López Plaza Bricia, Gómez Candela Carmen, Bermejo López Laura M
Hospital Universitario La Paz.
Instituto De Investigación Sanitaria Del Hospital Universitario La Paz (idipaz).
Nutr Hosp. 2019 Aug 27;36(Spec No3):49-52. doi: 10.20960/nh.02809.
Introduction: frailty and sarcopenia are prevalent conditions in older adults which diagnosis and treatment often overlap. Objective: to analyze the nutritional problematic related to frailty and sarcopenia in older adults. Methods: a literature review, about particularities of frailty and sarcopenia, diagnosis and nutritional treatment, has been carried out. Results: frailty is a geriatric syndrome that can be identified by at least three of the following criteria: weight loss, exhaustion, reduced physical activity, increased walk time, low grip strength. Sarcopenia is a muscular disease characterized by low muscle mass and reduced muscle strength as the main determinant. Both conditions can benefit from adequate protein intake (1-1.5 g/kg/day) and regular physical activity. Conclusion: identification, prevention, monitoring and nutritional treatment of frailty and sarcopenia in older adults is important because of its high prevalence. The main goal is to maintain the muscular integrity and minimize muscle loss in older adults. A healthy aging includes regular physical activity and the fulfillment of the protein requirements of this population.
衰弱和肌肉减少症在老年人中普遍存在，其诊断和治疗往往相互重叠。目的：分析老年人中与衰弱和肌肉减少症相关的营养问题。方法：进行了一项关于衰弱和肌肉减少症的特殊性、诊断及营养治疗的文献综述。结果：衰弱是一种老年综合征，可通过以下至少三条标准来识别：体重减轻、疲惫、身体活动减少、步速增加、握力降低。肌肉减少症是一种以低肌肉量和肌肉力量降低为主要决定因素的肌肉疾病。这两种情况都可从充足的蛋白质摄入（1-1.5克/千克/天）和规律的身体活动中获益。结论：由于衰弱和肌肉减少症在老年人中患病率高，对其进行识别、预防、监测和营养治疗很重要。主要目标是维持老年人的肌肉完整性并尽量减少肌肉流失。健康老龄化包括规律的身体活动以及满足该人群的蛋白质需求。
