临床护理中的食欲减退和厌食症:ICFSR工作组报告

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
P. de Souto Barreto, M. Cesari, J. Morley, S. Roberts, F. Landi, T. Cederholm, Y. Rolland, B. Vellas, R. Fielding
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引用次数: 12

摘要

老年食欲减退/厌食症是一种非常普遍和繁重的老年综合征,严重损害老年人的生活质量。食欲不振与几种临床情况有关,包括合并症和其他老年综合征,如虚弱。尽管它很重要,但在常规临床护理中,对食欲减退的评估不足,因此诊断和治疗不足。国际虚弱和肌肉减少症研究会议(ICFSR)工作组于2021年9月27日召开虚拟会议,讨论与衰老的食欲减退/厌食症相关的问题。特别讨论了与高危老年人食欲减退的实施和管理、衰老过程中的能量平衡以及未来临床试验的设计相关的主题。今后在这一领域的行动应侧重于对老年人护理途径中的食欲进行系统评估,如世界卫生组织推荐的老年人综合护理(ICOPE)计划。此外,临床护理应从评估转向治疗食欲减退/厌食症。研究人员继续努力寻找具有良好风险/收益比的有效药物和非药物干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Appetite Loss and Anorexia of Aging in Clinical Care: An ICFSR Task Force Report
Appetite loss/anorexia of aging is a highly prevalent and burdensome geriatric syndrome that strongly impairs the quality of life of older adults. Loss of appetite is associated with several clinical conditions, including comorbidities and other geriatric syndromes, such as frailty. Despite its importance, appetite loss has been under-evaluated and, consequently, under-diagnosed and under-treated in routine clinical care. The International Conference on Frailty and Sarcopenia Research (ICFSR) Task Force met virtually on September 27th 2021 to debate issues related to appetite loss/anorexia of aging. In particular, topics related to the implementation and management of appetite loss in at-risk older adult populations, energy balance during aging, and the design of future clinical trials on this topic were discussed. Future actions in this field should focus on the systematic assessment of appetite in the care pathway of older people, such as the Integrated Care for Older People (ICOPE) program recommended by the World Health Organization. Moreover, clinical care should move from the assessment to the treatment of appetite loss/anorexia. Researchers continue to pursue their efforts to find out effective pharmacologic and non-pharmacologic interventions with a favorable risk/benefit ratio.
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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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