Energy-dense meals improve energy intake in elderly residents in a nursing home

Olin, Ann Ödlund

doi:10.1054/clnu.2002.0610

Cited by 99 publications

(63 citation statements)

References 21 publications

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“…For all residents, the EI/BMR ratio was 1.2 and the PAL factor was 1.5. The EI/BMR ratio in the residents of this study is similar to the EI/BMR ratio previously found in elderly nursing home residents (Ö dlund Olin et al, 2003). Of the service flat residents, 20% had EI/BMR ratios below 1.0, which indicates that the food intake in these cases may have been underestimated.…”

Section: Discussionsupporting

confidence: 86%

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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Section: Discussionsupporting

confidence: 86%

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

Koochek²,

et al. 2004

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“…Yet, in our largest nursing home with over 500 residents only 1.7 % were on energy-dense meals and the use of nutritional supplements (4%) was rare in the studied nursing homes. The use of protein supplements has been shown to improve the nutritional status of aged patients (Potter et al, 1998;Lauque et al, 2000;Milne et al, 2002, Odlund et al, 2003 and to decrease the number of adverse events (Potter, 2001, Gil Gregorio et al, 2003. Our study shows that the possibilities of nutritional care consisting for instance energy-dense food and nutritional supplements were used only for a small proportion of those who might have benefit of them.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses should be able to assess the nutritional status and food intake of aged residents. They should be able to respond to the needs of those malnutrition and with lowenergy intake with energy-rich food and nutritional supplements (Odlund et al, 2003;Suominen et al, 2004). It is important to note that the detection and clear documentation of nutritional problems has been shown to be insufficient in institutional care (Abbasi & Rudman, 1993).…”

Section: Discussionmentioning

confidence: 99%

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Muurinen²,

et al. 2005

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Objective: To acquire information about nutritional problems and factors associated with them in all nursing homes in Helsinki, Finland. Design: Descriptive, cross-sectional study. The residents were assessed by the Mini Nutritional Assessment test (MNA) and information was gathered about residents' backgrounds, functional status, diseases and about daily routines in institutions providing nutritional care. Setting: All nursing homes in Helsinki community, the capital of Finland. Subjects: Of 2424 eligible subjects, 2114 (87%) aged residents, mean age 82 y, were examined. Results: One-third (29%) of the studied residents suffered from malnutrition (MNAo17), and 60% were at risk (MNA 17-23.5). Malnutrition was associated with the female gender, a longer stay in the nursing home, functional impairment, dementia, stroke, constipation and difficulties in swallowing. In addition, eating less than half of the offered food portion, not eating snacks and resident's weight control at long intervals were associated with malnutrition. In logistic regression analysis mainly patientrelated factors predicted malnutrition: impaired functioning (OR 3.71, 95% CI 2.76-4.99), swallowing difficulties (OR 3.03, 95% CI 2.10-4.37), dementia (OR 2.06, 95% CI 1.45-2.93), constipation (OR 1.84, 95% CI 1.38-2.47), but also eating less than half of the offered food portion (OR 3.03, 95% CI 2.21-4.15). Conclusions: Although internal factors explain most about the poor nutritional status of aged residents in nursing homes, the factors related to nutritional care need further investigation to clarify their role in maintaining the nutritional status of aged residents.

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“…However, research also suggests that food fortification is unlikely to provide sufficient nutritional support to treat residents with overt malnutrition or significantly improve physical function (100)(101)(102)104). This may be due to the poor intervention adherence of residents and staff, short intervention periods, insufficient nutrition support, and insufficient physical activity in a largely frail and immobile population (100-102, 105, 106).…”

Section: (I) Meal Enrichmentmentioning

confidence: 99%