Early nutritional follow-up after discharge prevents deterioration of ADL functions in malnourished, independent, geriatric patients who live alone–A randomized clinical trial
Objectives To compare the effects of two nutritional follow-up interventions with regard to preventing short-term deterioration in ADL, and to compare their effects on physical function, emotional health, and health-related quality of life. Design Randomized clinical trial with two intervention grou...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2016-10, Vol.20 (8), p.845-853 |
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| container_title | The Journal of nutrition, health & aging |
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| creator | Pedersen, Jette Lindegaard Pedersen, P. U. Damsgaard, E. M. |
| description | Objectives
To compare the effects of two nutritional follow-up interventions with regard to preventing short-term deterioration in ADL, and to compare their effects on physical function, emotional health, and health-related quality of life.
Design
Randomized clinical trial with two intervention groups and one control group, and a follow-up period of eight weeks.
Setting
Intervention in the participants’ homes after discharge from hospital.
Participants
Inclusion: Malnourished geriatric patients and patients at risk of malnutrition (MNA |
| doi_str_mv | 10.1007/s12603-015-0629-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835377675</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4221711421</sourcerecordid><originalsourceid>FETCH-LOGICAL-c481t-b5a4cecdd3920ee246ba05d8ff318a60c0fcecc360501048d4bfab99c57872e23</originalsourceid><addsrcrecordid>eNp1Uctu1TAQjRCIlsIHsEGW2LBoYOw8nCyvSnlIV2ID68ixx72ufO1gJ63aFf_Al_BLfAmT3oIQEhs_5jzGnlMUzzm85gDyTeaihaoE3pTQir4UD4pjLlsoa9l1D-ksZF9KCfKoeJLzJUDd9F37uDgSVOxFVR8XP85V8jcsLHNys4tBeWaj9_G6XCam7IyJGZf1TqULZFPCKwxzZgYJcDGpVcKiZZu3W2aXoNd7Zi6wvfIhLsnlHZpTKhickJYwn7ILkipqp9lE-ju_611k3l0hUz4G_Pnt-4YlFUzcu1s0THsXnKaXkUj5p8Ujq3zGZ_f7SfHl3fnnsw_l9tP7j2ebbanrjs_l2Khaozam6gUgirodFTSms7binWpBgyVYVy00wKHuTD1aNfa9bmQnBYrqpHh18J1S_Lpgnoc9DQK9VwHjkgfeVU0lZSsbor78h3pJf6dZ3rGg5ZLL1ZAfWDrFnBPaYUpur9LNwGFY8xwOeQ6U57DmOayaF_fOy7hH80fxO0AiiAMhExRotH-1_q_rL9KPsHM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1830617172</pqid></control><display><type>article</type><title>Early nutritional follow-up after discharge prevents deterioration of ADL functions in malnourished, independent, geriatric patients who live alone–A randomized clinical trial</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>SpringerLink Journals - AutoHoldings</source><creator>Pedersen, Jette Lindegaard ; Pedersen, P. U. ; Damsgaard, E. M.</creator><creatorcontrib>Pedersen, Jette Lindegaard ; Pedersen, P. U. ; Damsgaard, E. M.</creatorcontrib><description>Objectives
To compare the effects of two nutritional follow-up interventions with regard to preventing short-term deterioration in ADL, and to compare their effects on physical function, emotional health, and health-related quality of life.
Design
Randomized clinical trial with two intervention groups and one control group, and a follow-up period of eight weeks.
Setting
Intervention in the participants’ homes after discharge from hospital.
Participants
Inclusion: Malnourished geriatric patients and patients at risk of malnutrition (MNA<24), aged 75 years and older, living at home and alone.
Exclusion
Nursing home residents and patients with terminal illnesses or cognitive impairment.
Randomization
At discharge, the patients were assigned to one of three groups: ‘home visit’, ‘telephone consultation’, or ‘control’ group.
Intervention
Individually tailored nutritional counselling of the patient and the patient’s daily home carer by a clinical dietician one, two, and four weeks after discharge from hospital. The counselling was either in-person at the patients’ homes, or by telephone. The control group received no follow-up after discharge.
Measurements
Primary outcome: Change in ADL (Barthel-100 score) at discharge and eight weeks later.
Secondary outcomes
Change in physical performance (handgrip strength, 30-sec. chair stand test, CAS), quality of life and depression measurements (SF-36, Depression List, Geriatric Depression Score), and Avlund mobility-tiredness score (Mob-T).
Results
Two-hundred and eight participants were randomized, 73 to home visits and 68 to telephone consultations. The control group comprised 67 patients. The mean age of the participants was 86.1 years. At eight weeks after discharge, 157 completed the follow-up (home visit 52, telephone consultation 51, and control group 54). The mean age of these patients was 85.8 years. More patients in the home visit group improved or maintained their ADL (96%), compared to the telephone (75%) and control groups (72%), p<0.01. No difference was detected among the groups with regard to physical measurements, health-related quality of life, and emotional health.
Conclusion
Early nutritional follow-up after discharge, performed as home visits, prevents deterioration of ADL in malnourished, independent, geriatric patients who live alone and thereby preserves their independence.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-015-0629-2</identifier><identifier>PMID: 27709234</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of Daily Living ; Aged, 80 and over ; Aging ; Clinical trials ; Cognitive ability ; Counseling ; Dietary supplements ; Disease ; Female ; Follow-Up Studies ; Geriatrics ; Geriatrics/Gerontology ; Home Care Services ; Hospitals ; Humans ; Intervention ; Male ; Malnutrition ; Medicine ; Medicine & Public Health ; Neurosciences ; Nursing homes ; Nutrition ; Nutrition Therapy - methods ; Older people ; Patient Discharge ; Primary Care Medicine ; Quality of Life ; Quality of Life Research ; Terminal illnesses ; Treatment Outcome</subject><ispartof>The Journal of nutrition, health & aging, 2016-10, Vol.20 (8), p.845-853</ispartof><rights>Serdi and Springer-Verlag France 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-b5a4cecdd3920ee246ba05d8ff318a60c0fcecc360501048d4bfab99c57872e23</citedby><cites>FETCH-LOGICAL-c481t-b5a4cecdd3920ee246ba05d8ff318a60c0fcecc360501048d4bfab99c57872e23</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/s12603-015-0629-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-015-0629-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27709234$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pedersen, Jette Lindegaard</creatorcontrib><creatorcontrib>Pedersen, P. U.</creatorcontrib><creatorcontrib>Damsgaard, E. M.</creatorcontrib><title>Early nutritional follow-up after discharge prevents deterioration of ADL functions in malnourished, independent, geriatric patients who live alone–A randomized clinical trial</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objectives
To compare the effects of two nutritional follow-up interventions with regard to preventing short-term deterioration in ADL, and to compare their effects on physical function, emotional health, and health-related quality of life.
Design
Randomized clinical trial with two intervention groups and one control group, and a follow-up period of eight weeks.
Setting
Intervention in the participants’ homes after discharge from hospital.
Participants
Inclusion: Malnourished geriatric patients and patients at risk of malnutrition (MNA<24), aged 75 years and older, living at home and alone.
Exclusion
Nursing home residents and patients with terminal illnesses or cognitive impairment.
Randomization
At discharge, the patients were assigned to one of three groups: ‘home visit’, ‘telephone consultation’, or ‘control’ group.
Intervention
Individually tailored nutritional counselling of the patient and the patient’s daily home carer by a clinical dietician one, two, and four weeks after discharge from hospital. The counselling was either in-person at the patients’ homes, or by telephone. The control group received no follow-up after discharge.
Measurements
Primary outcome: Change in ADL (Barthel-100 score) at discharge and eight weeks later.
Secondary outcomes
Change in physical performance (handgrip strength, 30-sec. chair stand test, CAS), quality of life and depression measurements (SF-36, Depression List, Geriatric Depression Score), and Avlund mobility-tiredness score (Mob-T).
Results
Two-hundred and eight participants were randomized, 73 to home visits and 68 to telephone consultations. The control group comprised 67 patients. The mean age of the participants was 86.1 years. At eight weeks after discharge, 157 completed the follow-up (home visit 52, telephone consultation 51, and control group 54). The mean age of these patients was 85.8 years. More patients in the home visit group improved or maintained their ADL (96%), compared to the telephone (75%) and control groups (72%), p<0.01. No difference was detected among the groups with regard to physical measurements, health-related quality of life, and emotional health.
Conclusion
Early nutritional follow-up after discharge, performed as home visits, prevents deterioration of ADL in malnourished, independent, geriatric patients who live alone and thereby preserves their independence.</description><subject>Activities of Daily Living</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Clinical trials</subject><subject>Cognitive ability</subject><subject>Counseling</subject><subject>Dietary supplements</subject><subject>Disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Home Care Services</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Nursing homes</subject><subject>Nutrition</subject><subject>Nutrition Therapy - methods</subject><subject>Older people</subject><subject>Patient Discharge</subject><subject>Primary Care Medicine</subject><subject>Quality of Life</subject><subject>Quality of Life Research</subject><subject>Terminal illnesses</subject><subject>Treatment Outcome</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1Uctu1TAQjRCIlsIHsEGW2LBoYOw8nCyvSnlIV2ID68ixx72ufO1gJ63aFf_Al_BLfAmT3oIQEhs_5jzGnlMUzzm85gDyTeaihaoE3pTQir4UD4pjLlsoa9l1D-ksZF9KCfKoeJLzJUDd9F37uDgSVOxFVR8XP85V8jcsLHNys4tBeWaj9_G6XCam7IyJGZf1TqULZFPCKwxzZgYJcDGpVcKiZZu3W2aXoNd7Zi6wvfIhLsnlHZpTKhickJYwn7ILkipqp9lE-ju_611k3l0hUz4G_Pnt-4YlFUzcu1s0THsXnKaXkUj5p8Ujq3zGZ_f7SfHl3fnnsw_l9tP7j2ebbanrjs_l2Khaozam6gUgirodFTSms7binWpBgyVYVy00wKHuTD1aNfa9bmQnBYrqpHh18J1S_Lpgnoc9DQK9VwHjkgfeVU0lZSsbor78h3pJf6dZ3rGg5ZLL1ZAfWDrFnBPaYUpur9LNwGFY8xwOeQ6U57DmOayaF_fOy7hH80fxO0AiiAMhExRotH-1_q_rL9KPsHM</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Pedersen, Jette Lindegaard</creator><creator>Pedersen, P. U.</creator><creator>Damsgaard, E. M.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><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>20161001</creationdate><title>Early nutritional follow-up after discharge prevents deterioration of ADL functions in malnourished, independent, geriatric patients who live alone–A randomized clinical trial</title><author>Pedersen, Jette Lindegaard ; Pedersen, P. 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M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-b5a4cecdd3920ee246ba05d8ff318a60c0fcecc360501048d4bfab99c57872e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Activities of Daily Living</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Clinical trials</topic><topic>Cognitive ability</topic><topic>Counseling</topic><topic>Dietary supplements</topic><topic>Disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Home Care Services</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Nursing homes</topic><topic>Nutrition</topic><topic>Nutrition Therapy - methods</topic><topic>Older people</topic><topic>Patient Discharge</topic><topic>Primary Care Medicine</topic><topic>Quality of Life</topic><topic>Quality of Life Research</topic><topic>Terminal illnesses</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pedersen, Jette Lindegaard</creatorcontrib><creatorcontrib>Pedersen, P. U.</creatorcontrib><creatorcontrib>Damsgaard, E. M.</creatorcontrib><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>Pedersen, Jette Lindegaard</au><au>Pedersen, P. U.</au><au>Damsgaard, E. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early nutritional follow-up after discharge prevents deterioration of ADL functions in malnourished, independent, geriatric patients who live alone–A randomized clinical trial</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>20</volume><issue>8</issue><spage>845</spage><epage>853</epage><pages>845-853</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>Objectives
To compare the effects of two nutritional follow-up interventions with regard to preventing short-term deterioration in ADL, and to compare their effects on physical function, emotional health, and health-related quality of life.
Design
Randomized clinical trial with two intervention groups and one control group, and a follow-up period of eight weeks.
Setting
Intervention in the participants’ homes after discharge from hospital.
Participants
Inclusion: Malnourished geriatric patients and patients at risk of malnutrition (MNA<24), aged 75 years and older, living at home and alone.
Exclusion
Nursing home residents and patients with terminal illnesses or cognitive impairment.
Randomization
At discharge, the patients were assigned to one of three groups: ‘home visit’, ‘telephone consultation’, or ‘control’ group.
Intervention
Individually tailored nutritional counselling of the patient and the patient’s daily home carer by a clinical dietician one, two, and four weeks after discharge from hospital. The counselling was either in-person at the patients’ homes, or by telephone. The control group received no follow-up after discharge.
Measurements
Primary outcome: Change in ADL (Barthel-100 score) at discharge and eight weeks later.
Secondary outcomes
Change in physical performance (handgrip strength, 30-sec. chair stand test, CAS), quality of life and depression measurements (SF-36, Depression List, Geriatric Depression Score), and Avlund mobility-tiredness score (Mob-T).
Results
Two-hundred and eight participants were randomized, 73 to home visits and 68 to telephone consultations. The control group comprised 67 patients. The mean age of the participants was 86.1 years. At eight weeks after discharge, 157 completed the follow-up (home visit 52, telephone consultation 51, and control group 54). The mean age of these patients was 85.8 years. More patients in the home visit group improved or maintained their ADL (96%), compared to the telephone (75%) and control groups (72%), p<0.01. No difference was detected among the groups with regard to physical measurements, health-related quality of life, and emotional health.
Conclusion
Early nutritional follow-up after discharge, performed as home visits, prevents deterioration of ADL in malnourished, independent, geriatric patients who live alone and thereby preserves their independence.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>27709234</pmid><doi>10.1007/s12603-015-0629-2</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1279-7707 |
| ispartof | The Journal of nutrition, health & aging, 2016-10, Vol.20 (8), p.845-853 |
| issn | 1279-7707 1760-4788 |
| language | eng |
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| subjects | Activities of Daily Living Aged, 80 and over Aging Clinical trials Cognitive ability Counseling Dietary supplements Disease Female Follow-Up Studies Geriatrics Geriatrics/Gerontology Home Care Services Hospitals Humans Intervention Male Malnutrition Medicine Medicine & Public Health Neurosciences Nursing homes Nutrition Nutrition Therapy - methods Older people Patient Discharge Primary Care Medicine Quality of Life Quality of Life Research Terminal illnesses Treatment Outcome |
| title | Early nutritional follow-up after discharge prevents deterioration of ADL functions in malnourished, independent, geriatric patients who live alone–A randomized clinical trial |
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