Effects of Oral Nutritional Supplements in Nursing Home Residents

NCT01859416 | Completed

• 1 other identifier: IBA-2013(1)
• Study Type: interventional
• Target: 87
• Locations: 1 country
• Sites: 1

Brief Summary

Although oral nutritional supplements (ONS) are known to be effective to treat malnutrition in older persons, evidence from nursing home populations including demented residents is rare, especially with regard to functionality and well-being. A known barrier for ONS use among older persons is the volume that needs to be consumed, resulting in low compliance and thus reduced effectiveness. Thus, this study aimed to investigate the effects of a new, low volume, energy- and nutrient-dense ONS on nutritional status, functionality and quality of life of nursing home residents with malnutrition or at risk of malnutrition. In 6 nursing homes in Nuremberg and Fuerth, Germany, a standardized screening was performed to identify all residents with malnutrition or at risk of malnutrition who might possibly benefit from nutritional intervention. All subjects with either a Mini Nutritional Assessment (MNA®) score below 24 points, BMI ≤22 kg/m², a low food intake according to the nurses' perception or weight loss of ≥5% in the last 3 or ≥10% in 6 months, respectively, were invited to participate and asked for informed consent. Eligible residents with informed consent were randomly assigned to the intervention group (IG) which received two bottles of the ONS per day (250 mL, 600 kcal) in addition to usual nutritional care or to the control group (CG) which received usual nutritional care only. Assessment of nutritional parameters included body weight, BMI, arm- and calf-circumference and Mini Nutritional Assessment (MNA). Cognitive status, depression, activities of daily living, handgrip strength, gait speed and quality of life were examined using standardized instruments and protocols. All measurements and tests were performed at baseline, after 12 and 24 weeks. Compliance and tolerance were documented daily by nursing staff and regularly controlled by the study team. Statistical analysis was performed following the intention-to-treat (ITT) approach including all residents originally assigned to either the IG or CG unless residents died during the study. A sample size calculation was performed with body weight as the primary outcome parameter (0.8 power to detect a significant difference p\<0.05, two-sided) based on an estimated mean body weight 55 kg and a mean difference in body weight between the groups after 12 weeks of 1.5±2.2 kg comparable to results previously observed in this population. To detect a significant difference between IG and CG, 35 subjects were needed for each group. While sample size calculation aimed at ensuring adequate power to detect meaningful differences, the actual statistical analysis was of exploratory nature.

Conditions

Nursing Home Residents; Malnutrition or Risk of Malnutrition

Outcome Measures

Primary Outcomes (1)

• Body weight

  12 weeks

Study Arms (2)

Oral nutritional supplement

EXPERIMENTAL

2 \* 125 mL low volume, energy and nutrient dense ONS per day (2 \* 300 kcal) in addition to usual nutritional care

Dietary Supplement: Oral nutritional supplement

Control

NO INTERVENTION

Usual nutritional care

Interventions

Oral nutritional supplement DIETARY_SUPPLEMENT

Oral nutritional supplement

Eligibility Criteria

• Age: 65 Years - 110 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• nursing home resident
• Mini Nutritional Assessment (MNA®) score \<24 points or BMI ≤22 kg/m² or low food intake according to the nurses' perception or weight loss of ≥5% in the last 3 or ≥10% in 6 months
• informed consent

You may not qualify if:

• anticipated hospital stay (\>1 week)
• renal disease (dialysis)
• end-stage disease
• intolerance to ONS according to previous attempts to administer these

Sponsors & Collaborators

• University of Erlangen-Nürnberg Medical School: lead
• Pfrimmer Nutricia GmbH, Erlangen , Germany: collaborator

Study Sites (1)

Institute for Biomedicine of Aging, Universität Erlangen-Nürnberg

Nuremberg, 90408, Germany

Location

MeSH Terms

Conditions

Malnutrition

Interventions

Dietary Supplements

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Food; Diet, Food, and Nutrition; Physiological Phenomena; Food and Beverages

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 17, 2013
• First Posted: May 21, 2013
• Study Start: March 1, 2009
• Primary Completion: July 1, 2010
• Study Completion: September 1, 2010
• Last Updated: May 8, 2024

Record last verified: 2013-05

Locations

DE (1)