Nutrition Matter_ Video Malnutrition in the Healthcare Setting from an Asian Perspective

HMB supplementation seems to be a feasible alternative for the maintenance of muscle mass in the population over 65 years, especially in bedridden or sedentary elderly, aiding in the reduction of muscle catabolism. Three grams of HMB seem to be the optimal dose to promote these benefits.

The effective amount of HMB (3 g/day) is extremely difficult to obtain from the normal diet, given the low quantities of HMB available in foods and the low conversion rate of leucine to HMB. Several studies have shown positive effects of HMB supplementation on body composition, muscle mass and strength, and physical function in older adults.

This systematic review shows that HMB can improve lean body mass and preserve muscle strength and function in older people with sarcopenia and frailty.

The Asian working group for sarcopenia (AWGS) is established and work with collaboration in Taiwan, Japan, Korea, Hongkong, China and Southeast Asian countries such as Thailand. The special interest groups of AWGS studied sarcopenia in the following categories: definition, epidemiology, diagnosis, and intervention. The AWGS consensus (AWGS 2014 and AWGS 2019) has been widely accepted and cited in many important medical journals about sarcopenia.

Nutrition Therapy as Part of Multimodal Intervention for the Management of Frail Elderly Patients-case study 2

Nutrition Therapy as Part of Multimodal Intervention for the Management of Frail Elderly Patients-case study 1

Exercise and nutrition can fight with sarcopenia

Sarcopenia often overlaps with malnutrition, especially in older patients.

Sarcopenia is defined as skeletal muscle disorders due to aging processes leading to decreased muscle strength, increased functional impairment and disability, raised mortality, and lessened quality of life.

HMB can prevent the development of sarcopenia in elderly subjects and that the optimal action of HMB on muscle growth and strength occurs when it is combined with exercise.

Undernutrition and resultant muscle loss (muscle atrophy), as associated with aging and disease, can lead to adverse health and economic consequences. Nutrition and exercise are key to growth and maintenance of muscle promoting overall health, well-being, and recovery from disease.

The branched-chain amino acid (BCAA) leucine acts as both a ‘trigger’ for the initiation of protein synthesis, and as a substrate for newly synthesized protein.The observation that HMB enhances muscle protein anabolismmay partly (or wholly) underlie its pre-defined anabolic/anti-catabolic supplemental efficacy in humans

HMB supplementation reduces post exercise muscle damage, and thuscaccelerates recovery. It also allows for increases in lean body mass, improved strength and aerobic capacity.

HMB (ß-hydroxy-ß-methylbutyrate): A scientific review New Perspective on Lean Body Mass

Video HMB mechanism of action Thai version

The Role of Amino Acids and Their Metabolites in Supporting Muscle Health in Aging and Illness

COVID-19 patients often suffered from malnutrition and sarcopenia. In addition, patients may have other complications of organs and gastrointestinal symptoms, resulting in the risk of malnutrition which can compromise their immune system and the severity of disease complications, leading to unfavorable clinical outcomes in both short- and long-terms.

Early nutrition intervention help support patients:

Improve nutrition intake, fast recovery and muscle strength.

Reduce the disease complications

In this infographic, see the role muscle plays in overall health, and why maintaining muscle matters

The important of nutrition in surgery and learn more on ESPEN’s complete guidelines on Clinical Nutrition in Surgery.

Maintain or improve muscle through good nutrition including oral nutrition supplements

The case study video

The lecture Video

Enhanced Recovery After Surgery (ERAS) Programs Over the last decade, Enhanced Recovery After Surgery (ERAS) programs have been adopted as the standard of perioperative care across the world. 

Nutritional status is a strong predictor of postoperative outcomes

Clinical summary overview ONS Summary

The ESPEN poster: SECONDARY ANALYSIS OF THE EFFORT TRIAL

Nutrition Matter_TH Malnutriition infographic

Nutrition Matter_TH Simple pathway for nutrition care

Good nutrition is an integral component of patient care.

Disease-related malnutrition occurs when nutrient intake is insufficient to meet nutrient needs. It occurs in the presence or absence of inflammation and can be related to starvation, chronic illness, or acute illness or injury.