Compliance of nursing home residents with a nutrient- and energy-dense oral nutritional supplement determines effects on nutritional status

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Details zur Publikation

Autorinnen und Autoren: Jobse I, Liao Y, Bartram M, Delantonio K, Uter W, Stehle P, Sieber C, Volkert D
Zeitschrift: The journal of nutrition, health & aging
Jahr der Veröffentlichung: 2015
Band: 19
Heftnummer: 3
Seitenbereich: 356-64
ISSN: 1279-7707
eISSN: 1760-4788


Abstract


Administration of oral nutritional supplements (ONS) is an effective strategy to treat and avoid malnutrition, a persisting issue in nursing homes. However, little is known about compliance in the NH population. This study aimed to analyse the effects of compliance of NH residents with a low-volume, nutrient- and energy-dense ONS on nutritional status and to identify residents' characteristics associated with compliance.Randomized, controlled trial in nursing homes.87 nursing home residents (87 ± 6y, 91% female) with malnutrition or at risk of malnutrition were randomly allocated to an intervention group (IG) receiving 2 x 125 ml ONS (2.4 kcal/ml)/d for 12 weeks, or the control group (CG) with usual care.ONS intake was recorded daily and compliance calculated. Low and high compliance were defined as <= 30% and >= 80% of provided ONS actually consumed, respectively. Body weight (BW), BMI, upper-arm (UAC) and calf-circumference (CC) and MNA-SF were assessed at baseline and after 12 weeks. Associations between compliance and changes of nutritional parameters and residents' characteristics were analysed.Compliance was high in 35.7% and low in 28.6% of the IG (n=42). BW change was significantly higher in subjects with high compliance (median +3.0 (interquartile range +2.1;+3.8) kg, n=15) than in those with low compliance (-0.2 (-2.2;+1.6) kg, n=12) and CG (-0.1 (-1.2; +0.6) kg, n=35; p<0.001), and significantly correlated with compliance in IG (r=0.691; p<0.001). Significant differences and correlations were also identified for BMI, UAC and MNA-SF. High compliance was more often observed in residents with malnutrition (66.7 vs. 27.3%) and chewing difficulties (77.8 vs. 24.2%) than in those without these conditions. Low compliance was more prevalent in residents who were immobile (45.0 vs. 13.6%), depressed (33.3 vs. 6.7%) or had gastrointestinal complaints (50.0 vs. 17.9%) (all p<0.05).A high compliance of nursing home residents with a low volume, nutrient- and energy dense ONS was related to a significantly improved nutritional status in comparison to low compliance and therefore enhanced the effectiveness of ONS. A higher compliance may be achieved by consideration of different residents' characteristics.



FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Sieber, Cornel Prof. Dr.
Lehrstuhl für Innere Medizin (Geriatrie)
Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter


Einrichtungen weiterer Autorinnen und Autoren

Rheinische Friedrich-Wilhelms-Universität Bonn


Zitierweisen

APA:
Jobse, I., Liao, Y., Bartram, M., Delantonio, K., Uter, W., Stehle, P.,... Volkert, D. (2015). Compliance of nursing home residents with a nutrient- and energy-dense oral nutritional supplement determines effects on nutritional status. The journal of nutrition, health & aging, 19(3), 356-64. https://dx.doi.org/10.1007/s12603-014-0544-y

MLA:
Jobse, I., et al. "Compliance of nursing home residents with a nutrient- and energy-dense oral nutritional supplement determines effects on nutritional status." The journal of nutrition, health & aging 19.3 (2015): 356-64.

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Zuletzt aktualisiert 2018-06-10 um 02:22

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