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Managing Malnutrition in Older Persons Residing in Care Homes: Nutritional and Clinical Outcomes Following a Screening and Intervention Program.

Mountford, CG, Okonkwo, AC, Hart, K and Thompson, NP (2016) Managing Malnutrition in Older Persons Residing in Care Homes: Nutritional and Clinical Outcomes Following a Screening and Intervention Program. Journal of nutrition in gerontology and geriatrics, 35 (1). pp. 52-66.

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Abstract

This study aimed to establish prevalence of malnutrition in older adult care home residents and investigate whether a nutritional screening and intervention program could improve nutritional and clinical outcomes. A community-based cohort study was conducted in five Newcastle care homes. 205 participants entered; 175 were followed up. Residents already taking oral nutritional supplements (ONS) were excluded from interventions. Those with Malnutrition Universal Screening Tool (MUST) score of 1 received dietetic advice and ≥2 received dietetic advice and were prescribed ONS (220 ml, 1.5 kcal/ml) twice daily for 12 weeks. Body mass index (BMI), MUST, mini nutritional assessment score (MNA)®, mid upper arm muscle circumference (MAMC), and Geriatric Depression Scale (GDS) were recorded at baseline and 12 weeks. Malnutrition prevalence was 36.6% ± 6.6 (95% CI). A higher MUST was associated with greater mortality (p = 0.004). Type of intervention received was significantly associated with change in MUST score (p < 0.001); dietetic advice resulting in the greatest improvement. There were no significant changes in BMI (p = 0.445), MAMC (p = 0.256), or GDS (p = 0.385) following the interventions. Dietitian advice may slow the progression of nutritional decline. In this study oral nutritional supplements over a 3-month period did not significantly improve nutritional status in malnourished care home residents.

Item Type: Article
Subjects : Biosciences and Medicine
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
AuthorsEmailORCID
Mountford, CGUNSPECIFIEDUNSPECIFIED
Okonkwo, ACUNSPECIFIEDUNSPECIFIED
Hart, KUNSPECIFIEDUNSPECIFIED
Thompson, NPUNSPECIFIEDUNSPECIFIED
Date : 17 February 2016
Identification Number : 10.1080/21551197.2015.1131797
Copyright Disclaimer : This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of nutrition in gerontology and geriatrics on 17 Feb 2016, available online: http://www.tandfonline.com/10.1080/21551197.2015.1131797
Depositing User : Symplectic Elements
Date Deposited : 26 Aug 2016 15:15
Last Modified : 26 Aug 2016 15:15
URI: http://epubs.surrey.ac.uk/id/eprint/811886

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