Nutrition (Burbank, Los Angeles County, Calif.) · 2025
Developing and assessing the effectiveness of a participatory, nutritional, and physical activity intervention on muscle function and quality of life among older adults with overnutrition in nursing homes: The IFEBO cluster randomized control trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Christoffersen Tenna, Marie Beck Anne, Dynesen Anja Weirsøe, Lorenzen Janne Kunchel, Andersen Anders Reenberg, Aaslyng Margit Dall, Tetens Inge
Аннотация
BACKGROUND: Overnutrition, defined as overweight and obesity, is a growing concern among older adults, increasing the risk of comorbidity, disabilities, and mortality. However, the optimal management of overnutrition in this population remains unclear.
PURPOSE: The aim is to develop and assess the effectiveness of a nutritional and physical activity intervention on muscle function and quality of life (QoL) among older adults with overnutrition in nursing homes (NHs).
METHODS: A 12-mo cluster randomized participatory trial was conducted in six Danish NHs. The NHs were assigned following a 1:1 allocation ratio for control and intervention. Using the Plan-Do-Study-Act model, intervention components were participatorily developed over the first 6 mo and implemented over the remaining 6 mo. Muscle strength was measured via hand grip strength and a 30-second chair stand test. The Adult Social Care Outcomes Toolkit assessed the care-related QoL. Mixed-effects models analyses were used to evaluate the intervention effects.
RESULTS: Ninety-three residents participated; 59% were overnourished. The intervention included daily/weekly physical and social activities, protein-rich bread, "Snack-on-Wheels," systematic weighing, nutritional tasks for trained staff, and communication standards. Hand grip strength improved among men across weight statuses in the intervention group compared to the control group (P = 0.039). QoL was maintained in the overweight group, whereas it improved in the normal weight group (P = 0.019), with significant gains in social participation for both subgroups (P = 0.026).
CONCLUSIONS: Participatorily developed nutrition and physical activity interventions can improve all NH residents' physical function and well-being.
PURPOSE: The aim is to develop and assess the effectiveness of a nutritional and physical activity intervention on muscle function and quality of life (QoL) among older adults with overnutrition in nursing homes (NHs).
METHODS: A 12-mo cluster randomized participatory trial was conducted in six Danish NHs. The NHs were assigned following a 1:1 allocation ratio for control and intervention. Using the Plan-Do-Study-Act model, intervention components were participatorily developed over the first 6 mo and implemented over the remaining 6 mo. Muscle strength was measured via hand grip strength and a 30-second chair stand test. The Adult Social Care Outcomes Toolkit assessed the care-related QoL. Mixed-effects models analyses were used to evaluate the intervention effects.
RESULTS: Ninety-three residents participated; 59% were overnourished. The intervention included daily/weekly physical and social activities, protein-rich bread, "Snack-on-Wheels," systematic weighing, nutritional tasks for trained staff, and communication standards. Hand grip strength improved among men across weight statuses in the intervention group compared to the control group (P = 0.039). QoL was maintained in the overweight group, whereas it improved in the normal weight group (P = 0.019), with significant gains in social participation for both subgroups (P = 0.026).
CONCLUSIONS: Participatorily developed nutrition and physical activity interventions can improve all NH residents' physical function and well-being.