JAMDA
Volume 11, Issue 1 , Pages 13-20 , January 2010

How to Improve Nutritional Support in Geriatric Institutions

  • Isabelle Bourdel-Marchasson, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Isabelle Bourdel-Marchasson, MD, PhD, CHU of Bordeaux, Department of Gerontology; UMR 5536 CNRS/University V Segalen Bordeaux 2, Bordeaux, France.

References 

  1. Bourdel-Marchasson I, Helmer C, Fagot-Campagna A, et al. Disability and quality of life in elderly people with diabetes. Diabetes Metab. 2007;33:S66–S74
  2. Bourdel-Marchasson I, Vincent S, Germain C, et al. Delirium symptoms and low dietary intake in older inpatients are independent predictors of institutionalization: A 1-year prospective population-based study. J Gerontol A Biol Sci Med Sci. 2004;59:350–354
  3. Elkins JS, Whitmer RA, Sidney S, et al. Midlife obesity and long-term risk of nursing home admission. Obesity (Silver Spring). 2006;14:1472–1478
  4. Zizza C, Herring A, Domino M, et al. The effect of weight change on nursing care facility admission in the NHANES I Epidemiologic Follow-up Survey. J Clin Epidemiol. 2003;56:906–913
  5. Chin APMJ, Dekker JM, Feskens EJ, et al. How to select a frail elderly population? A comparison of three working definitions. J Clin Epidemiol. 1999;52:1015–1021
  6. Morley JE, Silver AJ. Nutritional issues in nursing home care. Ann Intern Med. 1995;123:850–859
  7. Potter J, Klipstein K, Reilly JJ, Roberts M. The nutritional status and clinical course of acute admissions to a geriatric unit. Age Ageing. 1995;24:131–136
  8. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med. 2002;18:737–757
  9. Beck AM, Ovesen L. Body mass index, weight loss and energy intake of old Danish nursing home residents and home-care clients. Scand J Caring Sci. 2002;16:86–90
  10. Beck AM, Ovesen L, Schroll M. Home-made oral supplement as nutritional support of old nursing home residents, who are undernourished or at risk of undernutrition based on the MNA. A pilot trial. Mini Nutritional Assessment. Aging Clin Exp Res. 2002;14:212–215
  11. Blaum CS, Fries BE, Fiatarone MA. Factors associated with low body mass index and weight loss in nursing home residents. J Gerontol A Biol Sci Med Sci. 1995;50:M162–M168
  12. Compan B, di Castri A, Plaze JM, Arnaud-Battandier F. Epidemiological study of malnutrition in elderly patients in acute, sub-acute and long-term care using the MNA. J Nutr Health Aging. 1999;3:146–151
  13. Crogan NL, Pasvogel A. The influence of protein-calorie malnutrition on quality of life in nursing homes. J Gerontol A Biol Sci Med Sci. 2003;58:159–164
  14. Margetts BM, Thompson RL, Elia M, Jackson AA. Prevalence of risk of undernutrition is associated with poor health status in older people in the UK. Eur J Clin Nutr. 2003;57:69–74
  15. Ruiz-Lopez MD, Artacho R, Oliva P, et al. Nutritional risk in institutionalized older women determined by the Mini Nutritional Assessment test: What are the main factors?. Nutrition. 2003;19:767–771
  16. Suominen M, Muurinen S, Routasalo P, et al. Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr. 2005;59:578–583
  17. Bourdel-Marchasson I, Rolland C, Jutand MA, et al. Undernutrition in geriatric institutions in South-West France: Policies and risk factors. Nutrition. 2009;25:155–164
  18. Griep MI, Mets TF, Collys K, et al. Risk of malnutrition in retirement homes elderly persons measured by the “mini-nutritional assessment”. J Gerontol A Biol Sci Med Sci. 2000;55:M57–M63
  19. Lamy M, Mojon P, Kalykakis G, et al. Oral status and nutrition in the institutionalized elderly. J Dent. 1999;27:443–448
  20. Thomas DR, Ashmen W, Morley JE, Evans WJ. Nutritional management in long-term care: Development of a clinical guideline. Council for Nutritional Strategies in Long-Term Care. J Gerontol A Biol Sci Med Sci. 2000;55:M725–M734
  21. Lapane KL, Resnik L. Obesity in nursing homes: An escalating problem. J Am Geriatr Soc. 2005;53:1386–1391
  22. Beck AM, Damkjaer K. Optimal body mass index in a nursing home population. J Nutr Health Aging. 2008;12:675–677
  23. Fagot-Campagna A, Bourdel-Marchasson I, Simon D. Burden of diabetes in an aging population: Prevalence, incidence, mortality, characteristics and quality of care. Diabetes Metab. 2005;31:5S35–35S52
  24. Ministère de l'économie de l'industrie et de l'emploi. Recommandations relatives à la nutrition. Available at: http://www.minefe.gouv.fr/directions_services/daj/guide/gpem/nutrition/nutrition.htm. Accessed April 6, 2009.
  25. Wendland BE, Greenwood CE, Weinberg I, Young KW. Malnutrition in institutionalized seniors: The iatrogenic component. J Am Geriatr Soc. 2003;51:85–90
  26. Suominem M, Laine T, Routasalo P, et al. Nutrient content of served food, nutrient intake and nutritional status of residents with dementia in a Finnish nursing home. J Nutr Health Aging. 2004;8:234–238
  27. de Bree A, Mennen LI, Hercberg S, Galan P. Evidence for a protective (synergistic?) effect of B-vitamins and omega-3 fatty acids on cardiovascular diseases. Eur J Clin Nutr. 2004;58:732–744
  28. Hercberg S, Galan P, Preziosi P, et al. The SU.VI.MAX Study: A randomized, placebo-controlled trial of the health effects of antioxidant vitamins and minerals. Arch Intern Med. 2004;164:2335–2342
  29. Astorg P, Arnault N, Czernichow S, et al. Dietary intakes and food sources of n-6 and n-3 PUFA in French adult men and women. Lipids. 2004;39:527–535
  30. Coulston AM, Mandelbaum D, Reaven GM. Dietary management of nursing home residents with non-insulin-dependent diabetes mellitus. Am J Clin Nutr. 1990;51:67–71
  31. Odlund Olin A, Koochek A, Ljungqvist O, Cederholm T. Nutritional status, well-being and functional ability in frail elderly service flat residents. Eur J Clin Nutr. 2005;59:263–270
  32. Dechamps A, Jutand MA, Onifade C, et al. Co-occurrence of neuropsychiatric syndromes in demented and psychotic institutionalized elderly. Int J Geriatr Psychiatry. 2008;23:1182–1190
  33. Young KW, Greenwood CE. Shift in diurnal feeding patterns in nursing home residents with Alzheimer's disease. J Gerontol A Biol Sci Med Sci. 2001;56:M700–M706
  34. Crogan NL, Evans BC. The shortened food expectations—Long-term care questionnaire: Assessing nursing home residents' satisfaction with food and food service. J Gerontol Nurs. 2006;32:50–59
  35. Evans BC, Crogan NL. Using the FoodEx-LTC to assess institutional food service practices through nursing home residents' perspectives on nutrition care. J Gerontol A Biol Sci Med Sci. 2005;60:125–128
  36. Kofod J, Birkemose A. Meals in nursing homes. Scand J Caring Sci. 2004;18:128–134
  37. Nijs KA, de Graaf C, Siebelink E, et al. Effect of family-style meals on energy intake and risk of malnutrition in Dutch nursing home residents: A randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2006;61:935–942
  38. Desai J, Winter A, Young KW, Greenwood CE. Changes in type of foodservice and dining room environment preferentially benefit institutionalized seniors with low body mass indexes. J Am Diet Assoc. 2007;107:808–814
  39. Montal S, Tramini P, Triay J, Valcarel J. Oral hygiene and the need for treatment of the dependent institutionalised elderly. Gerondontology. 2005;23:67–72
  40. Kraljevic Simunkovic S, Vucicevic Boras V, Panduric J, Alajberg Zilic I. Oral health among institutionalised elderly in Zagreb, Croatia. Gerondontology. 2005;22:238–241
  41. Poulsen I, Rahm Hallberg I, Schroll M. Nutritional status and associated factors on geriatric admission. J Nutr Health Aging. 2006;10:84–90
  42. Wyatt CC, So FH, Williams PM, et al. The development, implementation, utilization and outcomes of a comprehensive dental program for older adults residing in long-term care facilities. J Can Dent Assoc. 2006;72:419
  43. Castellanos VH, Marra MV, Johnson P. Enhancement of select foods at breakfast and lunch increases energy intakes of nursing home residents with low meal intakes. J Am Diet Assoc. 2009;109:445–451
  44. Wright L, Cotter D, Hickson M. The effectiveness of targeted feeding assistance to improve the nutritional intake of elderly dysphagic patients in hospital. J Hum Nutr Diet. 2008;21:555–562quiz 564–555
  45. Germain I, Dufresne T, Gray-Donald K. A novel dysphagia diet improves the nutrient intake of institutionalized elders. J Am Diet Assoc. 2006;106:1614–1623
  46. Nutrition recommendations and interventions for diabetes . A position statement of the American Diabetes Association. Diabetes Care. 2007;30:S48–S65
  47. Bourdel-Marchasson I. Nutritional supplementation in elderly people during the course of catabolic illnesses. J Nutr Health Aging. 2000;4:28–30
  48. Kayser-Jones J, Schell ES, Porter C, et al. A prospective study of the use of liquid oral dietary supplements in nursing homes. J Am Geriatr Soc. 1998;46:1378–1386
  49. Whiteman E, Ward K, Simmons SF, et al. Testing the effect of specific orders to provide oral liquid nutritional supplements to nursing home residents: A quality improvement project. J Nutr Health Aging. 2008;12:622–625
  50. Young KW, Greenwood CE, van Reekum R, Binns MA. Providing nutrition supplements to institutionalized seniors with probable Alzheimer's disease is least beneficial to those with low body weight status. J Am Geriatr Soc. 2004;52:1305–1312
  51. Finucane TE, Christmas C, Leff BA. Tube feeding in dementia: How incentives undermine health care quality and patient safety. J Am Med Dir Assoc. 2007;8:205–208
  52. Bourdel-Marchasson I, Dumas F, Pinganaud G, et al. Audit of percutaneous endoscopic gastrostomy in long-term enteral feeding in a nursing home. Int J Qual Health Care. 1997;9:297–302
  53. Lacey D. Tube feeding, antibiotics, and hospitalization of nursing home residents with end-stage dementia: Perceptions of key medical decision-makers. Am J Alzheimers Dis Other Demen. 2005;20:211–219
  54. Schmid A, Weiss M, Heseker H. Recording the nutrient intake of nursing home residents by food weighing method and measuring the physical activity. J Nutr Health Aging. 2003;7:294–295
  55. Dechamps A, Onifade C, Decamps A, Bourdel-Marchasson I. Health-related quality of life in frail institutionalized elderly: Effects of cognition-action intervention and Tai Chi. J Aging Phys Activ. 2009;17:236–248
  56. Wikby K, Ek A, Christensson L. Implementation of a nutritional programme in elderly people admitted to resident homes. Scand J Caring Sci. 2009;in press
  57. Cowan DT, Roberts JD, Fitzpatrick JM, et al. Nutritional status of older people in long term care settings: Current status and future directions. Int J Nurs Stud. 2004;41:225–237
  58. Valentini L, Schindler K, Schlaffer R, et al. The first nutrition day in nursing homes: Participation may improve malnutrition awareness. Clin Nutr. 2009;28:109–116
  59. Crogan NL, Shultz JA, Adams CE, Massey LK. Barriers to nutrition care for nursing home residents. J Gerontol Nurs. 2001;27:25–31
  60. Crogan NL, Shultz JA, Massey LK. Nutrition knowledge of nurses in long-term care facilities. J Contin Educ Nurs. 2001;32:171–176
  61. Suominen MH, Sandelin E, Soini H, Pitkala KH. How well do nurses recognize malnutrition in elderly patients?. Eur J Clin Nutr. 2009;63:292–296
  62. Beck AM, Ovesen L. Skipping of meals has a significant impact on dietary intake and nutritional status of old (65+ y) nursing home residents. J Nutr Health Aging. 2004;8:390–394
  63. Beck AM, Ovesen L, Schroll M. Validation of the Resident Assessment Instrument triggers in the detection of under-nutrition. Age Ageing. 2001;30:161–165
  64. Keller HH, Gibbs-Ward A, Randall-Simpson J, et al. Meal rounds: An essential aspect of quality nutrition services in long-term care. J Am Med Dir Assoc. 2006;7:40–45
  65. Pedrolli C, Cereda E. Facing hospital malnutrition: When will we understand that a precious ally lies in our catering service leading Chef?. Clin Nutr. 2008;27:479–480
  66. Donini LM, Castellaneta E, De Guglielmi S, et al. Improvement in the quality of the catering service of a rehabilitation hospital. Clin Nutr. 2008;27:105–114
  67. Wilson MM, Thomas DR, Rubenstein LZ, et al. Appetite assessment: Simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr. 2005;82:1074–1081
  68. Simmons SF, Garcia ET, Cadogan MP, et al. The Minimum Data Set weight-loss quality indicator: Does it reflect differences in care processes related to weight loss?. J Am Geriatr Soc. 2003;51:1410–1418
  69. Simmons SF, Lim B, Schnelle JF. Accuracy of Minimum Data Set in identifying residents at risk for undernutrition: Oral intake and food complaints. J Am Med Dir Assoc. 2002;3:140–145
  70. Bourdel-Marchasson I, Barateau M, Sourgen C, et al. Prospective audits of quality of PEM recognition and nutritional support in critically ill elderly patients. Clin Nutr. 1999;18:233–240
  71. Saliba D, Solomon D, Rubenstein L, et al. Feasibility of quality indicators for the management of geriatric syndromes in nursing home residents. J Am Med Dir Assoc. 2005;6:S50–S59
  72. Crogan NL, Evans B, Velasquez D. Measuring nursing home resident satisfaction with food and food service: Initial testing of the FoodEx-LTC. J Gerontol A Biol Sci Med Sci. 2004;59:370–377
  73. Evans BC, Crogan NL, Shultz JA. Resident coping strategies in the nursing home: An indicator of the need for dietary services change. Appl Nurs Res. 2004;17:109–115
  74. Haute Autorité de Santé HAS High Health Authority. Evaluation et amélioration des pratiques. Stratégie de prise en charge en cas de dénutriton protéino-énergétique chez la personne âgée. Assessment and improvement of professional practices. Strategy of management in case of protein energy malnutrition in older subjects, 2008. Available at: http://www.has-sante.fr/portail/upload/docs/application/pdf/denutrition_personnes_agees_ceapp.pdf. Vol http://www.has-sante.fr/portail/upload/docs/application/pdf/denutrition_personnes_agees_ceapp.pdf. Accessed March 17, 2009.

PII: S1525-8610(09)00136-4

doi: 10.1016/j.jamda.2009.04.003

JAMDA
Volume 11, Issue 1 , Pages 13-20 , January 2010