Survey on Dietary Counselling in German Ambulatory Orthopaedic Rehabilitation Centres: is there a Focus on Sarcopenia Prevention?^[1]

 

 Buy Article Permissions and Reprints

Zusammenfassung

Hintergrund: Ausreichende physische Aktivität und adäquate Proteinaufnahme sind wesentliche Faktoren in der Prävention einer Sarkopenie, insbesondere in der Rekonvaleszenz nach Krankheit mit Bettruhe oder Traumata.

Ziel: Das Ziel der vorliegenden Studie war es, die Verfügbarkeit und Art von 1) Ernährungsberatung und 2) Trinknahrung bzw. Nahrungssupplemente in ambulanten orthopädischen Rehabilitationszentren zu erfassen.

Design: Erhebung in deutschen ambulanten orthopädischen Rehabilitationszentren mittels eines per Post verschickten Fragebogens.

Zwischen Mai und September 2009 nahmen 82 der 155 angeschriebenen ambulanten orthopädischen Rehabilitationszentren in Deutschland an der Umfrage teil. Der Fragebogen konzentrierte sich auf behandelte Patientengruppen, Verfügbarkeit und Art einer Ernährungsberatung und das Angebot von Trinknahrung bzw. Nahrungssupplemente. Außerdem wurden demografische Angaben der Zentren erfragt.

Ergebnisse: 69 (84,1 %) der ambulanten orthopädischen Rehabilitationszentren gaben an, eine Ernährungsberatung anzubieten, wovon die Mehrheit auf eine Gewichtsreduktion ausgelegt war; 57,3 % boten eine Standardernährungsberatung an und nur 23,2 % gaben an, eine Ernährungsberatung zur Prävention bzw. Behandlung einer Sarkopenie durchzuführen. 14,6 % der Zentren boten Trinknahrung bzw. Nahrungssupplemente an.

Schlussfolgerung: Die in den Zentren angebotene Ernährungsberatung konzentriert sich auf Gewichtsreduktion, obwohl fast die Hälfte der Patienten über 60 Jahre alt war. Unseren Ergebnissen zufolge könnte das Wissen um die Bedeutung der Ernährung zur Prävention einer Sarkopenie in den ambulanten orthopädischen Rehabilitationszentren unzureichend sein, obwohl eine Vielzahl der Zentren eine Ernährungsberatung anbieten.

Abstract

Objectives: Physical activity and adequate protein intake in old adults are important factors for the prevention of sarcopenia, particularly after immobilisation or injury. The aim of this study was 1) to investigate availability and focus of dietary counselling and 2) the availability of nutritional supplements in ambulatory orthopaedic rehabilitation centres.

Design: Postal questionnaire-based nation-wide survey.

Setting: German ambulatory orthopaedic rehabilitation centres (AORTCs) listed in the national index in 2009.

Measurements and Participants: During May – September 2009, 82 out of 155 invited ambulatory orthopaedic rehabilitation centres in Germany participated in the questionnaire-based survey. The detailed questionnaire focused on treated patient group, availability and type of dietary counselling and availability and type of nutritional supplements. Moreover, information on demographic characteristics of the centres was collected.

Results: 69 (84.1 %) of ambulatory rehabilitation centres offered dietary counselling, whereof the majority focused on weight reduction, 57.3 % offered general nutritional counselling and only 23.2 % had specific counselling for old adults. 14.6 % offered nutritional supplements.

Conclusion: Dietary advice offered in the AORTCs focusses on weight loss and management although nearly half of the patients were older than 60 years. Our results imply that nutritional knowledge on sarcopenia prevention is insufficient in the AORTCs.

¹ Posterpreis bei der Tagung Ernährung 2011.

• Reference List

• 1 Cruz-Jentoft AJ, Baeyens JP, Bauer JM et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing 2010; 39: 412-423
  CrossrefPubMedGoogle Scholar
• 2 Morley JE, Abbatecola AM, Argiles JM et al. Sarcopenia with limited mobility: an international consensus. J Am Med Dir Assoc 2011; 12: 403-409
  CrossrefPubMedGoogle Scholar
• 3 Clark BC, Manini TM. Functional consequences of sarcopenia and dynapenia in the elderly. Curr Opin Clin Nutr Metab Care 2010; 13: 271-276
  CrossrefPubMedGoogle Scholar
• 4 von Haehling S, Morley JE, Anker SD. An overview of sarcopenia: facts and numbers on prevalence and clinical impact. J Cachexia Sarcopenia Muscle 2010; 1: 129-133
  CrossrefPubMedGoogle Scholar
• 5 Rolland Y, Czerwinski S, van Abellan KG et al. Sarcopenia: its assessment, etiology, pathogenesis, consequences and future perspectives. J Nutr Health Aging 2008; 12: 433-450
  CrossrefPubMedGoogle Scholar
• 6 Paddon-Jones D, Short KR, Campbell WW et al. Role of dietary protein in the sarcopenia of aging. Am J Clin Nutr 2008; 87: 1562S-1566S
  PubMedGoogle Scholar
• 7 Campbell WW, Trappe TA, Wolfe RR et al. The recommended dietary allowance for protein may not be adequate for older people to maintain skeletal muscle. J Gerontol A Biol Sci Med Sci 2001; 56: M373-M380
  CrossrefPubMedGoogle Scholar
• 8 Campbell WW. Synergistic use of higher-protein diets or nutritional supplements with resistance training to counter sarcopenia. Nutr Rev 2007; 65: 416-422
  CrossrefPubMedGoogle Scholar
• 9 Bauer J, Biolo G, Cederholm T et al. Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group. J Am Med Dir Assoc 2013; 14: 542-559
  CrossrefPubMedGoogle Scholar
• 10 Paddon-Jones D, Rasmussen BB. Dietary protein recommendations and the prevention of sarcopenia. Curr Opin Clin Nutr Metab Care 2009; 12: 86-90
  CrossrefPubMedGoogle Scholar
• 11 Wolfe RR, Miller SL, Miller KB. Optimal protein intake in the elderly. Clin Nutr 2008; 27: 675-684
  CrossrefPubMedGoogle Scholar
• 12 Tieland M, Borgonjen-Van den Berg KJ, van Loon LJ et al. Dietary protein intake in community-dwelling, frail, and institutionalized elderly people: scope for improvement. Eur J Nutr 2012; 51: 173-179
  CrossrefPubMedGoogle Scholar
• 13 Tschopp M, Sattelmayer MK, Hilfiker R. Is power training or conventional resistance training better for function in elderly persons? A meta-analysis. Age Ageing 2011; 40: 549-556
  CrossrefPubMedGoogle Scholar
• 14 Hunter GR, McCarthy JP, Bamman MM. Effects of resistance training on older adults. Sports Med 2004; 34: 329-348
  CrossrefPubMedGoogle Scholar
• 15 Evans WJ. Protein nutrition, exercise and aging. J Am Coll Nutr 2004; 23: 601S-609S
  CrossrefPubMedGoogle Scholar
• 16 Cermak NM, Res PT, de Groot LC et al. Protein supplementation augments the adaptive response of skeletal muscle to resistance-type exercise training: a meta-analysis. Am J Clin Nutr 2012; 96: 1454-1464
  CrossrefPubMedGoogle Scholar
• 17 Tieland M, Dirks ML, van der Zwaluw N et al. Protein supplementation increases muscle mass gain during prolonged resistance-type exercise training in frail elderly people: a randomized, double-blind, placebo-controlled trial. J Am Med Dir Assoc 2012; 13: 713-719
  CrossrefPubMedGoogle Scholar