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Protein Intake and Frailty: A Matter of Quantity Quality and Timing

机译:蛋白质摄入和脆弱:数量质量和时机的问题

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摘要

Frailty is a geriatric syndrome that refers to a state of reduced resiliency to stressful events that occurs in response to physiological and/or psychosocial detriments. Frailty is a predictor of poor prognosis, given that frail older adults are at higher risk of many adverse health-related events. Hence, the identification of potential strategies to prevent the development and progression of frailty is of extreme importance for avoiding its negative outcomes. An adequate protein consumption is advocated as a possible intervention for the management of frailty in older adults due to its effects on muscle mass and physical function. However, empirical evidence is still needed to support this proposition. On the other hand, substantial evidence from observational studies has provided important information on the association between frailty and dietary protein-related parameters. Here, we provide a narrative review of the current literature regarding the association between protein intake (amount (how much?), quality (what type?), and distribution across meals (when?)) and frailty-related parameters. The ultimate aim of this work is to offer practical, evidence-based indications to healthcare professionals responsible for the care of frail older adults.
机译:脆弱是一种老年人综合征,指的是一种响应生理和/或心理社会损害而发生的压力事件的可恢复状态。脆弱是预测不良预测的预测,鉴于脆弱年龄成年人的风险较高,有许多不利健康相关事件的风险。因此,确定潜在的策略,以防止脆弱的发展和进展是极端重要的,以避免其消极结果。由于其对肌肉质量和物理功能的影响,倡导适当的蛋白质消费作为较老年成年人的脆弱的干预。但是,仍然需要经验证据来支持这一命题。另一方面,来自观察性研究的实质性证据已经为脆弱和膳食蛋白质相关参数之间的关联提供了重要信息。在这里,我们对当前文献的叙述审查有关蛋白质摄入之间的关联(金额(多少?),质量(类型?),以及跨膳食的分布(当?))和脆弱相关的参数。这项工作的最终目标是为负责勒布老年人照顾的医疗保健专业人员提供实际,证据的迹象。

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