Impact of Cognition and Handfeeding Assistance on Nutritional Intake for Nursing Home Residents

Batchelor-Murphy, Melissa; Kennerly, Susan M.; Horn, Susan D.; Barrett, Ryan; Bergstrom, Nancy; Boss, Lisa; Yap, Tracey L.

doi:10.1080/21551197.2019.1617221

Cited by 8 publications

(6 citation statements)

References 28 publications

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“…Lannering et al also showed that cognitive impairment at baseline is associated with malnutrition at FU [13]. It is well known and confirmed by recent studies, that a poor cognitive status is associated with low meal/energy intake [43,44]. The occurrence of nutrition/mealtime-related problems such as olfactory and taste dysfunction, attention deficit, behavioral problems, or refusal to eat have repeatedly been described with declining cognitive abilities [45].…”

Section: Discussionmentioning

confidence: 88%

Predictors of incident malnutrition—a nutritionDay analysis in 11,923 nursing home residents

et al. 2021

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Background/Objectives Malnutrition (MN) in nursing home (NH) residents is associated with poor outcome. In order to identify those with a high risk of incident MN, the knowledge of predictors is crucial. Therefore, we investigated predictors of incident MN in older NH-residents. Subjects/Methods NH-residents participating in the nutritionDay-project (nD) between 2007 and 2018, aged ≥65 years, with complete data on nutritional status at nD and after 6 months and without MN at nD. The association of 17 variables (general characteristics (n = 3), function (n = 4), nutrition (n = 1), diseases (n = 5) and medication (n = 4)) with incident MN (weight loss ≥ 10% between nD and follow-up (FU) or BMI (kg/m2) < 20 at FU) was analyzed in univariate generalized estimated equation (GEE) models. Significant (p < 0.1) variables were selected for multivariate GEE-analyses. Effect estimates are presented as odds ratios and their respective 99.5%-confidence intervals. Results Of 11,923 non-malnourished residents, 10.5% developed MN at FU. No intake at lunch (OR 2.79 [1.56–4.98]), a quarter (2.15 [1.56–2.97]) or half of the meal eaten (1.72 [1.40–2.11]) (vs. three-quarter to complete intake), the lowest BMI-quartile (20.0–23.0) (1.86 [1.44–2.40]) (vs. highest (≥29.1)), being between the ages of 85 and 94 years (1.46 [1.05; 2.03]) (vs. the youngest age-group 65–74 years)), severe cognitive impairment (1.38 [1.04; 1.84]) (vs. none) and being immobile (1.28 [1.00–1.62]) (vs. mobile) predicted incident MN in the final model. Conclusion 10.5% of non-malnourished NH-residents develop MN within 6 months. Attention should be paid to high-risk groups, namely residents with poor meal intake, low BMI, severe cognitive impairment, immobility, and older age.

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Section: Discussionmentioning

confidence: 88%

Predictors of incident malnutrition—a nutritionDay analysis in 11,923 nursing home residents

et al. 2021

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“…In a recently published Spanish study among nursing home residents ( n = 249), the mean energy intake was 1624 kcal/day, protein was 60 g/day, and 17% of the residents were malnourished according to MNA short-form [5]. Previous studies on long-term care have shown that especially residents with severe dementia and disabilities are at risk for malnutrition [2,8]. Low energy intake has been associated with sarcopenia [5,9] and frailty [10].…”

Section: Introductionmentioning

confidence: 99%

Energy Intake and Severity of Dementia Are Both Associated with Health-Related Quality of Life among Older Long-Term Care Residents

Salminen

Kautiainen

et al. 2019

Nutrients

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Our aim was to investigate how energy intake modifies the association of the stage of dementia with health related quality of life (HRQoL) among institutionalized older people. A cross-sectional sample of 538 older long-term care residents with dementia in Helsinki, Finland were assessed with HRQoL (15D), energy intake (from one to two days), and the stage of dementia by the clinical dementia rating (CDR) scale. The energy intakes were standardized by z-scores to include both men and women in the same analyses. Severity of dementia was associated with HRQoL (15D index in CDR 0.5–1: 0.65 (0.11), CDR 2: 0.60 (0.10), CDR 3: 0.52 (0.10)). When the three groups of dementia severity were divided according to their energy intake quartiles, there was an association between the HRQoL and the stage of dementia (p < 0.001) and energy intake (p = 0.013); however, no interaction was observed (p = 0.30). While partial correlation analysis showed that energy intake correlated with HRQoL among residents with very mild/mild or moderate dementia, this was not observed among those with severe dementia. In moderate dementia, the dimensions of mobility and usual activities correlated significantly with higher energy intake. Both energy intake and severity of dementia are associated with HRQoL.

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“…Third, it is essential to assess the conditions of the place where the person eats. These include space, furniture, seating arrangements, noise, odors, lighting, routines, and the availability and presentation of food and utensils [ 4 , 5 , 13 , 25 , 26 , 28 , 34 , 36 , 38 , 39 , 46 , 50 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review

Moreno-Fergusson,

Caez-Ramírez,

Sotelo-Díaz

et al. 2023

IJERPH

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Background: Older people are at risk of malnutrition, especially when they suffer from cognitive impairment. Guidelines that orient nursing care in this regard need to be updated. The aim of this review is to address the best available evidence on interventions that can benefit nutritional nursing care for institutionalized older adults with dementia. Methods: Integrative review using the Dimensions and Eureka search engines, and the PubMed, Embase, Scielo, CINAHL, and ScienceDirect databases. We searched from the year 2015 through to 2021. We employed the MMAT guidelines for mixed, qualitative, and quantitative studies, and the PRISMA, CASP, and JBI guidelines to value the reviews. Results: A total of 55 studies met the inclusion criteria. The best available evidence to support nutritional nursing care for institutionalized older adults with dementia highlights several aspects related to the assessment and caring interventions that are focused on people with dementia, their caregivers, and their context. Conclusions: Both the assessment and nutritional care interventions for older people with dementia should consider the patient–caregiver dyad as the subject of care and understand the context as a fundamental part of it. The analysis of the context should look further than the immediate environment.

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Impact of Cognition and Handfeeding Assistance on Nutritional Intake for Nursing Home Residents

Cited by 8 publications

References 28 publications

Predictors of incident malnutrition—a nutritionDay analysis in 11,923 nursing home residents

Predictors of incident malnutrition—a nutritionDay analysis in 11,923 nursing home residents

Energy Intake and Severity of Dementia Are Both Associated with Health-Related Quality of Life among Older Long-Term Care Residents

Nutritional Care for Institutionalized Persons with Dementia: An Integrative Review

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