Effect of dietary supplement on nutritional status and clinical outcome in 501 geriatric patients—a randomised study

Larsson, Jörgen; Unosson, Mitra; Ek, Anna‐Christina; Nilsson, Lennart; Thorslund, S.; Bjurulf, Per

doi:10.1016/0261-5614(90)90017-m

Cited by 286 publications

(193 citation statements)

References 12 publications

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“…These two categories probably include women that were ill, and their ability to shop for food and cook is uncertain. As disability in performing these duties has been shown to cause food insecurity (Stitt et al, 1995;Wolfe et al, 1996;Wylie et al, 1999), and malnutrition is common at admittance to hospital (Larsson et al, 1990), it is problematic that this vulnerable group is often underrepresented in food surveys. In the MENEW project, study II will focus on disabled women.…”

Section: Discussionmentioning

confidence: 99%

Reasons among older Swedish women of not participating in a food survey

et al. 2002

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Objectives: To (a) examine participation rate as a function of municipality, age group and living status; and (b) investigate the main reasons for exclusion and declining as stated by the women themselves. Design: Analysis of participation rate and content analysis of statements given in phone calls explaining exclusion or declination from a project in which 24 h recalls and food-diaries were used. Subjects: Self-managing Swedish women (n ¼ 505) were systematically selected from a stratified random sample covering single living and cohabiting women aged 64 -68, 74 -78 and 84 -88 y living in three municipalities. Results: No significant differences were found among included and declining women when municipalities and living status was analysed, but significantly more women in the oldest group were excluded (P > 0.01). Among those in their 80s living at home, the usual reasons for exclusion were illness, disability or dementia, and many lived in institutions for old people. The four most used explanations to decline participation were 'lack of time', 'tired, fragile, sick or having bad memory', 'not willing to participate in scientific studies' and 'too old and nothing to contribute'. Conclusions: The participation rate was, compared with other food surveys in the older generation, fairly good, especially among those in their 80s. However, the most active and the very ill and disabled did not participate.

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Section: Discussionmentioning

confidence: 99%

Reasons among older Swedish women of not participating in a food survey

et al. 2002

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“…Malnutrition is associated with increased infection rates (Chandra, 1993), poor wound healing, and pressure sores (Ek et al, 1991). Undernutrition also increases the risk of deterioration in physical condition (Covinsky et al, 1999;Potter et al, 2001) and thus of hospitalisation and mortality (Larsson et al, 1990;Cederholm et al, 1995;Flodin et al, 2000;Sacks et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Nutritional status, well-being and functional ability in frail elderly service flat residents

Koochek²,

et al. 2004

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Objective: To investigate nutritional status and its relationship to cognition, well-being, functional ability and energy intake in frail elderly service flat residents. Design: Cross-sectional and prospective study. Setting: Two municipal service flat complexes. Subjects: A total of 80 residents (median age 85.5 (79-90) y) with regular home care assistance participated. A subgroup of 35 residents took part in a re-examination 1 y later. Methods: Mini Nutritional Assessment (MNA), Short Portable Mental Status Questionnaire, Barthel Index and Health Index were used for the evaluation of nutritional, cognitive and ADL function and well-being, respectively. Results: In all, 30% of the frail and chronically ill service flat residents were assessed as malnourished and 59% were at risk of malnutrition. The malnourished residents had worse cognitive conditions (Po0.001) and well-being (Po0.05), lower functional ability (Po0.01) and they had a greater need for daily assistance (Po0.05) than the other residents. The median night fast period was 14.0 (12.5-15.0) h. Five subjects classified as malnourished at baseline had lost a median of À9.6 kg (range À11.0 to þ 7.3 kg) (Po0.05) in body weight at the 1-y follow-up, which contrasted significantly from the weight stability in residents classified as at risk for malnutrition or well-nourished. Conclusion: Out of 10 residents, nine were assessed to have impending nutritional problems that related to impaired wellbeing, cognition, and functional ability. Malnourished residents had a significant weight loss over one year. Studies are needed to determine whether weight loss and nutrition-related dysfunction in service flat residents are preventable or treatable.

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“…Malnutrition is a common problem in elderly people newly admitted to hospital (Larsson et al, 1990;Cederholm & Hellström, 1992;Muhlethaler et al, 1995) or municipal care (Thomas et al, 1991;Christensson et al, 1999). Many researchers, during the last quarter of the last century, tried to find a valid and reliable tool able to identify elderly people with poor nutritional status or those at high risk of nutritional problems.…”

Section: Introductionmentioning

confidence: 99%

“…As malnutrition in elderly people is associated with impaired activity and general physical condition , a high prevalence of infections (Michael et al, 1991), increased risk of developing pressure sores , reduced mental capacity (Berlinger & Potter, 1991) and increased mortality rate (Larsson et al, 1990;Christensson et al, 1999), nutritional assessment can also be based on clinical criteria. In order to find a suitable tool for screening for nutritional problems in elderly people, two global assessment tools, the Subjective Global Assessment (SGA) and the Mini Nutritional Assessment (MNA), have been tested.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care

2002

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Objectives: To evaluate the Subjective Global Assessment (SGA) and the Mini Nutritional Assessment (MNA) with regard to validity using a combination of anthropometric and serum-protein measurements as standard criteria to assess protein-energy malnutrition (PEM). Design: Cross-sectional study with consecutive selection of residents aged ! 65 y. Setting: A municipality in the south of Sweden. Subjects: During a year, starting in October 1996, 148 females and 113 males, aged ! 65 -104 y of age, newly admitted to special types of housing for the elderly, were included in the study. Results: According to SGA, 53% were assessed as malnourished or moderately malnourished on admission. The corresponding figure from MNA was 79% malnourished or at risk of malnutrition. Both tools indicated that anthropometric values and serum proteins were significantly lower in residents classified as being malnourished (P < 0.05). Sensitivity in detecting PEM was in SGA 0.93 and in MNA 0.96 and specificity was 0.61 and 0.26, respectively. Using regression analysis, weight index and serum albumin were the best objective nutritional parameters in predicting the SGA-and MNA classifications. Item 'muscle wasting' in SGA and 'self-experienced health status' in MNA showed most predictive power concerning the odds of being assessed as malnourished. Conclusions: SGA was shown to be the more useful tool in detecting residents with established malnutrition and MNA in detecting residents who need preventive nutritional measures.

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Effect of dietary supplement on nutritional status and clinical outcome in 501 geriatric patients—a randomised study

Cited by 286 publications

References 12 publications

Reasons among older Swedish women of not participating in a food survey

Reasons among older Swedish women of not participating in a food survey

Nutritional status, well-being and functional ability in frail elderly service flat residents

Evaluation of nutritional assessment techniques in elderly people newly admitted to municipal care

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