In this brochure, we have collected some of the new and relevant references highlighting the importance of improving the nutritional status among patients, or geriatric individuals, with or at risk of disease-related malnutrition. This brochure includes guidelines for protein and energy requirements, as well as study summaries on the importance of protein quality to regain and build muscle mass. In particular, studies on leucine are included, since this is the most potent amino acid to stimulate muscle protein synthesis. Leucine has been proposed to have a beneficial effect on muscle mass, muscle strength and physical function.

This physical exercise programme provides you with exercises for pre-frail and frail elderly people. You will find a series of exercises adapted to the elderly person's functional capacity (severe limitation, mild and moderate limitation according to the SPPB and Gait Speed), and include exercises for:    Strength and power of both arms and legs  Balance and walking  Flexibility  Resistance through cardio exercises  All exercises describe the procedure, the initial instructions, frequency and progression for proper monitoring of the patients' prescribed exercises. 

This toolkit has been specially designed to ease the work of healthcare professionals during functional and nutritional assessment of their patients with mobility impairment and (risk of) malnutrition. It contains fully validated and internationally recognized screening and diagnosis tools most often used in clinical practice. The aim is to support healthcare professionals with tools to early detect frailty, sarcopenia and malnutrition to ensure timely intervention.

Mobility impairment is characterized by loss of muscle mass, bone mass and function, and may be caused by age-related diseases (e.g. sarcopenia or frailty), acute accidental events (e.g. falls and fractures) and mobility-induced chronic diseases (e.g. osteoarthritis). Nutritional management of malnutrition and mobility impairment typically focus on dietary guidance and may include treatment with oral nutritional supplements (ONS) to provide a high calorie and protein-rich diet of good protein quality.  This study summary gives an overview of some key clinical studies on the composition of oral nutrition supplement for the nutritional management of malnutrition and impaired mobility.

Due to reduced levels of physical activity in children with cerebral palsy or other neurodisabilities, there is a risk of tube-fed individuals becoming overweight or obese if their feed contains an excess of calories. Nestlé Health Science provide a nutritionally complete, lower energy formula, Peptamen® Junior 0.6, that can be used to overcome this problem. Peptamen® Junior 0.6 is a well tolerated, low-energy, peptide-based feed with fibre that has been shown to reduce gastrointestinal symptoms in children with neurological impairment. Food for special medical purposes. Enteral tube feed for the dietary management of patients with or at risk of malnutrition.  Must be used under medical supervision.