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Nutritional status of elderly female nursing home residents; the effect of supplementation with a physiological dose of water-soluble vitamins.

AbstractOBJECTIVE:
To assess the nutritional status of female elderly nursing home residents and to study the effect of dietary supplementation with a physiological dose of water-soluble vitamins.
DESIGN:
Single-blind, randomised, placebo-controlled intervention trial. Daily consumed supplement consisted of fortified fruit juice containing 50 g carbohydrate and 50% of the daily dietary recommendations of water-soluble vitamins. Regular fruit juice was used as placebo. Dietary intake assessment at baseline. Fasting blood sample, anthropometric measurements and medical record at baseline and after 4 and 12 weeks of supplementation.
SETTING:
Three nursing homes within 40 km of the coordination centre (Department of Human Nutrition, Wageningen Agricultural University, the Netherlands).
SUBJECTS:
Forty-two female nursing home residents aged 60 years and older, in relatively stable health condition, at least 3 months resident at baseline. In each nursing home, 14 subjects were randomly assigned to the supplement or control group.
INTERVENTIONS:
Twelve weeks of supplementation.
RESULTS:
Participants had a poor nutritional status. Dietary supplementation significantly improved the concentrations of thiamin pyrophosphate and pyridoxal 5'-phosphate, increased body weight and decreased serum homocysteine concentration in the supplement group. Plasma vitamin C levels were significantly increased in both supplement and control group.
CONCLUSIONS:
Even in this heterogeneous population of female nursing home elderly it is possible to improve the nutritional status through dietary intervention with a physiological dose of water-soluble vitamins.
AuthorsR P van der Wielen, H A van Heereveld, C P de Groot, W A van Staveren
JournalEuropean journal of clinical nutrition (Eur J Clin Nutr) Vol. 49 Issue 9 Pg. 665-74 (Sep 1995) ISSN: 0954-3007 [Print] England
PMID7498103 (Publication Type: Clinical Trial, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Vitamins
Topics
  • Aged
  • Aged, 80 and over
  • Deficiency Diseases (drug therapy)
  • Female
  • Food, Fortified
  • Geriatric Assessment
  • Homes for the Aged
  • Humans
  • Nursing Homes
  • Nutritional Status
  • Single-Blind Method
  • Vitamins (therapeutic use)

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