Multifaceted nutritional intervention among nursing-home residents has a positive influence on nutrition and function
Abstract
Objective We tested the hypothesis that a multifaceted 11-wk intervention comprising nutrition, group exercise, and oral care would have a significant influence on nutrition and function in elderly (>or=65 y) nursing-home residents. Methods The study was an 11-wk randomized controlled intervention study with nutrition (chocolate and homemade oral supplements), group exercise twice a week (45-60 min, moderate intensity), and oral care intervention one to two times a week, with the aim of improving nutritional status and function in elderly nursing-home residents. A follow-up visit was made 4 mo after the end of the intervention. Assessments were weight, body mass index, dietary intake, handgrip strength, Senior Fitness Test, Berg's Balance Scale, and the prevalence of plaque. Results A total of 121 subjects (61%) accepted the invitation and 62 were randomized to the intervention group. Six of these dropped out during the 11 wk. At the 4-mo follow-up there were 15 deaths in the intervention group and 8 in the control group. The nutrition and exercise were well tolerated. After 11 wk the change in percentage of weight (P = 0.005), percentage of body mass index (P = 0.003), energy intake (P = 0.084), protein intake (P = 0.012), and Berg's Balance Scale (P = 0.004) was higher in the intervention group than in the control group. In addition, the percentage of subjects whose functional tests improved was higher in the intervention group. Both groups lost the same percentage of weight after the intervention (P = 0.908). The total percentage of weight loss from baseline to follow-up was higher in the control group (P = 0.019). Oral care was not well accepted and the prevalence of plaque did not change. Conclusion It is possible to improve nutrition and function in elderly nursing-home residents by means of a multifaceted intervention consisting of chocolate, homemade supplements, group exercise, and oral care.
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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 [49]
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 [49]
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 [26]
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ESPEN practical guideline: Clinical nutrition and hydration in geriatrics
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- Authors
- Beck, A. M., Damkjær, K., & Beyer, N.
- Affiliations
- Technical University of Denmark (DK)
- Bispebjerg Hospital (DK)
- Corresponding author
- Beck, Anne Marie
- Venue
- Nutrition
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 24
- Issue
- 11-12
- Pages
- 1073-1080
- ISSN
- 0899-9007 (ISSN-L)
- OpenAlex
- W2021342427
- Cited by
- 64
- References
- 31
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 3 · 2020: 6 · 2018: 4 · 2017: 3 · 2016: 8 · 2015: 4 · 2014: 6 · 2013: 7 · 2012: 4
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Keywords
- nursing home residents, older adults, nutritional status, functional capacity, group exercise, oral care, weight loss, grip strength, balance, energy intake, protein intake, dental plaque
- MeSH terms
- Aged, Aged, 80 and over, Aging, Cacao, Energy Intake, Dental Plaque, Dietary Proteins, Female, Homes for the Aged, Humans, Male, Nursing Homes, Nutritional Physiological Phenomena, Nutritional Requirements, Nutritional Status, Weight Gain, Exercise, Body Mass Index, Dental Care for Aged, Dietary Supplements
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