Nutritional status and health care costs for the elderly living in municipal residential homes - An intervention study

Lorefält, Birgitta; Andersson, Agneta; Wiréhn, Ann-Britt; Wilhelmsson, Susan

doi:10.1007/s12603-011-0019-3

Cited by 27 publications

(42 citation statements)

References 26 publications

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“…[29][30][31][32][33][34][35][36][37][38] Although relatively more studies were identified in this category, the studies were very diverse in terms of setting, interventions, and outcomes measured, making any direct comparisons across studies very difficult. In terms of study design, a range of designs were employed including randomised designs, [29][30][31]35 a number of non or quasi-randomised designs 32,33,36,37 and modelled studies. 34,38 Although sample size varied from less than 100 to over 2000, half of the studies included between 100 and 300 participants.…”

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

“…In addition, the costs included in the analysis varied from the incremental costs of providing the intervention only, [30][31][32] compared to wider viewpoints including the costs of providing the intervention and medical treatment over the follow up time period. 29,[33][34][35][36][37] One study focused on the changes in hospitalisation costs only. 38 Overall, while the heterogeneity of the studies makes synthesis of the outcomes difficult, they have generally indicated beneficial outcomes for the patient or health system, at a relatively low cost.…”

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

“…A few studies included only a partial report of healthcare costs such as general practitioner or health service visits. 27,37,38 However, these studies fail to provide a direct comparison between the costs and benefits provided by the interventions, and they therefore fail to take into consideration the value for money of the interventions from an economic perspective.…”

Section: Quality Of Studiesmentioning

confidence: 99%

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Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

et al. 2013

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Malnutrition is a costly problem for health care systems internationally. Malnourished individuals require longer hospital stays and more intensive nursing care than adequately nourished individuals and have been estimated to cost an additional £7.3 billion in health care expenditures in the United Kingdom alone. However, treatments for malnutrition have rarely been considered from an economic perspective. The aim of this systematic review was to identify the cost effectiveness of using protein and energy supplementation, as a widely used intervention to treat adults with and at risk of malnutrition. Papers were identified that included economic evaluations of protein or energy supplementation for the treatment or prevention of malnutrition in adults. While the variety of outcome measures reported for cost effectiveness studies made synthesis of results challenging, cost benefit studies indicated that the savings for the health system could be substantial due to reduced lengths of hospital stay and less intensive use of health services after discharge. In summary the available economic evidence indicates that protein and energy supplementation in treatment or prevention of malnutrition provides an opportunity to improve patient wellbeing and lower health system costs.

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Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

Section: Results Of Studies Where Participants Were Defined As Malnoumentioning

confidence: 99%

Section: Quality Of Studiesmentioning

confidence: 99%

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Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

et al. 2013

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“…Five of these intervention studies were quasi-experimental with a comparison group (45,56,57,61,83) while another five were a single group with a pretest-posttest design (40,53,(84)(85)(86). The final study had a posttest design and involved qualitative observations at seven sites that received the intervention (62).…”

Section: Staff Training and Support For Mealtime Activitiesmentioning

confidence: 99%

“…The final study had a posttest design and involved qualitative observations at seven sites that received the intervention (62). The comparison group quasi-experimental studies originated from France (56), United States (83), and Sweden (45,57,61). Charras investigated a training program implemented in one LTC facility (n ¼ 8) versus another facility with no training program put in place (n ¼ 10) (56).…”

Section: Staff Training and Support For Mealtime Activitiesmentioning

confidence: 99%

Interventions for Improving Mealtime Experiences in Long-Term Care

Vucea

Keller

Ducak

2014

Journal of Nutrition in Gerontology and Geriatrics

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Poor food intake in residents living in long-term care (LTC) homes is a common problem. The mealtime experience is known to be important in the multifactorial causes of food intake. Diverse interventions have been developed, implemented, and/or evaluated to improve the mealtime experience in LTC; it is possible that multicomponent interventions will have a greater benefit than single activities. To identify the range of feasible and potentially useful interventions for including in a multicomponent intervention, this scoping review identified and summarized 58 studies that described and/or evaluated mealtime experience interventions. There were several randomized controlled trials, although most studies used less rigorous methods. Interventions that are multicomponent (e.g., food service, dining environment, staff education) and target multilevel factors (e.g., residents, staff) in LTC appear to be feasible, with a variety of outcomes measured. Further research is still needed with more rigorously designed studies, confirming effectiveness, feasible implementation, and scaling up of efficacious interventions.

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Eating problems among old home care clients

Salmi

Komulainen

Nihtilä

et al. 2022

Clinical & Exp Dental Res

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Aims The purpose was to examine the prevalence and determinants of self‐reported eating problems in old home care clients, screened separately by a clinical nutritionist and a dental hygienist. Methods and Results The data came from the Nutrition, Oral Health and Medication (NutOrMed) study, the participants of which were ≥75‐year‐old home care clients living in Finland. The structured interviews were conducted at the participants' (n = 250) homes. Of the participants, 29% reported poor appetite, 20% had problems with chewing, and 14% had problems with swallowing when asked by a clinical nutritionist. Additionally, 18% reported oral health‐related eating problems when asked by a dental hygienist. Participants with continuous xerostomia (odds ratio [OR]: 3.0, 95% confidence interval [CI]: 1.0–9.0) or poor self‐reported oral health (OR: 4.3, 95% CI: 1.4–13.0) had a higher risk for problems with chewing when asked by a clinical nutritionist. Edentulous participants (OR: 3.5, 95% CI: 1.2–10.9) and participants with toothache or problems with dentures (OR: 10.3, 95% CI: 4.0–26.0) had a higher risk for oral health‐related eating problems when asked by a dental hygienist. Conclusion Eating problems are common in older adults, and interprofessional collaboration is required for their identification and alleviation.

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Nutritional status and health care costs for the elderly living in municipal residential homes - An intervention study

Abstract: With improved knowledge the staff could offer the elderly more individualised meals. One of their future challenges is to recognise and assess nutritional status among this group. If malnutrition could be prevented health care costs should be reduced.

Cited by 27 publications

References 26 publications

Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

Economic evaluation for protein and energy supplementation in adults: opportunities to strengthen the evidence

Interventions for Improving Mealtime Experiences in Long-Term Care

Eating problems among old home care clients

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