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Results of High-Protein, High-Calorie Oral Nutritional Supplementation in Malnourished Older People in Nursing Homes: An Observational, Multicenter, Prospective, Pragmatic Study (PROT-e-GER).
- Source :
-
Journal of the American Medical Directors Association . Sep2021, Vol. 22 Issue 9, p1919-1919. 1p. - Publication Year :
- 2021
-
Abstract
- To assess if the impact of oral nutritional supplements (ONS) on nutritional and functional status in malnourished older persons living in nursing homes shown by clinical trials are also found outside a trial setting. Observational, multicenter, prospective, pragmatic study. This study was carried out in 38 nursing homes throughout Spain. Nursing home physicians recruited consecutive residents, older than 65 years, with a diagnosis of malnutrition, when a clinical decision to start ONS had been taken after unsuccessful initial management with dietary interventions. The participants received daily 2 bottles of an energy-rich, high-protein commercial ONS for 3 months. Primary outcomes were changes in nutritional status [body weight, body mass index (BMI), and Mini Nutritional Assessment-Short Form (MNA-SF)]; secondary outcomes were functional changes [Functional Ambulation Classification, Barthel index, handgrip strength, and Short Physical Performance Battery (SPPB)], as well as safety and adherence after 12 weeks of follow-up. A total of 282 residents (median age 86 years, 67% women) were included, and 244 (86.5%) completed the follow-up. At baseline, 77.3% of the participants were malnourished (BMI 19.7 kg/m2, interquartile range 18.3–21.8). After 12 weeks of follow-up, participants experienced significant increases in body weight (2.6 ± 3.1 kg, 5.2 ± 5.9%), BMI (1.0 ± 1.2 kg/m2) and MNA-SF (4.0 ± 2.5 points). There were also significant improvements in functional status measured by the Barthel index, handgrip strength, SPPB, and gait speed. Good adherence was registered in 94.6% of the participants. No relevant side effects were found. Improvements in nutritional and functional status can be found when using a high-protein, high-calorie ONS in older undernourished people living in nursing homes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RESEARCH
*WALKING speed
*SCIENTIFIC observation
*ORAL drug administration
*FUNCTIONAL status
*INGESTION
*MEDICAL cooperation
*DIETARY supplements
*NURSING care facilities
*MALNUTRITION
*DESCRIPTIVE statistics
*BODY mass index
*BARTHEL Index
*DIETARY proteins
*LONGITUDINAL method
*NUTRITIONAL status
Subjects
Details
- Language :
- English
- ISSN :
- 15258610
- Volume :
- 22
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Journal of the American Medical Directors Association
- Publication Type :
- Academic Journal
- Accession number :
- 152100473
- Full Text :
- https://doi.org/10.1016/j.jamda.2021.02.039