Nutrition Supplementation Enables Elderly Residents of Long-term-care Facilities to Meet or Exceed RDAs Without Displacing Energy or Nutrient Intakes from Meals

A, Turić; Gordon, Karen D.; Craig, Lisa D.; Ataya, Deborah Gonyon; Voss, Anne Coble

doi:10.1016/s0002-8223(98)00330-7

Cited by 61 publications

(32 citation statements)

References 15 publications

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“…Although we did not measure intake during the study, the increase in body weight further confirms that the use of a low volume nutritional supplement twice daily may have increased the total nutritional intake. This is in concordance with observations by Rolls et al (1995) and Turic et al (1998).…”

Section: Discussionsupporting

confidence: 94%

“…A decrease in body weight is related to increased morbidity and often mortality (Payette et al, 1999). In this study we showed that supplementation can improve body weight by 1.4 kg over a 12 week period, an increase higher than Fiatarone Singh et al (2000) reported, largely comparable to other studies performed for 6 weeks (Turic et al, 1998), 8 weeks (Lauque et al, 2000) and 12 weeks (Van der Wielen et al, 1995), but lower than found by Carver & Dobson (1995) (12 weeks).…”

Section: Discussionsupporting

confidence: 83%

“…Several investigators have recently performed studies in which elderly nursing home or long-stay ward patients were given a liquid nutrition supplement to increase oral intake (Larsson et al, 1990;Fiatarone Singh et al, 2000;Carver & Dobson, 1995;Van der Wielen et al, 1995;Turic et al, 1998;Lauque et al, 2000). These studies demonstrated that use of liquid nutrition supplements was associated with increased body weight and improved nutritional status.…”

Section: Introductionmentioning

confidence: 99%

“…These studies demonstrated that use of liquid nutrition supplements was associated with increased body weight and improved nutritional status. However, often daily intake of a large volume was required and placebo was either not supplied (Larsson et al, 1990;Turic et al, 1998;Lauque et al, 2000), or a placebo containing energy (Van der Wielen et al, 1995) or multivitamins (Carver & Dobson, 1995) was used. Only two studies were performed with psychogeriatric nursing home patients (Carver & Dobson, 1995;Lauque et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

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Study of the effect of a liquid nutrition supplement on the nutritional status of psycho-geriatric nursing home patients

Wouters-Wesseling¹,

Wouters²,

Kleijer

et al. 2002

Eur J Clin Nutr

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Objectives: To evaluate the acceptance of a multinutrient liquid nutrition supplement in psycho-geriatric nursing home patients and the effect on weight, plasma nutrients and activities of daily life. Design: Double-blind, placebo-controlled 12-week intervention study. Setting: Two nursing homes in Boxtel, The Netherlands. Subjects: Forty-two (body mass index (BMI) < 23 kg=m 2 for men or < 25 kg=m 2 for women) psycho-geriatric nursing home patients aged 60 y or over. Interventions: Provision with a complete micronutrient-enriched liquid nutrition supplement of 125 ml and 0.6 MJ (135 kcal) or placebo twice daily during daytime between main meals. Study parameters were assessed at 0, 6 and 12 weeks. Main Outcome for Measures: Weight, Barthel index of daily activities, several plasma values (albumin, C-reactive protein (CRP), homocysteine, thiamine, thiamine diphosphate (TDF), vitamin B 6 , vitamin B 12 , folic acid, vitamin D), bowel function. Results: The supplement was well accepted. Thirty-five patients completed the intervention period (16 control group; 19 supplement group). Baseline daily nutrient intake was low. A statistically significant improvement was observed for body weight (difference between groups 2.2 kg, P ¼ 0.03), and homocysteine, vitamin B 1 , TDF, vitamin B 6 , vitamin B 12 , folate and vitamin D in the supplement group compared to the placebo group. No significant difference was observed in the Barthel index (mean difference 7 0.3 AE 1.1 for both groups). No difference in occurrence of diarrhoea was observed. Conclusions: The study shows that nutritional supplementation is well accepted and can improve the nutritional status of psycho-geriatric nursing home patients.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Study of the effect of a liquid nutrition supplement on the nutritional status of psycho-geriatric nursing home patients

Wouters-Wesseling¹,

Wouters²,

Kleijer

et al. 2002

Eur J Clin Nutr

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“…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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Dietary advice for illness-related malnutrition in adults

Baldwin¹,

Parsons²,

Logan³

2007

Cochrane Database of Systematic Reviews

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Nutrition Supplementation Enables Elderly Residents of Long-term-care Facilities to Meet or Exceed RDAs Without Displacing Energy or Nutrient Intakes from Meals

Cited by 61 publications

References 15 publications

Study of the effect of a liquid nutrition supplement on the nutritional status of psycho-geriatric nursing home patients

Study of the effect of a liquid nutrition supplement on the nutritional status of psycho-geriatric nursing home patients

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

Dietary advice for illness-related malnutrition in adults

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