Improvement of Weight and Fat‐Free Mass with Oral Nutritional Supplementation in Patients with Alzheimer's Disease at Risk of Malnutrition: A Prospective Randomized Study

Lauque, S.; Arnaud-Battandier, F; Gillette, S.; Plaze, Jean-Marie; Andrieu, Sandrine; Cantet, Christelle; Vellas, Bruno

doi:10.1111/j.1532-5415.2004.52464.x

Cited by 139 publications

(128 citation statements)

References 27 publications

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“…However, a proportion of residents lost weight despite our intervention. The same phenomenon has been observed in a previous study (Lauque et al, 2004). Our dementia ward residents suffered from moderate to severe dementia and were at the end stage of the disease.…”

Section: Discussionsupporting

confidence: 71%

“…According to these studies, the body weight of demented individuals could be maintained more often in the intervention than in the control group (Riviere et al, 2001;Lauque et al, 2004). In two other studies, professional working for the elderly subjects living in service flats showed positive learning outcomes but no effects on the residents' nutritional status (Faxen-Irving et al, 1999;Faxen-Irving et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…In two controlled studies, the caregivers of home-dwelling Alzheimer's patients were trained in nutritional issues (Riviere et al, 2001;Lauque et al, 2004). According to these studies, the body weight of demented individuals could be maintained more often in the intervention than in the control group (Riviere et al, 2001;Lauque et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…Very few studies aim at training and changing the professionals' practice in these issues, although standardized training programs have been suggested (Pokrywka et al, 1997). The few educational studies aiming at improving frail elderly Effects of nutrition education in dementia wards MH Suominen et al people's nutrition via increasing professionals' knowledge of nutrition often report only outcomes on frail elderly people's nutrition (Riviere et al, 2001;Lauque et al, 2004) or the outcomes on professionals' learning (Crogan et al, 2001). Two studies did report both outcomes (Faxen-Irving et al, 1999.…”

Section: Discussionmentioning

confidence: 99%

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The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards

2007

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Objective: (1) To develop nutrition education for professionals in dementia wards. (2) To evaluate the effects of education and determine the outcome of the education on the nutrition of aged residents. Design: Educational intervention with before and after measurements. Both the learning outcomes of the professionals and the effect on the aged residents were assessed. Setting: Nursing home residents in dementia wards and professionals. Subjects and methods: Twenty-eight professionals completed half-structured feedback questionnaires that were analysed quantitatively and qualitatively. Assessments of 21 residents' energy and nutrient intake and 19 residents' nutritional status with the MNA before and after the education. Results: The learning process included six half-day training sessions. The professionals learned to use and interpret the MNA and detailed food diaries. Keeping the food diaries and analysing them in multi-professional teams was experienced as the main source for learning insights. After calculating the diets and discussing with others, professionals felt easier about responding to the nutritional problems of the residents. After 1 year, the residents' mean energy intake had increased 21% from 1230 to 1487 kcal. Before the education none but after 1 year 16% had a good nutritional status according to the MNA. Conclusions: We used the constructive learning theory to educate professionals. Keeping and analysing food diaries and reflecting on nutritional issues in small group discussions were effective training methods for professionals. The education had positive effects on the nutrition of the residents in dementia wards.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards

2007

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“…Three recent studies in free-living people as well as in institutionalised Alzheimer patients did not use a proper placebo and showed contradictory results (Lauque et al, 2004;Planas et al, 2004;Salas Salvado et al, 2005). Nursinghome studies also showed contradictory results, lacking placebo treatment and/or lacking a supplementation period long enough to signal change in energy intake (Turic et al, 1998;Fiatarone Singh et al, 2000;Lauque et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Effect of a nutrient-enriched drink on dietary intake and nutritional status in institutionalised elderly

et al. 2009

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Objective: (1) To determine whether nutritional supplementation (energy and micronutrients) in institutionalised elderly has a positive effect on dietary intake and nutritional status. (2) To investigate whether individuals tend to compensate for the energy content of the intervention product by decreasing their habitual food consumption. Methods: A 24-week, randomised, double-blind, placebo-controlled, intervention trial in homes for the elderly (n ¼ 3), in nursing homes (n ¼ 3) and 'mixed' homes (n ¼ 3) in The Netherlands. Institutionalised elderly people (n ¼ 176) older than 60 years of age, with a body mass index p30 kg/m 2 and a Mini-Mental State Examination score of 10 points or higher, randomly received a nutrient-enriched drink or a placebo drink twice a day during 24 weeks in addition to their usual diet. Allocation to treatment took into account of sex, the Mini-Mental State Examination score and the plasma homocysteine level. Body weight and several nutrition-related analyses in fasting blood samples were measured in all participants. Data on dietary intake were collected in a subsample (n ¼ 66). Results: A significantly favourable effect (Po0.001) of the intervention drink was observed on vitamin intake, mineral intake and vitamin status in blood (for example, homocysteine decreased from 14.7 to 9.5 mmol/l in the intervention group as compared with that in the placebo group (17.2-15.9)). The difference in change in total energy intake between the two treatment groups was 0.8 MJ/day (P ¼ 0.166). Energy intake from food decreased in both groups to the same extent (À0.5 MJ/day). Therefore, this decrease cannot be considered as compensation for the energy content of the product. Conclusions: This group of institutionalised elderly people does not compensate for the energy content of a concentrated nutritional supplement. Therefore, this supplement is effective for counteracting the development of malnutrition in this population.

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Nutritional interventions for preventing and treating pressure ulcers

Langer,

Wan,

Fink

et al. 2024

Cochrane Database of Systematic Reviews

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Improvement of Weight and Fat‐Free Mass with Oral Nutritional Supplementation in Patients with Alzheimer's Disease at Risk of Malnutrition: A Prospective Randomized Study

Cited by 139 publications

References 27 publications

The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards

The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards

Effect of a nutrient-enriched drink on dietary intake and nutritional status in institutionalised elderly

Nutritional interventions for preventing and treating pressure ulcers

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