Improving the dietary intake of under nourished older people in residential care homes using an energy‐enriching food approach: a cluster randomised controlled study
Abstract
Background To examine whether the nutritional status of aged undernourished residents in care could be improved through dietary modification to increase energy intake but not portion size. Methods A 12-week cluster randomised controlled trial was carried out in 21 residential care homes. Participants comprised undernourished residents with a body mass index (BMI) Results Of 445 residents screened, 41 (9%) had a BMI 18.5 kg m(-2) (P = 0.018). Conclusions Achieving weight gain in frail older people is difficult. These results suggest that enriching food could help address undernutrition and slow chronic weight loss. Interventions of a longer duration are needed to confirm or exclude the value of food enrichment.
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In frail older people living in residential care homes, energy enriched food was shown to increase energy intake and slow chronic weight loss.
“energy enriched food was shown to increase energy 446 intake and slow chronic weight loss.”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [30]
Eight studies investigate the effect of dietary enrichment.
“Eight studies investigate the effect of dietary enrichment [25-32].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [30]
There is no evidence of benefit of dietary advice or ONS given alone or in combination on survival.
“There was no 467 evidence of benefit of dietary advice or ONS given alone or in combination on survival.”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [30]
Dietary advice with or without ONS may improve weight, body composition, and grip strength.
“dietary advice with or 466 without ONS may improve weight, body composition, and grip strength [30].”
From ESPEN guideline on hospital nutrition (2021) · cites this paper as [30]
Cites
Mikkelsen, B. E., Beck, A. M., & Lassen, A. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602488 · Cited by 26 · see citing works
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ESPEN guideline on hospital nutrition
Thibault, R., Abbasoglu, O., Ioannou, E., Meija, L., Ottens-Oussoren, K., Pichard, C., Rothenberg, E., Rubin, D., Siljamäki-Ojansuu, U., Vaillant, M.-F., et al. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.09.039 · Cited by 259 · see citing works
Aging, nutritional status and health
Leslie, W., & Hankey, C. (2015) · Healthcare · doi:10.3390/healthcare3030648 · Cited by 211 · see citing works
Self-citationOptimising 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
Trabal, J., & Farran-Codina, A. (2015) · Nutrition Reviews · doi:10.1093/nutrit/nuv023 · Cited by 55 · see citing works
Moloney, L., & Jarrett, B. (2021) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2020.09.026 · Cited by 21 · see citing works
- Authors
- Leslie, W. S., Woodward, M., Lean, M. E. J., Theobald, H., Watson, L., & Hankey, C. R.
- Affiliations
- Glasgow Centre for Population Health (GB)
- The University of Sydney (AU)
- GlaxoSmithKline (United Kingdom) (GB)
- Corresponding author
- Hankey, C. R.
- Venue
- Journal of Human Nutrition and Dietetics
- Publisher
- Wiley
- Published
- 2012-12-13
- Volume
- 26
- Issue
- 4
- Pages
- 387-394
- ISSN
- 0952-3871 (ISSN-L)
- 1365-277X
- OpenAlex
- W2151388996
- Cited by
- 39
- References
- 1
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 5 · 2014: 6
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Human Nutrition and Dietetics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- GlaxoSmithKline
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- malnutrition, older adults, care homes, dietary change, energy intake, weight gain, frailty, chronic weight loss, nutritional status, macronutrient intake, body mass index
- MeSH terms
- Aged, Aged, 80 and over, Energy Intake, Feeding Behavior, Female, Food, Fortified, United Kingdom, Homes for the Aged, Humans, Male, Nursing Homes, Nutritional Status, Reference Values, Residential Facilities, Weight Gain, Geriatric Assessment, Nutrition Assessment, Body Mass Index, Malnutrition, Portion Size
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