Interventions for Frailty
Exercise Recommendations
Should be individualised, progressive, at least moderate intensity, have a resistance component
Should ideally be supervised
Nutrition
Tools for nutritional assessment include mini nutritional assessment(MNA) and malnutrition universal screening tool (MUST)
Address and investigate loss of weight (as necessary)
Body Mass Index
ESPEN Guidelines for protein intake
Daily protein intake of 1.0-1.5g/kg body weight per day; individual needs vary depending on malnutrition risk
Those with severe CKD- 0.6g-0.8g/kg/day
Reference: Deutz NE, Bauer JM, Barazzoni R, et al. Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group. Clin Nutr. 2014;33(6):929-936. doi:10.1016/j.clnu.2014.04.007