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Effects of high-protein, high-calorie oral nutritional supplementation in malnourished older people in nursing homes: An observational, multi-center, prospective study (PROT-e-GER). Protocol and baseline population characteristics
- Source :
- Maturitas. 126:73-79
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Introduction Malnutrition is common among older people living in nursing homes. Poor nutritional status is associated with functional loss and with worse health. Oral nutritional supplementation (ONS) can be an effective means to counteract weight loss, improve nutritional status and reduce complications in malnourished older people living in nursing homes. The main objective of this study was to assess whether ONS over 12 weeks improved the nutritional status and physical function of malnourished older people living in nursing homes. Methods This was a multi-center, prospective, observational study carried out in 53 nursing homes in Spain. Participants were aged 65 or over. They were prescribed a high-calorie, high-protein ONS to treat well documented malnutrition. Subjects who received enteral nutrition, had special nutritional requirements, or receiving end-of-life care were excluded. Anthropometric data were recorded (weight, height and BMI) as well as scores on nutritional and functional scales (MNA-SF, Barthel index, SPPB, grip strength and Functional Ambulation Categories, FAC) at the beginning of the study and after 12 weeks. Cognitive status, comorbidities and depressive symptoms were also assessed. Frailty status was assessed using the FRAIL scale. Results 320 participants were included, of whom 253 completed the study (mean age 84.2 ± 7.1 years). Baseline BMI was 20.2 ± 2.8. A high prevalence of functional impairment (Barthel Index median 45, range 15–75; median SPPB 4, range 1–6) and cognitive impairment (MMSE median 12, 7–20) was found. Discussion This study identified a population with malnutrition and a high degree of physical and mental disability that mirrors the typical population of many nursing homes. Analysis of the results of this study will help to determine the factors associated with malnutrition and the effect of nutritional intervention in practice.
- Subjects :
- Male
Gerontology
Nutritional Supplementation
Population
Nutritional Status
General Biochemistry, Genetics and Molecular Biology
03 medical and health sciences
Grip strength
0302 clinical medicine
Weight loss
medicine
Humans
Prospective Studies
030212 general & internal medicine
Prospective cohort study
education
Aged
Aged, 80 and over
education.field_of_study
030219 obstetrics & reproductive medicine
business.industry
Malnutrition
Obstetrics and Gynecology
medicine.disease
Nursing Homes
Nutrition Assessment
Parenteral nutrition
Spain
Dietary Supplements
Diet, High-Protein
Female
Observational study
medicine.symptom
Energy Intake
business
Subjects
Details
- ISSN :
- 03785122
- Volume :
- 126
- Database :
- OpenAIRE
- Journal :
- Maturitas
- Accession number :
- edsair.doi.dedup.....49179f250b46c8d5a8483344f6871e9e