Who receives oral nutritional supplements in nursing homes? Results from the nutritionDay project

Streicher, Melanie; Themessl-Huber, Michael; Schindler, Karin; Sieber, Cornel; Hiesmayr, M.; Volkert, Dorothee

doi:10.1016/j.clnu.2016.09.005

Cited by 16 publications

(20 citation statements)

References 26 publications

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“…This result is less favorable than the observation by Streicher et al [ 15 ], who used Nutrition Day data of 23,689 nursing home residents of 65 years or older, collected between 2007 and 2014, and showed that 14% of all nursing home residents (42% of those malnourished and 26% of those at risk of malnutrition) received ONS. This difference could be partly due to the lack of reimbursement of ONS in Belgium.…”

Section: Discussioncontrasting

confidence: 60%

The prevalence and health burden of malnutrition in Belgian older people in the community or residing in nursing homes: results of the NutriAction II study

et al. 2018

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Introduction In 2008, the NutriAction study showed that (risk of) malnutrition was highly prevalent (57%) among Belgian older people living in the community or in a nursing home. In 2013, this study was repeated to re-evaluate the occurrence of malnutrition, as well as mobility problems and dependence in activities of daily living (ADL). Methods Health care professionals (HCPs) associated with homecare organizations and nursing homes across Belgium were invited to screen their patients and complete an online questionnaire. Nutritional status, presence of pre-specified comorbidities, mobility, and ADL dependency were assessed. Results In total, 3299 older patients were analysed: 2480 (86.3 ± 6.3 years) nursing home (NH) residents and 819 (82.7 ± 6.1 years) community dwelling (CD). Overall, 12% was malnourished (MNA-SF score < 8) and 44% was at risk of malnutrition (MNA-SF 8-11). The highest prevalence of (risk of) malnutrition was observed in NHs (63%) and in patients with dementia (CD: 68%; NH: 82%) or depression (CD: 68%; NH: 79%). Of all malnourished individuals, 49% was recognized as malnourished by HCPs and 13% of the malnourished recognized themselves as such. Mobility (stair climbing and walking) and ADL dependency (Belgian KATZ score) were impaired in older people with (risk of) malnutrition in comparison with individuals with normal nutritional status (p < 0.001). Discussion Despite public awareness initiatives, the prevalence of malnutrition remained stable among Belgian older people seen by HCPs in the period 2008-2013. Moreover, malnutrition is not well recognized. Conclusion Under-recognition of malnutrition is problematic, because associated loss of mobility and independence may accelerate the transformation of frailty into disability in older people.

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Section: Discussioncontrasting

confidence: 60%

The prevalence and health burden of malnutrition in Belgian older people in the community or residing in nursing homes: results of the NutriAction II study

et al. 2018

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“…The food is also adapted to the oral health condition of the nursing home residents, being mostly liquid and pasty, which facilitates chewing and, consequently, food intake 33 . In addition, oral nutritional supplementation is a common practice in nursing homes, replenishing nutritional deficiencies in older adults through nutrient replacement 34 . The set of these factors probably aids the prevention of malnutrition and negative alterations in the body composition of institutionalised elders.…”

Section: Discussionmentioning

confidence: 99%

“…33 In addition, oral nutritional supplementation is a common practice in nursing homes, replenishing nutritional deficiencies in older adults through nutrient replacement. 34 The set of these factors probably aids the prevention of malnutrition and negative alterations in the body composition of institutionalised elders.…”

Section: Ta B L E 4 Correlation Between Masticatory Function (Masticamentioning

confidence: 99%

Masticatory function in nursing home residents: Correlation with the nutritional status and oral health–related quality of life

Medeiros

Pinheiro

Figueredo

et al. 2020

J of Oral Rehabilitation

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Background: Masticatory function of institutionalised elders and its relationship with nutrition and oral health-related quality of life (OHRQoL) are unknown. Objectives: This multicentre cross-sectional study evaluated the influence of the presence of teeth and dentures on masticatory function (masticatory performance and swallowing threshold) in institutionalised elders. Correlation of masticatory function with nutrition and OHRQoL was also verified. Methods: Older adults (n = 344; mean age (SD) = 77.70 (9.10)), selected from nursing homes in two Brazilian cities, were classified as edentulous with or without complete dentures (CDs), and partially dentate with or without prosthesis. Masticatory performance was assessed using a two-colour chewing gum. Swallowing threshold was set by the number of chewing cycles performed until swallowing 3.7 g of peanuts. Nutrition was screened by Mini-Nutritional Assessment-Short Form and body composition. OHRQoL was evaluated through Geriatric Oral Health Assessment Index (GOHAI) and Oral Health Impact Profile (OHIP-14). The Kruskal-Wallis test and Spearman's correlation were used (α = 0.05). Results: Edentulous elders without CDs had lower masticatory performance than those with CDs and partially dentate with or without prosthesis (P < .05). Swallowing threshold of edentulous elders with CDs and partially dentate with prosthesis was greater than edentulous elders without CDs and partially dentate without prosthesis (P < .05). Masticatory function was not correlated with nutrition. Masticatory performance was correlated (P < .05) with GOHAI (r 2 = −.154) and swallowing threshold with GOHAI (r 2 = .162) and OHIP-14 (r 2 = −.146). Conclusion: The absence of teeth and dentures negatively affected the masticatory function. Although the masticatory function was not correlated with institutionalised elders' nutrition, their OHRQoL was negatively impacted.

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“…Malnutrition can be treated and prevented effectively by means of management of ONS. All critical nutrients are combined in a balanced way in these supplements distinguished by dense nutrients and considerable energy [31].…”

Section: Oral Nutritional Supplementsmentioning

confidence: 99%

“…With the purpose of bettering or sustaining the nutritional condition and improving the intake of nutrients and energy, it is recommended by the ESPEN guidelines related to enteral nutrition to use ONS for the undernourished patients or those having the risk of undernutrition [16,31].…”

Section: Oral Nutritional Supplementsmentioning

confidence: 99%

Stan odżywienia pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej

Kaya

Turan

Aydın

2017

PNIN

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Neurosurgical patients present important metabolic alterations that trigger increased energy and protein expenditure. The clinical condition in neuro patients associated with the use of sedatives, steroids, barbiturates and musclerelaxing drugs postpones the use of nutrients in these patients and, thus, complications, including infection and longer hospitalization, may occur. Weight loss, negative nitrogen balance and immune dysfunction constitute a characteristic response in neurosurgical patients. There is a strong relationship between adequate nutritional status and recovery from critical illness. Improved nutritional status is associated with positive clinical outcomes. The health care team, nurses in particular, play a major role in the management and maintenance of an optimal nutritional status in patients who are in the neurosurgical clinic. This compilation aims at highlighting the fact that inadequate nutrition is a serious problem which increases incidence of morbidity and mortality especially in neurosurgical patients. The article also emphasises the importance of nursing assessment. (JNNN 2017;6(1):33-38) Key Words: neuro patients, neurosurgery, nutrition Streszczenie U pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej występują istotne zmiany metaboliczne, które powodują zwiększone wydatkowanie energii i białka. Neurochirurgiczny stan kliniczny w wyniku stosowania środków uspokajających, steroidów, barbituranów i leków zwiotczających mięśnie opóźnia wykorzystanie składników pokarmowych w tej grupie pacjentów, a zatem mogą wystąpić powikłania, w tym infekcje i dłuższa hospitalizacja. Utrata masy ciała, ujemny bilans azotu i dysfunkcja układu odpornościowego stanowią charakterystyczną odpowiedź u pacjentów neurochirurgicznych. Istnieje silny związek pomiędzy odpowiednim stanem odżywienia i regeneracją po chorobie krytycznej. Dobry stan odżywienia jest związany z pozytywnymi wynikami klinicznymi. Zespół opieki zdrowotnej, w szczególności pielęgniarki, odgrywają ważną rolę w utrzymaniu optymalnego stanu odżywienia u pacjentów neurochirurgicznych. Przegląd ten ma na celu podkreślenie, że przeciętny stan odżywienia jest poważnym problemem w kontekście zwiększonej zachorowalności i śmiertelności, zwłaszcza u pacjentów neurochirurgicznych. Artykuł zwraca również uwagę na duże znaczenie oceny pielęgniarskiej. (PNN 2017;6(1):33-38) Słowa kluczowe: pacjenci neurologiczni, neurochirurgia, odżywianie

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Who receives oral nutritional supplements in nursing homes? Results from the nutritionDay project

Cited by 16 publications

References 26 publications

The prevalence and health burden of malnutrition in Belgian older people in the community or residing in nursing homes: results of the NutriAction II study

The prevalence and health burden of malnutrition in Belgian older people in the community or residing in nursing homes: results of the NutriAction II study

Masticatory function in nursing home residents: Correlation with the nutritional status and oral health–related quality of life

Stan odżywienia pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej

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