Position of the American Dietetic Association: Liberalization of the Diet Prescription Improves Quality of Life for Older Adults in Long-Term Care

Niedert, Kathleen

doi:10.1016/j.jada.2005.10.004

Cited by 102 publications

(8 citation statements)

References 37 publications

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“…In the current study, we did not control for dietary intake hence it can be suggested that following the regimen that was used in this study, patients with DFU can benefit from liberalized diets. Once the wound is completely healed energy restrictions may be gradually implemented as needed [ 25 ]. Due to a scarcity of recommendations for micronutrient intake in DFU patients, we compared the micronutrient intake of participants with recommendations for a healthy population although this population has higher needs for antioxidants due to the oxidative stress and presence of an open wound [ 13 , 19 , 20 , 21 , 26 , 27 , 28 , 29 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Nutritional Supplementation Concurrent with Nutrition Education Accelerates the Wound Healing Process in Patients with Diabetic Foot Ulcers

et al. 2020

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Trials on nutritional supplements for the treatment of diabetic foot ulcer (DFU) have only evaluated the effects of supplementation with specific nutrients. Additionally, nutrition education has not been a systematic part of these studies. The aim of this study was to evaluate the effects of a nutrient-dense formula combined with nutrition education on wound healing in DFU patients. Twenty-nine patients were randomly assigned to the treatment group (n = 15) receiving two servings of supplements daily plus nutrition education or control group (n = 14) that received the standard of care but no additional nutritional or educational intervention. Both groups were followed for a maximum of 12 weeks. Wound healing, as measured by planimetry, was examined at baseline and every four weeks until complete wound closure or up to 12 weeks. There were no significant differences between groups for BMI, age, duration of diabetes, wound age estimation, or wound area at baseline. The treatment group experienced a faster wound healing rate (6.43 mm2/week more reduction in the wound area) than the control group. The mean reduction in the wound area during the first four weeks of the study was almost 13-fold greater in the treatment group compared to the control group (18.0 mm2/week vs. 1.4 mm2/week, respectively). Our findings showed that nutrition supplementation plus nutrition education significantly accelerated wound healing in DFU patients compared to those who just received a standard-of-care regimen.

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Section: Discussionmentioning

confidence: 99%

Nutritional Supplementation Concurrent with Nutrition Education Accelerates the Wound Healing Process in Patients with Diabetic Foot Ulcers

et al. 2020

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“…According to the American Dietetic Association (ADA), the nutrient requirements of elderly peopleare not fully understood, although it is known that the physiological and functional changes that occur with agingcan result in changes in nutrient needs [22]. …”

Section: Discussionmentioning

confidence: 99%

Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables

Esmayel

Eldarawy

Hassan

et al. 2013

Journal of Aging Research

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Background. This work was constructed in order to assess the nutritional and functional status in hospitalized elderly and to study the associations between them and sociodemographic variables. Methods. 200 elderly patients (>65 years old) admitted to Internal Medicine and Neurology Departments in nonemergency conditions were included. Comprehensive geriatric assessments, including nutritional and functional assessments, were done according to nutritional checklist and Barthel index, respectively. Information was gathered from the patients, from the ward nurse responsible for the patient, and from family members who were reviewed. Results. According to the nutritional checklist, 56% of participants were at high risk, 18% were at moderate risk of malnutrition, and 26% had good nutrition. There was a high nutritional risk in patients with low income and good nutrition in patients with moderate income. Also, there was a high nutritional risk in rural residents (61.9%) in comparison with urban residents (25%). Barthel index score was significantly lower in those at high risk of malnutrition compared to those at moderate risk and those with good nutrition. Conclusions. Hospitalized elderly are exposed to malnutrition, and malnourished hospitalized patients are candidates for functional impairment. Significant associations are noticed between both nutritional and functional status and specific sociodemographic variables.

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“…Adapting the treatment strategy to the patient's functional status includes setting objectives as well as the methods to achieve them. For example, dietary changes should certainly be taken into consideration, but the risk of insufficient caloric intake should be avoided by monitoring dietary modifications: lipid-lowering and low sodium diets can worsen "anorexia of aging" because food loses its taste 14 .…”

Section: Appendixmentioning

confidence: 99%

Lipid control in geriatric DM patients

Pedone

2021

JGG

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Position of the American Dietetic Association: Liberalization of the Diet Prescription Improves Quality of Life for Older Adults in Long-Term Care

Cited by 102 publications

References 37 publications

Nutritional Supplementation Concurrent with Nutrition Education Accelerates the Wound Healing Process in Patients with Diabetic Foot Ulcers

Nutritional Supplementation Concurrent with Nutrition Education Accelerates the Wound Healing Process in Patients with Diabetic Foot Ulcers

Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables

Lipid control in geriatric DM patients

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