Best evidence of non-pharmacological interventions in community elderly with sarcopenia_Chinese Journal of Evidence-Based Medicine

Authors：

XU Jun ^1,2 , GAO Yanan ² , XU Yaxin ¹ , YAO Ting ² ,  CHEN Yamei ³

1. Tongji University School of Medicine, Shanghai 200092, P. R. China;
2. Department of Gastroenterology, Tenth People’s Hospital Affiliated Tongji University, Shanghai 200072, P. R. China;
3. Department of Nursing, Tenth People’s Hospital Affiliated Tongji University, Shanghai 200072, P. R. China;

Corresponding?author：

CHEN Yamei, Email: yake2023@163.com

Keywords：

Community; Elderly; Sarcopenia; Non-pharmacological intervention; Evidence-based nursing

DOI：

10.7507/1672-2531.202405123

Video：

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Objective To evaluate and summarize the evidence related to non-pharmacological interventions in community-dwelling elderly with sarcopenia and to provide an evidence-based basis for guiding community health professionals to effectively manage older patients with sarcopenia. Methods We searched all evidence about non-pharmacological interventions in community-dwelling elderly with sarcopenia from BMJ Best Practice, UpToDate, Guidelines International Network, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses' Association of Ontario, Canadian Medical Association Clinical Practice Guidelines Infobase, American Society for Nutrition, Australian JBI Evidence-Based Health Care Centre Database, CINAHL, PubMed, Cochrane Library, Web of Science, CBM, CNKI, WanFang Data and VIP Databases. The types of literature included guidelines, expert consensus, systematic reviews, evidence summaries and meta-analyses. The retrieval time ranged from January 1, 2019 to May 31, 2024. Results A total of 14 publications were included, including 2 guidelines, 3 expert consensuses, and 9 systematic reviews. Twenty-four pieces of evidence were summarized in 3 areas, including screening, assessment, and non-pharmacological interventions for sarcopenia. Conclusion We summarize the best evidence for initial screening, systematic assessment, and comprehensive non-pharmacological interventions for elderly patients with sarcopenia in the community, and provide a guidance and reference for community medical staff to efficiently manage elderly patients with sarcopenia.

Citation： XU Jun, GAO Yanan, XU Yaxin, YAO Ting, CHEN Yamei. Best evidence of non-pharmacological interventions in community elderly with sarcopenia. Chinese Journal of Evidence-Based Medicine, 2024, 24(12): 1436-1441. doi: 10.7507/1672-2531.202405123 Copy

1.	Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on sarcopenia in older people. Age Ageing, 2010, 39(4): 412-423.
2.	Chen Z, Li WY, Ho M, et al. The prevalence of sarcopenia in Chinese older adults: meta-analysis and meta-regression. Nutrients, 2021, 13(5): 1441.
3.	羅旺輝, 魏琳, 梁好, 等. 基于隊列研究社區老年肌少癥發病率及危險因素的Meta分析. 中國骨質疏松雜志, 2022, 28(3): 426-433.
4.	劉娟, 丁清清, 周白瑜, 等. 中國老年人肌少癥診療專家共識(2021). 中華老年醫學雜志, 2021, 40(8): 943-952.
5.	顧鶯, 張慧文, 周英鳳, 等. JBI循證衛生保健中心關于不同類型研究的質量評價工具—系統評價的方法學質量評價. 護士進修雜志, 2018, 33(8): 701-703.
6.	沈妍交, 郝秋奎, 張蒙, 等. 老年肌少癥綜合干預循證臨床實踐指南. 中國循證醫學雜志, 2024, 24(4): 378-384.
7.	中國老年護理聯盟, 中南大學湘雅護理學院(中南大學湘雅泛海健康管理研究院), 中南大學湘雅醫院(國家老年疾病臨床醫學研究中心), 等. 營養不良老年人非藥物干預臨床實踐指南. 中國全科醫學, 2023, 26(17): 2055-2069.
8.	崔華, 王朝暉, 吳劍卿, 等. 老年人肌少癥防控干預中國專家共識(2023). 中華老年醫學雜志, 2023, 42(2): 144-153.
9.	浙江省醫學會腫瘤營養與治療學分會, 浙江省醫師協會營養醫師專業委員會, 浙江省醫學會腸外腸內營養學分會, 等. 老年患者營養診療專家共識. 浙江醫學, 2023, 45(2): 113-120.
10.	Chen LK, Arai H, Assantachai P, et al. Roles of nutrition in muscle health of community-dwelling older adults: evidence-based expert consensus from Asian Working Group for Sarcopenia. J Cachexia Sarcopenia Muscle, 2022, 13(3): 1653-1672.
11.	Carcelén-Fraile MDC, Lorenzo-Nocino MF, Afanador-Restrepo DF, et al. Effects of different intervention combined with resistance training on musculoskeletal health in older male adults with sarcopenia: a systematic review. Front Public Health, 2023, 10: 1037464.
12.	Cornish SM, Cordingley DM, Shaw KA, et al. Effects of omega-3 supplementation alone and combined with resistance exercise on skeletal muscle in older adults: a systematic review and meta-analysis. Nutrients, 2022, 14(11): 2221.
13.	Wang H, Huang WY, Zhao Y. Efficacy of exercise on muscle function and physical performance in older adults with sarcopenia: an updated systematic review and meta-analysis. Int J Environ Res Public Health, 2022, 19(13): 8212.
14.	Beckwée D, Delaere A, Aelbrecht S, et al. Exercise interventions for the prevention and treatment of sarcopenia. a systematic umbrella review. J Nutr Health Aging, 2019, 23(6): 494-502.
15.	Li ML, Kor PP, Sui YF, et al. Health maintenance through home-based interventions for community-dwelling older people with sarcopenia during and after the COVID-19 pandemic: a systematic review and meta-analysis. Exp Gerontol, 2023, 174: 112128.
16.	Mareschal J, Genton L, Collet TH, et al. Nutritional intervention to prevent the functional decline in community-dwelling older adults: a systematic review. Nutrients, 2020, 12(9): 2820.
17.	Zhao H, Cheng R, Song G, et al. The effect of resistance training on the rehabilitation of elderly patients with sarcopenia: a meta-analysis. Int J Environ Res Public Health, 2022, 19(23): 15491.
18.	Zanini B, Simonetto A, Zubani M, et al. The effects of cow-milk protein supplementation in elderly population: systematic review and narrative synthesis. Nutrients, 2020, 12(9): 2548.
19.	Liao CD, Chen HC, Huang SW, et al. The role of muscle mass gain following protein supplementation plus exercise therapy in older adults with sarcopenia and frailty risks: a systematic review and meta-regression analysis of randomized trials. Nutrients, 2019, 11(8): 1713.
20.	黃宏興, 史曉林, 李盛華, 等. 肌少-骨質疏松癥專家共識. 中國骨質疏松雜志, 2022, 28(11): 1561-1570.
21.	蘇琳, 曹立, 海珊, 等. SARC-F量表及其改良版用于社區老人肌少癥評估的篩查和診斷價值研究. 實用老年醫學, 2020, 34(11): 1132-1137.
22.	Yang M, Hu X, Xie L, et al. Screening sarcopenia in community-dwelling older adults: SARC-F vs. SARC-F combined with calf circumference (SARC-CalF). J Am Med Dir Assoc, 2018, 19(3): 277.
23.	Zanker J, Sim M, Anderson K, et al. Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand. J Cachexia Sarcopenia Muscle, 2023, 14(1): 142-156.
24.	中華醫學會老年醫學分會, 《中華老年醫學雜志》編輯委員會. 老年人肌少癥口服營養補充中國專家共識(2019). 中華老年醫學雜志, 2019, 38(11): 1193-1197.
25.	Munk T, Tolstrup U, Beck AM, et al. Individualised dietary counselling for nutritionally at-risk older patients following discharge from acute hospital to home: a systematic review and meta-analysis. J Hum Nutr Diet, 2016, 29(2): 196-208.
26.	Granic A, Sayer AA, Robinson SM. Dietary patterns, skeletal muscle health, and sarcopenia in older adults. Nutrients, 2019, 11(4): 745.
27.	Shi Y, Stanmore E, McGarrigle L, et al. Non-pharmacological interventions for possible sarcopenia or sarcopenia in community-dwelling older adults: a scoping review protocol. BMJ Open, 2023, 13(2): e067079.
28.	Volkert D, Beck AM, Cederholm T, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr, 2019, 38(1): 10-47.
29.	Rondanelli M, Klersy C, Terracol G, et al. Whey protein, amino acids, and vitamin D supplementation with physical activity increases fat-free mass and strength, functionality, and quality of life and decreases inflammation in sarcopenic elderly. Am J Clin Nutr, 2016, 103(3): 830-840.
30.	Shen Y, Shi Q, Nong K, et al. Exercise for sarcopenia in older people: a systematic review and network meta-analysis. J Cachexia Sarcopenia Muscle, 2023, 14(3): 1199-1211.
31.	Morton RW, Murphy KT, McKellar SR, et al. A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. Br J Sports Med, 2018, 52(6): 376-384.
32.	Rogeri PS, Zanella R, Martins GL, et al. Strategies to prevent sarcopenia in the aging process: role of protein intake and exercise. Nutrients, 2021, 14(1): 52.
33.	王鑫, 李諾, 梁詩雨, 等. 老年肌少癥患者血流限制訓練的最佳證據總結. 中華護理雜志, 2024, 59(10): 1187-1194.
34.	梁博, 魏玥, 裴麗君. 社區環境對中國中老年人可能肌少癥的影響研究. 人口與發展, 2023, 29(6): 88-99.

1. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on sarcopenia in older people. Age Ageing, 2010, 39(4): 412-423.
2. Chen Z, Li WY, Ho M, et al. The prevalence of sarcopenia in Chinese older adults: meta-analysis and meta-regression. Nutrients, 2021, 13(5): 1441.
3. 羅旺輝, 魏琳, 梁好, 等. 基于隊列研究社區老年肌少癥發病率及危險因素的Meta分析. 中國骨質疏松雜志, 2022, 28(3): 426-433.
4. 劉娟, 丁清清, 周白瑜, 等. 中國老年人肌少癥診療專家共識(2021). 中華老年醫學雜志, 2021, 40(8): 943-952.
5. 顧鶯, 張慧文, 周英鳳, 等. JBI循證衛生保健中心關于不同類型研究的質量評價工具—系統評價的方法學質量評價. 護士進修雜志, 2018, 33(8): 701-703.
6. 沈妍交, 郝秋奎, 張蒙, 等. 老年肌少癥綜合干預循證臨床實踐指南. 中國循證醫學雜志, 2024, 24(4): 378-384.
7. 中國老年護理聯盟, 中南大學湘雅護理學院(中南大學湘雅泛海健康管理研究院), 中南大學湘雅醫院(國家老年疾病臨床醫學研究中心), 等. 營養不良老年人非藥物干預臨床實踐指南. 中國全科醫學, 2023, 26(17): 2055-2069.
8. 崔華, 王朝暉, 吳劍卿, 等. 老年人肌少癥防控干預中國專家共識(2023). 中華老年醫學雜志, 2023, 42(2): 144-153.
9. 浙江省醫學會腫瘤營養與治療學分會, 浙江省醫師協會營養醫師專業委員會, 浙江省醫學會腸外腸內營養學分會, 等. 老年患者營養診療專家共識. 浙江醫學, 2023, 45(2): 113-120.
10. Chen LK, Arai H, Assantachai P, et al. Roles of nutrition in muscle health of community-dwelling older adults: evidence-based expert consensus from Asian Working Group for Sarcopenia. J Cachexia Sarcopenia Muscle, 2022, 13(3): 1653-1672.
11. Carcelén-Fraile MDC, Lorenzo-Nocino MF, Afanador-Restrepo DF, et al. Effects of different intervention combined with resistance training on musculoskeletal health in older male adults with sarcopenia: a systematic review. Front Public Health, 2023, 10: 1037464.
12. Cornish SM, Cordingley DM, Shaw KA, et al. Effects of omega-3 supplementation alone and combined with resistance exercise on skeletal muscle in older adults: a systematic review and meta-analysis. Nutrients, 2022, 14(11): 2221.
13. Wang H, Huang WY, Zhao Y. Efficacy of exercise on muscle function and physical performance in older adults with sarcopenia: an updated systematic review and meta-analysis. Int J Environ Res Public Health, 2022, 19(13): 8212.
14. Beckwée D, Delaere A, Aelbrecht S, et al. Exercise interventions for the prevention and treatment of sarcopenia. a systematic umbrella review. J Nutr Health Aging, 2019, 23(6): 494-502.
15. Li ML, Kor PP, Sui YF, et al. Health maintenance through home-based interventions for community-dwelling older people with sarcopenia during and after the COVID-19 pandemic: a systematic review and meta-analysis. Exp Gerontol, 2023, 174: 112128.
16. Mareschal J, Genton L, Collet TH, et al. Nutritional intervention to prevent the functional decline in community-dwelling older adults: a systematic review. Nutrients, 2020, 12(9): 2820.
17. Zhao H, Cheng R, Song G, et al. The effect of resistance training on the rehabilitation of elderly patients with sarcopenia: a meta-analysis. Int J Environ Res Public Health, 2022, 19(23): 15491.
18. Zanini B, Simonetto A, Zubani M, et al. The effects of cow-milk protein supplementation in elderly population: systematic review and narrative synthesis. Nutrients, 2020, 12(9): 2548.
19. Liao CD, Chen HC, Huang SW, et al. The role of muscle mass gain following protein supplementation plus exercise therapy in older adults with sarcopenia and frailty risks: a systematic review and meta-regression analysis of randomized trials. Nutrients, 2019, 11(8): 1713.
20. 黃宏興, 史曉林, 李盛華, 等. 肌少-骨質疏松癥專家共識. 中國骨質疏松雜志, 2022, 28(11): 1561-1570.
21. 蘇琳, 曹立, 海珊, 等. SARC-F量表及其改良版用于社區老人肌少癥評估的篩查和診斷價值研究. 實用老年醫學, 2020, 34(11): 1132-1137.
22. Yang M, Hu X, Xie L, et al. Screening sarcopenia in community-dwelling older adults: SARC-F vs. SARC-F combined with calf circumference (SARC-CalF). J Am Med Dir Assoc, 2018, 19(3): 277.
23. Zanker J, Sim M, Anderson K, et al. Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand. J Cachexia Sarcopenia Muscle, 2023, 14(1): 142-156.
24. 中華醫學會老年醫學分會, 《中華老年醫學雜志》編輯委員會. 老年人肌少癥口服營養補充中國專家共識(2019). 中華老年醫學雜志, 2019, 38(11): 1193-1197.
25. Munk T, Tolstrup U, Beck AM, et al. Individualised dietary counselling for nutritionally at-risk older patients following discharge from acute hospital to home: a systematic review and meta-analysis. J Hum Nutr Diet, 2016, 29(2): 196-208.
26. Granic A, Sayer AA, Robinson SM. Dietary patterns, skeletal muscle health, and sarcopenia in older adults. Nutrients, 2019, 11(4): 745.
27. Shi Y, Stanmore E, McGarrigle L, et al. Non-pharmacological interventions for possible sarcopenia or sarcopenia in community-dwelling older adults: a scoping review protocol. BMJ Open, 2023, 13(2): e067079.
28. Volkert D, Beck AM, Cederholm T, et al. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr, 2019, 38(1): 10-47.
29. Rondanelli M, Klersy C, Terracol G, et al. Whey protein, amino acids, and vitamin D supplementation with physical activity increases fat-free mass and strength, functionality, and quality of life and decreases inflammation in sarcopenic elderly. Am J Clin Nutr, 2016, 103(3): 830-840.
30. Shen Y, Shi Q, Nong K, et al. Exercise for sarcopenia in older people: a systematic review and network meta-analysis. J Cachexia Sarcopenia Muscle, 2023, 14(3): 1199-1211.
31. Morton RW, Murphy KT, McKellar SR, et al. A systematic review, meta-analysis and meta-regression of the effect of protein supplementation on resistance training-induced gains in muscle mass and strength in healthy adults. Br J Sports Med, 2018, 52(6): 376-384.
32. Rogeri PS, Zanella R, Martins GL, et al. Strategies to prevent sarcopenia in the aging process: role of protein intake and exercise. Nutrients, 2021, 14(1): 52.
33. 王鑫, 李諾, 梁詩雨, 等. 老年肌少癥患者血流限制訓練的最佳證據總結. 中華護理雜志, 2024, 59(10): 1187-1194.
34. 梁博, 魏玥, 裴麗君. 社區環境對中國中老年人可能肌少癥的影響研究. 人口與發展, 2023, 29(6): 88-99.

Chinese Journal of Evidence-Based Medicine

Best evidence of non-pharmacological interventions in community elderly with sarcopenia

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