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Energy-dense meals improve energy intake in elderly residents in a nursing home
Department of Surgery, Center for Surgical Sciences, Stockholm; Karolinska Institutet, Stockholm; Huddinge University Hospital, Stockholm.
Karolinska Hospital, Stockholm.
Department of Surgery, Center for Surgical Sciences, Stockholm; Centre of Gastrointestinal Disease, Stockholm; Karolinska Institutet, Stockholm; Huddinge University Hospital, Stockholm; Ersta Hospital, Stockholm.
Karolinska Hospital, Stockholm.
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2003 (English)In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 22, no 2, p. 125-31Article in journal (Refereed) Published
Abstract [en]

Background: Several studies have shown that malnutrition is common among nursing home residents.

Aim: We hypothesized that addition of natural energy-dense ingredients to a standard diet would improve voluntary energy intake and ability to perform activities of daily living (ADL) and decrease infections in elderly residents under nursing home care.

Methods: Thirty-five residents in a municipality nursing home (median age 83 years) were served either a standard diet (1600 kcal/day) (control group, n=18) or the same meals fortified with natural energy-dense ingredients (2100 kcal/day) (experimental group, n=17). Energy intake and ADL function were measured before and after the intervention. All episodes of infection were registered. Non-parametric statistics were used.

Results: Energy intake increased in the experimental group from 23.5 (21.3-28.5) kcal/kg/body weight before, to 31.9 (29.7-33.7) kcal/kg/body weight during the intervention (P<0.001). There was no change in energy intake in the control group. ADL function in the experimental group was unchanged, while it decreased significantly in the control group (P<0.001). The number of infections tended to be lower in the experimental group than in the control group (5 vs 13). The cost for the energy-dense ingredients was approx. 0.11 EUR per resident and day.

Conclusions: Addition of natural energy-dense ingredients to regular meals is an inexpensive way to improve voluntary energy intake in elderly nursing home residents, a treatment that was accompanied by maintained ADL function.

Place, publisher, year, edition, pages
Edinburgh, United Kingdom: Churchill, Livingstone , 2003. Vol. 22, no 2, p. 125-31
Keywords [en]
Energy-dense meals, elderly residents, nursing home, energy intake, inexpensive
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-40557DOI: 10.1054/clnu.2002.0610ISI: 000181897800004PubMedID: 12706128Scopus ID: 2-s2.0-0037380798OAI: oai:DiVA.org:oru-40557DiVA, id: diva2:777444
Available from: 2015-01-08 Created: 2015-01-08 Last updated: 2017-12-05Bibliographically approved

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