Age and Ageing, Vol 29, 51-56, Copyright © 2000 by British Geriatrics Society
S Lauque, F Arnaud-Battandier, R Mansourian, Y Guigoz, M Paintin, F Nourhashemi and B Vellas
OBJECTIVES: To validate a nutritional intervention programme for elderly
people living in nursing homes. DESIGN: In a prospective, randomized,
controlled study of 88 residents, we determined nutritional status at day 0
and day 60 using a record of dietary intake, anthropometry, hand-grip
strength and mini-nutritional assessment. Dietary intake, grip strength and
body weight were also recorded at day 30. We divided subjects into four
groups according to their mini- nutritional assessment score. Those with a
score 24 received no oral supplementation. Those at risk of malnutrition
(with a score of 17- 23.5) were randomized to oral supplementation. Those
with a score <17 received oral supplementation. We recorded the amount
of oral supplements consumed daily. RESULTS: Compliance with oral
supplementation was good, and daily intake averaged about 400 kcal. The
total energy intake on day 60 was significantly higher in both of the
groups that received supplements. Following supplementation, most subjects
at risk of malnutrition improved their mini-nutritional assessment score
and increased their weight (by 1.4 +/- 0.5 kg). Neither the
mini-nutritional assessment score nor weight improved in subjects at risk
of malnutrition who did not receive supplements. Supplementation in the
malnourished group resulted in a mean mini- nutritional assessment score
increase (from 13.9 +/- 2.6 to 17.1 +/- 3.9) and a mean weight gain of 1.5
+/- 0.4 kg. CONCLUSION: Oral nutritional supplements are well accepted and
result in increased daily protein and energy intake, body weight and
nutritional status in most malnourished patients and in those at risk of
malnutrition.
ARTICLES
Protein-energy oral supplementation in malnourished nursing-home residents. A controlled trial
CHU Purpan-Casselardit, Service du professeur Albarede, Toulouse, France. lauque.sylvie@wanadoo.fr
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