Oral strategies to supplement older adults’ dietary intakes: comparing the evidence

Silver, Heidi J.

doi:10.1111/j.1753-4887.2008.00131.x

Cited by 33 publications

(17 citation statements)

References 77 publications

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“…4 However, in well-nourished populations, supplements are often intended to attain benefit against chronic diseases. Epidemiological studies assessing supplement use and total mortality risk have been inconsistent.…”

Section: Introductionmentioning

confidence: 99%

Dietary Supplements and Mortality Rate in Older Women

Mursu

Robien

Harnack³

et al. 2011

Arch Intern Med

292

181

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Background Although dietary supplements are commonly taken to avoid chronic disease, long-term health consequences of many compounds are unknown. Methods We assessed the use of vitamin and mineral supplements in relation to total mortality in 38 772 older women in the Iowa Women's Health Study, mean age 61.6 years at baseline in 1986. Supplement use was self-reported in 1986, 1997 and 2004. Through December 31, 2008, 15 594 deaths (40.2%) were identified through the State Health Registry of Iowa and the National Death Index. Results In multivariable adjusted proportional hazards regression models, the use of multivitamins (Hazard Ratio (HR), 1.06 [95% CI, 1.02-1.10], Absolute Risk Increase (ARI), 2.4%), vitamin B6 (HR, 1.10 [95% CI, 1.01-1.21], ARI, 4.1%), folic acid (HR, 1.15 [95% CI, 1.00-1.32], ARI, 5.9%), iron (HR, 1.10 [95% CI, 1.03-1.17], ARI, 3.9%), magnesium (HR, 1.08 [95% CI, 1.01-1.15], ARI, 3.6%), zinc (HR, 1.08 [95% CI, 1.01-1.15], ARI, 3.0%) and copper (HR, 1.45 [95% CI, 1.20-1.75], ARI, 18.0%) were associated with increased risk of total mortality when compared with corresponding nonusers, while calcium was inversely related (HR, 0.91 [95% CI, 0.88-0.94], Absolute Risk Reduction (ARR), 3.8%). Findings for iron and calcium were replicated in separate shorter-term analyses (10-year, 6-year and 4-year follow-up) each with about 15% dead, starting in 1986, 1997, and 2004. Conclusion In older women several commonly used dietary vitamin and mineral supplements may be associated with increased total mortality risk, most strongly supplemental iron, while calcium, in contrast to many studies, was associated with decreased risk.

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Section: Introductionmentioning

confidence: 99%

Dietary Supplements and Mortality Rate in Older Women

Mursu

Robien

Harnack³

et al. 2011

Arch Intern Med

292

181

View full text Add to dashboard Cite

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“…The results of these studies are inconsistent and evidence for beneficial effects of nutritional supplementation remains limited. 13 Use of oral nutritional supplements (ONS) is suited as a simple way to improve hip fracture patients' energy and protein intake, 14,15 although patients' compliance is poor. 16 Personal attention after hip fracture from a dietetic assistant can improve adherence and tolerance with nutritional supplements 17 and contribute to establish a prolonged effect of nutritional intervention.…”

Section: Introductionmentioning

confidence: 99%

Integrated nutritional intervention in the elderly after hip fracture. A process evaluation

et al. 2012

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“…Nutrition interventions typically include providing snacks, using flavor enhancement, increasing meal energy density, and providing micronutrient or oral liquid nutrition supplements (12,13). Yet, even with the best nutrition interventions in place, if interest in eating is poor or residents are not skilfully assisted, it is very difficult to improve nutrition status.…”

mentioning

confidence: 99%

Mealtimes in Nursing Homes: Striving for Person-Centered Care

Reimer

Keller

2009

Journal of Nutrition For the Elderly

109

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Malnutrition is a common and serious problem in nursing homes. Dietary strategies need to be augmented by person-centered mealtime care practices to address this complex issue. This review will focus on literature from the past two decades on mealtime experiences and feeding assistance in nursing homes. The purpose is to examine how mealtime care practices can be made more person-centered. It will first look at several issues that appear to underlie quality of care at mealtimes. Then four themes or elements related to person-centered care principles that emerge within the mealtime literature will be considered: providing choices and preferences, supporting independence, showing respect, and promoting social interactions. A few examples of multifaceted mealtime interventions that illustrate person-centered approaches will be described. Finally, ways to support nursing home staff to provide person-centered mealtime care will be discussed. Education and training interventions for direct care workers should be developed and evaluated to improve implementation of person-centered mealtime care practices. Appropriate staffing levels and supervision are also needed to support staff, and this may require creative solutions in the face of current constraints in health care.

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Oral strategies to supplement older adults’ dietary intakes: comparing the evidence

Cited by 33 publications

References 77 publications

Dietary Supplements and Mortality Rate in Older Women

Dietary Supplements and Mortality Rate in Older Women

Integrated nutritional intervention in the elderly after hip fracture. A process evaluation

Mealtimes in Nursing Homes: Striving for Person-Centered Care

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