Chinese Expert Consensus on Home Nutrition Administration for Older Patients (2024)

Jie Gong , Xuemei Li , Lei Shi , Xiaofan Jing , Xinyi Liao , Ya Ma , Wen Hu

Journal of Evidence-Based Medicine ›› 2025, Vol. 18 ›› Issue (2) : e70025

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Journal of Evidence-Based Medicine ›› 2025, Vol. 18 ›› Issue (2) : e70025 DOI: 10.1111/jebm.70025
CONSENSUS

Chinese Expert Consensus on Home Nutrition Administration for Older Patients (2024)

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Abstract

Families constitute important settings for the nutritional management of older adults, and there is a growing demand for continuous nutritional management services extending from hospital care to home-based care. Since the publication of the Chinese Expert Consensus on Home Nutrition Administration for the Elderly (2017 Edition) 7 years ago, accumulating research evidence and practical experience in home-based nutritional management has highlighted an urgent need for updating this consensus. In this revised edition, a total of 35 recommendations and expert consensus statements have been proposed to guide community-based health professionals in delivering scientifically sound, rational, and standardized home nutritional management services to elderly populations residing at home or within community settings.

Keywords

expert recommendations / home-based nutritional care / older people

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Jie Gong, Xuemei Li, Lei Shi, Xiaofan Jing, Xinyi Liao, Ya Ma, Wen Hu. Chinese Expert Consensus on Home Nutrition Administration for Older Patients (2024). Journal of Evidence-Based Medicine, 2025, 18(2): e70025 DOI:10.1111/jebm.70025

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References

[1]

National Bureau of Statistics of China. Wang P: The Total Population Has Decreased, and High-Quality Development of the Population Has Achieved Results. 2024, https://www.stats.gov.cn/xxgk/jd/sjjd2020/202401/t20240118_1946711.html.

[2]

National Health Commission of the People's Republic of China. NHC: The Population Aged 60 and Above Will Break 400 Million Around 2035, Accounting for More Than 30%. 2022, https://news.cctv.com/2022/09/20/ARTInjejQDvmMaZi5jzTPHYT220920.shtml.

[3]

Y. Song, S. S. Wang, J. W. Wang, et al., “Prevalence of Malnutrition Among Elderly in the community of China: A Meta-Analysis,” Zhonghua Liu Xing Bing Xue Za Zhi = Zhonghua Liuxingbingxue Zazhi 43, no. 6 (2022): 915-921.

[4]

Y. H. Zhang, L. L. Fan, P. P. Chai, et al., “Analysis of the Impact of Elderly Malnutrition on the Utilization of Medical Services and Costs in China,” Chinese Health Economics 36, no. 12 (2017): 91-94.

[5]

J. Liu, J. Liu, Q. Liang, Z. P. Yan, X. R. Luan, and F. Wang, “Analysis of the Correlation Between Nutritional Status and Unplanned Readmission in Elderly Patients With Chronic Heart Failure,” Chinese Journal of Nursing 38, no. 21 (2022): 1619-1625.

[6]

M. G. Rodríguez and E. G. Sichacá, “Mortality Due to Malnutrition in Older Adults, Colombia, 2014-2016,” Biomedica 39, no. 4 (2019): 663-672.

[7]

The State Council of the People's Republic of China. National Nutrition Plan (2017-2030). 2024, https://www.gov.cn/zhengce/content/2017-07/13/content_5210134.htm.

[8]

China National Committee on Aging. China National Committee on Aging Notice on Carrying Out Nutrition Improvement Actions for the Elderly. 2022, http://www.nhc.gov.cn/lljks/tggg/202210/013f52aae25c4bec9abcb773c57218e1.shtml.

[9]

A. Wong, G. Goh, M. D. Banks, and J. D. Bauer, “A Systematic Review of the Cost and Economic Outcomes of Home Enteral Nutrition,” Clinical Nutrition 37, no. 2 (2018): 429-442.

[10]

West China Hospital of Sichuan University, Family Nutrition Management Center. Current Situation Survey of Family Nutrition Work in Clinical Nutrition Departments of Medical Institutions Nationwide. 2024, https://www.wjx.cn/vm/Q062SUT.aspx#.

[11]

D. Seguy, H. Hubert, J. Robert, J. P. Meunier, O. Guérin, and A. Raynaud-Simon, “Compliance to Oral Nutritional Supplementation Decreases the Risk of Hospitalisation in Malnourished Older Adults Without Extra Health Care Cost: Prospective Observational Cohort Study,” Clinical Nutrition 39, no. 6 (2020): 1900-1907.

[12]

A. Attanasio, M. Bedin, S. Stocco, et al., “Clinical Outcomes and Complications of Enteral Nutrition Among Older Adults,” Minerva Medica 100, no. 2 (2009): 159-166.

[13]

R. J. Stratton and M. Elia, “Encouraging Appropriate, Evidence-Based Use of Oral Nutritional Supplements,” Proceedings of the Nutrition Society 69, no. 4 (2010): 477-487.

[14]

Chinese Gerontological Society of Nutrition and Food Safety Association, Chinese Evidence-Based Medicine Center, Editorial Board of Chinese Journal of Evidence-Based Medicine, Editorial Board of Journal of Evidence-Based Medicine, “Chinese Expert Consensus on Home Nutrition Management for the Elderly (2017 Edition),” Chinese Journal of Evidence-Based Medicine 17, no. 11 (2017): 1251-1259.

[15]

J. Howick, I. Chalmers, P. Glasziou, et al., Explanation of the 2011 OCEBM Levels of Evidence. 2024, http://www.cebm.net/index.aspx?o=5653.

[16]

E. Riddle, N. Munoz, K. Clark, et al., “Prevention and Treatment of Malnutrition in Older Adults Living in Long-Term Care or the Community: An Evidence-Based Nutrition Practice Guideline,” Journal of the Academy of Nutrition and Dietetics 124, no. 7 (2024): 896-916. e824.

[17]

A. J. Majka, Z. Wang, K. R. Schmitz, et al., “Care Coordination to Enhance Management of Long-Term Enteral Tube Feeding: A Systematic Review and Meta-Analysis,” Jpen Journal of Parenteral and Enteral Nutrition 38, no. 1 (2014): 40-52.

[18]

J. Z. Fan, X. D. Cao, Y. Zhang, W. Zhou, and A. Y. Du, “The Impact of Home Nutrition Management Systems on the Nutritional Status of Elderly Patients Undergoing Maintenance Hemodialysis,” Chinese Evidence-Based Nursing 8, no. 23 (2022): 3186-3191.

[19]

F. Yang, L. B. Feng, J. L. Jing, and W. Jun, “Application of the Family Empowerment Program in the Nutritional Management of Elderly Patients With Chronic Heart Failure,” Modern Clinical Nursing 21, no. 08 (2022): 23-30.

[20]

H. X. Jin, X. L. Li, A. J. Yao, and G. F. Hu, “Application of the Hospital-Community-Family Nutrition Intervention Model in Elderly Patients With Chronic Obstructive Pulmonary Disease,” Zhejiang Medicine 44, no. 22 (2022): 2405-2409.

[21]

Y. J. Lu, J. F. Peng, and Y. Yu, “The Impact of Family Nutrition Support With Caregiver Shared Decision-Making on the Nutritional Status, Psychological Status, and Quality of Life of Patients After Esophageal Cancer Surgery,” Hebei Medical 46, no. 01 (2024): 91-94.

[22]

World Health Organization. Global Strategy on Digital Health 2020-2025. 2022, https://www.yunbaogao.cn/index/partFile/5/who/2022-04/5_23654.pdf.

[23]

F. Tong, R. Lederman, S. D'Alfonso, K. Berry, and S. Bucci, “Digital Therapeutic Alliance With Fully Automated Mental Health Smartphone Apps: A Narrative Review,” Frontiers in Psychiatry 13 (2022): 819623.

[24]

W. Marx, J. T. Kelly, M. Crichton, et al., “Is Telehealth Effective in Managing Malnutrition in Community-Dwelling Older Adults? A Systematic review and Meta-Analysis,” Maturitas 111 (2018): 31-46.

[25]

H. Han, W. Guo, Y. Lu, and M. Wang, “Effect of Mobile Applications on Blood Pressure Control and Their Development in China: A Systematic Review and Meta-Analysis,” Public Health 185 (2020): 356-363.

[26]

J. J. N. Lee, A. A. Abdul, S. T. Chan, et al., “Effects of Mobile Health Interventions on Health-related Outcomes in Older Adults With Type 2 Diabetes: A Systematic Review and Meta-Analysis,” Journal of Diabetes 15, no. 1 (2023): 47-57.

[27]

M. H. Kaveh, M. R. Faradonbeh, and S. Kaveh, “Telehealth Impact on Biomedical, Psychosocial, and Behavioural Outcomes in Patients With Diabetes Older Than 50 Years: A Systematic Synthesis Without Meta-Analysis,” Journal of Telemedicine and Telecare 30, no. 2 (2024): 285-304.

[28]

J. Tan, A. Mehrotra, G. N. Nadkarni, et al., “Telenephrology: Providing Healthcare to Remotely Located Patients With Chronic Kidney Disease,” American Journal of Nephrology 47, no. 3 (2018): 200-207.

[29]

L. Y. Zhong, J. W. Li, L. J. Xie, and D. Q. Hou, “Meta-Analysis of the Detection Rate of Nutritional Risk in Elderly Chinese Community Residents,” Modern Preventive Medicine 49 (2022): 2341-2351.

[30]

X. Liu, J. H. Ma, and X. L. Yang, “Systematic Evaluation of the Nutritional Status of the Elderly in Nursing Institutions at Home and Abroad in Recent Five Years,” Chinese Journal of Geriatric Care 19, no. 04 (2021): 57-64.

[31]

M. Zhu, J. Wei, W. Chen, X. Yang, H. Cui, and S. Zhu, “Nutritional Risk and Nutritional Status at Admission and Discharge Among Chinese Hospitalized Patients: A Prospective, Nationwide, Multicenter Study,” Journal of the American College of Nutrition 36, no. 5 (2017): 357-363.

[32]

B. Shakersain, G. Santoni, G. Faxén-Irving, D. Rizzuto, L. Fratiglioni, and W. Xu, “Nutritional Status and Survival Among Old Adults: An 11-Year Population-Based Longitudinal Study,” European Journal of Clinical Nutrition 70, no. 3 (2016): 320-325.

[33]

K. Wei, M. S. Z. Nyunt, Q. Gao, S. L. Wee, and T. P. Ng, “Long-Term Changes in Nutritional Status Are Associated With Functional and Mortality Outcomes Among Community-Living Older Adults,” Nutrition (Burbank, Los Angeles County, Calif.) 66 (2019): 180-186.

[34]

B. Hou, Y. Lin, W. Zhang, et al., “Association of Nutritional Status and Comorbidity With Long-Term Survival Among Community-Dwelling Older Males,” BMC Geriatrics 23, no. 1 (2023): 697.

[35]

Y. C. Wang, C. K. Liang, Y. H. Hsu, et al., “Synergistic Effect of Low Handgrip Strength and Malnutrition on 4-Year All-Cause Mortality in Older Males: A Prospective Longitudinal Cohort Study,” Archives of Gerontology and Geriatrics 83 (2019): 217-222.

[36]

K. Motokawa, J. Yasuda, Y. Mikami, et al., “The Mini Nutritional Assessment-Short Form as a Predictor of Nursing Home Mortality in Japan: A 30-Month Longitudinal Study,” Archives of Gerontology and Geriatrics 86 (2020): 103954.

[37]

A. Kańtoch, T. Grodzicki, J. Wójkowska-Mach, P. Heczko, and B. Gryglewska, “Explanatory Survival Model for Nursing Home Residents—A 9-Year Retrospective Cohort Study,” Archives of Gerontology and Geriatrics 97 (2021): 104497.

[38]

N. T. H. Huynh, T. T. T. Nguyen, H. K. T. Pham, et al., “Malnutrition, Frailty, and Health-Related Quality of Life Among Rural Older Adults in Vietnam: A Cross-Sectional Study,” Clinical Interventions in Aging 18 (2023): 677-688.

[39]

J. Törmä, U. Winblad, T. Cederholm, and A. Saletti, “Does Undernutrition Still Prevail Among Nursing Home Residents?,” Clinical Nutrition 32, no. 4 (2013): 562-568.

[40]

Y. J. Mao, J. Q. Wu, G. X. Liu, et al., “Chinese Expert Consensus on Prevention and Intervention of Malnutrition in the Elderly (2022),” Chinese Journal of Geriatrics 7, no. 41 (2022): 749-759.

[41]

Chinese Medical Association Branch of Parenteral and Enteral Nutrition, Geriatric Nutrition Support Group. Chinese Guidelines for Parenteral and Enteral Nutrition in the Elderly (2020). Chinese Journal of Geriatrics Medicine 2020; 039(002): 119-132.

[42]

X. L. Fang, The Trend of Dietary Knowledge, Attitude, and Behavior Among Chinese Adults and Its Relationship With Hypertension (Southeast University, 2022).

[43]

X. F. Jia, Z. H. Wang, B. Zhang, et al., “The trend of Dietary Nutritional Knowledge Awareness Rate Among Chinese Adults From 2004 to 2015,” Journal of Hygiene Research 49, no. 3 (2020): 345-356.

[44]

A. L. Liu, C. C. Ding, Y. J. Qiu, et al., “Age Differences in the Level of Nutritional Health Knowledge Among Chinese Adults in 2021,” Journal of Hygiene Research 51, no. 6 (2022): 876-880.

[45]

S. N. Tang, X. J. Yin, W. Yu, et al., “Analysis of Knowledge Awareness and Influencing Factors of Osteoporosis Among the Elderly in China,” Chinese Journal of Health Education 39, no. 3 (2023): 200-205.

[46]

C. Robert, M. Erdt, J. Lee, Y. Cao, N. B. Naharudin, and Y. L. Theng, “Effectiveness of eHealth Nutritional Interventions for Middle-Aged and Older Adults: Systematic Review and Meta-Analysis,” Journal of Medical Internet Research [Electronic Resource] 23, no. 5 (2021): 15649.

[47]

K. Teggart, R. Ganann, D. Sihota, et al., “Group-Based Nutrition Interventions to Promote Healthy Eating and Mobility in Community-Dwelling Older Adults: A Systematic Review,” Public Health Nutrition 25, no. 10 (2022): 1-32.

[48]

N. M. Someia, S. B. Atri, H. N. Areshtanab, H. Salehi-Pourmehr, and A. Farshbaf-Khalili, “Effectiveness of Education Based on Family-Centered Empowerment Model on Health-Promoting Behaviors and Some Metabolic Biomarkers in Elderly Women: A Stratified Randomized Clinical Trial,” Journal of Education and Health Promotion 9 (2020): 331.

[49]

M. Shuremu, K. H. Abate, and T. Belachew, “Effect of Nutrition Education Intervention to Improve Dietary Diversity Practice and Nutritional Status of the Older People: A Cluster Randomized Controlled Trial,” Food Science & Nutrition 11, no. 11 (2023): 7383-7395.

[50]

S. S. Paavola, S. K. Jyväkorpi, and M. H. Suominen, “Nutrition Education Improves Intakes of Protein, Polyunsaturated Fatty Acids, and Vitamins C and E in Community-Dwelling Older Adults,” Journal of Nutrition in Gerontology and Geriatrics 42, no. 3-4 (2023): 161-177.

[51]

P. Camargo-Plazas, M. Robertson, B. Alvarado, G. C. Paré, I. G. Costa, and L. Duhn, “Diabetes Self-Management Education (DSME) for Older Persons in Western Countries: A Scoping Review,” PLoS ONE 18, no. 8 (2023): e0288797.

[52]

K. J. Konnyu, S. Yogasingam, J. Lépine, et al., “Quality Improvement Strategies for Diabetes Care: Effects on Outcomes for Adults Living With Diabetes,” Cochrane Database of Systematic Reviews (Online) 5, no. 5 (2023): CD014513.

[53]

C. Cruz-Cobo and M. J. Santi-Cano, “Efficacy of Diabetes Education in Adults With Diabetes Mellitus Type 2 in Primary Care: A Systematic Review,” Journal of Nursing Scholarship 52, no. 2 (2020): 155-163.

[54]

G. P. Meng, D. M. Li, X. J. Cai, and A. Bu, “The Effect of Nutritional Diet Education on Patients With Coronary Heart Disease,” Diet Health no. 30 (2021): 237-238.

[55]

F. Bai, “The Impact of Healthy Diet Education on Patients With Hypertension,” World Congress on Medical Informatics (Continuing Education Edition) 18, no. 8 (2018): 116. 119.

[56]

Z. Zhang, Y. Zhu, L. Zhang, et al., “Nutritional Education and Counseling Program for Adult Cancer Patients During Radiotherapy: A Cluster-Randomized Clinical Trial,” Supportive Care in Cancer 30, no. 4 (2022): 3279-3289.

[57]

M. Sonoi, K. Noma, S. Tanabe, N. Maeda, Y. Shirakawa, and H. Morimatsu, “Assessing the Role of Perioperative Nutritional Education in Improving Oral Intake After Oesophagectomy: A Retrospective Study,” Asian Pacific Journal of Cancer Prevention 24, no. 6 (2023): 2037-2041.

[58]

J. F. Pi, J. Zhou, L. L. Lu, L. Li, C. R. Mao, and L. Jiang, “A Study on the Effect of Nutrition Education Based on the Goal Attainment Theory on Oral Nutritional Supplementation After Colorectal Cancer Surgery,” Supportive Care in Cancer 31, no. 7 (2023): 444.

[59]

F. L. Xie, Y. Q. Wang, L. F. Peng, F. Y. Lin, Y. L. He, and Z. Q. Jiang, “Beneficial Effect of Educational and Nutritional Intervention on the Nutritional Status and Compliance of Gastric Cancer Patients Undergoing Chemotherapy: A Randomized Trial,” Nutrition and Cancer 69, no. 5 (2017): 762-771.

[60]

Y. Qiu, J. You, K. Wang, et al., “Effect of Whole-Course Nutrition Management on Patients With Esophageal Cancer Undergoing Concurrent Chemoradiotherapy: A Randomized Control Trial,” Nutrition (Burbank, Los Angeles County, Calif.) 69 (2020): 110558.

[61]

P. Ravasco, I. Monteiro-Grillo, and M. Camilo, “Individualized Nutrition Intervention Is of Major Benefit to Colorectal Cancer patients: Long-Term Follow-Up of a Randomized Controlled Trial of Nutritional Therapy,” American Journal of Clinical Nutrition 96, no. 6 (2012): 1346-1353.

[62]

T. Mouri, C. Hatamochi, J. Uchino, and K. Takayama, “Education Program for Male Patients With Chronic Obstructive Pulmonary Disease to Change Dietary Behavior,” Kobe Journal of Medical Sciences 66, no. 3 (2020): E82-e89.

[63]

B. Gupta, S. Kant, R. Mishra, and F. Engineering, “Effect of Nutrition Education Intervention on Symptomatic Markers of Indian Patients With Chronic Obstructive Pulmonary Disease,” Journal of Nutritional Health & Food Engineering 1 (2014).

[64]

A. Yaegashi, A. Shirahata, S. Kudo, and M. Kozuka, “Effects and Contents of Nutrition Education Relating to Sarcopenia and Frailty for Japanese Older Adults: A Systematic Review,” Geriatrics & Gerontology International 21, no. 12 (2021): 1084-1092.

[65]

Q. Miao, Y. Miao, K. Dong, P. H. Zhang, and L. L. Wang, “The Impact of Nutrition and Exercise Intervention on the Prevention and Treatment of Sarcopenia in Community Elderly,” Chinese Journal of Modern Nursing 23, no. 5 (2017): 663-666.

[66]

T. Zhao, H. L. Gao, N. Z. Guo, et al., “The Effect of Health Education and Whey Protein Combined With Resistance Exercise Intervention on Sarcopenia in Middle-Aged and Elderly People,” Journal of Clinical and Experimental Medicine 21, no. 1 (2022): 90-94.

[67]

Z. Wang, X. Xu, S. Gao, et al., “Effects of Internet-Based Nutrition and Exercise Interventions on the Prevention and Treatment of Sarcopenia in the Elderly,” Nutrients 14, no. 12 (2022): 2458.

[68]

C. Y. Zhao, R. H. Zhou, Y. Z. Tian, Y. M. Tang, H. Z. Ning, and H. Y. Liu, “The Impact of Nutrition Education and Dietary Intervention on the Nutritional Status and Bone Mineral Density of Middle-Aged and Elderly Patients With Osteoporosis,” Journal of Hygiene Research 45, no. 02 (2016): 230-235.

[69]

National Health Commission of the People's Republic of China. Guidelines for Dietary Management of Adults With Diabetes (2023 Edition). Clinical Education in General Practice 2023; 21(5): 388-391.

[70]

L. Chiavaroli, D. Lee, A. Ahmed, A. Cheung, T. A. Khan, and S. Blanco, “Effect of low Glycaemic Index or Load Dietary Patterns on Glycaemic Control and Cardiometabolic Risk Factors in Diabetes: Systematic Review and Meta-Analysis of Randomised Controlled Trials,” BMJ 374 (2021): n1651.

[71]

Z. Yu, F. Nan, L. Y. Wang, H. Jiang, W. Chen, and Y. Jiang, “Effects of High-Protein Diet on Glycemic Control, Insulin Resistance and Blood Pressure in Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials,” Clinical Nutrition 39, no. 6 (2020): 1724-1734.

[72]

Y. Wang, L. Feng, G. Zeng, et al., “Effects of Cuisine-Based Chinese Heart-Healthy Diet in Lowering Blood Pressure Among Adults in China: Multicenter, Single-Blind, Randomized, Parallel Controlled Feeding Trial,” Circulation 146, no. 4 (2022): 303-315.

[73]

Q. Li, L. Feng, J. Sun, et al., “Effects of Chinese Heart-Healthy Diet on Blood Lipids, Glucose, and Estimated 10-y Cardiovascular Disease Risk Among Chinese Adults: Results on Secondary Outcomes of a Randomized Controlled Trial,” American Journal of Clinical Nutrition 119, no. 2 (2024): 333-343.

[74]

A. Shah, R. Bross, B. B. Shapiro, G. Morrison, and J. D. Kopple, “Dietary Energy Requirements in Relatively Healthy Maintenance Hemodialysis Patients Estimated From Long-Term Metabolic Studies,” American Journal of Clinical Nutrition 103, no. 3 (2016): 757-765.

[75]

S. S. Kang, J. W. Chang, and Y. Park, “Nutritional Status Predicts 10-Year Mortality in Patients With End-Stage Renal Disease on Hemodialysis,” Nutrients 9, no. 4 (2017): 399.

[76]

Y. Yang, X. Qin, Y. Li, et al., “The Association Between Dietary Energy Intake and the Risk of Mortality in Maintenance Haemodialysis Patients: A Multi-Centre Prospective Cohort Study,” British Journal of Nutrition 123, no. 4 (2020): 437-445.

[77]

J. Wang, P. Luo, Y. Yang, et al., “Dietary Protein Intake and the Risk of All-Cause and Cardiovascular Mortality in Maintenance Hemodialysis Patients: A Multicenter, Prospective Cohort Study,” Nutrition (Burbank, Los Angeles County, Calif.) 95 (2022): 111564.

[78]

A. Inoue, E. Ishikawa, Y. Shirai, T. Murata, C. Miki, and Y. Hamada, “Effects of Protein-Energy Wasting (PEW) and Hyperphosphatemia on the Prognosis in Japanese Maintenance Hemodialysis Patients: A Five-Year Follow-Up Observational Study,” Clinical Nutrition ESPEN 36 (2020): 134-138.

[79]

M. Aryaie, H. Sharifi, A. Saber, M. Nazemipour, and M. A. Mansournia, “Longitudinal Causal Effects of Normalized Protein Catabolic Rate on All-Cause Mortality in Patients With End-Stage Renal Disease: Adjusting for Time-Varying Confounders Using the G-Estimation Method,” American Journal of Epidemiology 190, no. 6 (2021): 1133-1141.

[80]

D. Hahn, E. M. Hodson, and D. Fouque, “Low Protein Diets for Non-Diabetic Adults With Chronic Kidney Disease,” Cochrane Database of Systematic Reviews (Online) 10, no. 10 (2020): CD001892.

[81]

Y. Narasaki, C. M. Rhee, H. Kramer, and K. Kalantar-Zadeh, “Protein Intake and Renal Function in Older Patients,” Current Opinion in Clinical Nutrition and Metabolic Care 24, no. 1 (2021): 10-17.

[82]

S. Feng, Z. Tao, W. Fang, and T. Xian Ping, “The application effect of individualized dietary intervention program in elderly patients With dysphagia After stroke,” Chin Med Guid J 20, no. 33 (2023): 157-161.

[83]

Y. Shen, J. Q. Xu, and Y. Wang, “The Impact of Graded Dietary Management on the Quality of Life of Elderly Patients With Dysphagia,” Chinese Journal of Geriatrics Care 16, no. 05 (2018): 136-137.

[84]

L. Chen, B. Hemsley, and D. Debono, “The Impact of Food-Shaping Techniques on Nutrition, Mealtime Experiences, and Quality of Life for Older Adults in Aged Care Settings: A Systematic Review,” Current Nutrition Reports 12, no. 4 (2023): 744-766.

[85]

X. S. Wu, A. Miles, and A. Braakhuis, “Nutritional Intake and Meal Composition of Patients Consuming Texture Modified Diets and Thickened Fluids: A Systematic Review and Meta-Analysis,” Healthcare (Basel) 8, no. 4 (2020): 579.

[86]

E. Parkinson, L. Hooper, J. Fynn, et al., “Low-Intake Dehydration Prevalence in Non-Hospitalised Older Adults: Systematic Review and Meta-Analysis,” Clinical Nutrition 42, no. 8 (2023): 1510-1520.

[87]

A. Leibovitz, Y. Baumoehl, E. Lubart, A. Yaina, N. Platinovitz, and R. Segal, “Dehydration Among Long-Term Care Elderly Patients With Oropharyngeal Dysphagia,” Gerontology 53, no. 4 (2007): 179-183.

[88]

J. Mateos-Nozal, E. Sánchez García, B. Montero-Errasquín, E. Romero Rodríguez, and A. J. Cruz-Jentoft, “Short-Term Therapeutic Adherence of Hospitalized Older Patients With Oropharyngeal Dysphagia After an Education Intervention: Analysis of Compliance Rates, Risk Factors and Associated Complications,” Nutrients 14, no. 3 (2022): 413.

[89]

S. I. Cawsey, J. Soo, and L. M. Gramlich, “Home Enteral Nutrition: Outcomes Relative to Indication,” Nutrition in Clinical Practice 25, no. 3 (2010): 296-300.

[90]

S. Klek, D. Pawlowska, G. Dziwiszek, H. Komon, P. Compala, and M. Nawojski, “The Evolution of Home Enteral Nutrition (HEN) in Poland During Five Years After Implementation: A Multicentre Study,” Nutricion Hospitalaria 32, no. 1 (2015): 196-201.

[91]

Y. Ma, X. M. Li, L. Tan, Q. You, L. Shi, and W. Hu, “Epidemiological Characteristics of Home Enteral Nutrition in Patients From a Chinese Tertiary Hospital in 2021: A Cross-Sectional Study,” Asia Pacific Journal of Clinical Nutrition 31, no. 3 (2022): 496-503.

[92]

A. Paccagnella, C. Baruffi, D. Pizzolato, et al., “Home Enteral Nutrition in Adults: A Five-Year (2001-2005) Epidemiological Analysis,” Clinical Nutrition 27, no. 3 (2008): 378-385.

[93]

C. Wanden-Berghe, L. M. Luengo, J. Álvarez, et al., “Spanish Home Enteral Nutrition Registry of the Year 2014 and 2015 From the NADYA-SENPE Group,” Nutricion Hospitalaria 34, no. 1 (2017): 15-18.

[94]

Q. You, X. Li, Y. Ma, L. Shi, and W. Hu, “A Retrospective Analysis on Epidemiological Characteristics of Home Enteral Nutrition: Results From a Chinese Tertiary Hospital in 2018,” European Journal of Clinical Nutrition 75, no. 3 (2021): 473-479.

[95]

Agency For Clinical Innovation. Nutrition Network Guidelines for Home Enteral Nutrition. 2012, https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/171817/ACI-Guidelines-for-HEN-services-2nd-Ed.pdf.

[96]

F. Liu, X. Pan, S. Zhao, R. Ren, G. Chang, and Y. Mao, “Effect of Home Enteral Nutritional Support Compared With Normal Oral Diet in Postoperative Subjects With Upper Gastrointestinal Cancer Resection: A Meta-Analysis,” Frontiers in Surgery 9 (2022): 844475.

[97]

H. Xueting, L. Li, Y. Meng, et al., “Home Enteral Nutrition and Oral Nutritional Supplements in Postoperative Patients With Upper Gastrointestinal Malignancy: A Systematic Review and Meta-Analysis,” Clinical Nutrition 40, no. 5 (2021): 3082-3093.

[98]

C. Zhang, L. W. Hu, Y. Qiang, et al., “Home enteral Nutrition for Patients With Esophageal Cancer Undergoing Esophagectomy: A Systematic Review and Meta-Analysis,” Frontiers in Nutrition 9 (2022): 895422.

[99]

L. Liu, Y. C. Wang, Q. W. Liu, et al., “Home Enteral Nutrition After Esophagectomy for Esophageal Cancer: A Systematic Review and Meta-Analysis,” Medicine 99, no. 36 (2020): e21988.

[100]

S. Tan, Q. Meng, Y. Jiang, et al., “Impact of Oral Nutritional Supplements in Post-Discharge Patients at Nutritional Risk Following Colorectal Cancer Surgery: A Randomised Clinical Trial,” Clinical Nutrition 40, no. 1 (2021): 47-53.

[101]

K. J. Banda, H. Chu, X. L. Kang, et al., “Prevalence of Dysphagia and Risk of Pneumonia and Mortality in Acute Stroke Patients: A Meta-Analysis,” BMC Geriatrics 22, no. 1 (2022): 420.

[102]

M. Elia and R. J. Stratton, “A Cost-Utility Analysis in Patients Receiving Enteral Tube Feeding at Home and in Nursing Homes,” Clinical Nutrition 27, no. 3 (2008): 416-423.

[103]

Y. Gao, S. Q. Zhang, Y. Wu, X. H. Cui, and J. R. Zhang, “A Meta-Analysis on the Safety and Effectiveness of Manual Feeding for Patients With Advanced Dementia,” Chinese Evidence-Based Nursing 10, no. 11 (2024): 1927-1931.

[104]

E. L. Sampson, B. Candy, and L. Jones, “Enteral Tube Feeding for Older People With Advanced Dementia,” Cochrane Database of Systematic Reviews (Online) 2009, no. 2 (2009): CD007209.

[105]

L. M. Murphy and T. O. Lipman, “Percutaneous Endoscopic Gastrostomy Does Not Prolong Survival in Patients With Dementia,” Archives of Internal Medicine 163, no. 11 (2003): 1351-1353.

[106]

A. J. Cruz-Jentoft, F. Landi, S. M. Schneider, C. Zúñiga, H. Arai, Y. Boirie, et al., “Prevalence of and Interventions for Sarcopenia in Ageing Adults: A Systematic Review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS),” Age and Ageing 43, no. 6 (2014): 748-759.

[107]

A. Martin-Cantero, E. M. Reijnierse, B. M. T. Gill, and A. B. Maier, “Factors Influencing the Efficacy of Nutritional Interventions on Muscle Mass in Older Adults: A Systematic Review and Meta-Analysis,” Nutrition Reviews 79, no. 3 (2021): 315-330.

[108]

G. E. Rus, J. Porter, A. Brunton, et al., “Nutrition Interventions Implemented in Hospital to Lower Risk of Sarcopenia in Older Adults: A Systematic Review of Randomised Controlled Trials,” Nutrition and Dietetics 77, no. 1 (2020): 90-102.

[109]

Y. Yoshimura, H. Wakabayashi, M. Yamada, H. Kim, A. Harada, and H. Arai, “Interventions for Treating Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies,” Journal of the American Medical Directors Association 18, no. 6 (2017): 553.e1-553.e16.

[110]

T. W. Peng, Application of the Finger Ring Test in the Screening of Sarcopenia in the Elderly and Meta-Analysis of the Improvement Effects of Different Intervention Methods on Sarcopenia. Master's thesis (Hebei Medical University, 2020).

[111]

P. Y. Wu, K. S. Huang, K. M. Chen, C. P. Chou, and Y. K. Tu, “Exercise, Nutrition, and Combined Exercise and Nutrition in Older Adults With Sarcopenia: A Systematic Review and Network Meta-Analysis,” Maturitas 145 (2021): 38-48.

[112]

Y. H. Yin, J. Y. W. Liu, and M. Välimäki, “Effectiveness of Non-Pharmacological Interventions on the Management of Sarcopenic Obesity: A Systematic Review and Meta-Analysis,” Experimental Gerontology 135 (2020): 110937.

[113]

K. Yu and C. W. Li, “The Impact of Nutritional Intervention on Muscle Protein Synthesis in the Elderly: A Systematic Review,” Chinese Journal of Health Management 11, no. 1 (2017): 34-39.

[114]

M. Cui, K. Yu, C. W. Li, and R. R. Li, “Systematic Review of the Progress of Research on Sarcopenia and Fall Incidence in the Elderly and the Related Nutritional and Exercise Interventions,” Chinese Journal of Clinical Nutrition 25, no. 5 (2017): 278-285.

[115]

R. P. Kirwan, M. Mazidi, G. C. Rodríguez, et al., “Protein Interventions Augment the Effect of Resistance Exercise on Appendicular Lean Mass and Handgrip Strength in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials,” American Journal of Clinical Nutrition 115, no. 3 (2022): 897-913.

[116]

M. Tieland, R. Franssen, C. Dullemeijer, et al., “The Impact of Dietary Protein or Amino Acid Supplementation on Muscle Mass and Strength in Elderly People: Individual Participant Data and Meta-Analysis of RCT's,” Journal of Nutrition, Health and Aging 21, no. 9 (2017): 994-1001.

[117]

C. Beaudart, A. Dawson, S. C. Shaw, et al., “Nutrition and Physical Activity in the Prevention and Treatment of Sarcopenia: Systematic Review,” Osteoporosis International 28, no. 6 (2017): 1817-1833.

[118]

C. D. Liao, J. Y. Tsauo, Y. T. Wu, et al., “Effects of Protein Supplementation Combined With Resistance Exercise on Body Composition and Physical Function in Older Adults: A Systematic Review and Meta-Analysis,” American Journal of Clinical Nutrition 106, no. 4 (2017): 1078-1091.

[119]

B. Komar, L. Schwingshackl, and G. Hoffmann, “Effects of leucine-rich protein supplements on anthropometric parameter and muscle strength in the elderly: A systematic review and meta-analysis,” Journal of Nutrition, Health and Aging 19, no. 4 (2015): 437-446.

[120]

S. Y. Lee, H. J. Lee, and J. Y. Lim, “Effects of Leucine-Rich Protein Supplements in Older Adults With Sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials,” Archives of Gerontology and Geriatrics 102 (2022): 104758.

[121]

Y. Guo, X. Fu, Q. Hu, L. Chen, and H. Zuo, “The Effect of Leucine Supplementation on Sarcopenia-Related Measures in Older Adults: A Systematic Review and Meta-Analysis of 17 Randomized Controlled Trials,” Frontiers in Nutrition 9 (2022): 929891.

[122]

J. Oktaviana, J. Zanker, S. Vogrin, and G. Duque, “The Effect of β-Hydroxy-β-methylbutyrate (HMB) on Sarcopenia and Functional Frailty in Older Persons: A Systematic Review,” Journal of Nutrition, Health and Aging 23, no. 2 (2019): 145-150.

[123]

Z. Lin, A. Zhao, and J. He, “Effect of β-Hydroxy-β-Methylbutyrate (HMB) on the Muscle Strength in the Elderly Population: A Meta-Analysis,” Frontiers in Nutrition 9 (2022): 914866.

[124]

D. E. Bear, A. Langan, E. Dimidi, et al., “β-Hydroxy-β-Methylbutyrate and Its Impact on Skeletal Muscle Mass and Physical Function in Clinical Practice: A Systematic Review and Meta-Analysis,” American Journal of Clinical Nutrition 109, no. 4 (2019): 1119-1132.

[125]

R. Q. Li and P Ceng, “Effect of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Muscle Loss in Older Adults: A Systematic Review and Meta-Analysis,” Paper presented at 14th Asian Congress of Nutrition. 2023.

[126]

H. Wu, Y. Xia, J. Jiang, et al., “Effect of Beta-Hydroxy-Beta-Methylbutyrate Supplementation on Muscle Loss in Older Adults: A Systematic Review and Meta-Analysis,” Archives of Gerontology and Geriatrics 61, no. 2 (2015): 168-175.

[127]

T. Kawahara, G. Suzuki, S. Mizuno, et al., “Active vitamin D Treatment in the Prevention of Sarcopenia in Adults With Prediabetes (DPVD Ancillary Study): A Randomised Controlled Trial,” Lancet Healthy Longevity 5, no. 4 (2024): e255-e263.

[128]

S. H. Cheng, K. H. Chen, C. Chen, W. C. Chu, and Y. N. Kang, “The Optimal Strategy of Vitamin D for Sarcopenia: A Network Meta-Analysis of Randomized Controlled Trials,” Nutrients 13, no. 10 (2021): 3589.

[129]

M. C. Chang and Y. J. Choo, “Effects of Whey Protein, Leucine, and Vitamin D Supplementation in Patients With Sarcopenia: A Systematic Review and Meta-Analysis,” Nutrients 15, no. 3 (2023): 521.

[130]

S. Palchaudhuri, S. J. Mehta, C. K. Snider, L. Hudson, G. D. Wu, and O. Pickett-Blakely, “Hospital Discharge on Enteral Nutrition is Associated With Increased Hospital Readmissions,” Journal of the American Nutrition Association 42, no. 2 (2022): 207-210.

[131]

Y. Ginzburg, I. Shmilovitz, N. Monastyrsky, R. Endevelt, and D. R. Shahar, “Barriers for Nutritional Care in the Transition From Hospital to the Community Among Older Patients,” Clinical Nutrition ESPEN 25 (2018): 56-62.

[132]

L. Skladany, J. Vnencakova, L. Laffers, et al., “Adherence to Oral Nutritional Supplements After Being Discharged From the Hospital is Low but Improves Outcome in Patients With Advanced Chronic Liver Disease,” Patient Preference and Adherence 14 (2020): 2559-2572.

[133]

M. Kurien, S. White, G. Simpson, J. Grant, D. S. Sanders, and M. E. McAlindon, “Managing Patients With Gastrostomy Tubes in the Community: Can a Dedicated Enteral Feed Dietetic Service Reduce Hospital Readmissions?,” European Journal of Clinical Nutrition 66, no. 6 (2012): 757-760.

[134]

B. S. Blondal, O. G. Geirsdottir, A. M. Beck, et al., “HOMEFOOD Randomized Trial-Beneficial Effects of 6-Month Nutrition Therapy on Body Weight and Physical Function in Older Adults at Risk for Malnutrition After Hospital Discharge,” European Journal of Clinical Nutrition 77, no. 1 (2023): 45-54.

[135]

B. Blanco, T. Mora, and M. Trapero-Bertran, “Direct Health Care Costs Associated to Neurological Diseases and Different Degrees of Malnutrition,” Clinical Nutrition ESPEN 44 (2021): 297-305.

[136]

A. Beck, U. T. Andersen, E. Leedo, et al., “Does Adding a Dietician to the Liaison Team After Discharge of Geriatric Patients Improve Nutritional Outcome: A Randomised Controlled Trial,” Clinical Rehabilitation 29, no. 11 (2015): 1117-1128.

[137]

A. M. Beck, S. Kjaer, B. S. Hansen, R. L. Storm, K. Thal-Jantzen, and C. Bitz, “Follow-Up Home Visits With Registered Dietitians Have a Positive Effect on the Functional and Nutritional Status of Geriatric Medical Patients After Discharge: A Randomized Controlled Trial,” Clinical Rehabilitation 27, no. 6 (2013): 483-493.

[138]

H. Keller, R. Donnelly, C. Laur, L. Goharian, and R. Nasser, “Consensus-Based Nutrition Care Pathways for Hospital-to-Community Transitions and Older Adults in Primary and Community Care,” Jpen Journal of Parenteral and Enteral Nutrition 46, no. 1 (2022): 141-152.

[139]

D. H. L. Ng, F. H. X. Koh, H. E. L. Yeong, et al., “Nutrition Care After Hospital Discharge in Singapore: Evidence-Based Best-Practice Recommendations,” Nutrients 15, no. 21 (2023): 4492.

[140]

J. S. Albrecht, A. L. Gruber-Baldini, J. M. Hirshon, et al., “Hospital Discharge Instructions: Comprehension and Compliance Among Older Adults,” Journal of General Internal Medicine 29, no. 11 (2014): 1491-1498.

[141]

C. H. Hestevik, M. Molin, J. Debesay, A. Bergland, and A. Bye, “Older Patients' and Their Family Caregivers' Perceptions of Food, Meals and Nutritional Care in the Transition Between Hospital and Home Care: A Qualitative Study,” BMC Nutrition 6 (2020): 11.

[142]

Y. Y. Zhao, The Study of Health Education Based on WeChat for the Main Caregivers of Discharged Patients With Nasogastric Tube Feeding on Their Knowledge, Attitude, and Practice Levels (Shanghai University of Traditional Chinese Medicine, 2021).

[143]

S. Xue, The Impact of Dietary Diary Management on the Nutritional Status of Elderly Patients After Esophageal Cancer Surgery Discharge (Hebei Medical University, 2021).

[144]

P. Orlandoni, P. N. Jukic, L. Spazzafumo, et al., “Utility of Video Consultation to Improve the Outcomes of Home Enteral Nutrition in a Population of Frail Older Patients,” Geriatrics & Gerontology International 16, no. 6 (2016): 762-767.

[145]

C. Gavazzi, S. Colatruglio, F. Valoriani, et al., “Impact of Home Enteral Nutrition in Malnourished Patients With Upper Gastrointestinal Cancer: A Multicentre Randomised Clinical Trial,” European Journal of Cancer 64 (2016): 107-112.

[146]

F. Hatao, K. Y. Chen, J. M. Wu, et al., “Randomized Controlled Clinical Trial Assessing the Effects of Oral Nutritional Supplements in Postoperative Gastric Cancer Patients,” Langenbecks Archives of Surgery 402, no. 2 (2017): 203-211.

[147]

M. E. McMurdo, R. J. Price, M. Shields, J. Potter, and D. J. Stott, “Should Oral Nutritional Supplementation Be Given to Undernourished Older People Upon Hospital discharge? A Controlled Trial,” Journal of the American Geriatrics Society 57, no. 12 (2009): 2239-2245.

[148]

K. Norman, M. Pirlich, C. Smoliner, et al., “Cost-Effectiveness of a 3-Month Intervention With Oral Nutritional Supplements in Disease-Related Malnutrition: A Randomised Controlled Pilot Study,” European Journal of Clinical Nutrition 65, no. 6 (2011): 735-742.

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