Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 63, Issue 11, Pages 2308-2316Publisher
WILEY-BLACKWELL
DOI: 10.1111/jgs.13709
Keywords
long-term care; nutrition intervention; oral liquid nutrition supplements; unintentional weight loss
Categories
Funding
- Agency for Healthcare Research and Quality (AHRQ) [1R01HS018580-01]
- National Center for Research Resources [UL 1 RR024975-01]
- National Center for Advancing Translational Science [2 UL 1 TR000445-06]
Ask authors/readers for more resources
ObjectivesTo determine the cost-effectiveness of two nutrition interventions on food, beverage, and supplement intake and body weight. DesignRandomized, controlled trial. SettingFive skilled nursing home facilities. ParticipantsLong-stay residents with orders for nutrition supplementation (N = 154). InterventionParticipants were randomized into a usual care control group, an oral liquid nutrition supplement (ONS) intervention group, or a snack intervention group. Research staff provided ONS, according to orders or a variety of snack foods and beverages twice per day between meals, 5 days per week for 24 weeks and assistance to promote consumption. MeasurementsResearch staff independently weighed residents at baseline and monthly during the 24-week intervention. Resident food, beverage and supplement intake and the amount of staff time spent providing assistance were assessed for 2 days at baseline and 2 days per month during the intervention using standardized observation and weighed intake procedures. ResultsThe ONS intervention group took in an average of 265 calories more per day and the snack intervention group an average of 303 calories more per day than the control group. Staff time required to provide each intervention averaged 11 and 14 minutes per person per offer for ONS and snacks, respectively, and 3 minutes for usual care. Both interventions were cost-effective in increasing caloric intake, but neither intervention had a significant effect on body weight, despite positive trends. ConclusionOral liquid nutrition supplements and snack offers were efficacious in promoting caloric intake when coupled with assistance to promote consumption and a variety of options, but neither intervention resulted in significant weight gain.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available