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Malnutrition in Older Adults-Effect on Falls and Fractures: A Narrative Review

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NUTRIENTS
卷 14, 期 15, 页码 -

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MDPI
DOI: 10.3390/nu14153123

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older adults; malnutrition; fracture risk; falls; immobility; functional decline

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Malnutrition in older adults has negative impacts on health status, increasing mortality and morbidity. It can contribute to the development of geriatric syndromes, leading to a higher prevalence of falls and osteoporotic fractures, which in turn results in loss of independence and a greater likelihood of institutionalization. This review provides an overview of current literature on the topic and aims to guide physicians in making appropriate decisions to prevent the vicious cycle of falls, fractures, and their negative outcomes in malnourished patients.
Malnutrition in older adults impacts health status, increased mortality, and morbidity. Malnutrition may increase the development of geriatric syndromes and contribute to a higher prevalence of falls and osteoporotic fractures that lead to loss of independence and an increased rate of institutionalization. The role of malnutrition in the pathogenesis of other geriatric syndromes seems to be well established. However, the data concerning nutritional interventions are confounding. Moreover, long-term undernutrition seems to be one of the factors that strongly influences the efficacy of interventions. This review outlines the current literature on this topic, and aims to guide physicians to make proper decisions to prevent the vicious cycle of falls, fractures, and their negative outcomes in patients with malnutrition.

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