Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for Sarcopenia

Abstract General muscle health declines with age, and in particular, sarcopenia—defined as progressive loss of muscle mass and strength/physical performance—is a growing issue in Asia with a rising population of community‐dwelling older adults. Several guidelines have addressed early identification...

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Main Authors: Liang‐Kung Chen, Hidenori Arai, Prasert Assantachai, Masahiro Akishita, Samuel T.H. Chew, Lourdes Carolina Dumlao, Gustavo Duque, Jean Woo
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:Journal of Cachexia, Sarcopenia and Muscle
Subjects:
Online Access:https://doi.org/10.1002/jcsm.12981
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author Liang‐Kung Chen
Hidenori Arai
Prasert Assantachai
Masahiro Akishita
Samuel T.H. Chew
Lourdes Carolina Dumlao
Gustavo Duque
Jean Woo
author_facet Liang‐Kung Chen
Hidenori Arai
Prasert Assantachai
Masahiro Akishita
Samuel T.H. Chew
Lourdes Carolina Dumlao
Gustavo Duque
Jean Woo
author_sort Liang‐Kung Chen
collection DOAJ
description Abstract General muscle health declines with age, and in particular, sarcopenia—defined as progressive loss of muscle mass and strength/physical performance—is a growing issue in Asia with a rising population of community‐dwelling older adults. Several guidelines have addressed early identification of sarcopenia and management, and although nutrition is central to treatment of sarcopenia, there are currently few guidelines that have examined this specifically in the Asian population. Therefore, the Asian Working Group for Sarcopenia established a special interest group (SIG) comprising seven experts across Asia and one from Australia, to develop an evidence‐based expert consensus. A systematic literature search was conducted using MEDLINE on the topic of muscle health, from 2016 (inclusive) to July 2021, in Asia or with relevance to healthy, Asian community‐dwelling older adults (≥60 years old). Several key topics were identified: (1) nutritional status: malnutrition and screening; (2) diet and dietary factors; (3) nutritional supplementation; (4) lifestyle interventions plus nutrition; and (5) outcomes and assessment. Clinical questions were developed around these topics, leading to 14 consensus statements. Consensus was achieved using the modified Delphi method with two rounds of voting. Moreover, the consensus addressed the impacts of COVID‐19 on nutrition, muscle health, and sarcopenia in Asia. These statements encompass clinical expertise and knowledge across Asia and are aligned with findings in the current literature, to provide a practical framework for addressing muscle health in the community, with the overall aim to encourage and facilitate broader access to equitable care for this target population.
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spelling doaj.art-d32871ea1f414e4bb031699bb240b50c2024-04-16T18:10:50ZengWileyJournal of Cachexia, Sarcopenia and Muscle2190-59912190-60092022-06-011331653167210.1002/jcsm.12981Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for SarcopeniaLiang‐Kung Chen0Hidenori Arai1Prasert Assantachai2Masahiro Akishita3Samuel T.H. Chew4Lourdes Carolina Dumlao5Gustavo Duque6Jean Woo7Center for Healthy Longevity and Aging Sciences National Yang Ming Chiao Tung University Taipei TaiwanNational Center for Geriatrics and Gerontology Obu JapanFaculty of Medicine Siriraj Hospital Mahidol University Bangkok ThailandDepartment of Geriatric Medicine, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Geriatric Medicine Changi General Hospital, SingHealth SingaporePhilippine Society of Geriatrics and Gerontology Quezon City PhilippinesAustralian Institute for Musculoskeletal Science (AIMSS) The University of Melbourne and Western Health Melbourne Victoria AustraliaChinese University of Hong Kong Hong KongAbstract General muscle health declines with age, and in particular, sarcopenia—defined as progressive loss of muscle mass and strength/physical performance—is a growing issue in Asia with a rising population of community‐dwelling older adults. Several guidelines have addressed early identification of sarcopenia and management, and although nutrition is central to treatment of sarcopenia, there are currently few guidelines that have examined this specifically in the Asian population. Therefore, the Asian Working Group for Sarcopenia established a special interest group (SIG) comprising seven experts across Asia and one from Australia, to develop an evidence‐based expert consensus. A systematic literature search was conducted using MEDLINE on the topic of muscle health, from 2016 (inclusive) to July 2021, in Asia or with relevance to healthy, Asian community‐dwelling older adults (≥60 years old). Several key topics were identified: (1) nutritional status: malnutrition and screening; (2) diet and dietary factors; (3) nutritional supplementation; (4) lifestyle interventions plus nutrition; and (5) outcomes and assessment. Clinical questions were developed around these topics, leading to 14 consensus statements. Consensus was achieved using the modified Delphi method with two rounds of voting. Moreover, the consensus addressed the impacts of COVID‐19 on nutrition, muscle health, and sarcopenia in Asia. These statements encompass clinical expertise and knowledge across Asia and are aligned with findings in the current literature, to provide a practical framework for addressing muscle health in the community, with the overall aim to encourage and facilitate broader access to equitable care for this target population.https://doi.org/10.1002/jcsm.12981MuscleSarcopeniaOlder adultsCommunityNutritionMalnutrition
spellingShingle Liang‐Kung Chen
Hidenori Arai
Prasert Assantachai
Masahiro Akishita
Samuel T.H. Chew
Lourdes Carolina Dumlao
Gustavo Duque
Jean Woo
Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for Sarcopenia
Journal of Cachexia, Sarcopenia and Muscle
Muscle
Sarcopenia
Older adults
Community
Nutrition
Malnutrition
title Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for Sarcopenia
title_full Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for Sarcopenia
title_fullStr Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for Sarcopenia
title_full_unstemmed Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for Sarcopenia
title_short Roles of nutrition in muscle health of community‐dwelling older adults: evidence‐based expert consensus from Asian Working Group for Sarcopenia
title_sort roles of nutrition in muscle health of community dwelling older adults evidence based expert consensus from asian working group for sarcopenia
topic Muscle
Sarcopenia
Older adults
Community
Nutrition
Malnutrition
url https://doi.org/10.1002/jcsm.12981
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