Effectiveness of Oral Nutritional Supplement Use on Nutritional Status of Community-Dwelling Elderly Receiving Home-Delivered Meals

Hill, Gordon; Gorman, Mary; Simon, Souza dos Santos; Frawley, L.; Whitten, Kylie E.; Wanner, Laura Ann; Parra, Mitridates Feijóo; Luce, Sylvie; Lane, Lauren Ashley-Mae

doi:10.1016/j.jand.2012.06.349

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“…The combined results of articles described in the systematic literature review of Ijmker-Hemink et al (5) demonstrated that "enriching" the meals-on-wheels offer (e.g. providing additional meals, fortified dishes) led to an improvement of beneficiaries' nutritional status (6)(7)(8)(9)(10)(11)(12)(13). It should be noted that all these studies provided the same dietary intervention to the participants from the experimental groups, without considering the nutritional status nor the food preferences of participants at baseline (see for instance 10,11).…”

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confidence: 99%

Prelevance and Feasibility of a Personalized Dietary Intervention in Older People With Meals-on-Wheels: A Randomized Controlled Pilot Trial

Fleury¹,

Sulmont-Rossé²,

Cabanes³

et al. 2020

J Aging Res & Lifestyle

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Objective: The present study aimed at assessing the feasibility and the effectiveness of a personalized dietary intervention in a meals-on-wheels service through a randomized controlled pilot trial. Design: Sixty recipients of home-delivered meals (75% of women; 70-97 years old) were recruited and randomly assigned to a control and an experimental group and followed over a period of 4 months. In the experimental group, the nutritional status (Mini-Nutritional Assessment - MNA questionnaire), the food intake and the food preferences were measured for each participant. Based on this screening, participants were provided with dietary guidance and follow-up. Those at risk of malnutrition were proposed enriched home-delivered meals. Enrichment was set up considering food preferences of the participants. Results: Looking at the whole sample at baseline, 80% (n=48/60) were at risk of malnutrition. Furthermore, 55% (n=33/60) ate less than 2/3 of their calorie and/or protein recommended allowances. In the experimental group, the intervention led to an increase of protein intakes and to a lower extent of calorie intake. In the control group, no significant changes were observed. Conclusion: To conclude, this study suggests that providing dietary guidance and adding nutrient-dense food to meals while considering food preferences is feasible and may help older beneficiaries of meals-on-wheels to increase calorie and protein intake and improve their nutritional status. However, there is a need to develop products or recipes to enrich the meals of the elderly more efficiently to achieve the recommended allowance.

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