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Dietary protein intake in community-dwelling, frail, and institutionalized elderly people: scope for improvement
Open accessAbstract
Purpose Adequate dietary protein intake is required to postpone and treat sarcopenia in elderly people. Insight into dietary protein intake in this heterogeneous population segment is needed to locate dietary inadequacies and to identify target populations and feeding strategies for dietary interventions. Therefore, we assessed dietary protein intake, distribution of protein intake throughout the day, and the use of protein-containing food sources in community-dwelling, frail, and institutionalized elderly people in the Netherlands.Methods Secondary analyses were carried out using dietary data collected from studies among community-dwelling, frail, and institutionalized elderly people to evaluate protein intake characteristics.Results Dietary protein intake averaged 1.1 ± 0.3 g/kg-bw/day in community-dwelling, 1.0 ± 0.3 g/kg-bw/day in frail, and 0.8 ± 0.3 g/kg-bw/day in institutionalized elderly men. Similar protein intakes were found in women. Ten percent of the community-dwelling and frail elderly and 35% of the institutionalized elderly people showed a protein intake below the estimated average requirement (0.7 g/kg-bw/day). Protein intake was particularly low at breakfast in community-dwelling (10 ± 10 g), frail (8 ± 5 g), and institutionalized elderly people (12 ± 6 g) with bread and dairy products as predominant protein sources.Conclusions Whereas daily protein intake is generally well above the recommended dietary allowance in community-dwelling and frail elderly people, a significant proportion of institutionalized elderly showed an intake below the current protein requirement, making them an important target population for dietary interventions. Particularly at breakfast, there is scope for improving protein intake.
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“Tieland et al. 2012 [91] A randomized, controlled trial with 2 arms in parallel among frail elderly subjects (n ¼ 62, age 78 AE 1 year); subjects did resistance exercise twice weekly for 24 weeks and consumed placebo or protein supplements (15 g) twice daily Prolonged resistance-type exercise…”
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“showing the lowest intakes in institutionalized and hospitalized elderly people.(214,215) Although the average protein intake of 0.”
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“These more frail elderly subpopulations generally consume insufficient amounts of dietary protein (38, 40).”
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BackgroundResult
Metadata
- Authors
- Tieland, M., Borgonjen-Van den Berg, K. J., van Loon, L. J. C., & de Groot, L. C. P. G. M.
- Affiliations
- TiFN (NL)
- Corresponding author
- Tieland, Michael
- ORCID
- Tieland, Michael
- Venue
- European Journal of Nutrition
- Published
- 2011-05-12
- Volume
- 51
- Issue
- 2
- Pages
- 173-179
- ISSN
- 1436-6207 (ISSN-L)
- 1436-6215
- OpenAlex
- W2020203688
- Cited by
- 297
- References
- 47
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 17 · 2023: 14 · 2022: 16 · 2021: 28 · 2020: 22 · 2019: 29 · 2018: 40 · 2017: 31 · 2016: 25 · 2015: 18 · 2014: 22 · 2013: 12 · 2012: 9
- FWCI
- 9.56
- Type
- journal article
- Language
- en
- Open access
- green
- research.wur.nl
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- protein intake, older adults, sarcopenia, frail elderly, institutionalized elderly, community-dwelling older adults, protein sources, dietary intervention, protein requirements
- MeSH terms
- Aged, Aged, 80 and over, Bread, Energy Intake, Dairy Products, Diet, Dietary Proteins, Feeding Behavior, Female, Humans, Male, Netherlands, Residence Characteristics, Frail Elderly, Nutrition Policy
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