nach oben

The journal of nutrition, health & aging

Erschienen in:

06.07.2018

Dairy-Based and Energy-Enriched Berry-Based Snacks Improve or Maintain Nutritional and Functional Status in Older People in Home Care

verfasst von: Irma Nykänen, R. Törrönen, U. Schwab

Erschienen in: The journal of nutrition, health & aging | Ausgabe 10/2018

Einloggen, um Zugang zu erhalten

Abstract

Objective

Consumption of energy- and nutrient-dense snacks are recommended for older people to maintain adequate nutrition. We evaluated the effects of dairy-based and energy-enriched berry products consumed as snacks on nutritional and functional status among vulnerable older people receiving home care services.

Design

Randomised controlled study.

Setting and participants

The study sample consisted of 85 home care clients, with mean age of 81.9 (SD 7.1) years in the intervention group (n=50) and 83.7 (SD 8.1) years in the control group (n=35), and 72% women in both groups.

Intervention

In the intervention group, the participants consumed both high-protein dairy-based products and energy-enriched berry purées for three months. The snack products provided nearly 300 kcal and 14 g protein per day.

Measurements

The Mini Nutritional Assessment (MNA), body mass index (BMI), mid-arm muscular area (MAMA) and concentrations of plasma albumin and prealbumin and blood haemoglobin were used to determine nutritional status, and handgrip strength was used to determine functional status at baseline and after the intervention. Results: After adjustment for age and gender, the intervention showed a significant effect on MNA scores (2.1, 95% [CI]: 1.0 to 3.3) (p=0.003), albumin concentration (2.0 g/L, 95% [CI]: 1.1 to 3.2) (p=0.006) and handgrip strength of the right hand in women (2.4 kg, 95% [CI]: 1.2 to 3.3) (p=0.007). The MNA scores improved in the intervention group, while albumin concentration and handgrip strength decreased in the control group.

Conclusions

Regular use of dairy- and energy-enriched berry-based snacks may improve or maintain nutritional and functional status among older people in home care.

Nur mit Berechtigung zugänglich

Soini H, Routasalo P, Lagstrom H. Characteristics of the mini-nutritional assessment in elderly home-care patients. Eur J Clin Nutr. 2004;58:64–70.CrossRefPubMed

Kaipainen T, Tiihonen M, Hartikainen S, Nykanen I. Prevalence of risk of malnutrition and associated factors in home care clients. Jour Nursing Home Res. 2015;1:47–51.

Lee LC, Tsai AC, Wang JY. Need-based nutritional intervention is effective in improving handgrip strength and barthel index scores of older people living in a nursing home: A randomized controlled trial. Int J Nurs Stud. 2015;52:904–12.CrossRefPubMed

Tian S, Xu Q, Jiang R, Han T, Sun C, Na L. Dietary protein consumption and the risk of type 2 diabetes: A systematic review and meta-analysis of cohort studies. Nutrients. 2017;9:10.

Dale B, Soderhamn U, Soderhamn O. Self-care ability among home-dwelling older people in rural areas in southern Norway. Scand J Caring Sci. 2012;26:113–22.CrossRefPubMed

Iizaka S, Tadaka E, Sanada H. Comprehensive assessment of nutritional status and associated factors in the healthy, community-dwelling elderly. Geriatr Gerontol Int. 2008;8:24–31.CrossRefPubMed

Gariballa S, Forster S. Dietary supplementation and quality of life of older patients: A randomized, double-blind, placebo-controlled trial. J Am Geriatr Soc. 2007;55:2030–4.CrossRefPubMed

Soderstrom L, Rosenblad A, Adolfsson ET, Saletti A, Bergkvist L. Nutritional status predicts preterm death in older people: A prospective cohort study. Clin Nutr. 2014;33:354–9.CrossRefPubMed

Yang Y, Brown CJ, Burgio KL, Kilgore ML, Ritchie CS, Roth DL, et al. Undernutrition at baseline and health services utilization and mortality over a 1-year period in older adults receiving medicare home health services. J Am Med Dir Assoc. 2011;12:287–94.CrossRefPubMed

10.

Holyday M, Daniells S, Bare M, Caplan GA, Petocz P, Bolin T. Malnutrition screening and early nutrition intervention in hospitalised patients in acute aged care: A randomised controlled trial. J Nutr Health Aging. 2012;16:562–8.CrossRefPubMed

11.

Elia M, Russell CA, Stratton RJ. Malnutrition in the UK: Policies to address the problem. Proc Nutr Soc. 2010;69:470–6.CrossRefPubMed

12.

Polonen S, Tiihonen M, Hartikainen S, Nykanen I. Individually tailored dietary counseling among old home care clients -effects on nutritional status. J Nutr Health Aging. 2017;21:567–72.CrossRefPubMed

13.

Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: The mini nutritional assessment as part of the geriatric evaluation. Nutr Rev. 1996;54:S59–65.CrossRefPubMed

14.

Bassey EJ. Demi-span as a measure of skeletal size. Ann Hum Biol. 1986;13:499–502.CrossRefPubMed

15.

Hickson M, Frost G. A comparison of three methods for estimating height in the acutely ill elderly population. J Hum Nutr Diet. 2003;16:13–20.CrossRefPubMed

16.

Heymsfield SB, McManus C, Smith J, Stevens V, Nixon DW. Anthropometric measurement of muscle mass: Revised equations for calculating bone-free arm muscle area. Am J Clin Nutr. 1982;36:680–90.CrossRefPubMed

17.

Jyvakorpi SK, Pitkala KH, Puranen TM, Bjorkman MP, Kautiainen H, Strandberg TE, et al. Low protein and micronutrient intakes in heterogeneous older population samples. Arch Gerontol Geriatr. 2015;61:464–71.CrossRefPubMed

18.

Saarela RK, Lindroos E, Soini H, Hiltunen K, Muurinen S, Suominen MH, et al. Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities. Gerodontology. 2016;33:225–32.CrossRefPubMed

19.

Sahni S, Mangano KM, Tucker KL, Kiel DP, Casey VA, Hannan MT. Protective association of milk intake on the risk of hip fracture: Results from the framingham original cohort. J Bone Miner Res. 2014;29:1756–62.CrossRefPubMedPubMedCentral

20.

Aoyagi Y, Park S, Matsubara S, Honda Y, Amamoto R, Kushiro A, et al. Habitual intake of fermented milk products containing lactobacillus casei strain shirota and a reduced risk of hypertension in older people. Benef Microbes. 2017;8:23–9.CrossRefPubMed

21.

Hu FB, Stampfer MJ, Manson JE, Ascherio A, Colditz GA, Speizer FE, et al. Dietary saturated fats and their food sources in relation to the risk of coronary heart disease in women. Am J Clin Nutr. 1999;70:1001–8.CrossRefPubMed

22.

Rodriguez-Mateos A, Heiss C, Borges G, Crozier A. Berry (poly)phenols and cardiovascular health. J Agric Food Chem. 2014;62:3842–51.CrossRefPubMed

23.

Guo X, Yang B, Tan J, Jiang J, Li D. Associations of dietary intakes of anthocyanins and berry fruits with risk of type 2 diabetes mellitus: A systematic review and metaanalysis of prospective cohort studies. Eur J Clin Nutr. 2016;70:1360–1367.CrossRefPubMed

24.

Joseph SV, Edirisinghe I, Burton-Freeman BM. Berries: Anti-inflammatory effects in humans. J Agric Food Chem. 2014;62:3886–903.CrossRefPubMed

25.

Pribis P, Shukitt-Hale B. Cognition: The new frontier for nuts and berries. Am J Clin Nutr. 2014;100:347S–52S.CrossRefPubMed

26.

Milne AC, Avenell A, Potter J. Meta-analysis: Protein and energy supplementation in older people. Ann Intern Med. 2006;144:37–48.CrossRefPubMed

27.

Anderson AL, Harris TB, Tylavsky FA, Perry SE, Houston DK, Hue TF, et al. Dietary patterns and survival of older adults. J Am Diet Assoc. 2011;111:84–91.CrossRefPubMedPubMedCentral

28.

Bauer J, Biolo G, Cederholm T, Cesari M, Cruz-Jentoft AJ, Morley JE, et al. Evidence-based recommendations for optimal dietary protein intake in older people: A position paper from the PROT-AGE study group. J Am Med Dir Assoc. 2013;14:542–59.CrossRefPubMed

29.

Dillon EL, Sheffield-Moore M, Paddon-Jones D, Gilkison C, Sanford AP, Casperson SL, et al. Amino acid supplementation increases lean body mass, basal muscle protein synthesis, and insulin-like growth factor-I expression in older women. J Clin Endocrinol Metab. 2009;94:1630–7.CrossRefPubMedPubMedCentral

30.

Rantanen T, Avlund K, Suominen H, Schroll M, Frandin K, Pertti E. Muscle strength as a predictor of onset of ADL dependence in people aged 75 years. Aging Clin Exp Res. 2002;14:10–5.PubMed

31.

Huynh DT, Devitt AA, Paule CL, Reddy BR, Marathe P, Hegazi RA, et al. Effects of oral nutritional supplementation in the management of malnutrition in hospital and post-hospital discharged patients in India: A randomised, open-label, controlled trial. J Hum Nutr Diet. 2015;28:331–43.CrossRefPubMed

32.

Beasley JM, Wertheim BC, LaCroix AZ, Prentice RL, Neuhouser ML, Tinker LF, et al. Biomarker-calibrated protein intake and physical function in the women’s health initiative. J Am Geriatr Soc. 2013;61:1863–71.CrossRefPubMedPubMedCentral

33.

Dashti HS, Mogensen KM. Recommending small, frequent meals in the clinical care of adults: A review of the evidence and important considerations. Nutr Clin Pract. 2017;32:365v77.CrossRef

34.

Salvà A, Corman B, Andrieu S, Salas J, Vellas and the International Association of Gerontology/International Academys of Nutrition and Ageing (IAG/IANA) Task Force. Minimum Data Set for Nutritional Intervention Studies in Elderly People. J Gerontol: Series A. 2004;16:378–82.

Titel: Dairy-Based and Energy-Enriched Berry-Based Snacks Improve or Maintain Nutritional and Functional Status in Older People in Home Care
verfasst von: Irma Nykänen
R. Törrönen
U. Schwab
Publikationsdatum: 06.07.2018
Verlag: Springer Paris
Erschienen in: The journal of nutrition, health & aging / Ausgabe 10/2018
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-018-1076-7

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

24.04.2024 | DGIM 2024 | Kongressbericht | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Dairy-Based and Energy-Enriched Berry-Based Snacks Improve or Maintain Nutritional and Functional Status in Older People in Home Care

Abstract

Objective

Design

Setting and participants

Intervention

Measurements

Conclusions

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Metformin rückt in den Hintergrund

Myokarditis nach Infekt – richtig schwierig wird es bei Profisportlern

Thrombophiliescreening – Wenn, dann richtig und nur bei therapeutischer Konsequenz

Bei Senioren mit Prostatakarzinom auf Anämie achten!

Update Innere Medizin

Springer Medizin

Abstract

Objective

Design

Setting and participants

Intervention

Measurements

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 10/2018

Association Between Oropharyngeal Dysphagia and Malnutrition in Dutch Nursing Home Residents: Results of the National Prevalence Measurement of Quality of Care

Resilience

Dietary Ingestion of Calories and Micronutrients Modulates the DNA Methylation Profile of Leukocytes from Older Individuals

Abdominal Obesity and Mobility Disability in Older Adults: A 4-Year Follow-Up of the International Mobility in Aging Study

Use of ACE-Inhibitors and Quality of Life in an Older Population

Nutritional and Frailty State Transitions in the Singapore Longitudinal Aging Study

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Metformin rückt in den Hintergrund

Myokarditis nach Infekt – richtig schwierig wird es bei Profisportlern

Thrombophiliescreening – Wenn, dann richtig und nur bei therapeutischer Konsequenz

Bei Senioren mit Prostatakarzinom auf Anämie achten!

Update Innere Medizin