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Protein\u2010energy undernutrition in older patients increases the risk of complications such as falls, pressure ulcers and even death. An overview of effective interventions addressing this complex issue of malnutrition in older people is missing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To give an overview of effective interventions to optimise nutrition in older people in hospitals and long\u2010term care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An umbrella review, according to the Joanna Briggs Institute and PRISMA statement, was conducted in April 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic search of publications from 2010 until 2020 was conducted in CINAHL, PubMed and Cochrane Database. Included were studies reporting nutrition interventions that involved nurses or the interprofessional team in optimising older hospitalised people's nutrition. Excluded were studies investigating the effects of parenteral nutrition, certain food supplements or tube feeding and research from intensive, community or palliative care. Components of interventions were classified according to the intervention <jats:italic>Nutrition management<\/jats:italic>: <jats:italic>Patients\u2019 assistance<\/jats:italic>, <jats:italic>patients\u2019 instruction<\/jats:italic>, <jats:italic>foodservice<\/jats:italic>, <jats:italic>environment for meals<\/jats:italic> and <jats:italic>nutrient<\/jats:italic>\u2010<jats:italic>dense snacks<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Included were 13 reviews from 19 countries of the continents Asia, Australia, Europe and North America from hospitals and long\u2010term care settings. An <jats:italic>interprofessional food promoting culture<\/jats:italic>, including <jats:italic>staff training<\/jats:italic> as part of a <jats:italic>multi<\/jats:italic>\u2010<jats:italic>component measure<\/jats:italic>, has shown to be a successful element in implementing activities of Nutrition Management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Several studies synthesised that optimising nutrition in older people in hospitals and long\u2010term care is achievable. Interventions were effective if\u2014on a meta\u2010level\u2014<jats:italic>staff training<\/jats:italic> was addressed as part of a <jats:italic>multi<\/jats:italic>\u2010<jats:italic>component measure<\/jats:italic> to reach an <jats:italic>interprofessional food promoting culture<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>Interventions to optimise older people's nutrition have to consider an <jats:italic>interprofessional food promoting culture<\/jats:italic>, including <jats:italic>staff training<\/jats:italic> about the importance of nutrition, patients\u2019 assistance and an appropriate environment for meals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.13015","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T09:21:06Z","timestamp":1625217666000},"page":"579-598","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Interventions to optimise nutrition in older people in hospitals and long\u2010term care: Umbrella review"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4460-882X","authenticated-orcid":false,"given":"Silvia","family":"Brunner","sequence":"first","affiliation":[{"name":"City Hospital Waid and Triemli  Ti\u00e8chestrasse Z\u00fcrich Switzerland"},{"name":"University Vienna, A  Alser Strasse Vienna Austria"},{"name":"TU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"Mayer","sequence":"additional","affiliation":[{"name":"University Vienna, A  Alser Strasse Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Qin","sequence":"additional","affiliation":[{"name":"University Vienna, A  Alser Strasse Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Breidert","sequence":"additional","affiliation":[{"name":"City Hospital Waid and Triemli  Ti\u00e8chestrasse Z\u00fcrich Switzerland"},{"name":"TU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Dietrich","sequence":"additional","affiliation":[{"name":"City Hospital Waid and Triemli  Ti\u00e8chestrasse Z\u00fcrich Switzerland"},{"name":"University Zurich  Z\u00fcrich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"M\u00fcller Staub","sequence":"additional","affiliation":[{"name":"Hanze University Groningen  Groningen Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.05.024"},{"issue":"4","key":"e_1_2_13_3_1","first-page":"74","article-title":"Evaluation of malnutrition among elderly people above 75 years of age","volume":"7","author":"Nguyen TD","year":"2020","journal-title":"J Crit Rev"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2019.05.006"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2017.25"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-017-1278-3"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2007.02275.x"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-011-0053-1"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14051"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/mco.0000000000000525"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.03.002"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-010-0085-y"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603\u2010017\u20100903\u20106"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12100"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12529"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph8020514"},{"key":"e_1_2_13_17_1","first-page":"6","article-title":"Energy and protein intake in 330 geriatric orthopedic patients: Are the current nutrition guidelines applicable?","author":"Rosenberger C","year":"2018","journal-title":"Clin Nutr"},{"key":"e_1_2_13_18_1","unstructured":"GrobS DietrichM RechsteinerM BeckS FreiS RosenbergerC et al. 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