Protein Requirements in Critically Ill Older Adults

Nutrients. 2018 Mar 20;10(3):378. doi: 10.3390/nu10030378.

Abstract

Critically ill elderly patients' nutritional needs are not well understood and vary with the phase of illness and recovery. Patients' nutritional needs should be assessed early in hospitalization and re-assessed throughout the stay with additional attention during the transitions from critical illness, to severe illness, to post-hospital rehabilitation. In this review, we summarize recent findings and highlight recommendations for protein supplementation in critically ill geriatric patients throughout the stages of recovery. Future research specifically focusing on protein dose, its relationship with caloric needs, and delivery modality must be conducted to provide more specific guidelines for clinical practice.

Keywords: hospitalization; nutrition; older adult; protein.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging*
  • Body Composition
  • Critical Illness*
  • Dietary Proteins / administration & dosage*
  • Dietary Proteins / adverse effects
  • Dietary Proteins / metabolism
  • Dietary Supplements* / adverse effects
  • Energy Intake
  • Geriatric Assessment
  • Hospitalization
  • Humans
  • Middle Aged
  • Nutritional Status*
  • Nutritional Support / adverse effects
  • Nutritional Support / methods*
  • Recommended Dietary Allowances*
  • Risk Factors

Substances

  • Dietary Proteins