Multifactorial assessment and targeted intervention in nutritional status among the older adults: a randomized controlled trial: the Octabaix study
Malnutrition is frequent among older people and is associated with morbi-mortality. The aim of the study is to assess the effectiveness of a multifactorial and multidisciplinary intervention in the nutritional status among the elderly. Randomized, single-blind, parallel-group, clinical trial conduct...
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| Veröffentlicht in: | BMC geriatrics 2015-04, Vol.15 (1), p.45-45, Article 45 |
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| creator | Badia, Teresa Formiga, Francesc Ferrer, Assumpta Sanz, Héctor Hurtos, Laura Pujol, Ramón |
| description | Malnutrition is frequent among older people and is associated with morbi-mortality. The aim of the study is to assess the effectiveness of a multifactorial and multidisciplinary intervention in the nutritional status among the elderly.
Randomized, single-blind, parallel-group, clinical trial conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people, born in 1924, 328 subjects were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both the patients and their primary care providers. The main outcome was improvement in nutritional status assessed by Mini Nutritional Assessment (MNA). Data analyses were done by intention-to-treat.
Two-year assessment was completed for 127 patients (77.4%) in the intervention group and 98 patients (59.7%) in the control group. In the adjusted linear mixed models for MNA, intervention showed no significant effect during all follow-up period with -0.21 (CI: - 0.96; 0.26). In subjects with nutritional risk (MNA ≤ 23.5/30) existed a tendency towards improvement in MNA score 1.13 (95% CI -0.48; 2.74) after 2 years.
A universal multifactorial assessment and target intervention over a two year period in subjects at nutritional risk showed a tendency to improve nutrition but not in the rest of community-dwelling studied subjects. Cognitive impairment was an independent factor strongly associated with a decline in nutritional status.
The clinical trial is registered as part of a US National Institutes of Health Clinical Trial: NCT01141166. |
| doi_str_mv | 10.1186/s12877-015-0033-0 |
| format | Article |
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Randomized, single-blind, parallel-group, clinical trial conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people, born in 1924, 328 subjects were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both the patients and their primary care providers. The main outcome was improvement in nutritional status assessed by Mini Nutritional Assessment (MNA). Data analyses were done by intention-to-treat.
Two-year assessment was completed for 127 patients (77.4%) in the intervention group and 98 patients (59.7%) in the control group. In the adjusted linear mixed models for MNA, intervention showed no significant effect during all follow-up period with -0.21 (CI: - 0.96; 0.26). In subjects with nutritional risk (MNA ≤ 23.5/30) existed a tendency towards improvement in MNA score 1.13 (95% CI -0.48; 2.74) after 2 years.
A universal multifactorial assessment and target intervention over a two year period in subjects at nutritional risk showed a tendency to improve nutrition but not in the rest of community-dwelling studied subjects. Cognitive impairment was an independent factor strongly associated with a decline in nutritional status.
The clinical trial is registered as part of a US National Institutes of Health Clinical Trial: NCT01141166.</description><identifier>ISSN: 1471-2318</identifier><identifier>EISSN: 1471-2318</identifier><identifier>DOI: 10.1186/s12877-015-0033-0</identifier><identifier>PMID: 25887312</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Aged ; Aged, 80 and over ; Analysis ; Atenció primària ; Baix Llobregat (Catalonia) ; Baix Llobregat (Catalunya) ; Female ; Food and nutrition ; Geriatria ; Geriatrics ; Humans ; Information management ; Male ; Malnutrició ; Malnutrition ; Malnutrition - epidemiology ; Malnutrition - therapy ; Morbidity - trends ; Nutrition ; Nutrition Assessment ; Nutrition disorders in old age ; Nutritional Status ; Nutritional Support - methods ; Primary health care ; Product/Service Evaluations ; Retrospective Studies ; Single-Blind Method ; Trastorns de la nutrició en les persones grans ; United States - epidemiology</subject><ispartof>BMC geriatrics, 2015-04, Vol.15 (1), p.45-45, Article 45</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>cc-by (c) Badia Farré, Teresa et al., 2015 info:eu-repo/semantics/openAccess <a href="http://creativecommons.org/licenses/by/3.0/es">http://creativecommons.org/licenses/by/3.0/es</a></rights><rights>Badia et al.; licensee BioMed Central. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c607t-4f885a7fcbec561cd15680bcc6344c4f0056c204d7d3d3b7eada6d015fb0f3663</citedby><cites>FETCH-LOGICAL-c607t-4f885a7fcbec561cd15680bcc6344c4f0056c204d7d3d3b7eada6d015fb0f3663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4414432/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4414432/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,26974,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25887312$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Badia, Teresa</creatorcontrib><creatorcontrib>Formiga, Francesc</creatorcontrib><creatorcontrib>Ferrer, Assumpta</creatorcontrib><creatorcontrib>Sanz, Héctor</creatorcontrib><creatorcontrib>Hurtos, Laura</creatorcontrib><creatorcontrib>Pujol, Ramón</creatorcontrib><title>Multifactorial assessment and targeted intervention in nutritional status among the older adults: a randomized controlled trial: the Octabaix study</title><title>BMC geriatrics</title><addtitle>BMC Geriatr</addtitle><description>Malnutrition is frequent among older people and is associated with morbi-mortality. The aim of the study is to assess the effectiveness of a multifactorial and multidisciplinary intervention in the nutritional status among the elderly.
Randomized, single-blind, parallel-group, clinical trial conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people, born in 1924, 328 subjects were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both the patients and their primary care providers. The main outcome was improvement in nutritional status assessed by Mini Nutritional Assessment (MNA). Data analyses were done by intention-to-treat.
Two-year assessment was completed for 127 patients (77.4%) in the intervention group and 98 patients (59.7%) in the control group. In the adjusted linear mixed models for MNA, intervention showed no significant effect during all follow-up period with -0.21 (CI: - 0.96; 0.26). In subjects with nutritional risk (MNA ≤ 23.5/30) existed a tendency towards improvement in MNA score 1.13 (95% CI -0.48; 2.74) after 2 years.
A universal multifactorial assessment and target intervention over a two year period in subjects at nutritional risk showed a tendency to improve nutrition but not in the rest of community-dwelling studied subjects. Cognitive impairment was an independent factor strongly associated with a decline in nutritional status.
The clinical trial is registered as part of a US National Institutes of Health Clinical Trial: NCT01141166.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Atenció primària</subject><subject>Baix Llobregat (Catalonia)</subject><subject>Baix Llobregat (Catalunya)</subject><subject>Female</subject><subject>Food and nutrition</subject><subject>Geriatria</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Information management</subject><subject>Male</subject><subject>Malnutrició</subject><subject>Malnutrition</subject><subject>Malnutrition - epidemiology</subject><subject>Malnutrition - therapy</subject><subject>Morbidity - trends</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutrition disorders in old age</subject><subject>Nutritional Status</subject><subject>Nutritional Support - methods</subject><subject>Primary health care</subject><subject>Product/Service Evaluations</subject><subject>Retrospective Studies</subject><subject>Single-Blind Method</subject><subject>Trastorns de la nutrició en les persones grans</subject><subject>United States - epidemiology</subject><issn>1471-2318</issn><issn>1471-2318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>XX2</sourceid><recordid>eNqNUstqFjEUHkSxtfoAbiTgxs3U3CZJuxBK8QaVbnQdzuTyN5KZ1CRTWl_DFzbTv_1pwYWEkHOS7_vOJafrXhN8SIgS7wuhSsoek6HHmLEeP-n2CZekp4yopw_sve5FKT8xJlJR8bzbo4NSkhG63_35tsQaPJiacoCIoBRXyuTmimC2qELeuOosCnN1-apdhzQ3B81LzWF1GqdUqEtBMKV5g-qFQylalxHYJl2OEaDcpNIUfjcdk-aaU4zNrGvA41vCuakwQrhuUou9edk98xCLe3V3HnQ_Pn38fvqlPzv__PX05Kw3Asvac6_UANKb0ZlBEGPJIBQejRGMc8M9xoMwFHMrLbNslA4sCNua5UfsmRDsoPuw1b1cxslZ06rLEPVlDhPkG50g6Mcvc7jQm3SlOSecM9oEyFbAlMXo7IzLBuotceesm2JJNcOCctY47-6C5vRrcaXqKRTjYoTZpaVoIo4Gio-Y-B-olEpxQXiDvt1CNxCdDrNPLWGzwvXJwAlTnB2t-R7-A9WWdVNoP-N8aPePCPcF5lRKdn7XHIL1OoJ6O4K6dVWvI6hx47x52NUd437m2F-6k9pG</recordid><startdate>20150411</startdate><enddate>20150411</enddate><creator>Badia, Teresa</creator><creator>Formiga, Francesc</creator><creator>Ferrer, Assumpta</creator><creator>Sanz, Héctor</creator><creator>Hurtos, Laura</creator><creator>Pujol, Ramón</creator><general>BioMed Central Ltd</general><general>BioMed Central</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>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>XX2</scope><scope>5PM</scope></search><sort><creationdate>20150411</creationdate><title>Multifactorial assessment and targeted intervention in nutritional status among the older adults: a randomized controlled trial: the Octabaix study</title><author>Badia, Teresa ; Formiga, Francesc ; Ferrer, Assumpta ; Sanz, Héctor ; Hurtos, Laura ; Pujol, Ramón</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c607t-4f885a7fcbec561cd15680bcc6344c4f0056c204d7d3d3b7eada6d015fb0f3663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Atenció primària</topic><topic>Baix Llobregat (Catalonia)</topic><topic>Baix Llobregat (Catalunya)</topic><topic>Female</topic><topic>Food and nutrition</topic><topic>Geriatria</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Information management</topic><topic>Male</topic><topic>Malnutrició</topic><topic>Malnutrition</topic><topic>Malnutrition - epidemiology</topic><topic>Malnutrition - therapy</topic><topic>Morbidity - trends</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutrition disorders in old age</topic><topic>Nutritional Status</topic><topic>Nutritional Support - methods</topic><topic>Primary health care</topic><topic>Product/Service Evaluations</topic><topic>Retrospective Studies</topic><topic>Single-Blind Method</topic><topic>Trastorns de la nutrició en les persones grans</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Badia, Teresa</creatorcontrib><creatorcontrib>Formiga, Francesc</creatorcontrib><creatorcontrib>Ferrer, Assumpta</creatorcontrib><creatorcontrib>Sanz, Héctor</creatorcontrib><creatorcontrib>Hurtos, Laura</creatorcontrib><creatorcontrib>Pujol, Ramón</creatorcontrib><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><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Recercat</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Badia, Teresa</au><au>Formiga, Francesc</au><au>Ferrer, Assumpta</au><au>Sanz, Héctor</au><au>Hurtos, Laura</au><au>Pujol, Ramón</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multifactorial assessment and targeted intervention in nutritional status among the older adults: a randomized controlled trial: the Octabaix study</atitle><jtitle>BMC geriatrics</jtitle><addtitle>BMC Geriatr</addtitle><date>2015-04-11</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>45</spage><epage>45</epage><pages>45-45</pages><artnum>45</artnum><issn>1471-2318</issn><eissn>1471-2318</eissn><abstract>Malnutrition is frequent among older people and is associated with morbi-mortality. The aim of the study is to assess the effectiveness of a multifactorial and multidisciplinary intervention in the nutritional status among the elderly.
Randomized, single-blind, parallel-group, clinical trial conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people, born in 1924, 328 subjects were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both the patients and their primary care providers. The main outcome was improvement in nutritional status assessed by Mini Nutritional Assessment (MNA). Data analyses were done by intention-to-treat.
Two-year assessment was completed for 127 patients (77.4%) in the intervention group and 98 patients (59.7%) in the control group. In the adjusted linear mixed models for MNA, intervention showed no significant effect during all follow-up period with -0.21 (CI: - 0.96; 0.26). In subjects with nutritional risk (MNA ≤ 23.5/30) existed a tendency towards improvement in MNA score 1.13 (95% CI -0.48; 2.74) after 2 years.
A universal multifactorial assessment and target intervention over a two year period in subjects at nutritional risk showed a tendency to improve nutrition but not in the rest of community-dwelling studied subjects. Cognitive impairment was an independent factor strongly associated with a decline in nutritional status.
The clinical trial is registered as part of a US National Institutes of Health Clinical Trial: NCT01141166.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25887312</pmid><doi>10.1186/s12877-015-0033-0</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SpringerNature Journals; PubMed Central Open Access; Springer Nature OA Free Journals; Recercat; PubMed Central |
| subjects | Aged Aged, 80 and over Analysis Atenció primària Baix Llobregat (Catalonia) Baix Llobregat (Catalunya) Female Food and nutrition Geriatria Geriatrics Humans Information management Male Malnutrició Malnutrition Malnutrition - epidemiology Malnutrition - therapy Morbidity - trends Nutrition Nutrition Assessment Nutrition disorders in old age Nutritional Status Nutritional Support - methods Primary health care Product/Service Evaluations Retrospective Studies Single-Blind Method Trastorns de la nutrició en les persones grans United States - epidemiology |
| title | Multifactorial assessment and targeted intervention in nutritional status among the older adults: a randomized controlled trial: the Octabaix study |
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