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An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study

Dietary intake and requirements in nursing home (NH) residents vary individually, but concepts for individualised interventions are currently lacking. Therefore, we present an individualised modular nutritional intervention concept for NH residents with (risk of) malnutrition and describe its applic...

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Autores principales: Seemer, Johanna, Kiesswetter, Eva, Blawert, Anne, Fleckenstein, Daniela, Gloning, Marina, Bader-Mittermaier, Stephanie, Sieber, Cornel C., Wurm, Susanne, Volkert, Dorothee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7838920/
https://www.ncbi.nlm.nih.gov/pubmed/33375372
http://dx.doi.org/10.3390/geriatrics6010002
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author Seemer, Johanna
Kiesswetter, Eva
Blawert, Anne
Fleckenstein, Daniela
Gloning, Marina
Bader-Mittermaier, Stephanie
Sieber, Cornel C.
Wurm, Susanne
Volkert, Dorothee
author_facet Seemer, Johanna
Kiesswetter, Eva
Blawert, Anne
Fleckenstein, Daniela
Gloning, Marina
Bader-Mittermaier, Stephanie
Sieber, Cornel C.
Wurm, Susanne
Volkert, Dorothee
author_sort Seemer, Johanna
collection PubMed
description Dietary intake and requirements in nursing home (NH) residents vary individually, but concepts for individualised interventions are currently lacking. Therefore, we present an individualised modular nutritional intervention concept for NH residents with (risk of) malnutrition and describe its application and acceptability. Three enrichment modules—a sweet and a savoury protein cream (40 g, 125 kcal, 10 g protein) and a protein-energy drink (250 mL, 220 kcal, 22 g protein)—were offered to residents of two German NHs single or in combination in five levels of enrichment from level 0 (no enrichment) to 4 (all enrichment modules) to compensate for individual energy and protein deficiencies. Residents with chewing and/or swallowing difficulties received reshaped instead of usual texture-modified meals. The intervention concept was applied to 55 residents (Mean age of 84 ± 8 years, 76.0% female, 25.5% malnutrition). Despite (risk of) malnutrition, 18.2% received no enrichment (level 0). Level 1 was allocated to 10.9%, level 2 to 27.3%, level 3 to 20.0% and level 4 to 23.6% of the residents. 32.7% received reshaped texture-modified meals (RTMM). Participants consuming RTMM were more often assigned to level 4 than residents receiving usual meals (38.8% vs 16.2%). We proposed and successfully applied an individualised modular nutritional intervention concept to NH residents with (risk of) malnutrition. In the next step, the effects of the concept and its transferability to other NHs need to be demonstrated.
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spelling pubmed-78389202021-01-28 An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study Seemer, Johanna Kiesswetter, Eva Blawert, Anne Fleckenstein, Daniela Gloning, Marina Bader-Mittermaier, Stephanie Sieber, Cornel C. Wurm, Susanne Volkert, Dorothee Geriatrics (Basel) Article Dietary intake and requirements in nursing home (NH) residents vary individually, but concepts for individualised interventions are currently lacking. Therefore, we present an individualised modular nutritional intervention concept for NH residents with (risk of) malnutrition and describe its application and acceptability. Three enrichment modules—a sweet and a savoury protein cream (40 g, 125 kcal, 10 g protein) and a protein-energy drink (250 mL, 220 kcal, 22 g protein)—were offered to residents of two German NHs single or in combination in five levels of enrichment from level 0 (no enrichment) to 4 (all enrichment modules) to compensate for individual energy and protein deficiencies. Residents with chewing and/or swallowing difficulties received reshaped instead of usual texture-modified meals. The intervention concept was applied to 55 residents (Mean age of 84 ± 8 years, 76.0% female, 25.5% malnutrition). Despite (risk of) malnutrition, 18.2% received no enrichment (level 0). Level 1 was allocated to 10.9%, level 2 to 27.3%, level 3 to 20.0% and level 4 to 23.6% of the residents. 32.7% received reshaped texture-modified meals (RTMM). Participants consuming RTMM were more often assigned to level 4 than residents receiving usual meals (38.8% vs 16.2%). We proposed and successfully applied an individualised modular nutritional intervention concept to NH residents with (risk of) malnutrition. In the next step, the effects of the concept and its transferability to other NHs need to be demonstrated. MDPI 2020-12-26 /pmc/articles/PMC7838920/ /pubmed/33375372 http://dx.doi.org/10.3390/geriatrics6010002 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Seemer, Johanna
Kiesswetter, Eva
Blawert, Anne
Fleckenstein, Daniela
Gloning, Marina
Bader-Mittermaier, Stephanie
Sieber, Cornel C.
Wurm, Susanne
Volkert, Dorothee
An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study
title An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study
title_full An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study
title_fullStr An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study
title_full_unstemmed An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study
title_short An Individualised Nutritional Intervention Concept for Nursing Home Residents with or at Risk of Malnutrition: An enable Study
title_sort individualised nutritional intervention concept for nursing home residents with or at risk of malnutrition: an enable study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7838920/
https://www.ncbi.nlm.nih.gov/pubmed/33375372
http://dx.doi.org/10.3390/geriatrics6010002
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