Preserving Strength, Preserving Independence

Working with institutionalized older adults in long-term care units in Lisbon revealed how muscle weakness, reduced mobility, and social vulnerability often coexist during ageing. Our study on sarcopenia and dynapenia also raised broader reflections on autonomy, dignity, and quality of life.
Preserving Strength, Preserving Independence
Like

Share this post

Choose a social network to share with, or copy the URL to share elsewhere

This is a representation of how your post may appear on social media. The actual post will vary between social networks

Why this research mattered to us

During my internship in long-term care units in Lisbon, I became increasingly interested in healthy ageing and the importance of preserving muscle strength and functionality throughout life. While “active ageing” is often discussed in public health, working closely with institutionalized older adults exposed me to a very different reality, one marked by frailty, dependence, reduced mobility, and, at times, loneliness.

This experience inspired our study on sarcopenia and dynapenia among institutionalized older adults in the Lisbon region. Despite the growing ageing population in Portugal, there is still limited research on muscle weakness and functional decline.

 What surprised us during data collection

One of the most memorable moments during data collection involved the handgrip dynamometer used to assess muscle strength. Some residentes, especially older men who initially believed they still had good strength, looked surprised when the device barely moved during the test. As researchers, we tried not to react, but those moments stayed with us long after the assessments ended.

The results reflected what we had been observing in practice. While confirmed sarcopenia affected around one quarter of participants, dynapenia, reduced muscle strength independently of muscle mass, was present in almost all participants.

Looking beyond the numbers: reflections and challenges

Beyond the numbers, the study also made us reflect on the daily lives of many institutionalized older adults. Several residents spent long hours seated, with limited movement and little social interaction. Although loneliness was not directly assessed in our study, these observations made us reflect on how physical decline and social isolation may coexist during ageing.

Conducting research in long-term care facilities also brought practical and ethical challenges. Some residents preferred discussing participation with family members before consenting to the study, reminding us that research involving vulnerable populations requires patience, empathy, and trust.

Another challenge was the lack of access to advanced body composition tools such as DEXA or BIA. However, this limitation reinforced one of the most important messages of our study: even simple and low-cost tools can provide valuable clinical information. Measures such as handgrip strength, calf circumference, and nutritional screening may help identify older adults at risk before severe functional decline occurs.

 What we hope people take from this research

This study changed the way we personally understand ageing. Preserving muscle strength is not only about mobility — it is closely connected to autonomy, dignity, quality of life, and potentially preventing falls, hospitalizations, and long-term institutional dependency.

As populations continue to age, promoting healthy ageing must involve more than increasing life expectancy. It should also mean preserving strength, independence, and quality of life for as long as possible.

Please sign in or register for FREE

If you are a registered user on Research Communities by Springer Nature, please sign in

Follow the Topic

Nutrition
Life Sciences > Health Sciences > Health Care > Nutrition
Ageing
Life Sciences > Biological Sciences > Physiology > Ageing
Malnutrition
Life Sciences > Health Sciences > Health Care > Nutrition > Malnutrition
Health Care
Life Sciences > Health Sciences > Health Care

Related Collections

With Collections, you can get published faster and increase your visibility.

Diet quality and food security in public health

The relationship between diet quality and food security is a pivotal aspect of public health nutrition, with profound implications for individual and community well-being. Continued exploration in this area is essential in addressing endemic malnutrition and ensuring nutritional security for all populations. With substantial global challenges such as rising food insecurity and escalating rates of diet-related chronic diseases, advancing our understanding of these interconnected domains provides critical insights for creating effective, sustainable public health strategies.

Recent advances have addressed the complex interactions between food systems, socioeconomic determinants, and health outcomes. Studies have demonstrated that improved dietary diversity correlates strongly with better nutritional adequacy and reduced rates of micronutrient deficiencies. For instance, researchers have established that access to a variety of food groups significantly enhances the micronutrient profile of diets, reducing the risk of prevalent deficiencies in essential vitamins and minerals. Furthermore, emerging research has highlighted the impact of household food insecurity as a key determinant of diet quality; families experiencing food insecurity often resort to less nutritious, calorie-dense options, exacerbating issues of malnutrition.

Public health nutrition has made notable strides in identifying and addressing the diverse factors that contribute to food security challenges. In particular, the integration of behavioral and community-based approaches has yielded promising results in improving dietary practices among vulnerable populations. These advances have laid the groundwork for more targeted interventions, which have proven effective in managing the dual burden of malnutrition—both undernutrition and obesity—coexisting in many regions.

Looking ahead, the potential for future advances in this field is vast. Continuous research can provide insights into innovative food systems that promote both diet quality and food security, particularly in low- and middle-income countries. The application of technology, such as data analytics and machine learning, may allow us to better understand patterns of food consumption and the socioeconomic factors impacting dietary choices. Additionally, interdisciplinary approaches that bring together specialists in nutrition, agriculture, and public policy will enhance our capacity to devise comprehensive strategies that strengthen food security while promoting healthy dietary practices.

Topics of interest include, but are not limited to:

  • Nutritional adequacy and health outcomes
  • Socioeconomic determinants of diet quality
  • Household food insecurity assessments
  • Impacts of food systems on public health
  • Strategies for enhancing dietary diversity
  • Policy approaches to food security
  • Interventions to combat micronutrient deficiencies
  • Innovations in public health nutrition

This Collection supports and amplifies research related to SDG 3: Good Health and Well-being.

All manuscripts submitted to this journal, including those submitted to collections and special issues, are assessed in line with our editorial policies and the journal’s peer review process. Reviewers and editors are required to declare competing interests and can be excluded from the peer review process if a competing interest exists.

Publishing Model: Open Access

Deadline: Mar 24, 2027

New research on plant-based diets

The shift towards plant-based diets has gained significant momentum in recent years, driven by a growing awareness of health, environmental sustainability, and ethical considerations. This Collection seeks to explore the latest research findings on plant-based nutrition, examining its implications for human health and the planet. As more individuals adopt vegetarian (excluding all animal flesh such as meat, fish, and other aquatic animals and including lacto-ovo-, ovo-, and lacto-vegetarian diets) and vegan (excluding foods of animal origin such as meat, fish, other aquatic animals, eggs, dairy products, and honey) lifestyles, understanding the nutritional adequacy, potential health benefits, and barriers to these diets becomes increasingly relevant for researchers and public health professionals alike.

Research in this field has illuminated the potential advantages of plant-based diets, including reduced risks of chronic diseases, improved dietary quality, and a lower carbon footprint. Advances in nutritional epidemiology, including controlled dietary interventions, have provided insights into the relationship between plant-based nutrition and health outcomes, as well as the role of alternative proteins (e.g., legume-based products, meat alternatives, mycoprotein) in meeting dietary needs. As public interest in sustainable diets continues to rise, the importance of disseminating sound scientific evidence to guide consumers, healthcare providers, and policymakers is paramount.

Continued research in plant-based nutrition could pave the way for innovative dietary guidelines and interventions that promote not only individual health but also environmental sustainability. As we deepen our understanding of the impacts of plant-based diets on human health and the climate, future studies may reveal new strategies for integrating these diets into mainstream eating habits, potentially revolutionizing dietary recommendations worldwide.

Topics of interest include, but are not limited to:

  • Health benefits of plant-based nutrition including vegan, lacto-vegetarian, ovo-vegetarian, lacto-ovo-vegetarian, or flexitarian diets (non-vegetarian diets that include notably lower amounts of animal products than typical omnivorous diets)
  • Sustainable plant-based diets and climate impact
  • Controlled dietary interventions for plant-based eating
  • Nutritional epidemiology of vegan diets and ethical veganism
  • Alternative proteins in plant-based diets
  • The impact of food-based dietary quality on the healthiness of vegan diets
  • Transformative strategies to shift mainstream diets towards a notable reduction of animal-source food intake, while ensuring adequate nutrient intake

This Collection supports and amplifies research related to SDG 3: Good Health and Well-being.

All manuscripts submitted to this journal, including those submitted to collections and special issues, are assessed in line with our editorial policies and the journal’s peer review process. Reviewers and editors are required to declare competing interests and can be excluded from the peer review process if a competing interest exists.

Publishing Model: Open Access

Deadline: Feb 15, 2027