Individually prescribed diet is fundamental to optimize nutritional treatment in geriatric patients

Hedman, Sanna; Nydahl, Margaretha; Faxén‐Irving, Gerd

doi:10.1016/j.clnu.2015.04.018

Cited by 19 publications

(10 citation statements)

References 25 publications

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“…Studies of links between food service practice and residents’ risk of malnutrition have further reported that overall meal satisfaction and menu cycle length, among other quality indicators, are associated with nutritional status ( 14 ). Examples of additional quality indicators addressed in interventions seeking to improve the food intake of older adults living in residential care homes are the sensory properties of food, mealtime logistics, nutrient density, variety and personalised meals ( 15 , 16 ). Meal choice, as an example of a personalised meal, is reported to help increase body weight ( 17 ) and meal satisfaction ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

Quality indicators of nutritional care practice in elderly care

Josefsson

Nydahl

Persson

et al. 2017

The Journal of nutrition, health and aging

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ObjectivesThe aim is to explore the effects of antecedent, structural and process quality indicators of nutritional care practice on meal satisfaction and screened nutritional status among older adults in residential care homes.DesignData for this Swedish cross-sectional study regarding older adults living in residential care homes were collected by i) a national questionnaire, ii) records from the quality registry Senior Alert, iii) data from an Open Comparison survey of elderly care in 2013/2014. The data represented 1154 individuals in 117 of 290 Swedish municipalities.MeasurementsMeal satisfaction (%) and adequate nutritional status, screened by the Mini Nutritional Assessment Short Form (MNA-SF), were the two outcome variables assessed through their association with population density of municipalities and residents’ age, together with 12 quality indicators pertaining to structure and process domains in the Donabedian model of care.ResultsMeal satisfaction was associated with rural and urban municipalities, with the structure quality indicators: local food policies, private meal providers, on-site cooking, availability of clinical/community dietitians, food service dietitians, and with the process quality indicators: meal choice, satisfaction surveys, and ‘meal councils’. Adequate nutritional status was positively associated with availability of clinical/community dietitians, and energy and nutrient calculated menus, and negatively associated with chilled food production systems.ConclusionMunicipality characteristics and structure quality indicators had the strongest associations with meal satisfaction, and quality indicators with local characteristics emerge as important for meal satisfaction. Nutritional competence appears vital for residents to be well-nourished.

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Section: Introductionmentioning

confidence: 99%

Quality indicators of nutritional care practice in elderly care

Josefsson

Nydahl

Persson

et al. 2017

The Journal of nutrition, health and aging

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“…Tal y como recogen Moreno y cols., 13 la presencia de dietas de consistencia modificada también es fundamental en cualquier CD hospitalario, aunque habitualmente suelen ser las dietas más deficitarias 14 . La dieta batidora eléctrica o triturada es la más extendida, al igual que la dieta de blanda masticación.…”

Section: Discussionunclassified

Dispensación dietética en un hospital de tercer nivel de la comunidad autónoma de Canarias, España

Brito

Rodríguez

2018

Rev Esp Nutr Hum Diet

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Introducción: El 90% de la demanda alimentaria ofertada en un hospital corresponde a la nutrición por vía oral. Sin embargo, son pocos los trabajos que evalúan la prescripción dietética que se realiza en los centros hospitalarios.Objetivo: Describir las características del total de dietas dispensadas a pacientes hospitalizados en un hospital de tercer nivel.Material y métodos: Estudio descriptivo de corte transversal para pormenorizar el total de dietas distribuidas en un centro hospitalario provincial durante el periodo de informatización del programa de dispensación de dietas (2003-2015). Las variables recogidas son: tipo de dieta y año. Se analiza el total de dietas prescritas en el periodo estudiado utilizando el programa SPSS 19.0.Resultados: Total dietas dispensadas en el periodo estudiado: 12.189.344,00. Prescripción por tipo de dieta: absoluta (931.457; 7,64%), basal (3.335.219; 27,36%), basal pediátrica (493.476; 4,05%), metabólica 1.000 kcal (40.109; 0,33%), metabólica 1.500 kcal (1,738,229; 14,26%), metabólica 2.000 kcal (1.157.076; 9,49%), metabólica 3.000 kcal (3.718; 0,03%), dietas de progresión o post-quirúrgicas (861.238; 7,07%), batidora eléctrica (1.145.400; 9,40%), batidora eléctrica pediátrico (250.820; 2,06%); blanda masticación (633.997; 5,20%), fácil digestión (236.835; 1,94%), astringente (167.943; 1,38%), protección bilio-pancreática (573.026; 4,70%), nefrológicas (108.674; 0,89%), baja carga bacteriana (70.526; 0,58%), sin gluten (16.587; 0,14%), rica en fibra (156.234; 1,28%), total vegetarianas (75.851; 0,62%), especiales (12.910; 0,11%). Conclusiones: Las dietas terapéuticas son las más prescritas. Dentro de esta pauta, las dietas metabólicas reciben la mayor parte de la prescripción. Sin embargo, una dieta de 1.500 kcal no debería ser la que mayor prescripción recibe ya que los requerimientos nutricionales de los pacientes hospitalizados son elevados. Se debe corregir esta prescripción, además de reducir el código de dietas.

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“…Other tests, such as the SPBB test, deeply correlated with physical performance as measured by the 400-m walk test could also be proposed [45]. Moreover, SPPB is also linked to more distal clinical endpoints such as falls, fractures, nursing home admission and mortality [46,47]. There are several reasons why muscle mass and muscle strength are not considered to be appropriate candidates for a primary endpoint.…”

Section: Primary Endpointmentioning

confidence: 99%

Update on the ESCEO recommendation for the conduct of clinical trials for drugs aiming at the treatment of sarcopenia in older adults

et al. 2020

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Background In 2016, an expert working group was convened under the auspices of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) and formulated consensus recommendations for the conduct of clinical trials for drugs to prevent or treat sarcopenia. Aims The objective of the current paper is to provide a 2020 update of the previous recommendations in accordance with the evidence that has become available since our original recommendations. Methods This paper is based on literature reviews performed by members of the ESCEO working group and followed up with face to face meetings organized for the whole group to make amendments and discuss further recommendations. Results The randomized placebo-controlled double-blind parallel-arm drug clinical trials should be the design of choice for both phase II and III trials. Treatment and follow-up should run at least 6 months for phase II and 12 months for phase III trials. Overall physical activity, nutrition, co-prescriptions and comorbidity should be recorded. Participants in these trials should be at least 70-years-old and present with a combination of low muscle strength and low physical performance. Severely malnourished individuals, as well as bedridden patients, patients with extremely limited mobility or individuals with physical limitations clearly attributable to the direct effect of a specific disease, should be excluded. Multiple outcomes are proposed for phase II trials, including, as example, physical performance, muscle strength and mass, muscle metabolism and muscle-bone interaction. For phase III trials, we recommend a co-primary endpoint of a measure of functional performance and a Patient Reported Outcome Measure. Conclusion The working group has formulated consensus recommendations on specific aspects of trial design, and in doing so hopes to contribute to an improvement of the methodological robustness and comparability of clinical trials. Standardization of designs and outcomes would advance the field by allowing better comparison across studies, including performing individual patient-data meta-analyses, and different pro-myogenic therapies.

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Individually prescribed diet is fundamental to optimize nutritional treatment in geriatric patients

Cited by 19 publications

References 25 publications

Quality indicators of nutritional care practice in elderly care

Quality indicators of nutritional care practice in elderly care

Dispensación dietética en un hospital de tercer nivel de la comunidad autónoma de Canarias, España

Update on the ESCEO recommendation for the conduct of clinical trials for drugs aiming at the treatment of sarcopenia in older adults

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