Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jan 6:17:1-13.
doi: 10.2147/CIA.S343307. eCollection 2022.

Clinical Interventions to Improve Nutritional Care in Older Adults and Patients in Primary Healthcare - A Scoping Review of Current Practices of Health Care Practitioners

Sonja Lindner-Rabl  1 , Valentina Wagner  1 , Andreas Matijevic  1 , Carolin Herzog  1 , Christina Lampl  1 , Julia Traub  2 , Regina Roller-Wirnsberger  1
Affiliations

Clinical Interventions to Improve Nutritional Care in Older Adults and Patients in Primary Healthcare - A Scoping Review of Current Practices of Health Care Practitioners

Sonja Lindner-Rabl et al. Clin Interv Aging. .

Abstract

In light of the increasing life expectancy of Europe's population and the rising significance of active and healthy ageing relating thereto, an integrated approach of nutritional care within primary health care is gaining importance. The aim of the review was to summarize evidence on the effectiveness of nutritional interventions in primary health care. The scoping review is based upon a comprehensive literature search of relevant literature published between January 2010 and August 2021 in PubMed, CINAHL, Cochrane Database of Systematic Reviews, Embase and Medline databases. Overall, 15 studies were included for evidence synthesis and interventions were basically clustered according to their type, into 1) eHealth and tele-medical interventions; 2) targeted single interventions; and 3) comprehensive, multi-faceted interventions. The review presents diverging evidence regarding the efficacy and effectiveness of interventions for nutritional care in primary health care, however, demonstrates encouraging outcomes. eHealth and tele-medical interventions partly show a careful positive tendency. Likewise, manifold single interventions on patient level present significant improvements in patient health outcomes. Multifaceted and comprehensive interventions found in the literature also partly demonstrate significant changes in intervention groups. Primary health care represents a critical setting for the care of older citizens and patients with complex health needs. This scoping review provides an overview of current nutrition care practices in primary health care and results reinforce the need to strengthen implementation of multi-faceted interventions carried out by the inter-disciplinary primary care team for advanced nutritional care.

Keywords: malnutrition; nutritional care; older people; primary care.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
PRISMA flow diagram.
Figure 2
Figure 2
Overview of intervention types addressing malnutrition in community-dwelling older citizens.
See this image and copyright information in PMC

References

    1. Science Advice for Policy by European Academies (SAPEA). Transforming the future of ageing. Available from: 10.26356/ageing. Accessed August 17, 2021. - DOI
    1. Violan C, Foguet-Boreu Q, Flores-Mateo G, et al. Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies. PLoS One. 2014;9(7):e102149. doi: 10.1371/journal.pone.0102149 - DOI - PMC - PubMed
    1. World Health Organization. World report on ageing and health. Available from: https://apps.who.int/iris/handle/10665/186463. Accessed August 17, 2021.
    1. World Health Organization. Decade of healthy ageing: baseline report. Available from: https://www.who.int/publications/i/item/9789240017900. Accessed August 17, 2021.
    1. World Health Organization. Integrated care for older people. Realigning primary health care to respond to population ageing. Available from: https://apps.who.int/iris/bitstream/handle/10665/326295/WHO-HIS-SDS-2018.... Accessed September 30, 2021.

Publication types