Facilitators and Barriers to the Implementation of Dietary Nutrition Interventions for Community-dwelling Older Adults with Physical Frailty and Sarcopenia: A Qualitative Meta-synthesis

Overview

Journal Int J Nurs Sci

Specialty Nursing

Date 2024 Feb 14

PMID 38352282

Authors

Lijuan Chen

Huanhuan Huang

Siqi Jiang

Haiyan Yao

Li Xu

Qi Huang

Mingzhao Xiao

Qinghua Zhao

Affiliations

Soon will be listed here.

Abstract

Objectives: With the acceleration of an aging society, the prevalence of age-related chronic diseases such as physical frailty and sarcopenia is gradually increasing with numerous adverse effects. Dietary nutrition is an important modifiable risk factor for the management of physical frailty and sarcopenia, but there are many complex influences on its implementation in community settings. This study aimed to summarize the facilitators and barriers to the implementation of dietary nutrition interventions for community-dwelling older adults with physical frailty and sarcopenia, and to provide a reference for the formulation of relevant health management programs.

Methods: Searches were conducted in databases including PubMed, Web of Science, Medline (Ovid), Embase (Ovid), and Cochrane Library from inception to January 2023. Searches were completed for a combination of MeSH terms and free terms. The Critical Appraisal Skills Program (CASP) instrument was used to appraise quality. Coding and analysis of the extracted information were performed using the socio-ecological modeling framework. The study protocol for this review was registered on the PROSPERO ( CRD42022381339).

Results: A total of 10 studies were included. Of these, four were nutrition-only focused interventions, and six were dietary nutrition and exercise interventions. The facilitators and barriers were summarized based on the socio-ecological model that emerged at three levels: individual trait level, external environment level, and intervention-related level, containing ten subthemes.

Conclusion: Individual internal motivation and external support should be integrated with the implementation of diet- and nutrition-related interventions in community-living aged people with physical frailty and sarcopenia. Develop "tailored" interventions for participants and maximize available human and physical resources.

Citing Articles

Impact of a Community-Based Health Intervention on Health Knowledge, Lifestyle Goals, Dietary Practices, and Physical Activity in Older Adults: A Multisite Cohort Study.

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PMID: 39766015 PMC: 11728349. DOI: 10.3390/healthcare12242588.

Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults.

Han C, Middleton G, Doh J, Yaxley A, Sharma Y, Baldwin C Healthcare (Basel). 2024; 12(6).

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