods:We conducted a systematic review on the effect of nutritional interventions in community-dwelling AD patients with (risk of) undernutrition, according to the methods outlined by the Cochrane Collaboration. Three electronic databases and three trial registers were searched from inception till April 2013.Results:Literature search in the electronic databases yielded 546 records of which one was relevant for this review. This study, with a high risk of bias, demonstrated that oral nutritional supplements improved nutritional outcomes without effect on clinical and biochemical outcomes. The search in the trial registers yielded 369 records of which two were relevant. One trial was terminated because of failing inclusion, the other is ongoing.Conclusions:This systematic review on the effect of nutritional interventions in community-dwelling AD patients with (risk of) undernutrition, reveals a serious lack of evidence. Therefore, it is not possible to state what the best approach is.

scholarly journals Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review

2009 ◽  
Vol 6 (4) ◽  
pp. 315-329 ◽  
Author(s):  
Susanne Gustafsson ◽  
Anna-Karin Edberg ◽  
Boo Johansson ◽  
Synneve Dahlin-Ivanoff
Keyword(s):  
Systematic Review ◽  
Health Promotion ◽  
Disease Prevention ◽  
Frail Elderly ◽  
Community Dwelling ◽  
Elderly Persons
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