The influence of nutritional supplement drinks on providing adequate calorie and protein intake in older adults with dementia
The influence of nutritional supplement drinks on providing adequate calorie and protein intake in older adults with dementia
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DOI：
10.1007/s12603-013-0364-5
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发表时间：
2013-09-01
影响因子：
5.8
通讯作者：
Gosney, M.
中科院分区：
文献类型：
--
作者：
Allen, V.;Methven, L.;Gosney, M.
研究提供ONS对痴呆患者从食物中摄入蛋白质和能量以及满足蛋白质和热量需求的能力的影响。在获得代理同意后，参与者参加了一项交叉研究，比较干预日与相邻对照日的口服摄入量。研究在疗养院和住院环境中进行。招募了65岁以上的老年痴呆患者。26名受试者（年龄83.98.4岁，MMSE评分13.088.13），干预当天提供3次营养补充饮料。每杯饮料提供283.341.8千卡能量和13.84.7克蛋白质。在进餐前约1小时取出补充剂，称重废物（g），采用四分位数法测定干预日和对照日的食物摄入量（无，四分之一，一半，四分之三，全部）更多的人通过补充饮料干预达到了他们的能量和蛋白质需求，而对习惯性食物消费没有足够的影响。患有痴呆症的参与者表示，补充饮料可能有助于减少该群体中营养不良的患病率，因为更多的人满足了他们的营养需求。由于补充饮料的提供也被证明对习惯性食物的消费具有附加作用，因此这些补充饮料可以与其他措施一起使用，以改善口服摄入量。
Investigate the impact of the provision of ONS on protein and energy intake from food and ability to meet protein and calorie requirements in people with dementia.After consent by proxy was obtained, participants took part in a cross over study comparing oral intake on an intervention day to an adjacent control day.The study occurred in Nursing homes and hospitalised settings.Older adults with dementia over the age of 65 were recruited. 26 participants (aged 83.98.4years, MMSE 13.088.13) took part.On the intervention day nutritional supplement drinks were provided three times. Each drink provided 283.341.8 Kcal of energy and 13.84.7g of protein. Supplements were removed approximately 1 hour before meals were served and weighed waste (g) was obtained.Intake of food consumed was determined on intervention and control days using the quartile method (none, quarter, half, three quarters, all) for each meal component.More people achieved their energy and protein requirements with the supplement drink intervention with no sufficient impact on habitual food consumption.Findings from these 26 participants with dementia indicate that supplement drinks may be beneficial in reducing the prevalence of malnutrition within the group as more people meet their nutritional requirements. As the provision of supplement drinks is also demonstrated to have an additive effect to consumption of habitual foods these can be used alongside other measures to also improve oral intake.