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Prevention and Treatment of Malnutrition in Older Adults Living in Long-Term Care or the Community

A new evidence-based practice guideline provides RDNs with tools to help protect susceptible older adults.

Published July 15, 2024

Approximately one in four older adults (≧65 years of age) is considered malnourished or at risk of malnutrition. Eating too few calories and/or protein over time results in excess loss of muscle and fat tissues. Malnutrition at any age is a problem and, for older adults, it can result in a significant decrease in quality of life and increased risk for complications and death.

Registered dietitian nutritionists play an important role in timely identification of malnutrition and implementation of effective interventions. Quickly treating malnutrition reduces poor outcomes and protects the health of at-risk individuals. New practice recommendations titled “Prevention and Treatment of Malnutrition in Older Adults Living in Long-Term Care or the Community: An Evidence-based Nutrition Practice Guideline” aim to provide RDNs with the tools they need to help protect susceptible older adults. This work was supported by the Academy of Nutrition and Dietetics, Academy of Nutrition and Dietetics Foundation and Dietetics in Health Care Communities Dietetic Practice Group.

Based on systematic reviews of research, the authors used available evidence to provide guidance on appropriate assessment tools and nutrition interventions. The recommendations are provided based on where the patient or client is seen whether in a long-term care facility or the community. Other topics covered include appropriate use of oral supplementation and food fortification and home-delivered and congregate meals. RDNs working with older adults should consult these new recommendations to ensure they use the most up-to-date evidence-based guidelines.

Read the full guideline, published in the Journal of the Academy of Nutrition and Dietetics.

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