scholarly journals The effect of food fortification with or without oral nutritional supplements on energy and protein provision and intake in nursing home residents: a service evaluation

2015 ◽  
Vol 10 (5) ◽  
pp. e188-e189
Author(s):  
C. Baldwin ◽  
K. Moore ◽  
C. Steele ◽  
C. Young ◽  
M. Arakji ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Nutritional Supplements ◽  
Service Evaluation ◽  
Food Fortification ◽  
Oral Nutritional Supplements ◽  
Effect Of Food

scholarly journals Design of the DYNAMO study: a multi-center randomized controlled trial to investigate the effect of pre-thickened oral nutritional supplements in nursing home residents with dysphagia and malnutrition (risk)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Viviënne A. L. Huppertz ◽  
Nick van Wijk ◽  
Laura W. J. Baijens ◽  
Lisette C. P. G. M. de Groot ◽  
Ruud J. G. Halfens ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Weight ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Nutritional Supplements ◽  
Nutritional Intake ◽  
Nutritional Care ◽  
Randomized Controlled ◽  
Oral Nutritional Supplements

Abstract Background Oropharyngeal Dysphagia (OD) and malnutrition are frequently reported conditions in nursing home residents, and are often interrelated. Best care for dysphagic residents with, or at risk of, malnutrition should target adequate nutritional intake and the safety and efficacy of swallowing. The effect of oral nutritional supplements (ONS) suitable for nursing home residents with concurrent OD and malnutrition (risk) on nutritional status has not been investigated before. The current study aims to investigate the effect of daily use of a range of pre-thickened ONS on the body weight of nursing home residents with OD and malnutrition (risk) compared to standard OD and nutritional care. Methods / design The DYNAMO study is a randomized, controlled, multi-center, open label trial with two parallel groups. Study participants will be recruited in nursing homes of several care organizations in the south of the Netherlands. Study duration is 12 weeks. Residents in the control group will receive standard OD and nutritional care, and residents in the test group will receive standard OD and nutritional care with extra daily supplementation of pre-thickened ONS. The main outcome parameter is the difference in body weight change between the control and test groups. An a priori estimation of the required sample size per group (control / test) totals 78. Other outcome parameters are differences in: nutritional intake, health-related quality of life, OD-specific quality of life, activities of daily living, vital signs, and blood nutrient and metabolite levels. Discussion Regular ONS could address the nutritional needs of nursing home residents with malnutrition (risk), but might be too thin and unsafe for residents with OD. Pre-thickened ONS is suitable for residents with OD. It offers the advantage of being a ready-to-use amylase-resistant product available in several consistencies which are able to increase swallowing efficacy and safety. The DYNAMO study is the first to investigate the effects of pre-thickened ONS on nutritional status in nursing home residents with concurrent OD and malnutrition (risk). Trial registration Netherlands Trial Register (NTR): NTR NL7898. Registered 24 July 2019, https://www.trialregister.nl/trial/7898

scholarly journals Do malnutrition, sarcopenia and frailty overlap in nursing-home residents?

2020 ◽  
pp. 1-5
Author(s):  
G. Faxén-Irving ◽  
Y. Luiking ◽  
H. Grönstedt ◽  
E. Franzén ◽  
Å. Seiger ◽  
...  
Keyword(s):  
At Risk ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Nutritional Supplements ◽  
Cross Sectional ◽  
Increased Risk ◽  
European Working ◽  
Oral Nutritional Supplements ◽  
Protein Rich ◽  
Study Setting

Objectives: To study the prevalence and overlap between malnutrition, sarcopenia and frailty in a selected group of nursing home (NH) residents. Design: Cross-sectional descriptive study. Setting: Nursing homes (NH). Participants: 92 residents taking part in an exercise and oral nutritional supplementation study; >75 years old, able to rise from a seated position, body mass index ≤30 kg/m2 and not receiving protein-rich oral nutritional supplements. Measurements: The MNA-SF and Global Leadership Initiative on Malnutrition (GLIM) criteria were used for screening and diagnosis of malnutrition (moderate or severe), respectively. Sarcopenia risk was assessed by the SARC-F Questionnaire (0-10p; ≥4=increased risk), and for diagnosis the European Working Group of Sarcopenia in Older People (EWGSOP2) criteria was used. To screen for frailty the FRAIL Questionnaire (0-5p; 1-2p indicating pre-frailty, and >3p indicating frailty), was employed. Results: Average age was 86 years; 62% were women. MNA-SF showed that 30 (33%) people were at risk or malnourished. The GLIM criteria verified malnutrition in 16 (17%) subjects. One third (n=33) was at risk for sarcopenia by SARC-F. Twenty-seven (29%) subjects displayed confirmed sarcopenic according to EWGSOP2. Around 50% (n=47) was assessed as pre-frail or frail. Six people (7%) suffered from all three conditions. Another five (5%) of the residents were simultaneously malnourished and sarcopenic, but not frail, while frailty coexisted with sarcopenia in 10% (n=9) of non-malnourished residents. Twenty-nine (32%) residents were neither malnourished, sarcopenic nor frail. Conclusions: In a group of selected NH residents a majority was either (pre)frail (51%), sarcopenic (29%) or malnourished (17%). There were considerable overlaps between the three conditions.

Indicators of oral nutritional supplements prescription in nursing home residents: A cross-sectional study

2016 ◽  
Vol 35 (5) ◽  
pp. 1047-1052 ◽  
Author(s):  
Charlotte Dupuy ◽  
Philipe de Souto Barreto ◽  
Anne Ghisolfi ◽  
Sophie Guyonnet ◽  
Béatrice Dorigny ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Nutritional Supplements ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Oral Nutritional Supplements

scholarly journals The Effect of Food Odor Exposure on Appetite and Nutritional Intake of Older Adults with Dementia

2022 ◽  
Author(s):  
M. H. Verwijs ◽  
O. van de Rest ◽  
G.-J. van der Putten ◽  
L. C. P. G. M. de Groot ◽  
Sanne Boesveldt
Keyword(s):  
Older Adults ◽  
Body Weight ◽  
Nursing Home ◽  
Control Period ◽  
Nursing Home Residents ◽  
Nutritional Intake ◽  
Intervention Period ◽  
Food Odor ◽  
Effect Of Food ◽  
Odor Exposure

Abstract Objectives Dementia can lead to decreased appetite and nutritional intake. Food odor exposure has been shown to increase appetite and nutritional intake in young healthy adults. This study investigates the effect of food odor exposure on appetite, nutritional intake and body weight of Dutch nursing home residents with dementia. Design This was a one-armed, non-randomized, non-blinded intervention study consisting of a four-week control period followed by a twelve-week intervention period. Setting Four nursing homes in the Netherlands. Participants Forty-five nursing home residents with dementia. Intervention During the intervention period, odors were dispersed prior to the main meals. Measurements General and specific appetite for sweet and savory foods was measured weekly. Nutritional intake was measured once during the control period and three times during the intervention period through a 3-day food record. Body weight was assessed at the start and end of the control period and at the start, end and halfway the intervention period. Data were analyzed with linear mixed models. Results Small changes in general and specific appetite were observed after odor exposure. Overall energy intake did not change during the first four intervention weeks, but increased during the second and third (+118kcal/d, p=0.003 and +122kcal/d, p=0.004). Protein intake and body weight did not significantly change during the study. Conclusion In this study, no clinically relevant changes in appetite, nutritional intake and body weight were observed after food odor exposure. Future studies should assess the effect of natural food odors and/or meal-tailored odors on nutritional intake of older adults with dementia.

511 DO ORAL NUTRITIONAL SUPPLEMENTS IMPROVE QUALITY OF LIFE IN THE FRAIL ELDERLY- A SYSTEMATIC REVIEW

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii14-ii18
Author(s):  
C Ryan ◽  
I Hynd
Keyword(s):  
Quality Of Life ◽  
Physical Exercise ◽  
Elderly Patients ◽  
Frail Elderly ◽  
Nursing Home Residents ◽  
Nutritional Supplements ◽  
Elderly Adult ◽  
Oral Nutritional Supplements ◽  
The Impact

Abstract Background Oral nutritional supplements (ONS) are regularly used in older frail adults to help reduced oral intake, recovery from acute illness and weight gain. As, many frailer patients have limited life expectancies the priority for treatment should be improving quality of life (QoL). We set out to find if ONS increase QoL in the frail elderly adult. Method We searched Embase, Medline and OVID databases for using terms for ONS, frail older adults and QoL. The two authors independently reviewed all papers with any dispute was resolved by discussion. Each paper was then reviewed by both authors to extract data and determine bias before collation. Results The search returned 516 papers. Each paper was briefly reviewed to check for relevance leaving 65 papers for detailed review of which 8 papers were included. Two systematic reviews were included. One was unable to draw conclusions from the 3 papers (out of 17) that included QoL as the graded evidence was too poor. The other showed no impact on QoL (in the 2 out of 12 papers that included QoL) in patients post hip fracture receiving ONS. One paper interviewed frail elderly patients about the perceived benefits of their ONS. Nursing home residents perceived that ONS improved their ability to see family which was inferred as improving QoL. Three papers assessed ONS in conjunction with physical exercise. Two showed an improvement in quality of life in the ONS group despite controls also receiving a physical exercise programme. Two papers assessed the impact of ONS on patients discharged from hospital and those chronically unwell- neither showed any difference in QoL. Discussion Quality of life has been a neglected area of study when assessing the impact of ONS on frail elderly patients. When used in conjunction with physical exercise it seems to have a positive effect.

scholarly journals Reasons for and against Nutritional Interventions. An Exploration in the Nursing Home Setting

Geriatrics ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 90
Author(s):  
Franz J. Grosshauser ◽  
Eva Kiesswetter ◽  
Gabriel Torbahn ◽  
Cornel C. Sieber ◽  
Dorothee Volkert
Keyword(s):  
At Risk ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Home Setting ◽  
Nutritional Interventions ◽  
Subjective Judgement ◽  
Oral Nutritional Supplements ◽  
Nursing Home Setting

Malnutrition (MN) is widespread in nursing homes. Sometimes, but not always, nutritional interventions (NIs) are made, and the reasons for or against NIs are unknown. The aim of this cross-sectional study was to describe these reasons for residents with and without MN according to nurses’ subjective judgement and according to objective signs of MN. The nutritional status of 246 nursing home residents was subjectively judged by nurses (MN, at risk of MN, no MN) and objectively assessed by body mass index (BMI), weight loss (WL), and low food intake. NIs (enriched meals and/or oral nutritional supplements) were recorded using a standardized questionnaire, and nurses’ main reasons for (not) giving NIs were obtained in an open question. Of the residents, 11.0% were subjectively malnourished, and 25.6% were at risk of MN; 32.9% were malnourished according to objective criteria. Overall, 29.7% of the residents received NIs, 70.4% of those with MN as assessed by the nurses, 53.0% of those with objective MN, and 11.0% and 18.0% of non-malnourished residents, respectively. Reasons for NIs most often stated were low intake (47.9%), WL (23.3%), and low BMI (13.7%). Reasons against NIs mostly mentioned were adequate BMI (32.9%) and sufficient intake (24.3%). The lack of NIs for residents with MN was partially—but not always—explained by valid reasons. As residents without MN frequently received NIs, criteria for both MN rating and providing NIs, require closer scrutiny.

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