S Pölönen1, M Tiihonen, S Hartikainen, I Nykänen. 1. Irma Nykänen, Kuopio Research Centre of Geriatric Care, School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, Kuopio Campus, P.O.BOX 1627, FI-70211 Kuopio, Finland, Phone +358 40 355 2991, Fax: 358 17 162 131, E-mail : Irma.Nykanen@uef.fi.
Abstract
OBJECTIVE: To evaluate the effect of individually tailored dietary counseling on nutritional status among home care clients aged 75 years or older. DESIGN: Non-randomised controlled study. SETTING AND PARTICIPANTS: The study sample consisted of 224 home care clients (≥ 75 years) (intervention group, n = 127; control group, n = 100) who were at protein-energy malnutrition (PEM) or risk of PEM (MNA score <24 and plasma albumin <35 g/L). INTERVENTION: Individually tailored dietary counseling; the persons were instructed to increase their food intake with energy-dense food items, the number of meals they ate and their consumption of energy-, protein- and nutrient-rich snacks for six months. MEASUREMENTS: The Mini Nutritional Assessment (MNA), Body Mass Index (BMI) and plasma albumin were used to determine nutritional status at the baseline and after the six-month intervention. RESULTS: The mean age of the home care clients was 84.3 (SD 5.5) in the intervention group and 84.4 (SD 5.3) in the control group, and 70 percent were women in both groups. After the six-month nutritional intervention, the MNA score increased 2.3 points and plasma albumin 1.6 g/L in the intervention group, against MNA score decreased -0.2 points and plasma albumin -0.1 g/L in the control group. CONCLUSIONS:Individually tailored dietary counseling may improve nutritional status among older home care clients.
RCT Entities:
OBJECTIVE: To evaluate the effect of individually tailored dietary counseling on nutritional status among home care clients aged 75 years or older. DESIGN: Non-randomised controlled study. SETTING AND PARTICIPANTS: The study sample consisted of 224 home care clients (≥ 75 years) (intervention group, n = 127; control group, n = 100) who were at protein-energy malnutrition (PEM) or risk of PEM (MNA score <24 and plasma albumin <35 g/L). INTERVENTION: Individually tailored dietary counseling; the persons were instructed to increase their food intake with energy-dense food items, the number of meals they ate and their consumption of energy-, protein- and nutrient-rich snacks for six months. MEASUREMENTS: The Mini Nutritional Assessment (MNA), Body Mass Index (BMI) and plasma albumin were used to determine nutritional status at the baseline and after the six-month intervention. RESULTS: The mean age of the home care clients was 84.3 (SD 5.5) in the intervention group and 84.4 (SD 5.3) in the control group, and 70 percent were women in both groups. After the six-month nutritional intervention, the MNA score increased 2.3 points and plasma albumin 1.6 g/L in the intervention group, against MNA score decreased -0.2 points and plasma albumin -0.1 g/L in the control group. CONCLUSIONS: Individually tailored dietary counseling may improve nutritional status among older home care clients.
Entities:
Keywords:
MNA test; Nutritional intervention; home care clients; older people
Authors: A Salvà; S Andrieu; E Fernandez; E J Schiffrin; J Moulin; B Decarli; X Rojano-i-Luque; Y Guigoz; B Vellas Journal: J Nutr Health Aging Date: 2011-12 Impact factor: 4.075
Authors: Nadine Genet; Wienke Gw Boerma; Dionne S Kringos; Ans Bouman; Anneke L Francke; Cecilia Fagerström; Maria Gabriella Melchiorre; Cosetta Greco; Walter Devillé Journal: BMC Health Serv Res Date: 2011-08-30 Impact factor: 2.655
Authors: Johanna Jyrkkä; Hannes Enlund; Piia Lavikainen; Raimo Sulkava; Sirpa Hartikainen Journal: Pharmacoepidemiol Drug Saf Date: 2011-02-09 Impact factor: 2.890
Authors: Jantine van den Helder; Sjors Verlaan; Michael Tieland; Jorinde Scholten; Sumit Mehra; Bart Visser; Ben J A Kröse; Raoul H H Engelbert; Peter J M Weijs Journal: Nutrients Date: 2021-02-03 Impact factor: 5.717