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• W1500549300 startingPage "134" @default.
• W1500549300 abstract "Malnutrition is frequently observed in elderly people living in nursing homes and homes for the elderly. Anorexia resulting in inadequate dietary intake is often a cause of malnutrition. Malnutrition in old age affects several aspects of functioning. Earlier research has shown that a complete supplement improves nutritional status. These studies were however not sufficiently powerful to investigate an effect of such a supplement on functioning. Yet, positive results of a pilot study pointed in that direction. In this thesis we assumed that improving nutritional status by nutritional supplementation could lead to improvement in functioning, following improved total dietary intake, without affecting habitual intakes. In the current study residents of nursing homes and homes for the elderly were participating in a 24-week, randomised, double-blind, placebo-controlled intervention trial (n=176). They randomly received either a nutrient dense drink or a placebo drink twice a day in addition to their usual diet. Two packages of the nutrient dense drink contained 250 kcal and vitamins, minerals and trace elements at the level of 25 to 175% of the Dutch RDA. The placebo drink contained no energy and no vitamins and minerals. Using the complete supplement appeared to have a beneficial effect on dietary intake. The change in total energy intake was some 0.8 MJ/day higher in the supplement group than that in the control group (p=0.166). Moreover, a significantly favourable effect (p 2 performed better on the cognitive subscale of the Alzheimer's Disease Assessment Scale (p=0.09), and its language sub score (p=0.01) after 24 weeks of intervention. To prevent serious malnutrition it is advocated to regularly weigh institutionalised elderly and use a short questionnaire for decreased appetite. With these instruments the development of malnutrition can be detected early and if indicated preventive action can be taken. Future research should be focused on efficient implementation of the used food supplement in every day practice. Nutrition policy should be focused on improvement of usual diet as well as temporarily providing nutritional supplements if indicated. From the findings of our intervention trial we conclude that the applied supplement is effective for counteracting the development of malnutrition in this population. Furthermore, the results of this trial suggest that it is effective as treatment for decreasing function in a subgroup of institutionalized elderly people with low BMI." @default.
• W1500549300 created "2016-06-24" @default.
• W1500549300 creator A5089270140 @default.
• W1500549300 date "2006-05-07" @default.
• W1500549300 modified "2023-09-23" @default.
• W1500549300 title "Nutritional care in old age: the effect of supplementation on nutritional status and performance" @default.
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