Tata Laksana Nutrisi pada Sarcopenia Usia Lanjut

Oleh :

dr.Kurnia Agustina Sitompul, M.Gizi, Sp.GK

Tata laksana nutrisi merupakan salah satu intervensi utama dalam manajemen sarcopenia pada pasien usia lanjut. Untuk menjaga massa dan fungsi otot lansia, European Society for Clinical Nutrition and Metabolism telah mengeluarkan rekomendasi nutrisi yang sebaiknya diberikan.

Walaupun dengan tingkat bukti yang berbeda, anjuran tersebut didukung oleh International Conference on Sarcopenia and Frailty Research (ICSFR), konsensus Asian Working Group for Sarcopenia (AWGS), serta Society of Rehabilitation Medicine Singapore (SRMS) dan Singapore Nutrition and Dietetics Association (SNDA).[1,5–7]

Sarcopenia dan Peran Nutrisi

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Referensi

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2. Gielen, Evelien, et al. “Nutritional Interventions to Improve Muscle Mass, Muscle Strength, and Physical Performance in Older People: An Umbrella Review of Systematic Reviews and Meta-Analyses.” Nutrition Reviews, vol. 79, no. 2, 2021, pp. 121–147, https://doi.org/10.1093/nutrit/nuaa011.
3. Woo J, Ong S, Chan R, Li L, Sun J, Chan YM, et al. Nutrition, sarcopenia and frailty: An Asian perspective. Transl Med Aging. 2019;3:125–31.
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6. Chen L-K, Woo J, Assantachai P, Auyeung T-W, Chou M-Y, Iijima K, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020;21(3):300-307.e2.
7. Chew STH, Kayambu G, Lew CCH, Ng TP, Ong F, Tan J, et al. Singapore multidisciplinary consensus recommendations on muscle health in older adults: assessment and multimodal targeted intervention across the continuum of care. BMC Geriatr. 2021;21(1):314.
8. Ganapathy A, Nieves JW. Nutrition and Sarcopenia—What Do We Know? Nutrients. 2020;12(6):1755.
9. Lin Z, Zhao Y, Chen Q. Effects of oral administration of β-hydroxy β-methylbutyrate on lean body mass in older adults: a systematic review and meta-analysis. Eur Geriatr Med. 2021;12(2):239–51.
10. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Republik Indonesia. Angka Kecukupan Gizi Yang Dianjurkan Untuk Masyarakat Indonesia. 2019. Report No.: Nomor 28 tahun 2019.
11. Lin CC, Shih MH, Chen CD, Yeh SL. Effects of adequate dietary protein with whey protein, leucine, and vitamin D supplementation on sarcopenia in older adults: An open-label, parallel-group study. Clin Nutr. 2021;40(3):1323–9.
12. Huang YH, Chiu WC, Hsu YP, Lo YL, Wang YH. Effects of Omega-3 Fatty Acids on Muscle Mass, Muscle Strength and Muscle Performance among the Elderly: A Meta-Analysis. Nutrients. 2020;12(12):3739.
13. Wang Z, Xu X, Gao S, Wu C, Song Q, Shi Z, Su J, Zang J. Effects of Internet-Based Nutrition and Exercise Interventions on the Prevention and Treatment of Sarcopenia in the Elderly. Nutrients. 2022 Jun 14;14(12):2458. doi: 10.3390/nu14122458. PMID: 35745187; PMCID: PMC9229368.
14. Alex de Souza Ageme, William Barboza da Silva, Nicole Debia. Diagnosis of sarcopenia and nutritional intervention in the elderly: literature review. MOJ Gerontology & Geriatrics, Volume 7 Issue 3 - 2022. https://medcraveonline.com/MOJGG/MOJGG-07-00294.pdf

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