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

Journal article


Publication Details

Author(s): Jobse I, Liao Y, Bartram M, Delantonio K, Uter W, Stehle P, Sieber C, Volkert D
Journal: The journal of nutrition, health & aging
Publication year: 2015
Volume: 19
Journal issue: 3
Pages range: 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 Authors / FAU Editors

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


External institutions with authors

Rheinische Friedrich-Wilhelms-Universität Bonn


How to cite

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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Last updated on 2018-06-10 at 02:22