Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance
OBJECTIVES: To determine the effects of a feeding assistance intervention on food and fluid intake and body weight. DESIGN: Crossover controlled trial. SETTING: Four skilled nursing homes (NHs). PARTICIPANTS: Seventy‐six long‐stay NH residents at risk for unintentional weight loss. INTERVENTION: Res...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2008-08, Vol.56 (8), p.1466-1473 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
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| creator | Simmons, Sandra F. Keeler, Emmett Zhuo, Xiaohui Hickey, Kelly A. Sato, Hui-wen Schnelle, John F. |
| description | OBJECTIVES: To determine the effects of a feeding assistance intervention on food and fluid intake and body weight.
DESIGN: Crossover controlled trial.
SETTING: Four skilled nursing homes (NHs).
PARTICIPANTS: Seventy‐six long‐stay NH residents at risk for unintentional weight loss.
INTERVENTION: Research staff provided feeding assistance twice per day during or between meals, 5 days per week for 24 weeks.
MEASUREMENTS: Research staff independently weighed residents at baseline and monthly during a 24‐week intervention and 24‐week control period. Residents' food and fluid intake and the amount of staff time spent providing assistance to eat was assessed for 2 days at baseline and 3 and 6 months during each 24‐week period.
RESULTS: The intervention group showed a significant increase in estimated total daily caloric intake and maintained or gained weight, whereas the control group showed no change in estimated total daily caloric intake and lost weight over 24 weeks. The average amount of staff time required to provide the interventions was 42 minutes per person per meal and 13 minutes per person per between‐meal snack, versus usual care, during which residents received, on average, 5 minutes of assistance per person per meal and less than 1 minute per person per snack.
CONCLUSION: Two feeding assistance interventions are efficacious in promoting food and fluid intake and weight gain in residents at risk for weight loss. Both interventions require more staff time than usual NH care. The delivery of snacks between meals requires less time than mealtime assistance and thus may be more practical to implement in daily NH care practice. |
| doi_str_mv | 10.1111/j.1532-5415.2008.01801.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2897234</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69592333</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6641-e596087f4117ef81f801da67bbc57dafdd7189317f8104c992275ed490cacb9c3</originalsourceid><addsrcrecordid>eNqNkltv0zAUxy0EYmXwFZCFBG8JviS-IIHUVawDVeOyjfFmuY7TuUvjYSej-_Y4pCqXFzgvtnV-_6Nzzt8AQIxynOLlOsclJVlZ4DInCIkcYYFwvr0HJvvEfTBBCJFMMFwcgEcxrhHCBAnxEBxgwSiXgk7A9cdgb23bOd9CX8OL1rXd-NQNvLRuddXBhY8Ruhae9iG6dgVP_MbCzza6KpHxFZzCmW-74JvGVvA8uKRMpY6trQZ6GqOLnW6NfQwe1LqJ9snuPAQXx2_PZyfZ4sP83Wy6yAxjBc5sKRkSvC4w5rYWuE6jVZrx5dKUvNJ1VXEsJMU85VBhpCSEl7YqJDLaLKWhh-DNWPemX25sZVKXQTfqJriNDnfKa6f-zLTuSq38rSJCckKLVODFrkDw33obO7Vx0dim0a31fVRMlpLQFP8CsWRpiJIl8Nlf4Nr3Ie04KoIR5ZyiMkFihExIGw-23reMkRp8V2s12KsGe9Xgu_rpu9om6dPfR_4l3BmdgOc7QEejmzokQ1zcc-lfUMHlwL0eue-usXf_3YB6Pz8bbkmfjfrkud3u9TpcK8YpL9Xl6Vx9ReLLUfHpSJ3RH8_b2JE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>210377305</pqid></control><display><type>article</type><title>Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Simmons, Sandra F. ; Keeler, Emmett ; Zhuo, Xiaohui ; Hickey, Kelly A. ; Sato, Hui-wen ; Schnelle, John F.</creator><creatorcontrib>Simmons, Sandra F. ; Keeler, Emmett ; Zhuo, Xiaohui ; Hickey, Kelly A. ; Sato, Hui-wen ; Schnelle, John F.</creatorcontrib><description>OBJECTIVES: To determine the effects of a feeding assistance intervention on food and fluid intake and body weight.
DESIGN: Crossover controlled trial.
SETTING: Four skilled nursing homes (NHs).
PARTICIPANTS: Seventy‐six long‐stay NH residents at risk for unintentional weight loss.
INTERVENTION: Research staff provided feeding assistance twice per day during or between meals, 5 days per week for 24 weeks.
MEASUREMENTS: Research staff independently weighed residents at baseline and monthly during a 24‐week intervention and 24‐week control period. Residents' food and fluid intake and the amount of staff time spent providing assistance to eat was assessed for 2 days at baseline and 3 and 6 months during each 24‐week period.
RESULTS: The intervention group showed a significant increase in estimated total daily caloric intake and maintained or gained weight, whereas the control group showed no change in estimated total daily caloric intake and lost weight over 24 weeks. The average amount of staff time required to provide the interventions was 42 minutes per person per meal and 13 minutes per person per between‐meal snack, versus usual care, during which residents received, on average, 5 minutes of assistance per person per meal and less than 1 minute per person per snack.
CONCLUSION: Two feeding assistance interventions are efficacious in promoting food and fluid intake and weight gain in residents at risk for weight loss. Both interventions require more staff time than usual NH care. The delivery of snacks between meals requires less time than mealtime assistance and thus may be more practical to implement in daily NH care practice.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2008.01801.x</identifier><identifier>PMID: 18637983</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Cross-Over Studies ; Dietary Supplements ; Energy Intake ; feeding assistance interventions ; Feeding Methods ; Female ; Follow-Up Studies ; Frail Elderly ; General aspects ; Homes for the Aged ; Humans ; Intervention ; Male ; Medical sciences ; Miscellaneous ; Nursing Homes ; Nutrition Assessment ; Older people ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Time and Motion Studies ; Treatment Outcome ; Weight ; Weight Loss</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2008-08, Vol.56 (8), p.1466-1473</ispartof><rights>2008, Copyright the Authors. Journal compilation © 2008, The American Geriatrics Society</rights><rights>2008 INIST-CNRS</rights><rights>Journal compilation 2008 The American Geriatrics Society/Blackwell Publishing</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6641-e596087f4117ef81f801da67bbc57dafdd7189317f8104c992275ed490cacb9c3</citedby><cites>FETCH-LOGICAL-c6641-e596087f4117ef81f801da67bbc57dafdd7189317f8104c992275ed490cacb9c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.2008.01801.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.2008.01801.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20838793$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18637983$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simmons, Sandra F.</creatorcontrib><creatorcontrib>Keeler, Emmett</creatorcontrib><creatorcontrib>Zhuo, Xiaohui</creatorcontrib><creatorcontrib>Hickey, Kelly A.</creatorcontrib><creatorcontrib>Sato, Hui-wen</creatorcontrib><creatorcontrib>Schnelle, John F.</creatorcontrib><title>Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVES: To determine the effects of a feeding assistance intervention on food and fluid intake and body weight.
DESIGN: Crossover controlled trial.
SETTING: Four skilled nursing homes (NHs).
PARTICIPANTS: Seventy‐six long‐stay NH residents at risk for unintentional weight loss.
INTERVENTION: Research staff provided feeding assistance twice per day during or between meals, 5 days per week for 24 weeks.
MEASUREMENTS: Research staff independently weighed residents at baseline and monthly during a 24‐week intervention and 24‐week control period. Residents' food and fluid intake and the amount of staff time spent providing assistance to eat was assessed for 2 days at baseline and 3 and 6 months during each 24‐week period.
RESULTS: The intervention group showed a significant increase in estimated total daily caloric intake and maintained or gained weight, whereas the control group showed no change in estimated total daily caloric intake and lost weight over 24 weeks. The average amount of staff time required to provide the interventions was 42 minutes per person per meal and 13 minutes per person per between‐meal snack, versus usual care, during which residents received, on average, 5 minutes of assistance per person per meal and less than 1 minute per person per snack.
CONCLUSION: Two feeding assistance interventions are efficacious in promoting food and fluid intake and weight gain in residents at risk for weight loss. Both interventions require more staff time than usual NH care. The delivery of snacks between meals requires less time than mealtime assistance and thus may be more practical to implement in daily NH care practice.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cross-Over Studies</subject><subject>Dietary Supplements</subject><subject>Energy Intake</subject><subject>feeding assistance interventions</subject><subject>Feeding Methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Frail Elderly</subject><subject>General aspects</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nursing Homes</subject><subject>Nutrition Assessment</subject><subject>Older people</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Time and Motion Studies</subject><subject>Treatment Outcome</subject><subject>Weight</subject><subject>Weight Loss</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkltv0zAUxy0EYmXwFZCFBG8JviS-IIHUVawDVeOyjfFmuY7TuUvjYSej-_Y4pCqXFzgvtnV-_6Nzzt8AQIxynOLlOsclJVlZ4DInCIkcYYFwvr0HJvvEfTBBCJFMMFwcgEcxrhHCBAnxEBxgwSiXgk7A9cdgb23bOd9CX8OL1rXd-NQNvLRuddXBhY8Ruhae9iG6dgVP_MbCzza6KpHxFZzCmW-74JvGVvA8uKRMpY6trQZ6GqOLnW6NfQwe1LqJ9snuPAQXx2_PZyfZ4sP83Wy6yAxjBc5sKRkSvC4w5rYWuE6jVZrx5dKUvNJ1VXEsJMU85VBhpCSEl7YqJDLaLKWhh-DNWPemX25sZVKXQTfqJriNDnfKa6f-zLTuSq38rSJCckKLVODFrkDw33obO7Vx0dim0a31fVRMlpLQFP8CsWRpiJIl8Nlf4Nr3Ie04KoIR5ZyiMkFihExIGw-23reMkRp8V2s12KsGe9Xgu_rpu9om6dPfR_4l3BmdgOc7QEejmzokQ1zcc-lfUMHlwL0eue-usXf_3YB6Pz8bbkmfjfrkud3u9TpcK8YpL9Xl6Vx9ReLLUfHpSJ3RH8_b2JE</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Simmons, Sandra F.</creator><creator>Keeler, Emmett</creator><creator>Zhuo, Xiaohui</creator><creator>Hickey, Kelly A.</creator><creator>Sato, Hui-wen</creator><creator>Schnelle, John F.</creator><general>Blackwell Publishing Inc</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</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>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200808</creationdate><title>Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance</title><author>Simmons, Sandra F. ; Keeler, Emmett ; Zhuo, Xiaohui ; Hickey, Kelly A. ; Sato, Hui-wen ; Schnelle, John F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6641-e596087f4117ef81f801da67bbc57dafdd7189317f8104c992275ed490cacb9c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cross-Over Studies</topic><topic>Dietary Supplements</topic><topic>Energy Intake</topic><topic>feeding assistance interventions</topic><topic>Feeding Methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Frail Elderly</topic><topic>General aspects</topic><topic>Homes for the Aged</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Nursing Homes</topic><topic>Nutrition Assessment</topic><topic>Older people</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Time and Motion Studies</topic><topic>Treatment Outcome</topic><topic>Weight</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simmons, Sandra F.</creatorcontrib><creatorcontrib>Keeler, Emmett</creatorcontrib><creatorcontrib>Zhuo, Xiaohui</creatorcontrib><creatorcontrib>Hickey, Kelly A.</creatorcontrib><creatorcontrib>Sato, Hui-wen</creatorcontrib><creatorcontrib>Schnelle, John F.</creatorcontrib><collection>Istex</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>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simmons, Sandra F.</au><au>Keeler, Emmett</au><au>Zhuo, Xiaohui</au><au>Hickey, Kelly A.</au><au>Sato, Hui-wen</au><au>Schnelle, John F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2008-08</date><risdate>2008</risdate><volume>56</volume><issue>8</issue><spage>1466</spage><epage>1473</epage><pages>1466-1473</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>OBJECTIVES: To determine the effects of a feeding assistance intervention on food and fluid intake and body weight.
DESIGN: Crossover controlled trial.
SETTING: Four skilled nursing homes (NHs).
PARTICIPANTS: Seventy‐six long‐stay NH residents at risk for unintentional weight loss.
INTERVENTION: Research staff provided feeding assistance twice per day during or between meals, 5 days per week for 24 weeks.
MEASUREMENTS: Research staff independently weighed residents at baseline and monthly during a 24‐week intervention and 24‐week control period. Residents' food and fluid intake and the amount of staff time spent providing assistance to eat was assessed for 2 days at baseline and 3 and 6 months during each 24‐week period.
RESULTS: The intervention group showed a significant increase in estimated total daily caloric intake and maintained or gained weight, whereas the control group showed no change in estimated total daily caloric intake and lost weight over 24 weeks. The average amount of staff time required to provide the interventions was 42 minutes per person per meal and 13 minutes per person per between‐meal snack, versus usual care, during which residents received, on average, 5 minutes of assistance per person per meal and less than 1 minute per person per snack.
CONCLUSION: Two feeding assistance interventions are efficacious in promoting food and fluid intake and weight gain in residents at risk for weight loss. Both interventions require more staff time than usual NH care. The delivery of snacks between meals requires less time than mealtime assistance and thus may be more practical to implement in daily NH care practice.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>18637983</pmid><doi>10.1111/j.1532-5415.2008.01801.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2008-08, Vol.56 (8), p.1466-1473 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2897234 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aged, 80 and over Biological and medical sciences Cross-Over Studies Dietary Supplements Energy Intake feeding assistance interventions Feeding Methods Female Follow-Up Studies Frail Elderly General aspects Homes for the Aged Humans Intervention Male Medical sciences Miscellaneous Nursing Homes Nutrition Assessment Older people Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Time and Motion Studies Treatment Outcome Weight Weight Loss |
| title | Prevention of Unintentional Weight Loss in Nursing Home Residents: A Controlled Trial of Feeding Assistance |
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