Impact of food-based fortification on nutritional outcomes and acceptability in older adults: systematic literature review

被引:4
作者
Geny, Alexia [1 ]
Petitjean, Maite [1 ]
Van Wymelbeke-Delannoy, Virginie [1 ,2 ]
Sulmont-Rosse, Claire [1 ]
机构
[1] Univ Bourgogne, Inst Agro, Ctr Sci Gout & Alimentat, CNRS,INRAE, Dijon, France
[2] CHU Dijon Bourgogne, Un Rech Pole Personnes Agees, Dijon, France
来源
FRONTIERS IN NUTRITION | 2023年 / 10卷
基金
英国生物技术与生命科学研究理事会;
关键词
elderly; enrichment; supplementation; food-first; malnutrition; intake; body weight; acceptability; NURSING-HOME RESIDENTS; WHEY-PROTEIN SUPPLEMENTATION; IMPROVE ENERGY-INTAKE; QUALITY-OF-LIFE; PHYSICAL PERFORMANCE; EFFECTIVE STRATEGY; DIETARY PATTERNS; FORTIFIED FOODS; ENRICHED BREAD; FAMILIAR FOODS;
D O I
10.3389/fnut.2023.1232502
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: "Do it yourself" (DIY) food-based fortification involves adding fortificants into everyday foods. It is a flexible solution that allows older people with reduced appetite to meet their nutritional needs.Objectives: The aims of the systematic review are (a) to describe DIY fortified recipes, (b) to evaluate their acceptability, and (c) to evaluate whether they are effective levers to improve nutritional outcomes in older people.Methods: A systematic search of 3 databases (Web of Science, PubMed, Scopus, last searched on January 2022) was undertaken. Main eligibility criteria include older adults aged >= 60 years living at home, in an institution or in hospital. Studies carried out for a specific medical condition or targeting only micronutrient fortification were excluded. After reviewing all titles/abstracts then full-text papers, key data were extracted and synthesized narratively. The quality of included studies was assessed using Kmet et al.Results: Of 21,493 papers extracted, 44 original studies were included (3,384 participants), with 31 reporting nutritional outcomes, 3 reporting acceptability outcomes and 10 reporting both nutritional and acceptability outcomes. The review highlighted a wide variety of DIY fortified recipes, with additional energy ranging from 23 to 850 kcal/d (M = 403; SE = 62) and/or protein ranging from 4 to 40 g/d (M = 19; SE = 2). Compared to a standard diet, DIY fortification seems to be a valuable strategy for increasing energy and protein intake in older people. However, no strong evidence was observed on the nutritional status.Implication for future: Further acceptability studies are crucial to ensure that DIY fortified foods are palatable and thus have a significant impact on the nutritional status. In addition, it would be useful for studies to better describe DIY recipes. This information would result in a better understanding of the factors that maximize the impact of DIY fortification on nutritional outcomes. Study registration: PROSPERO no. CRD42021244689.
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页数:24
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共 84 条
  • [1] Abeshu M. A., 2016, Journal of Nutrition and Food Sciences, V6, P459
  • [2] AFNOR, 2000, Methodologie: Directives generales pour la realisation depreuves hedoniques en laboratoire devaluation sensorielle ou en salle en conditions controlees impliquant des consommateurs, P23
  • [3] Clinical Impact of Nutritional Status and Energy Balance in Elderly Hospitalized Patients
    Allepaerts, Sophie
    Buckinx, F.
    Bruyere, O.
    Reginster, J. Y.
    Paquot, N.
    Gillain, S.
    [J]. JOURNAL OF NUTRITION HEALTH & AGING, 2020, 24 (10) : 1073 - 1079
  • [4] Food Services Using Energy- and Protein-Fortified Meals to Assist Vulnerable Community-Residing Older Adults Meet Their Dietary Requirements and Maintain Good Health and Quality of Life: Findings from a Pilot Study
    Arjuna, Tony
    Miller, Michelle
    Ueno, Tomoko
    Visvanathan, Renuka
    Lange, Kylie
    Soenen, Stijn
    Chapman, Ian
    Luscombe-Marsh, Natalie
    [J]. GERIATRICS, 2018, 3 (03)
  • [5] A recipe for improving food intakes in elderly hospitalized patients
    Barton, AD
    Beigg, CL
    MacDonald, IA
    Allison, SP
    [J]. CLINICAL NUTRITION, 2000, 19 (06) : 451 - 454
  • [6] Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group
    Bauer, Juergen
    Biolo, Gianni
    Cederholm, Tommy
    Cesari, Matteo
    Cruz-Jentoft, Alfonso J.
    Morley, John E.
    Phillips, Stuart
    Sieber, Cornel
    Stehle, Peter
    Teta, Daniel
    Visvanathan, Renuka
    Volpi, Elena
    Boirie, Yves
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2013, 14 (08) : 542 - 559
  • [7] Beck AM, 2002, AGING CLIN EXP RES, V14, P212
  • [8] Protein enrichment of familiar foods as an innovative strategy to increase protein intake in institutionalized elderly
    Beelen, J.
    De Roos, N. M.
    De Groot, L. C. P. G. M.
    [J]. JOURNAL OF NUTRITION HEALTH & AGING, 2017, 21 (02) : 173 - 179
  • [9] Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial
    Beelen, Janne
    Vasse, Emmelyne
    Janssen, Nancy
    Janse, Andre
    de Roos, Nicole M.
    de Groot, Lisette C. P. G. M.
    [J]. CLINICAL NUTRITION, 2018, 37 (04) : 1186 - 1192
  • [10] A 12-week intervention with protein-enriched foods and drinks improved protein intake but not physical performance of older patients during the first 6 months after hospital release: a randomised controlled trial
    Beelen, Janne
    de Roos, Nicole M.
    de Groot, Lisette C. P. G. M.
    [J]. BRITISH JOURNAL OF NUTRITION, 2017, 117 (11) : 1541 - 1549