Development of a telemedical monitoring concept for the care of malnourished geriatric home-dwelling patients: A pilot study

Kraft, Matthias; Berg, Neeltje van den; Kraft, K; Schmekel, Stefanie; Gärtner, Simone; Krüger, Janine; Meyer, Jens; Lerch, Markus M.; Hoffmann, Wolfgang

doi:10.1016/j.maturitas.2012.02.011

Cited by 33 publications

(50 citation statements)

References 24 publications

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“…Publications included in quantitative synthesis (metaanalysis) (n = 11) (n=8 studies) Intervention characteristics There were two interventions delivered to disease-specific groups, one with kidney disease [29] and one with cancer [30]. The remaining seven interventions were delivered to patients with mixed morbidities following discharge from an inpatient facility [27,28,[31][32][33][34][35]. Only one study included the participants' carers [36].…”

Section: Resultsmentioning

confidence: 99%

Is telehealth effective in managing malnutrition in community-dwelling older adults? A systematic review and meta-analysis

et al. 2018

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Telehealth offers a feasible method to provide nutrition support to malnourished older adults. This systematic review and meta-analysis aims to determine the efficacy of telehealth methods in delivering malnutrition-related interventions to community-dwelling older adults. Studies in any language were searched in five electronic databases from inception to 2nd November 2017. Quality of the evidence was assessed using the Cochrane Risk of Bias tool and the GRADE approach. Nine studies were identified, with results published across 13 included publications, which had mostly low to unclear risk of bias. There were two interventions delivered to disease-specific groups, one with kidney disease and one with cancer; the remaining seven interventions were delivered to patients with mixed morbidities following discharge from an inpatient facility. Seven studies delivered telehealth via telephone consultations and two used internet-enabled telemedicine devices. Ten meta-analyses were performed. Malnutrition-focused telehealth interventions were found to improve protein intake in older adults by 0.13 g/kg body weight per day ([95%CI: 0.01-0.25]; P = .03; n = 2 studies; n = 200 participants; I = 41%; GRADE level: low) and to improve quality of life (standardised mean difference: 0.55 [95%CI: 0.11-0.99]; P = .01; n = 4 studies with n = 9 quality-of-life tools; n = 248 participants; I = 84%: GRADE level: very low). There were also trends towards improved nutrition status, physical function, energy intake, hospital readmission rates and mortality in the intervention groups. Overall, this review found telehealth is an effective method to deliver malnutrition-related interventions to older adults living at home, and is likely to result in clinical improvements compared with usual care or no intervention. However, further research with larger samples and stronger study designs are required to strengthen the body of evidence.

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Section: Resultsmentioning

confidence: 99%

Is telehealth effective in managing malnutrition in community-dwelling older adults? A systematic review and meta-analysis

et al. 2018

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“…A maioria (46%) das publicações é do ano de 2012 e foram encontradas no máximo 02 (15,3%) publicações por periódico. Quanto aos estudos escolhidos, três foram realizados na Itá-lia (10)(11)(12) , dois na Alemanha (13)(14) , dois na Austrália (15)(16) e o restante (06 estudos) na Coreia (17) , Turquia (18) , Israel (19) , Brasil (20) , Argentina (21) e México (22) , respectivamente. Em 06 estudos (11)(12)14,16,(18)(19) foi encontrada maior prevalência de sarcopenia em homens.…”

Section: Resultsunclassified

“…A desnutrição é um problema comum e crescente, em especial, na população de idosos (13) . A desnutrição é uma séria ameaça para a vida do idoso, pois ocasiona a diminuição da força física, maior inatividade, maior risco de acidentes e um enfraquecimento do sistema imunológico, entre outros problemas de saúde (20) .…”

Section: Discussionunclassified

Sarcopenia E Estado Nutricional De Idosos: Uma Revisão Da Literatura

Freitas

Prado

Cação

et al. 2015

ACS

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ResumoIntrodução: O envelhecimento populacional tem aumentado a prevalência das doenças crônicas não transmissíveis, síndromes geriátricas e alterações no estado nutricional, comprometendo a qualidade de vida e funcionalidade dos idosos. Objetivo: Levantar na literatura científica, estudos relacionados à sarcopenia e sua influência no estado nutricional da população idosa. Material e Métodos: A pesquisa foi realizada a partir das bases de dados PubMed, MEDLINE, LILACS e IBECS. A análise dos estudos envolveu leitura de títulos, resumos e textos completos. Foram incluídos estudos realizados com humanos com idade igual ou superior a 60 anos e publicados entre 2008 e 2012. Foram excluídos artigos de revisão, publicações apresentadas em conferência e simpósios e publicações que relacionavam o estado nutricional e/ou sarcopenia com quedas e com doenças (como câncer, doença pulmonar obstrutiva crônica e/ou doença renal). Resultados: Foi encontrada maior prevalência de sarcopenia em homens. Os idosos institucionalizados apresentaram maior desnutrição do que os que vivem na comunidade. A sarcopenia foi inversamente associada com índice de massa corporal. A sarcopenia foi associada a níveis baixos de vitamina D e à inatividade física. Conclusão: Estado nutricional adequado mensurado pela mini avaliação nutricional e/ou índice de massa corporal, envolvimento em atividades físicas de lazer diárias por uma hora ou mais, suplementação de vitamina D e de proteínas, parecem prevenir ou tratar os idosos com sarcopenia.Descritores: Idoso; Sarcopenia; Estado Nutricional. Abstract Introduction: Demographic aging has increased the prevalence of chronic non-communicable diseases, geriatric syndromes, and changes in nutritional status, affecting the quality of life and functionality of the elderly people. Objective: To search in the scientific literature studies related to sarcopenia and its influence on the nutritional status of the elderly population. Materials and Methods: We searched the electronic databases of PubMed, MEDLINE, LILACS, and IBECS. We further limited our inclusion to articles focused on humans aged 60, and over that were published between 2008 and 2012. Studies were evaluated to determine fit into the inclusion criteria by review of titles, abstracts, and full texts. Studies were excluded if they were repeated publications, review articles, publications presented in conferences and symposia, and publications related to nutritional status and/or sarcopenia with falls and diseases (cancer, chronic obstructive pulmonary disease, and/or renal disease). Results: We found a higher prevalence of sarcopenia in men. Our study showed that institutionalized elderly people presented with higher malnutrition than those living in the community. Sarcopenia was inversely associated to body mass index. It was also associated to vitamin D levels and physical inactivity. Conclusion: Adequate nutritional status measured by the Mini Nutritional Assessment short-form and/ or body mass index, involvement in physical activities of daily le...

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“…It can also lead to increased efficiency by reducing costs through faster discharge, allowing the management of complications directly at patients' homes and decreasing the number of re‐hospitalizations . It is also a particularly important solution to the challenge of accessing healthcare for patients living in remote areas and older patients who have difficulties getting to hospitals …”

Section: Discussionmentioning

confidence: 99%

“…18,19 It is also a particularly important solution to the challenge of accessing healthcare for patients living in remote areas and older patients who have difficulties getting to hospitals. [20][21][22] In Italy, the HEN therapy is managed by physicians specialized in clinical nutrition. Family physicians who visit patients at home on a regular basis manage exclusively pharmacological therapy, and prefer not to intervene with reference to nutrition therapy.…”

Section: Discussionmentioning

confidence: 99%

Utility of video consultation to improve the outcomes of home enteral nutrition in a population of frail older patients

Orlandoni

Peladic

Spazzafumo

et al. 2015

Geriatrics Gerontology Int

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Development of a telemedical monitoring concept for the care of malnourished geriatric home-dwelling patients: A pilot study

Cited by 33 publications

References 24 publications

Is telehealth effective in managing malnutrition in community-dwelling older adults? A systematic review and meta-analysis

Is telehealth effective in managing malnutrition in community-dwelling older adults? A systematic review and meta-analysis

Sarcopenia E Estado Nutricional De Idosos: Uma Revisão Da Literatura

Utility of video consultation to improve the outcomes of home enteral nutrition in a population of frail older patients

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