Sarcopenia

​Inform patients about diet and exercise and what support is available to help them with these aspects. Consider referring the patient to a dietitian.[54]​Zanker J, Sim M, Anderson K, et al. Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand. J Cachexia Sarcopenia Muscle. 2023 Feb;14(1):142-56. https://onlinelibrary.wiley.com/doi/10.1002/jcsm.13115 http://www.ncbi.nlm.nih.gov/pubmed/36349684?tool=bestpractice.com ​ The dietitian will review dietary habits and determine means of increasing energy and/or protein with or without supplementation. Also consider referral to a community exercise program, where available, as participation in a structured supervised program increases the odds of success.[105]F​ahlman MM, Topp R, McNevin N, et al. Structured exercise in older adults with limited functional ability: assessing the benefits of an aerobic plus resistance training program. J Gerontol Nurs. 2007 Jun;33(6):32-9. http://www.ncbi.nlm.nih.gov/pubmed/17598625?tool=bestpractice.com ​ Encourage active walking between training sessions. This will complement these interventions and benefit patients by allowing them to regain their autonomy.[106]​Notthoff N, Carstensen LL. Positive messaging promotes walking in older adults. Psychol Aging. 2014 Jun;29(2):329-41. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4069032 http://www.ncbi.nlm.nih.gov/pubmed/24956001?tool=bestpractice.com