Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (>65 years) Danish nursing home residents
Abstract
The purpose was to test the hypothesis that a multifaceted 11 weeks randomized controlled intervention would have a significant influence of functional abilities in old nursing home residents. Participants were 121 old (>65 years) residents in seven Danish nursing homes. The intervention consisted of nutrition (chocolate, homemade oral supplements), group exercise (moderate intensity) and oral care. Measurements taken were weight, body mass index (BMI), energy and protein intake, and functional abilities (activities of daily living=ADL, cognitive performance, and social engagement). The results showed that the nutrition and exercise were well accepted. After 11 weeks the change in % weight (1.3 vs. -0.6%, p=0.005), % BMI (0.4 vs. -0.2%, p=0.003), energy intake (0.7 vs. -0.3 MJ/day, p=0.084) and protein intake (5 vs. -2g/day, p=0.012) was higher in the intervention group than in the control group. Also, after 11 weeks, social and physical function had decreased in the control group but was unchanged in the intervention group. The difference between groups was significant in relation to social engagement (p=0.009). After the end of the intervention both groups had lost weight and physical function. Cognitive performance did not change, at any time. In conclusion, it seems possible to maintain social (and physical) functional abilities in old nursing home residents by means of a multifaceted intervention.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Positive effects on various outcome parameters were reported in multimodal and multidisciplinary intervention studies, but results were not always consistent.
“Positive effects on various outcome parameter were reported (e.g.dietary intake (49,50,53), nutritional status, the incidence of falls (53,56), fall-related injuries (56), health status (55), physical performance (48)(49)(50)(51)57), social activity (49,50), costeffectiveness (52) and quality of life (48,51)), results were however not always consistent.”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [50]
Four relevant RCTs with several sub-studies of low to acceptable quality focusing on multimodal and multidisciplinary interventions were identified.
“Four relevant RCTs with several sub-studies of low to acceptable quality focusing on multimodal and multidisciplinary interventions (combining more than two intervention strategies) were identified (48)(49)(50)(51)(52)(53)(54)(55)(56)(57):”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [50]
Some of the included RCTs had participants with impaired cognition.
“some of the included RCTs had participants with impaired cognition [26,41,42,53]”
From Effects of Protein Supplementation Combined with Exercise Intervention on Frailty Indices, Body Composition, and Physical Function in Frail Older Adults (2018) · cites this paper as [42]
Cites
Hao (2015) · doi:10.1002/14651858 · Cited by 11,321 · see citing works
Exercise training and nutritional supplementation for physical frailty in very elderly people
Fiatarone, M. A., O'Neill, E. F., Ryan, N. D., Clements, K. M., Solares, G. R., Nelson, M. E., Roberts, S. B., Kehayias, J. J., Lipsitz, L. A., & Evans, W. J. (1994) · New England Journal of Medicine · doi:10.1056/nejm199406233302501 · Cited by 2,857 · see citing works
MDS Cognitive Performance Scale(C)
Morris, J. N., Fries, B. E., Mehr, D. R., Hawes, C., Phillips, C., Mor, V., & Lipsitz, L. A. (1994) · Journal of Gerontology · doi:10.1093/geronj/49.4.m174 · Cited by 1,852 · see citing works
Morris, J. N., Fries, B. E., & Morris, S. A. (1999) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/54.11.m546 · Cited by 1,408 · see citing works
(2002) · Choice Reviews Online · doi:10.5860/choice.39-3447 · Cited by 1,100 · see citing works
Protein and energy supplementation in elderly people at risk from malnutrition
Milne, A. C., Potter, J., Vivanti, A., & Avenell, A. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003288.pub3 · Cited by 849 · see citing works
Hawes, C., Morris, J., Phillips, C. D., Mor, V., Fries, B. E., & Nonemaker, S. (1995) · The Gerontologist · doi:10.1093/geront/35.2.172 · Cited by 736 · see citing works
Esmarck, B., Andersen, J. L., Olsen, S., Richter, E. A., Mizuno, M., & Kjær, M. (2001) · The Journal of Physiology · doi:10.1111/j.1469-7793.2001.00301.x · Cited by 540 · see citing works
Nijs, K., de Graaf, C., Kok, F. J., & van Staveren, W. A. (2006) · BMJ · doi:10.1136/bmj.38825.401181.7c · Cited by 269 · see citing works
The Structure of Social Engagement among Nursing Home Residents
Mor, V., Branco, K. J., Fleishman, J., Hawes, C., Phillips, C., Morris, J., & Fries, B. E. (1995) · The Journals of Gerontology Series B · doi:10.1093/geronb/50b.1.p1 · Cited by 269 · see citing works
Rosendahl, E., Lindelöf, N., Littbrand, H., Yifter‐Lindgren, E., Lundin‐Olsson, L., Håglin, L., Gustafson, Y., & Nyberg, L. (2006) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(06)70045-9 · Cited by 208 · see citing works
Factors Associated With Low Body Mass Index and Weight Loss in Nursing Home Residents
Blaum, C. S., Fries, B. E., & FIATARONE, M. A. (1995) · The Journals of Gerontology Series A · doi:10.1093/gerona/50a.3.m162 · Cited by 198 · see citing works
Bonnefoy, M., Cornu, C., Normand, S., Boutitie, F., Bugnard, F., Rahmani, A., Lacour, J. R., & Laville, M. (2003) · British Journal Of Nutrition · doi:10.1079/bjn2003836 · Cited by 182 · see citing works
Lauque, S., Arnaud‐Battandier, F., Guyonnet, S., Plaze, J., Andrieu, S., Cantet, C., & Vellas, B. J. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2004.52464.x · Cited by 169 · see citing works
Wårdh, I., Andersson, L., & Sörensen, S. (1997) · Gerodontology · doi:10.1111/j.1741-2358.1997.00028.x · Cited by 166 · see citing works
Rydwik, E., Frändin, K., & Akner, G. (2003) · Age and Ageing · doi:10.1093/ageing/afh001 · Cited by 134 · see citing works
Energy-dense meals improve energy intake in elderly residents in a nursing home
Olin, A. Ö. (2003) · Clinical Nutrition · doi:10.1054/clnu.2002.0610 · Cited by 124 · see citing works
Wouters-Wesseling, W., Wouters, A., Kleijer, C. N., BINDELS, J. G., de Groot, C. P. G. M., & van Staveren, W. (2002) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601319 · Cited by 109 · see citing works
An International Study of Social Engagement Among Nursing Home Residents
Schroll, M., Jonsson, P. V., Berg, K., & Sherwood, S. (1997) · Age and Ageing · doi:10.1093/ageing/26.suppl_2.55 · Cited by 95 · see citing works
Nutrition and aging: a consensus statement.
Bates, C. J., Benton, D., Biesalski, H. K., Staehelin, H. B., van Staveren, W., Stehle, P., Suter, P. M., & Wolfram, G. (2002) · PubMed · Cited by 72 · see citing works
Beck, A. M., & Ovesen, L. (2002) · Scandinavian Journal of Caring Sciences · doi:10.1046/j.1471-6712.2002.00062.x · Cited by 53 · see citing works
Self-citationEffect of an Enriched Drink on Cognitive Function in Frail Elderly Persons
Wouters-Wesseling, W., Wagenaar, L. W., Rozendaal, M., Deijen, J. B., de Groot, C. P. G. M., BINDELS, J. G., & van Staveren, W. A. (2005) · The Journals of Gerontology Series A · doi:10.1093/gerona/60.2.265 · Cited by 53 · see citing works
Beck, A. M., Ovesen, L., & Schroll, M. (2002) · Aging Clinical and Experimental Research · doi:10.1007/bf03324439 · Cited by 42 · see citing works
Self-citationRydwik, E., Frändin, K., & Akner, G. (2004) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2004.05.009 · Cited by 39 · see citing works
Kwok, T. C. Y., Woo, J., & Kwan, M. (2001) · PubMed · Cited by 35 · see citing works
Mental health services for residents of care homes
Dening, T., & Bains, J. (2003) · Age and Ageing · doi:10.1093/ageing/afh004 · Cited by 30 · see citing works
Esmarck, B., Andersen, J. L., Olsen, S., Richter, E. A., Mizuno, M., & Kjær, M. (2002) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1034/j.1600-0838.2002.120111_2.x · Cited by 24 · see citing works
Beck, A. M., & Ovesen, L. (2004) · Foodservice Research International · doi:10.1111/j.1745-4506.2004.tb00191.x · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
ESPEN practical guideline: Clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.01.024 · Cited by 516 · see citing works
Self-citationLiao, C.-D., Lee, P.-H., Hsiao, D.-J., Huang, S.-W., Tsauo, J.-Y., Chen, H.-C., & Liou, T.-H. (2018) · Nutrients · doi:10.3390/nu10121916 · Cited by 94 · see citing works
Optimising nutrition in residential aged care: a narrative review
Agarwal, E., Marshall, S., Miller, M., & Isenring, E. (2016) · Maturitas · doi:10.1016/j.maturitas.2016.06.013 · Cited by 74 · see citing works
Beck, A. M., Christensen, A. G., Hansen, B. S., Damsbo-Svendsen, S., & Kreinfeldt Skovgaard Møller, T. (2016) · Nutrition · doi:10.1016/j.nut.2015.08.009 · Cited by 73 · see citing works
Self-citation
- Authors
- Beck, A. M., Damkjær, K., & Sørbye, L. W.
- Affiliations
- Technical University of Denmark (DK)
- Diakonhjemmet høgskole (NO)
- Corresponding author
- Beck, Anne Marie
- ORCID
- Beck, Anne Marie
- Venue
- Archives of Gerontology and Geriatrics
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 50
- Issue
- 3
- Pages
- 351-355
- ISSN
- 0167-4943 (ISSN-L)
- OpenAlex
- W2076742481
- Cited by
- 45
- References
- 28
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 1 · 2022: 3 · 2018: 6 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 1
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Gerontology and Geriatrics (publishedVersion)
- PubMed (publishedVersion)
- Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion)
- Funders
- Velux Stiftung
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- nursing home residents, older adults, functional capacity, activities of daily living, social engagement, dietary intervention, oral supplements, group exercise, oral care, weight loss, protein intake, energy intake, cognitive performance, multicomponent intervention
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Cacao, Denmark, Female, Health Promotion, Homes for the Aged, Humans, Male, Nursing Homes, Oral Hygiene, Exercise, Single-Blind Method, Dietary Supplements, Malnutrition
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
