کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10736622 | 1045728 | 2013 | 15 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Effectiveness of mealtime interventions on nutritional outcomes for the elderly living in residential care: A systematic review and meta-analysis
ترجمه فارسی عنوان
اثربخشی مداخلات غذا برای نتایج تغذیه سالمندان زندگی در مراقبت های مسکونی: بررسی منظم و متاآنالیز
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کلمات کلیدی
تغذیه، ناهارخوری غذا، مراقبت مسکونی، مسن، کم خونی
موضوعات مرتبط
علوم زیستی و بیوفناوری
بیوشیمی، ژنتیک و زیست شناسی مولکولی
سالمندی
چکیده انگلیسی
The need to improve the nutrition of the elderly living in long term care has long been recognised, but how this can best be achieved, and whether (and which) intervention is successful in reducing morbidity is less well understood. The aim of this systematic review was to determine the effectiveness of mealtime interventions for the elderly living in residential care. Mealtime interventions were considered as those that aimed to change/improve the mealtime routine, practice, experience or environment. Following comprehensive searches, review and appraisal, 37 articles were included. Inadequate reporting in over half of the articles limited data quality appraisal. Mealtime interventions were categorised into five types: changes to food service, food improvement, dining environment alteration, staff training and feeding assistance. Meta-analysis found inconsistent evidence of effects on body weight of changes to food service (0.5 kg; 95% CI: â1.1 to 2.2; p = 0.51), food improvement interventions (0.4 kg; 95% CI: â0.8 to 1.7; p = 0.50) or alterations to dining environment (1.5 kg; 95% CI: â0.7 to 2.8; p = 0.23). Findings from observational studies within these intervention types were mixed, but generally positive. Observational studies also found positive effects on food/caloric intake across all intervention types, though meta-analyses of randomised studies showed little evidence of any effects on food/caloric intake in food improvement studies (â5 kcal; 95% CI: â36 to 26; p = 0.74). There was some evidence of an effect on daily energy intakes within dining environment studies (181 kcal/day, 95% CI: â5 to 367, p = 0.06). The need to improve the nutrition of the elderly living in residential long term care is well recognised. This review found some evidence that simple intervention around various aspects of mealtime practices and the mealtime environment can result in favourable nutritional outcomes. Further large scale pragmatic trials, however, are still required to establish full efficacy of such interventions.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Ageing Research Reviews - Volume 12, Issue 4, September 2013, Pages 967-981
Journal: Ageing Research Reviews - Volume 12, Issue 4, September 2013, Pages 967-981
نویسندگان
Rebecca A. Abbott, Rebecca Whear, Jo Thompson-Coon, Obioha C. Ukoumunne, Morwenna Rogers, Alison Bethel, Anthony Hemsley, Ken Stein,