Efficacy of the Implementation of a Food and Nutritional Support Strategy Adapted to Dependent Elderly Subjects

NCT02866474 | Completed

• 1 other identifier: VVW ancillaireANR 2013
• Study Type: interventional
• Target: 104
• Locations: 1 country
• Sites: 1

Brief Summary

Malnutrition particularly affects people who delegate the preparation of their meals with 46% of persons living at home and using a meals-on-wheels service, or those in old people's homes (Etablissement d'Hebergement pour Personnes Agees Dependantes - EHPAD) at risk of malnutrition, compared with 16% in persons who have help, but not for their meals, and 8% in independent persons (Aupalesens Survey). This proportion, which is particularly high, is essentially due to the absence or insufficient level of individual monitoring of the nutritional status of these "dependent" populations despite the different recommendations. EHPAD (old people's homes) are invited to respect meal rhythms, to adapt the nutritional and gustatory qualities of the food, to propose a pleasant environment (Survey CLCV 2012: data collection in 2012); in parallel, few professionals are really trained in the needs of the elderly. In meals-on-wheels services, apart from the distribution of meals, no nutritional follow-up is proposed (Guide 2012). Symmetrically, the constant search to control costs in western healthcare systems has led managers to systematically reduce care costs, in particular those that are not directly related to medico-pharmaceutical or care personnel expenditure in the strictest sense. In the collective catering services, there is, for example, a systematic effort to reduce daily "costs/materials", without measuring the global cost related to the efficacy of care. The present work is part of the RENESSENS project: these studies will be conducted in two elderly populations, one living at home and receiving meals on wheels daily and a regular visit of a dietician, who will propose individual nutritional follow-up and the second living in an old people's home (EHPAD) that will benefit from the improved management of its catering service (good culinary practices, including specific training for personnel and meals adapted to the needs of residents). The principal aim of these two studies will be common and will be to evaluate the efficacy of this specific type of management of meals and nutrition compared with a reference meals-on-wheels service and a reference EHPAD.

Conditions

Nutrition; Elderly

Outcome Measures

Primary Outcomes (1)

• Evaluation of the nutritional status via the evolution of the Mini Nutritional Assessment (MNA) score including the evolution of weight

  Change with regard to Day 0, at three months , at six months

Study Arms (2)

- Puteaux or Paris for elderly persons

OTHER

Dietary Supplement: population living at home with meals on wheels

-Two EHPAD in Lyon for elderly persons living

OTHER

Dietary Supplement: population living in an EHPAD

Interventions

population living at home with meals on wheels DIETARY_SUPPLEMENT

- Puteaux or Paris for elderly persons

population living in an EHPAD DIETARY_SUPPLEMENT

-Two EHPAD in Lyon for elderly persons living

Eligibility Criteria

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

You may qualify if:

• persons or their persons of trust who have given oral consent
• Age ≥ 65 years
• Persons living at home using a meals on wheels service every day or living in an old people's home (EHPAD)

You may not qualify if:

• Persons without national health insurance cover
• Persons requiring enteral or parenteral nutrition

Sponsors & Collaborators

• Centre Hospitalier Universitaire Dijon: lead

Study Sites (1)

CHU Dijon Bourgogne

Dijon, 21079, France

Location

MeSH Terms

Interventions

Food Services

Intervention Hierarchy (Ancestors)

Food Industry; Industry; Technology, Industry, and Agriculture

Study Design

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

Study Record Dates

• First Submitted: August 10, 2016
• First Posted: August 15, 2016
• Study Start: November 9, 2015
• Primary Completion: March 7, 2018
• Last Updated: February 12, 2024

Record last verified: 2018-06

Locations

FR (1)