TY - JOUR
T1 - Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (>65 years) Danish nursing home residents
AU - Beck, Anne Marie
AU - Damkjær, Karin
AU - Sørbye, Liv W.
N1 - Funding Information:
Thanks to the participating nursing homes, the physiotherapists, the clinical dietician, the nurses and the dental hygienist for the dedicated work during the project. The study was supported by grant 2003B036 from the Health Insurance Foundation and the VELUX FOUNDATION. TOMS A/S provided chocolate. Arla Foods provided cream and cocoa milk. Findus Foodservices DK provided the Gratin-diet. Tandex A/S provided the dental brushes and inter-dental brushes. The funding sources had no role in the design, conduct or reporting of the study or in the decision to submit the paper for publication.
PY - 2010/5
Y1 - 2010/5
N2 - The purpose was to test the hypothesis that a multifaceted 11 weeks randomized controlled intervention would have a significant influence of functional abilities in old nursing home residents. Participants were 121 old (>65 years) residents in seven Danish nursing homes. The intervention consisted of nutrition (chocolate, homemade oral supplements), group exercise (moderate intensity) and oral care. Measurements taken were weight, body mass index (BMI), energy and protein intake, and functional abilities (activities of daily living = ADL, cognitive performance, and social engagement). The results showed that the nutrition and exercise were well accepted. After 11 weeks the change in % weight (1.3 vs. -0.6%, p = 0.005), % BMI (0.4 vs. -0.2%, p = 0.003), energy intake (0.7 vs. -0.3 MJ/day, p = 0.084) and protein intake (5 vs. -2 g/day, p = 0.012) was higher in the intervention group than in the control group. Also, after 11 weeks, social and physical function had decreased in the control group but was unchanged in the intervention group. The difference between groups was significant in relation to social engagement (p = 0.009). After the end of the intervention both groups had lost weight and physical function. Cognitive performance did not change, at any time. In conclusion, it seems possible to maintain social (and physical) functional abilities in old nursing home residents by means of a multifaceted intervention.
AB - The purpose was to test the hypothesis that a multifaceted 11 weeks randomized controlled intervention would have a significant influence of functional abilities in old nursing home residents. Participants were 121 old (>65 years) residents in seven Danish nursing homes. The intervention consisted of nutrition (chocolate, homemade oral supplements), group exercise (moderate intensity) and oral care. Measurements taken were weight, body mass index (BMI), energy and protein intake, and functional abilities (activities of daily living = ADL, cognitive performance, and social engagement). The results showed that the nutrition and exercise were well accepted. After 11 weeks the change in % weight (1.3 vs. -0.6%, p = 0.005), % BMI (0.4 vs. -0.2%, p = 0.003), energy intake (0.7 vs. -0.3 MJ/day, p = 0.084) and protein intake (5 vs. -2 g/day, p = 0.012) was higher in the intervention group than in the control group. Also, after 11 weeks, social and physical function had decreased in the control group but was unchanged in the intervention group. The difference between groups was significant in relation to social engagement (p = 0.009). After the end of the intervention both groups had lost weight and physical function. Cognitive performance did not change, at any time. In conclusion, it seems possible to maintain social (and physical) functional abilities in old nursing home residents by means of a multifaceted intervention.
KW - Chocolate
KW - Home made oral supplements
KW - Moderate intensity group exercise
KW - Nursing home
KW - Oral care
UR - http://www.scopus.com/inward/record.url?scp=77649186486&partnerID=8YFLogxK
U2 - 10.1016/j.archger.2009.05.018
DO - 10.1016/j.archger.2009.05.018
M3 - Journal article
C2 - 19596459
AN - SCOPUS:77649186486
SN - 0167-4943
VL - 50
SP - 351
EP - 355
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
IS - 3
ER -