Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters
Objectives To study differences in nutritional status and body composition, by feeding modality, among disabled nursing home residents. Design A retrospective chart-review study. Setting A nursing wing of a public urban geriatric center. Participants Three groups of patients: non-dysphagic, orally-f...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2013-02, Vol.17 (2), p.162-165 |
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| creator | Kimyagarov, Simcha Turgeman, D Fleissig, Yehudit Klid, Raisa Kopel, Bella Adunsky, Abraham |
| description | Objectives
To study differences in nutritional status and body composition, by feeding modality, among disabled nursing home residents.
Design
A retrospective chart-review study.
Setting
A nursing wing of a public urban geriatric center.
Participants
Three groups of patients: non-dysphagic, orally-fed dysphagic and percutaneous endoscopic gastrostomy -fed dysphagic patients. Intervention: Standard nursing care
Measurements
Basal metabolic rate, total energy expenditure and nitrogen balance under oral or percutaneous endoscopic gastrostomy feeding. Dietary intake was assessed during a 3-days period by daily-food intake protocols and a 24-hours urinary creatinine excretion to detect nitrogen balance and calculate body composition parameters.
Results
Data of 117 patients (55.5% females), mean age 84.6±7.5 (range 66–98 years) was analyzed. Dysphagic patients (60) differed from non-dysphagic patients (57) by lower body mass index (p=0.020), fat mass index (p=0.017), daily protein intake (p |
| doi_str_mv | 10.1007/s12603-012-0075-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1283731842</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2867774541</sourcerecordid><originalsourceid>FETCH-LOGICAL-c468t-6bf49545236ee40e0cced69833c1b8be8e42c2cbd7eaae05f16046b80a38a7bd3</originalsourceid><addsrcrecordid>eNqFkU2LFDEQhhtR3HX1B3iRgAjroTVfnWSOsqyrsOAe9BySdPVMlulOm0or8x_80Wbo8QMvnqqKeqrqpd6mec7oG0apfouMKypaynhby64VD5pzphVtpTbmYc253rRaU33WPEG8p1R2G6MeN2dcCCXlRp03P-4gh6W4CdKCBKY-YUhzDGTrsOSEJY0Hcnl3ffOalMUDGQD6OG1JGsi0ZDymuzQCyYCxh6kgiUimVIhDTCG6Aj35HsuOxHHO6VutfOoPJKRxThhLTBOZXXYjFMj4tHk0uD3Cs1O8aL68v_589aG9_XTz8erdbRukMqVVfpCbTnZcKABJgYYAvdoYIQLzxoMByQMPvtfgHNBuYIpK5Q11wjjte3HRXK57q6SvC2CxY8QA-_36Bsu4EVowI3lFX_6D3qclT1VdpTQVHWfCVIqtVKgvwwyDnXMcXT5YRu3RKrtaZatV9miVFXXmxWnz4kfof0_88qYCr06Aw-D2Q3ZTiPiHU0YwIWTl-MphbU1byH9J_P_1uO2D9dHvY9pmN-9isKLrqPgJjRS4sg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1270352138</pqid></control><display><type>article</type><title>Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Alma/SFX Local Collection</source><creator>Kimyagarov, Simcha ; Turgeman, D ; Fleissig, Yehudit ; Klid, Raisa ; Kopel, Bella ; Adunsky, Abraham</creator><creatorcontrib>Kimyagarov, Simcha ; Turgeman, D ; Fleissig, Yehudit ; Klid, Raisa ; Kopel, Bella ; Adunsky, Abraham</creatorcontrib><description>Objectives
To study differences in nutritional status and body composition, by feeding modality, among disabled nursing home residents.
Design
A retrospective chart-review study.
Setting
A nursing wing of a public urban geriatric center.
Participants
Three groups of patients: non-dysphagic, orally-fed dysphagic and percutaneous endoscopic gastrostomy -fed dysphagic patients. Intervention: Standard nursing care
Measurements
Basal metabolic rate, total energy expenditure and nitrogen balance under oral or percutaneous endoscopic gastrostomy feeding. Dietary intake was assessed during a 3-days period by daily-food intake protocols and a 24-hours urinary creatinine excretion to detect nitrogen balance and calculate body composition parameters.
Results
Data of 117 patients (55.5% females), mean age 84.6±7.5 (range 66–98 years) was analyzed. Dysphagic patients (60) differed from non-dysphagic patients (57) by lower body mass index (p=0.020), fat mass index (p=0.017), daily protein intake (p<0.0001), daily energy intake (p<0.001), protein related energy intake (p<0.001) and a negative nitrogen balance (p<0.001). In regression analyses, dysphagia was associated with increased risk of having a body mass index lower than 22.0kg/m2 (OR=2.60, 95% CI 1.135–5.943), a negative nitrogen balance (OR=2.33, 95% CI 1.063–4.669), a low fat mass index (OR=2.53, 95% CI 1.066–6.007), and low daily protein and energy intakes per body weight (OR=2.87, 95% CI 1.316–6.268 and OR=2.99, 95% CI 1.297–6.880). Compared with orally-fed dysphagic patients (21pts.), percutaneous endoscopic gastrostomy -fed patients (39pts.) received an additional mean energy intake of 30.5% kcal per day and mean protein intake of 26.0%. This additional intake was not associated with improved body composition parameters (such as fat free mass, skeletal mass or body mass index).
Conclusion
Dysphagic nursing home residents are characterized by worse nutritional, metabolic and body composition parameters, compared with non-dysphagic residents. Body composition parameters did not differ between orally-fed and percutaneous endoscopic gastrostomy-fed dysphagic patients, despite significantly better nutritional and metabolic parameters in PEG-fed patients. Other approaches (perhaps physical training, pharmacological etc.) should be sought to improve body composition of such patients.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-012-0075-3</identifier><identifier>PMID: 23364496</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Adipose Tissue ; Administration, Oral ; Aged ; Aged, 80 and over ; Aging ; Biological and medical sciences ; Body Composition ; Body Mass Index ; Body Weight ; Creatinine ; Deglutition Disorders - complications ; Deglutition Disorders - therapy ; Dietary Proteins - administration & dosage ; Diseases of the digestive system ; Dysphagia ; Endoscopy ; Energy ; Energy Intake ; Enteral nutrition ; Enteral Nutrition - methods ; Feeding Methods ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroscopy - methods ; Gastrostomy - methods ; Geriatric Assessment ; Geriatrics ; Geriatrics/Gerontology ; Humans ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolism ; Neurosciences ; Nitrogen ; Nitrogen - metabolism ; Nursing care ; Nursing Homes ; Nutrition ; Nutritional status ; Older people ; Ostomy ; Primary Care Medicine ; Protein-Energy Malnutrition - etiology ; Protein-Energy Malnutrition - prevention & control ; Proteins ; Quality of Life Research ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Regression Analysis ; Thinness - epidemiology ; Thinness - etiology ; Thinness - prevention & control ; Tube Feeding ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>The Journal of nutrition, health & aging, 2013-02, Vol.17 (2), p.162-165</ispartof><rights>Serdi and Springer Verlag France 2013</rights><rights>2014 INIST-CNRS</rights><rights>Serdi and Springer-Verlag France 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-6bf49545236ee40e0cced69833c1b8be8e42c2cbd7eaae05f16046b80a38a7bd3</citedby><cites>FETCH-LOGICAL-c468t-6bf49545236ee40e0cced69833c1b8be8e42c2cbd7eaae05f16046b80a38a7bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-012-0075-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-012-0075-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://igdc.huji.ac.il/home/Maagar/Details.aspx?AN=3550$$D View record in IGDC$$Hfree_for_read</backlink><backlink>$$Uhttp://dx.doi.org/10.1007/s12603-012-0075-3$$D View full text (Access may be restricted)$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26831334$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23364496$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kimyagarov, Simcha</creatorcontrib><creatorcontrib>Turgeman, D</creatorcontrib><creatorcontrib>Fleissig, Yehudit</creatorcontrib><creatorcontrib>Klid, Raisa</creatorcontrib><creatorcontrib>Kopel, Bella</creatorcontrib><creatorcontrib>Adunsky, Abraham</creatorcontrib><title>Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives
To study differences in nutritional status and body composition, by feeding modality, among disabled nursing home residents.
Design
A retrospective chart-review study.
Setting
A nursing wing of a public urban geriatric center.
Participants
Three groups of patients: non-dysphagic, orally-fed dysphagic and percutaneous endoscopic gastrostomy -fed dysphagic patients. Intervention: Standard nursing care
Measurements
Basal metabolic rate, total energy expenditure and nitrogen balance under oral or percutaneous endoscopic gastrostomy feeding. Dietary intake was assessed during a 3-days period by daily-food intake protocols and a 24-hours urinary creatinine excretion to detect nitrogen balance and calculate body composition parameters.
Results
Data of 117 patients (55.5% females), mean age 84.6±7.5 (range 66–98 years) was analyzed. Dysphagic patients (60) differed from non-dysphagic patients (57) by lower body mass index (p=0.020), fat mass index (p=0.017), daily protein intake (p<0.0001), daily energy intake (p<0.001), protein related energy intake (p<0.001) and a negative nitrogen balance (p<0.001). In regression analyses, dysphagia was associated with increased risk of having a body mass index lower than 22.0kg/m2 (OR=2.60, 95% CI 1.135–5.943), a negative nitrogen balance (OR=2.33, 95% CI 1.063–4.669), a low fat mass index (OR=2.53, 95% CI 1.066–6.007), and low daily protein and energy intakes per body weight (OR=2.87, 95% CI 1.316–6.268 and OR=2.99, 95% CI 1.297–6.880). Compared with orally-fed dysphagic patients (21pts.), percutaneous endoscopic gastrostomy -fed patients (39pts.) received an additional mean energy intake of 30.5% kcal per day and mean protein intake of 26.0%. This additional intake was not associated with improved body composition parameters (such as fat free mass, skeletal mass or body mass index).
Conclusion
Dysphagic nursing home residents are characterized by worse nutritional, metabolic and body composition parameters, compared with non-dysphagic residents. Body composition parameters did not differ between orally-fed and percutaneous endoscopic gastrostomy-fed dysphagic patients, despite significantly better nutritional and metabolic parameters in PEG-fed patients. Other approaches (perhaps physical training, pharmacological etc.) should be sought to improve body composition of such patients.</description><subject>Adipose Tissue</subject><subject>Administration, Oral</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Creatinine</subject><subject>Deglutition Disorders - complications</subject><subject>Deglutition Disorders - therapy</subject><subject>Dietary Proteins - administration & dosage</subject><subject>Diseases of the digestive system</subject><subject>Dysphagia</subject><subject>Endoscopy</subject><subject>Energy</subject><subject>Energy Intake</subject><subject>Enteral nutrition</subject><subject>Enteral Nutrition - methods</subject><subject>Feeding Methods</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroscopy - methods</subject><subject>Gastrostomy - methods</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolism</subject><subject>Neurosciences</subject><subject>Nitrogen</subject><subject>Nitrogen - metabolism</subject><subject>Nursing care</subject><subject>Nursing Homes</subject><subject>Nutrition</subject><subject>Nutritional status</subject><subject>Older people</subject><subject>Ostomy</subject><subject>Primary Care Medicine</subject><subject>Protein-Energy Malnutrition - etiology</subject><subject>Protein-Energy Malnutrition - prevention & control</subject><subject>Proteins</subject><subject>Quality of Life Research</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Regression Analysis</subject><subject>Thinness - epidemiology</subject><subject>Thinness - etiology</subject><subject>Thinness - prevention & control</subject><subject>Tube Feeding</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU2LFDEQhhtR3HX1B3iRgAjroTVfnWSOsqyrsOAe9BySdPVMlulOm0or8x_80Wbo8QMvnqqKeqrqpd6mec7oG0apfouMKypaynhby64VD5pzphVtpTbmYc253rRaU33WPEG8p1R2G6MeN2dcCCXlRp03P-4gh6W4CdKCBKY-YUhzDGTrsOSEJY0Hcnl3ffOalMUDGQD6OG1JGsi0ZDymuzQCyYCxh6kgiUimVIhDTCG6Aj35HsuOxHHO6VutfOoPJKRxThhLTBOZXXYjFMj4tHk0uD3Cs1O8aL68v_589aG9_XTz8erdbRukMqVVfpCbTnZcKABJgYYAvdoYIQLzxoMByQMPvtfgHNBuYIpK5Q11wjjte3HRXK57q6SvC2CxY8QA-_36Bsu4EVowI3lFX_6D3qclT1VdpTQVHWfCVIqtVKgvwwyDnXMcXT5YRu3RKrtaZatV9miVFXXmxWnz4kfof0_88qYCr06Aw-D2Q3ZTiPiHU0YwIWTl-MphbU1byH9J_P_1uO2D9dHvY9pmN-9isKLrqPgJjRS4sg</recordid><startdate>20130201</startdate><enddate>20130201</enddate><creator>Kimyagarov, Simcha</creator><creator>Turgeman, D</creator><creator>Fleissig, Yehudit</creator><creator>Klid, Raisa</creator><creator>Kopel, Bella</creator><creator>Adunsky, Abraham</creator><general>Springer-Verlag</general><general>Serdi</general><general>Springer</general><general>Springer Nature B.V</general><scope>AGDVQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130201</creationdate><title>Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters</title><author>Kimyagarov, Simcha ; Turgeman, D ; Fleissig, Yehudit ; Klid, Raisa ; Kopel, Bella ; Adunsky, Abraham</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-6bf49545236ee40e0cced69833c1b8be8e42c2cbd7eaae05f16046b80a38a7bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adipose Tissue</topic><topic>Administration, Oral</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Creatinine</topic><topic>Deglutition Disorders - complications</topic><topic>Deglutition Disorders - therapy</topic><topic>Dietary Proteins - administration & dosage</topic><topic>Diseases of the digestive system</topic><topic>Dysphagia</topic><topic>Endoscopy</topic><topic>Energy</topic><topic>Energy Intake</topic><topic>Enteral nutrition</topic><topic>Enteral Nutrition - methods</topic><topic>Feeding Methods</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroscopy - methods</topic><topic>Gastrostomy - methods</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolism</topic><topic>Neurosciences</topic><topic>Nitrogen</topic><topic>Nitrogen - metabolism</topic><topic>Nursing care</topic><topic>Nursing Homes</topic><topic>Nutrition</topic><topic>Nutritional status</topic><topic>Older people</topic><topic>Ostomy</topic><topic>Primary Care Medicine</topic><topic>Protein-Energy Malnutrition - etiology</topic><topic>Protein-Energy Malnutrition - prevention & control</topic><topic>Proteins</topic><topic>Quality of Life Research</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Regression Analysis</topic><topic>Thinness - epidemiology</topic><topic>Thinness - etiology</topic><topic>Thinness - prevention & control</topic><topic>Tube Feeding</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kimyagarov, Simcha</creatorcontrib><creatorcontrib>Turgeman, D</creatorcontrib><creatorcontrib>Fleissig, Yehudit</creatorcontrib><creatorcontrib>Klid, Raisa</creatorcontrib><creatorcontrib>Kopel, Bella</creatorcontrib><creatorcontrib>Adunsky, Abraham</creatorcontrib><collection>IGDC Bibliographic Database - מאגר לחקר ההזדקנות</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kimyagarov, Simcha</au><au>Turgeman, D</au><au>Fleissig, Yehudit</au><au>Klid, Raisa</au><au>Kopel, Bella</au><au>Adunsky, Abraham</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2013-02-01</date><risdate>2013</risdate><volume>17</volume><issue>2</issue><spage>162</spage><epage>165</epage><pages>162-165</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Objectives
To study differences in nutritional status and body composition, by feeding modality, among disabled nursing home residents.
Design
A retrospective chart-review study.
Setting
A nursing wing of a public urban geriatric center.
Participants
Three groups of patients: non-dysphagic, orally-fed dysphagic and percutaneous endoscopic gastrostomy -fed dysphagic patients. Intervention: Standard nursing care
Measurements
Basal metabolic rate, total energy expenditure and nitrogen balance under oral or percutaneous endoscopic gastrostomy feeding. Dietary intake was assessed during a 3-days period by daily-food intake protocols and a 24-hours urinary creatinine excretion to detect nitrogen balance and calculate body composition parameters.
Results
Data of 117 patients (55.5% females), mean age 84.6±7.5 (range 66–98 years) was analyzed. Dysphagic patients (60) differed from non-dysphagic patients (57) by lower body mass index (p=0.020), fat mass index (p=0.017), daily protein intake (p<0.0001), daily energy intake (p<0.001), protein related energy intake (p<0.001) and a negative nitrogen balance (p<0.001). In regression analyses, dysphagia was associated with increased risk of having a body mass index lower than 22.0kg/m2 (OR=2.60, 95% CI 1.135–5.943), a negative nitrogen balance (OR=2.33, 95% CI 1.063–4.669), a low fat mass index (OR=2.53, 95% CI 1.066–6.007), and low daily protein and energy intakes per body weight (OR=2.87, 95% CI 1.316–6.268 and OR=2.99, 95% CI 1.297–6.880). Compared with orally-fed dysphagic patients (21pts.), percutaneous endoscopic gastrostomy -fed patients (39pts.) received an additional mean energy intake of 30.5% kcal per day and mean protein intake of 26.0%. This additional intake was not associated with improved body composition parameters (such as fat free mass, skeletal mass or body mass index).
Conclusion
Dysphagic nursing home residents are characterized by worse nutritional, metabolic and body composition parameters, compared with non-dysphagic residents. Body composition parameters did not differ between orally-fed and percutaneous endoscopic gastrostomy-fed dysphagic patients, despite significantly better nutritional and metabolic parameters in PEG-fed patients. Other approaches (perhaps physical training, pharmacological etc.) should be sought to improve body composition of such patients.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><pmid>23364496</pmid><doi>10.1007/s12603-012-0075-3</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1279-7707 |
| ispartof | The Journal of nutrition, health & aging, 2013-02, Vol.17 (2), p.162-165 |
| issn | 1279-7707 1760-4788 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1283731842 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Alma/SFX Local Collection |
| subjects | Adipose Tissue Administration, Oral Aged Aged, 80 and over Aging Biological and medical sciences Body Composition Body Mass Index Body Weight Creatinine Deglutition Disorders - complications Deglutition Disorders - therapy Dietary Proteins - administration & dosage Diseases of the digestive system Dysphagia Endoscopy Energy Energy Intake Enteral nutrition Enteral Nutrition - methods Feeding Methods Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Gastroscopy - methods Gastrostomy - methods Geriatric Assessment Geriatrics Geriatrics/Gerontology Humans Male Medical sciences Medicine Medicine & Public Health Metabolism Neurosciences Nitrogen Nitrogen - metabolism Nursing care Nursing Homes Nutrition Nutritional status Older people Ostomy Primary Care Medicine Protein-Energy Malnutrition - etiology Protein-Energy Malnutrition - prevention & control Proteins Quality of Life Research Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Regression Analysis Thinness - epidemiology Thinness - etiology Thinness - prevention & control Tube Feeding Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| title | Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T15%3A58%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Percutaneous%20endoscopic%20gastrostomy%20(PEG)%20tube%20feeding%20of%20nursing%20home%20residents%20is%20not%20associated%20with%20improved%20body%20composition%20parameters&rft.jtitle=The%20Journal%20of%20nutrition,%20health%20&%20aging&rft.au=Kimyagarov,%20Simcha&rft.date=2013-02-01&rft.volume=17&rft.issue=2&rft.spage=162&rft.epage=165&rft.pages=162-165&rft.issn=1279-7707&rft.eissn=1760-4788&rft_id=info:doi/10.1007/s12603-012-0075-3&rft_dat=%3Cproquest_cross%3E2867774541%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1270352138&rft_id=info:pmid/23364496&rfr_iscdi=true |