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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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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 |
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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 |
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