首页|A nutritionally focused program for community-living older adults resulted in improved health and well-being
A nutritionally focused program for community-living older adults resulted in improved health and well-being
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NSTL
Elsevier
Objectives: Among older adults, malnutrition is common and is associated with increased risk for impaired health and functionality, conditions further associated with poorer quality of life. In this study of community-living older adults, our objective was to quantify outcome changes following identification and treatment of malnutrition or its risk. Design: Our intervention was a nutritional quality improvement program (QIP). The nutritional QIP included: (i) education of participants about the importance of complete and balanced macro- and micronutrient intake plus physical exercise, (ii) nutritional intervention with dietary counseling; and (iii) provision of oral nutritional supplements (ONS) for daily intake over 60 days. Follow-up measurements took place 30 days after ONS treatment ended, i.e., 90 days after start of intervention. Setting and participants: We recruited 618 transitional-care, chronically ill, older adults ( 60 years) with malnutrition/risk (per Mini Nutrition Assessment-Short Form, MNA-SF) from the outpatient clinic of Hospital Universitario San Ignacio, in Bogota???, Colombia. Methods: For pre-post comparisons, we examined cognition (Mini-Mental State Exam, MMSE), physical abilities (Barthel Activities of Daily Living, ADL; Short Physical Performance Battery, SPPB), affective disorder status (Global Depression Scale, GDS), and quality of life (QoL; EuroQoL-5D-3L, EQ-5D-3L; EuroQoL-Visual Analog Scale, EQ-VAS). Results: Participants were mean age 74.1 ?? 8.7 y, female majority (69.4%), and had an average of 2.6 comorbidities with cardiovascular and respiratory diseases predominant (28.5%). QIP-based nutritional intervention led to significant improvements in cognitive (MMSE) and physical functions (ADL and SPPB), affective disorder status (GDS), and health-related quality of life (EQ-VAS); all differences (P < 0.001). Self-reported QoL (EQ-5D-3L) also improved. Conclusions and implications: Over 90 days, the nutritional QIP led to improvements in all measured outcomes, thus highlighting the importance of addressing malnutrition or its risk among communityliving older adults. From a patient's perspective, maintaining mental and physical function are important and further linked with quality of life.
NutritionOlder adultsOral nutritional supplementActivities of daily livingFunctionalityQuality of lifeMINI-MENTAL-STATENURSING-HOMEMALNUTRITIONIMPACTCAREREHABILITATIONINTERVENTIONASSOCIATIONMANAGEMENTDEMENTIA
Gomez, Gabriel、Botero-Rodriguez, Felipe、Misas, Juan Diego、Garcia-Cifuentes, Elkin、Sulo, Suela、Brunton, Cory、Venegas-Sanabria, Luis Carlos、Gracia, Daniela Alejandra、Gutierrez, Carlos Alberto Cano
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Abbott Labs
Ageing Inst,Pontificia Univ Javeriana
Inst Rosarista el Estudio Envejecimiento & Longev,Univ Rosario
NSTL
Elsevier
