| Cost-effectiveness of nutrition interventions in nursing home residents: a pilot intervention. | |
| | |
MedLine Citation:
|
PMID: 20424804 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: Unintentional weight loss is a prevalent and costly clinical problem among nursing home (NH) residents. One of the most common nutrition interventions for residents at risk for weight loss is oral liquid nutrition supplementation. The purpose of this study was to determine the cost effectiveness of supplements relative to offering residents' snack foods and fluids between meals to increase caloric intake. DESIGN: Randomized, controlled trial. SETTING: Three long-term care facilities. PARTICIPANTS: Sixty-three long-stay residents who had an order for nutrition supplementation. INTERVENTION: Participants were randomized into one of three groups: (1) usual NH care control; (2) supplement, or (3) between-meal snacks. For groups two and three, trained research staff provided supplements or snacks twice daily between meals, five days per week, for six weeks with assistance and encouragement to promote consumption. MEASUREMENTS: Research staff observed residents during and between meals for two days at baseline, weekly, and post six weeks to estimate total daily caloric intake. For both intervention groups, research staff documented residents' caloric intake between meals from supplements or snack items, refusal rates and the amount of staff time required to provide each intervention. RESULTS: Both interventions increased between meal caloric intake significantly relative to the control group and required more staff time than usual NH care. The snack intervention was slightly less expensive and more effective than the supplement intervention. CONCLUSIONS: Offering residents a choice among a variety of foods and fluids twice per day may be a more effective nutrition intervention than oral liquid nutrition supplementation. |
| | |
Authors:
|
S F Simmons; X Zhuo; E Keeler |
Related Documents
:
|
2541324 - Evaluation of dietary fibre in meals-on-wheels meals in melbourne. 1399644 - 137cs uptake with cafeteria food after the chernobyl accident. 22123664 - Synthesis and degradation of the major allergens in developing and germinating soybean ... 1741454 - The threshold for satiating effectiveness of psyllium in a nutrient base. 15182404 - Dietary sources of vitamin c, vitamin e and specific carotenoids in spain. 22186014 - Quantification of individual flagellate - bacteria interactions within semi-natural bio... |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: The journal of nutrition, health & aging Volume: 14 ISSN: 1760-4788 ISO Abbreviation: J Nutr Health Aging Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-04-28 Completed Date: 2010-06-16 Revised Date: 2010-10-12 |
Medline Journal Info:
|
Nlm Unique ID: 100893366 Medline TA: J Nutr Health Aging Country: France |
Other Details:
|
Languages: eng Pagination: 367-72 Citation Subset: IM |
Affiliation:
|
Vanderbilt University, School of Medicine, Division of General Internal Medicine and Public Health, Center for Quality Aging, Nashville, TN 37232-2400, USA. Sandra.Simmons@Vanderbilt.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged, 80 and over Cost-Benefit Analysis Dietary Supplements / economics Energy Intake / physiology* Feeding Methods / economics* Female Food, Formulated / economics Homes for the Aged* Humans Male Nursing Homes* Nutrition Therapy / economics*, methods* Pilot Projects Treatment Outcome Weight Loss |
| Grant Support | |
ID/Acronym/Agency:
|
AG028748/AG/NIA NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Skeletal muscle fat infiltration: impact of age, inactivity, and exercise.
Next Document: Examining Modifiable Health Behaviors, Body Weight, and Use of Preventive Health Services among Care...