HOMEFOOD randomised trial – Six-month nutrition therapy improves quality of life, self-rated health, cognitive function, and depression in older adults after hospital discharge
Malnutrition is common among older adults and is related to quality of life, cognitive function, and depression. To what extent nutrition interventions can improve these outcomes remains unclear. The aim of this study was to investigate the effect of nutrition therapy on health-related quality of li...
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| Veröffentlicht in: | Clinical nutrition ESPEN 2022-04, Vol.48, p.74-81 |
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| creator | Blondal, B.S. Geirsdottir, O.G. Halldorsson, T.I. Beck, A.M. Jonsson, P.V. Ramel, A. |
| description | Malnutrition is common among older adults and is related to quality of life, cognitive function, and depression. To what extent nutrition interventions can improve these outcomes remains unclear. The aim of this study was to investigate the effect of nutrition therapy on health-related quality of life (EQ-5D), self-rated health, cognitive function, and depression in community dwelling older adults recently discharged from hospital.
Participants (>65 years) were randomised into an intervention (n = 53) and a control group (n = 53). The intervention group received individualised nutrition therapy based on the nutrition care process including 5 home visits and 3 phone calls, in combination with freely delivered energy- and protein-rich foods and oral nutrition supplements for six months after hospital discharge. EQ-5D, self-rated health, Mini-Mental-State-Examination (MMSE), and the Centre for Epidemiologic Studies Depression – IOWA (CES-D) scale were measured at baseline and at endpoint.
Two subjects dropped out, one from each arm. The control group experienced an increase in depressive symptoms and a decrease in self-rated health during the study period, while the intervention group experienced increases in cognitive function, self-rated health, and EQ-5D resulting in significant endpoint differences between the groups: EQ-5D (0.102, P = 0.001); self-rated health: 15.876 (P |
| doi_str_mv | 10.1016/j.clnesp.2022.01.010 |
| format | Article |
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Participants (>65 years) were randomised into an intervention (n = 53) and a control group (n = 53). The intervention group received individualised nutrition therapy based on the nutrition care process including 5 home visits and 3 phone calls, in combination with freely delivered energy- and protein-rich foods and oral nutrition supplements for six months after hospital discharge. EQ-5D, self-rated health, Mini-Mental-State-Examination (MMSE), and the Centre for Epidemiologic Studies Depression – IOWA (CES-D) scale were measured at baseline and at endpoint.
Two subjects dropped out, one from each arm. The control group experienced an increase in depressive symptoms and a decrease in self-rated health during the study period, while the intervention group experienced increases in cognitive function, self-rated health, and EQ-5D resulting in significant endpoint differences between the groups: EQ-5D (0.102, P = 0.001); self-rated health: 15.876 (P < 0.001); MMSE: 1.701 (P < 0.001); depressive symptoms: - 3.072 (P < 0.001); all in favour of the intervention group. Improvements during the intervention in MMSE, self-rated health, and CES-D were significantly related to body weight gain in a linear way.
Cognitive function and mental well-being worsen or stagnate in older adults who receive standard care after hospital discharge. However, a six-month nutrition therapy improves these outcomes leading to statistically and clinically significant endpoint differences between the groups. As improvements were related to body weight gain after hospital discharge, we conclude that the increase in dietary intake, with focus on energy and protein density, and changes in body weight might have contributed to better cognitive function and mental well-being in older adults after the intervention.</description><identifier>ISSN: 2405-4577</identifier><identifier>EISSN: 2405-4577</identifier><identifier>DOI: 10.1016/j.clnesp.2022.01.010</identifier><identifier>PMID: 35331537</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Aged ; Cognition ; Depression - psychology ; Depression - therapy ; Food ; Hospitals ; Humans ; Nutrition status ; Nutrition Therapy ; Oral nutrition supplements ; Patient Discharge ; Quality of Life - psychology ; Self-rated health</subject><ispartof>Clinical nutrition ESPEN, 2022-04, Vol.48, p.74-81</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-9f3a841516573ff78bc5bf111fa28c4cfd53182a11e114b0ee591e46268a29703</citedby><cites>FETCH-LOGICAL-c408t-9f3a841516573ff78bc5bf111fa28c4cfd53182a11e114b0ee591e46268a29703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35331537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blondal, B.S.</creatorcontrib><creatorcontrib>Geirsdottir, O.G.</creatorcontrib><creatorcontrib>Halldorsson, T.I.</creatorcontrib><creatorcontrib>Beck, A.M.</creatorcontrib><creatorcontrib>Jonsson, P.V.</creatorcontrib><creatorcontrib>Ramel, A.</creatorcontrib><title>HOMEFOOD randomised trial – Six-month nutrition therapy improves quality of life, self-rated health, cognitive function, and depression in older adults after hospital discharge</title><title>Clinical nutrition ESPEN</title><addtitle>Clin Nutr ESPEN</addtitle><description>Malnutrition is common among older adults and is related to quality of life, cognitive function, and depression. To what extent nutrition interventions can improve these outcomes remains unclear. The aim of this study was to investigate the effect of nutrition therapy on health-related quality of life (EQ-5D), self-rated health, cognitive function, and depression in community dwelling older adults recently discharged from hospital.
Participants (>65 years) were randomised into an intervention (n = 53) and a control group (n = 53). The intervention group received individualised nutrition therapy based on the nutrition care process including 5 home visits and 3 phone calls, in combination with freely delivered energy- and protein-rich foods and oral nutrition supplements for six months after hospital discharge. EQ-5D, self-rated health, Mini-Mental-State-Examination (MMSE), and the Centre for Epidemiologic Studies Depression – IOWA (CES-D) scale were measured at baseline and at endpoint.
Two subjects dropped out, one from each arm. The control group experienced an increase in depressive symptoms and a decrease in self-rated health during the study period, while the intervention group experienced increases in cognitive function, self-rated health, and EQ-5D resulting in significant endpoint differences between the groups: EQ-5D (0.102, P = 0.001); self-rated health: 15.876 (P < 0.001); MMSE: 1.701 (P < 0.001); depressive symptoms: - 3.072 (P < 0.001); all in favour of the intervention group. Improvements during the intervention in MMSE, self-rated health, and CES-D were significantly related to body weight gain in a linear way.
Cognitive function and mental well-being worsen or stagnate in older adults who receive standard care after hospital discharge. However, a six-month nutrition therapy improves these outcomes leading to statistically and clinically significant endpoint differences between the groups. As improvements were related to body weight gain after hospital discharge, we conclude that the increase in dietary intake, with focus on energy and protein density, and changes in body weight might have contributed to better cognitive function and mental well-being in older adults after the intervention.</description><subject>Aged</subject><subject>Cognition</subject><subject>Depression - psychology</subject><subject>Depression - therapy</subject><subject>Food</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Nutrition status</subject><subject>Nutrition Therapy</subject><subject>Oral nutrition supplements</subject><subject>Patient Discharge</subject><subject>Quality of Life - psychology</subject><subject>Self-rated health</subject><issn>2405-4577</issn><issn>2405-4577</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Ud1qFDEUHkSxpfYNRHLpxc6aZDJ_N4LU1gqVvWi9DtnkpJMlk0yTzOLe-Q6-iY_kk5hhW-mVcCA54fvJOV9RvCV4TTBpPuzW0jqI05piSteY5MIvilPKcF2yum1fPrufFOcx7jDOvL5nBL8uTqq6qkhdtafF7-vNt8urzeYzCsIpP5oICqVghEV_fv5Ct-ZHOXqXBuTm_JqMdygNEMR0QGacgt9DRA-zsCYdkNfIGg0rFMHqMoiUpQYQNg0rJP29y_Q9ID07ueisUDZECqYAMS66xiFvFQQk1GxTREKn3Aw-Tibl7ygT5SDCPbwpXmlhI5w_nmfF96vLu4vr8mbz5evFp5tSMtylsteV6BipSVO3ldZtt5X1VhNCtKCdZFKruiIdFYQAIWyLAeqeAGto0wnat7g6K94fdfOYDzPExPN2JFgrHPg5ctowlnfaVDRD2REqg48xgOZTMKMIB04wXwLjO34MjC-BcUxyLQ7vHh3m7QjqH-kpngz4eARAnnNvIPAoDTgJygSQiStv_u_wF1BlrEk</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Blondal, B.S.</creator><creator>Geirsdottir, O.G.</creator><creator>Halldorsson, T.I.</creator><creator>Beck, A.M.</creator><creator>Jonsson, P.V.</creator><creator>Ramel, A.</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</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>7X8</scope></search><sort><creationdate>20220401</creationdate><title>HOMEFOOD randomised trial – Six-month nutrition therapy improves quality of life, self-rated health, cognitive function, and depression in older adults after hospital discharge</title><author>Blondal, B.S. ; Geirsdottir, O.G. ; Halldorsson, T.I. ; Beck, A.M. ; Jonsson, P.V. ; Ramel, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-9f3a841516573ff78bc5bf111fa28c4cfd53182a11e114b0ee591e46268a29703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Cognition</topic><topic>Depression - psychology</topic><topic>Depression - therapy</topic><topic>Food</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Nutrition status</topic><topic>Nutrition Therapy</topic><topic>Oral nutrition supplements</topic><topic>Patient Discharge</topic><topic>Quality of Life - psychology</topic><topic>Self-rated health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blondal, B.S.</creatorcontrib><creatorcontrib>Geirsdottir, O.G.</creatorcontrib><creatorcontrib>Halldorsson, T.I.</creatorcontrib><creatorcontrib>Beck, A.M.</creatorcontrib><creatorcontrib>Jonsson, P.V.</creatorcontrib><creatorcontrib>Ramel, A.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition ESPEN</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blondal, B.S.</au><au>Geirsdottir, O.G.</au><au>Halldorsson, T.I.</au><au>Beck, A.M.</au><au>Jonsson, P.V.</au><au>Ramel, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HOMEFOOD randomised trial – Six-month nutrition therapy improves quality of life, self-rated health, cognitive function, and depression in older adults after hospital discharge</atitle><jtitle>Clinical nutrition ESPEN</jtitle><addtitle>Clin Nutr ESPEN</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>48</volume><spage>74</spage><epage>81</epage><pages>74-81</pages><issn>2405-4577</issn><eissn>2405-4577</eissn><abstract>Malnutrition is common among older adults and is related to quality of life, cognitive function, and depression. To what extent nutrition interventions can improve these outcomes remains unclear. The aim of this study was to investigate the effect of nutrition therapy on health-related quality of life (EQ-5D), self-rated health, cognitive function, and depression in community dwelling older adults recently discharged from hospital.
Participants (>65 years) were randomised into an intervention (n = 53) and a control group (n = 53). The intervention group received individualised nutrition therapy based on the nutrition care process including 5 home visits and 3 phone calls, in combination with freely delivered energy- and protein-rich foods and oral nutrition supplements for six months after hospital discharge. EQ-5D, self-rated health, Mini-Mental-State-Examination (MMSE), and the Centre for Epidemiologic Studies Depression – IOWA (CES-D) scale were measured at baseline and at endpoint.
Two subjects dropped out, one from each arm. The control group experienced an increase in depressive symptoms and a decrease in self-rated health during the study period, while the intervention group experienced increases in cognitive function, self-rated health, and EQ-5D resulting in significant endpoint differences between the groups: EQ-5D (0.102, P = 0.001); self-rated health: 15.876 (P < 0.001); MMSE: 1.701 (P < 0.001); depressive symptoms: - 3.072 (P < 0.001); all in favour of the intervention group. Improvements during the intervention in MMSE, self-rated health, and CES-D were significantly related to body weight gain in a linear way.
Cognitive function and mental well-being worsen or stagnate in older adults who receive standard care after hospital discharge. However, a six-month nutrition therapy improves these outcomes leading to statistically and clinically significant endpoint differences between the groups. As improvements were related to body weight gain after hospital discharge, we conclude that the increase in dietary intake, with focus on energy and protein density, and changes in body weight might have contributed to better cognitive function and mental well-being in older adults after the intervention.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>35331537</pmid><doi>10.1016/j.clnesp.2022.01.010</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Cognition Depression - psychology Depression - therapy Food Hospitals Humans Nutrition status Nutrition Therapy Oral nutrition supplements Patient Discharge Quality of Life - psychology Self-rated health |
| title | HOMEFOOD randomised trial – Six-month nutrition therapy improves quality of life, self-rated health, cognitive function, and depression in older adults after hospital discharge |
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