The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans

BACKGROUND: The “Sarcopenia and Physical Frailty in Older People: Multicomponent Treatment Strategies” (SPRINTT) project sponsored a multi-center randomized controlled trial (RCT) with the objective to determine the effect of physical activity and nutrition intervention for prevention of mobility di...

Descripción completa

Detalles Bibliográficos
Autores principales: Jyväkorpi, S. K., Ramel, A., Strandberg, T. E., Piotrowicz, K., Błaszczyk-Bębenek, E., Urtamo, A., Rempe, H. M., Geirsdóttir, Ó., Vágnerová, T., Billot, M., Larreur, A., Savera, G., Soriano, G., Picauron, C., Tagliaferri, S., Sanchez-Puelles, C., Cadenas, V. Sánchez, Perl, A., Tirrel, L., Öhman, H., Weling-Scheepers, C., Ambrosi, S., Costantini, A., Pavelková, K., Klimkova, M., Freiberger, E., Jonsson, P. V., Marzetti, E., Pitkälä, K. H., Landi, F., Calvani, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990826/
https://www.ncbi.nlm.nih.gov/pubmed/33583000
http://dx.doi.org/10.1007/s41999-020-00438-4
_version_ 1783669129845145600
author Jyväkorpi, S. K.
Ramel, A.
Strandberg, T. E.
Piotrowicz, K.
Błaszczyk-Bębenek, E.
Urtamo, A.
Rempe, H. M.
Geirsdóttir, Ó.
Vágnerová, T.
Billot, M.
Larreur, A.
Savera, G.
Soriano, G.
Picauron, C.
Tagliaferri, S.
Sanchez-Puelles, C.
Cadenas, V. Sánchez
Perl, A.
Tirrel, L.
Öhman, H.
Weling-Scheepers, C.
Ambrosi, S.
Costantini, A.
Pavelková, K.
Klimkova, M.
Freiberger, E.
Jonsson, P. V.
Marzetti, E.
Pitkälä, K. H.
Landi, F.
Calvani, R.
author_facet Jyväkorpi, S. K.
Ramel, A.
Strandberg, T. E.
Piotrowicz, K.
Błaszczyk-Bębenek, E.
Urtamo, A.
Rempe, H. M.
Geirsdóttir, Ó.
Vágnerová, T.
Billot, M.
Larreur, A.
Savera, G.
Soriano, G.
Picauron, C.
Tagliaferri, S.
Sanchez-Puelles, C.
Cadenas, V. Sánchez
Perl, A.
Tirrel, L.
Öhman, H.
Weling-Scheepers, C.
Ambrosi, S.
Costantini, A.
Pavelková, K.
Klimkova, M.
Freiberger, E.
Jonsson, P. V.
Marzetti, E.
Pitkälä, K. H.
Landi, F.
Calvani, R.
author_sort Jyväkorpi, S. K.
collection PubMed
description BACKGROUND: The “Sarcopenia and Physical Frailty in Older People: Multicomponent Treatment Strategies” (SPRINTT) project sponsored a multi-center randomized controlled trial (RCT) with the objective to determine the effect of physical activity and nutrition intervention for prevention of mobility disability in community-dwelling frail older Europeans. We describe here the design and feasibility of the SPRINTT nutrition intervention, including techniques used by nutrition interventionists to identify those at risk of malnutrition and to carry out the nutrition intervention. METHODS: SPRINTT RCT recruited older adults (≥ 70 years) from 11 European countries. Eligible participants (n = 1517) had functional limitations measured with Short Physical Performance Battery (SPPB score 3–9) and low muscle mass as determined by DXA scans, but were able to walk 400 m without assistance within 15 min. Participants were followed up for up to 3 years. The nutrition intervention was carried out mainly by individual nutrition counseling. Nutrition goals included achieving a daily protein intake of 1.0–1.2 g/kg body weight, energy intake of 25–30 kcal/kg of body weight/day, and serum vitamin D concentration ≥ 75 mmol/L. Survey on the method strategies and feasibility of the nutrition intervention was sent to all nutrition interventionists of the 16 SPRINTT study sites. RESULTS: Nutrition interventionists from all study sites responded to the survey. All responders found that the SPRINTT nutrition intervention was feasible for the target population, and it was well received by the majority. The identification of participants at nutritional risk was accomplished by combining information from interviews, questionnaires, clinical and laboratory data. Although the nutrition intervention was mainly carried out using individual nutritional counselling, other assisting methods were used as appropriate. CONCLUSION: The SPRINTT nutrition intervention was feasible and able to adapt flexibly to varying needs of this heterogeneous population. The procedures adopted to identify older adults at risk of malnutrition and to design the appropriate intervention may serve as a model to deliver nutrition intervention for community-dwelling older people with mobility limitations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s41999-020-00438-4.
format Online
Article
Text
id pubmed-7990826
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer International Publishing
record_format MEDLINE/PubMed
spelling pubmed-79908262021-04-16 The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans Jyväkorpi, S. K. Ramel, A. Strandberg, T. E. Piotrowicz, K. Błaszczyk-Bębenek, E. Urtamo, A. Rempe, H. M. Geirsdóttir, Ó. Vágnerová, T. Billot, M. Larreur, A. Savera, G. Soriano, G. Picauron, C. Tagliaferri, S. Sanchez-Puelles, C. Cadenas, V. Sánchez Perl, A. Tirrel, L. Öhman, H. Weling-Scheepers, C. Ambrosi, S. Costantini, A. Pavelková, K. Klimkova, M. Freiberger, E. Jonsson, P. V. Marzetti, E. Pitkälä, K. H. Landi, F. Calvani, R. Eur Geriatr Med Research Paper BACKGROUND: The “Sarcopenia and Physical Frailty in Older People: Multicomponent Treatment Strategies” (SPRINTT) project sponsored a multi-center randomized controlled trial (RCT) with the objective to determine the effect of physical activity and nutrition intervention for prevention of mobility disability in community-dwelling frail older Europeans. We describe here the design and feasibility of the SPRINTT nutrition intervention, including techniques used by nutrition interventionists to identify those at risk of malnutrition and to carry out the nutrition intervention. METHODS: SPRINTT RCT recruited older adults (≥ 70 years) from 11 European countries. Eligible participants (n = 1517) had functional limitations measured with Short Physical Performance Battery (SPPB score 3–9) and low muscle mass as determined by DXA scans, but were able to walk 400 m without assistance within 15 min. Participants were followed up for up to 3 years. The nutrition intervention was carried out mainly by individual nutrition counseling. Nutrition goals included achieving a daily protein intake of 1.0–1.2 g/kg body weight, energy intake of 25–30 kcal/kg of body weight/day, and serum vitamin D concentration ≥ 75 mmol/L. Survey on the method strategies and feasibility of the nutrition intervention was sent to all nutrition interventionists of the 16 SPRINTT study sites. RESULTS: Nutrition interventionists from all study sites responded to the survey. All responders found that the SPRINTT nutrition intervention was feasible for the target population, and it was well received by the majority. The identification of participants at nutritional risk was accomplished by combining information from interviews, questionnaires, clinical and laboratory data. Although the nutrition intervention was mainly carried out using individual nutritional counselling, other assisting methods were used as appropriate. CONCLUSION: The SPRINTT nutrition intervention was feasible and able to adapt flexibly to varying needs of this heterogeneous population. The procedures adopted to identify older adults at risk of malnutrition and to design the appropriate intervention may serve as a model to deliver nutrition intervention for community-dwelling older people with mobility limitations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s41999-020-00438-4. Springer International Publishing 2021-02-13 2021 /pmc/articles/PMC7990826/ /pubmed/33583000 http://dx.doi.org/10.1007/s41999-020-00438-4 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Research Paper
Jyväkorpi, S. K.
Ramel, A.
Strandberg, T. E.
Piotrowicz, K.
Błaszczyk-Bębenek, E.
Urtamo, A.
Rempe, H. M.
Geirsdóttir, Ó.
Vágnerová, T.
Billot, M.
Larreur, A.
Savera, G.
Soriano, G.
Picauron, C.
Tagliaferri, S.
Sanchez-Puelles, C.
Cadenas, V. Sánchez
Perl, A.
Tirrel, L.
Öhman, H.
Weling-Scheepers, C.
Ambrosi, S.
Costantini, A.
Pavelková, K.
Klimkova, M.
Freiberger, E.
Jonsson, P. V.
Marzetti, E.
Pitkälä, K. H.
Landi, F.
Calvani, R.
The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans
title The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans
title_full The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans
title_fullStr The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans
title_full_unstemmed The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans
title_short The sarcopenia and physical frailty in older people: multi-component treatment strategies (SPRINTT) project: description and feasibility of a nutrition intervention in community-dwelling older Europeans
title_sort sarcopenia and physical frailty in older people: multi-component treatment strategies (sprintt) project: description and feasibility of a nutrition intervention in community-dwelling older europeans
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990826/
https://www.ncbi.nlm.nih.gov/pubmed/33583000
http://dx.doi.org/10.1007/s41999-020-00438-4
work_keys_str_mv AT jyvakorpisk thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT ramela thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT strandbergte thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT piotrowiczk thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT błaszczykbebeneke thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT urtamoa thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT rempehm thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT geirsdottiro thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT vagnerovat thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT billotm thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT larreura thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT saverag thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT sorianog thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT picauronc thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT tagliaferris thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT sanchezpuellesc thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT cadenasvsanchez thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT perla thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT tirrell thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT ohmanh thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT welingscheepersc thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT ambrosis thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT costantinia thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT pavelkovak thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT klimkovam thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT freibergere thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT jonssonpv thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT marzettie thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT pitkalakh thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT landif thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT calvanir thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT thesarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT jyvakorpisk sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT ramela sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT strandbergte sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT piotrowiczk sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT błaszczykbebeneke sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT urtamoa sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT rempehm sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT geirsdottiro sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT vagnerovat sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT billotm sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT larreura sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT saverag sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT sorianog sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT picauronc sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT tagliaferris sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT sanchezpuellesc sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT cadenasvsanchez sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT perla sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT tirrell sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT ohmanh sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT welingscheepersc sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT ambrosis sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT costantinia sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT pavelkovak sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT klimkovam sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT freibergere sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT jonssonpv sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT marzettie sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT pitkalakh sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT landif sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT calvanir sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans
AT sarcopeniaandphysicalfrailtyinolderpeoplemulticomponenttreatmentstrategiessprinttprojectdescriptionandfeasibilityofanutritioninterventionincommunitydwellingoldereuropeans