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The journal of nutrition, health & aging
Erschienen in: The journal of nutrition, health & aging 3/2019

12.12.2018

Rehabilitation Nutrition for Iatrogenic Sarcopenia and Sarcopenic Dysphagia

verfasst von: A. Nagano, S. Nishioka, Hidetaka Wakabayashi

Erschienen in: The journal of nutrition, health & aging | Ausgabe 3/2019

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Abstract

Sarcopenia is a very important issue in rehabilitation medicine and nutritional care. The prevalence of sarcopenia in older people is approximately 50% in the rehabilitation setting, and also approximately 15% of inpatients without sarcopenia upon admission developed sarcopenia during hospitalization. There is a concern that secondary sarcopenia may occur iatrogenically during hospitalization. Iatrogenic sarcopenia is defined as sarcopenia caused by the activities of medical staff including doctors, nurses, or other health care professionals in healthcare facilities. Iatrogenic sarcopenia is categorized into activity-related, nutrition-related and diseaserelated- iatrogenic sarcopenia. Especially in acute phase hospitals, concentrating on the treatment of diseases with less attention to nutrition and activity is more likely to cause iatrogenic sarcopenia. Sarcopenic dysphagia is also an important aspect in rehabilitation medicine and nutritional care. Sarcopenic dysphagia is characterized by swallowing difficulty because of a loss of mass and function in whole-body skeletal and swallowing muscles. Sarcopenic dysphagia can be diagnosed using a 5-step algorithm for the condition. Iatrogenic sarcopenia and sarcopenic dysphagia are affected by nutrition, activity and diseases in a complex manner. Therefore, treatment of iatrogenic sarcopenia and sarcopenic dysphagia requires comprehensive interventions through nutrition management and rehabilitation. Rehabilitation nutrition is effective for preventing and treating iatrogenic sarcopenia and sarcopenic dysphagia. Rehabilitation nutrition can be practiced more effectively and comprehensively by using the rehabilitation nutrition care process, which is a systematic problem-solving method. Further research is required to verify the efficacy of rehabilitation nutrition for preventing or improving iatrogenic sarcopenia and/or sarcopenic dysphagia.
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Metadaten
Titel
Rehabilitation Nutrition for Iatrogenic Sarcopenia and Sarcopenic Dysphagia
verfasst von
A. Nagano
S. Nishioka
Hidetaka Wakabayashi
Publikationsdatum
12.12.2018
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 3/2019
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-018-1150-1

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