MiOA: Intervention: Long-Term Care: Oral Nutrition Supplements (2023)
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Intervention
In older adults living in long-term care, what is the effect of oral nutrition supplement intake on calorie and protein intake?
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Conclusion
Oral nutrition supplements will likely increase total calorie and protein intake in older adults living in long term care.
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Grade: Moderate (B)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Evidence Summary: In older adults living in long-term care, what is the effect of oral nutrition supplement intake on calorie and protein intake?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Abe S, Ezaki O, Suzuki M. Medium-Chain Triglycerides in Combination with Leucine and Vitamin D Increase Muscle Strength and Function in Frail Elderly Adults in a Randomized Controlled Trial. The Journal of Nutrition 2016; 146:1017-1026
- Beck A, Ovesen L, Schroll M. Home-made oral supplement as nutritional support of old nursing home residents, who are undernourished or at risk of undernutrition based on the MNA. A pilot trial. Mini Nutritional Assessment. Aging Clinical and Experimental Research 2002; 14:212-5
- Beck A, Damkjaer K, Sørbye L. Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (>65 years) Danish nursing home residents. Archives of Gerontology and Geriatrics 2010; 50:351-5
- Fiatarone Sing MA, Bernstein M, Ryan A, O'Neill E, Clements K, Evans. The effect of oral nutritional supplements on habitual dietary quality and quantity in frail elders. Journal of Nutrition, Health, and Aging 2000; 4:5-12
- Kwok T, Woo J, Kwan M. Does low lactose milk powder improve the nutritional intake and nutritional status of frail older Chinese people living in nursing homes?. The Journal of Nutrition, Health & Aging 2001; 5:17-21
- Lauque S, Arnaud-Battandier F, Mansourian R, Guigoz Y, Paintin M, Nourhashemi F, Vellas B. Protein-energy oral supplementation in malnourished nursing-home residents. A controlled trial. Age and Ageing 2000; 29:51-56
- Manders M, de Groot C, Blauw Y, Dhonukshe-Rutten R, van Hoeckel-Prüst L, Bindels J, Siebelink E, van Staveren W. Effect of a nutrient-enriched drink on dietary intake and nutritional status in institutionalised elderly. European Journal of Clinical Nutrition 2009; 63:1241-50
- Parsons E, Stratton R, Cawood A, Smith T, Elia M. Oral nutritional supplements in a randomised trial are more effective than dietary advice at improving quality of life in malnourished care home residents. Clinical Nutrition (Edinburgh, Scotland) 2017; 36:134-142
- Rondanelli M, Klersy C, Terracol G, Talluri J, Maugeri R, Guido D, Faliva M, Solerte B, Fioravanti M, Lukaski H, Perna S. Whey protein, amino acids, and vitamin D supplementation with physical activity increases fat-free mass and strength, functionality, and quality of life and decreases inflammation in sarcopenic elderly. The American Journal of Clinical Nutrition 2016; 103:830-840
- Simmons S, Zhuo X, Keeler E. Cost-effectiveness of nutrition interventions in nursing home residents: a pilot intervention. The Journal of Nutrition, Health & Aging 2010; 14:367-372
- Simmons S, Keeler E, An R, Liu X, Shotwell M, Kuertz B, Silver H, Schnelle J. Cost-effectiveness of nutrition intervention in long-term care. Journal of the American Geriatrics Society 2015; 63:2308-2316
- Stow R, Ives N, Smith C, Rick C, Rushton A. A cluster randomised feasibility trial evaluating nutritional interventions in the treatment of malnutrition in care home adult residents. Trials 2015; 16:433
- Tylner S, Cederholm T, Faxén-Irving G. Effects on Weight, Blood Lipids, Serum Fatty Acid Profile and Coagulation by an Energy-Dense Formula to Older Care Residents: A Randomized Controlled Crossover Trial. Journal of the American Medical Directors Association 2016; 17:275.e5-11
- Van Wymelbeke V, Brondel L, Bon F, Martin-Pfitzenmeyer I, Manckoundia P. An innovative brioche enriched in protein and energy improves the nutritional status of malnourished nursing home residents compared to oral nutritional supplement and usual breakfast: FARINE+ project. Clinical Nutrition ESPEN 2016; 15:93-100
- Detail
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Search Plan and Results: MiOA: Intervention Oral Nutrition Supplements 2023
In older adults living in long-term care, what is the effect of oral nutrition supplement intake on weight and BMI?-
Conclusion
Oral nutrition supplement intake will likely result in weight gain and increased body mass index in older adults with, or at risk for malnutrition, who are living in long-term care.
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Grade: Moderate (B)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Evidence Summary: In older adults living in long-term care, what is the effect of oral nutrition supplement intake on weight and BMI?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Beck A, Ovesen L, Schroll M. Home-made oral supplement as nutritional support of old nursing home residents, who are undernourished or at risk of undernutrition based on the MNA. A pilot trial. Mini Nutritional Assessment. Aging Clinical and Experimental Research 2002; 14:212-5
- Beck A, Damkjaer K, Sørbye L. Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (>65 years) Danish nursing home residents. Archives of Gerontology and Geriatrics 2010; 50:351-5
- Bonnefoy M, Cornu C, Normand S, Boutitie F, Bugnard F, Rahmani A, Lacour J, Laville M. The effects of exercise and protein-energy supplements on body composition and muscle function in frail elderly individuals: a long-term controlled randomised study. The British Journal of Nutrition 2003; 89:731-739
- Fiatarone Sing MA, Bernstein M, Ryan A, O'Neill E, Clements K, Evans. The effect of oral nutritional supplements on habitual dietary quality and quantity in frail elders. Journal of Nutrition, Health, and Aging 2000; 4:5-12
- Fiatarone M, O'Neill E, Ryan N, Clements K, Solares G, Nelson M, Roberts S, Kehayias J, Lipsitz L, Evans W. Exercise training and nutritional supplementation for physical frailty in very elderly people. The New England Journal of Medicine 1994; 330:1769-1775
- Kwok T, Woo J, Kwan M. Does low lactose milk powder improve the nutritional intake and nutritional status of frail older Chinese people living in nursing homes?. The Journal of Nutrition, Health & Aging 2001; 5:17-21
- Lauque S, Arnaud-Battandier F, Mansourian R, Guigoz Y, Paintin M, Nourhashemi F, Vellas B. Protein-energy oral supplementation in malnourished nursing-home residents. A controlled trial. Age and Ageing 2000; 29:51-56
- Lee L, Tsai A, Wang J, Hurng B, Hsu H, Tsai H. Need-based intervention is an effective strategy for improving the nutritional status of older people living in a nursing home: a randomized controlled trial. International Journal of Nursing Studies 2013; 50:1580-1588
- Manders M, de Groot C, Blauw Y, Dhonukshe-Rutten R, van Hoeckel-Prüst L, Bindels J, Siebelink E, van Staveren W. Effect of a nutrient-enriched drink on dietary intake and nutritional status in institutionalised elderly. European Journal of Clinical Nutrition 2009; 63:1241-50
- Parsons E, Stratton R, Cawood A, Smith T, Elia M. Oral nutritional supplements in a randomised trial are more effective than dietary advice at improving quality of life in malnourished care home residents. Clinical Nutrition (Edinburgh, Scotland) 2017; 36:134-142
- Pouyssegur V, Brocker P, Schneider S, Philip J, Barat P, Reichert E, Breugnon F, Brunet D, Civalleri B, Solere J, Bensussan L, Lupi-Pegurier L. An innovative solid oral nutritional supplement to fight weight loss and anorexia: open, randomised controlled trial of efficacy in institutionalised, malnourished older adults. Age and Ageing 2015; 44:245-51
- Rondanelli M, Klersy C, Terracol G, Talluri J, Maugeri R, Guido D, Faliva M, Solerte B, Fioravanti M, Lukaski H, Perna S. Whey protein, amino acids, and vitamin D supplementation with physical activity increases fat-free mass and strength, functionality, and quality of life and decreases inflammation in sarcopenic elderly. The American Journal of Clinical Nutrition 2016; 103:830-840
- Simmons S, Zhuo X, Keeler E. Cost-effectiveness of nutrition interventions in nursing home residents: a pilot intervention. The Journal of Nutrition, Health & Aging 2010; 14:367-372
- Simmons S, Keeler E, An R, Liu X, Shotwell M, Kuertz B, Silver H, Schnelle J. Cost-effectiveness of nutrition intervention in long-term care. Journal of the American Geriatrics Society 2015; 63:2308-2316
- Stange I, Bartram M, Liao Y, Poeschl K, Kolpatzik S, Uter W, Sieber C, Stehle P, Volkert D. Effects of a low-volume, nutrient- and energy-dense oral nutritional supplement on nutritional and functional status: a randomized, controlled trial in nursing home residents. Journal of the American Medical Directors Association 2013; 14:628-628.e1
- Stow R, Ives N, Smith C, Rick C, Rushton A. A cluster randomised feasibility trial evaluating nutritional interventions in the treatment of malnutrition in care home adult residents. Trials 2015; 16:433
- Tylner S, Cederholm T, Faxén-Irving G. Effects on Weight, Blood Lipids, Serum Fatty Acid Profile and Coagulation by an Energy-Dense Formula to Older Care Residents: A Randomized Controlled Crossover Trial. Journal of the American Medical Directors Association 2016; 17:275.e5-11
- Van Wymelbeke V, Brondel L, Bon F, Martin-Pfitzenmeyer I, Manckoundia P. An innovative brioche enriched in protein and energy improves the nutritional status of malnourished nursing home residents compared to oral nutritional supplement and usual breakfast: FARINE+ project. Clinical Nutrition ESPEN 2016; 15:93-100
- Detail
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Search Plan and Results: MiOA: Intervention Oral Nutrition Supplements 2023
In older adults living in long-term care, what is the effect of oral nutrition supplement intake on physical function?-
Conclusion
Oral nutrition supplement intake probably has little to no effect on activities of daily living, gait speed or handgrip strength in older adults living in long-term care.
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Grade: Low (C)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Evidence Summary: In older adults living in long-term care, what is the effect of oral nutrition supplement intake on physical function?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Abe S, Ezaki O, Suzuki M. Medium-Chain Triglycerides in Combination with Leucine and Vitamin D Increase Muscle Strength and Function in Frail Elderly Adults in a Randomized Controlled Trial. The Journal of Nutrition 2016; 146:1017-1026
- Bonnefoy M, Cornu C, Normand S, Boutitie F, Bugnard F, Rahmani A, Lacour J, Laville M. The effects of exercise and protein-energy supplements on body composition and muscle function in frail elderly individuals: a long-term controlled randomised study. The British Journal of Nutrition 2003; 89:731-739
- Fiatarone Sing MA, Bernstein M, Ryan A, O'Neill E, Clements K, Evans. The effect of oral nutritional supplements on habitual dietary quality and quantity in frail elders. Journal of Nutrition, Health, and Aging 2000; 4:5-12
- Fiatarone M, O'Neill E, Ryan N, Clements K, Solares G, Nelson M, Roberts S, Kehayias J, Lipsitz L, Evans W. Exercise training and nutritional supplementation for physical frailty in very elderly people. The New England Journal of Medicine 1994; 330:1769-1775
- Kwok T, Woo J, Kwan M. Does low lactose milk powder improve the nutritional intake and nutritional status of frail older Chinese people living in nursing homes?. The Journal of Nutrition, Health & Aging 2001; 5:17-21
- Lauque S, Arnaud-Battandier F, Mansourian R, Guigoz Y, Paintin M, Nourhashemi F, Vellas B. Protein-energy oral supplementation in malnourished nursing-home residents. A controlled trial. Age and Ageing 2000; 29:51-56
- Lee L, Tsai A, Wang J. Need-based nutritional intervention is effective in improving handgrip strength and Barthel Index scores of older people living in a nursing home: a randomized controlled trial. International Journal of Nursing Studies 2015; 52:904-912
- Manders M, de Groot C, Blauw Y, Dhonukshe-Rutten R, van Hoeckel-Prüst L, Bindels J, Siebelink E, van Staveren W. Effect of a nutrient-enriched drink on dietary intake and nutritional status in institutionalised elderly. European Journal of Clinical Nutrition 2009; 63:1241-50
- Rondanelli M, Klersy C, Terracol G, Talluri J, Maugeri R, Guido D, Faliva M, Solerte B, Fioravanti M, Lukaski H, Perna S. Whey protein, amino acids, and vitamin D supplementation with physical activity increases fat-free mass and strength, functionality, and quality of life and decreases inflammation in sarcopenic elderly. The American Journal of Clinical Nutrition 2016; 103:830-840
- Stange I, Bartram M, Liao Y, Poeschl K, Kolpatzik S, Uter W, Sieber C, Stehle P, Volkert D. Effects of a low-volume, nutrient- and energy-dense oral nutritional supplement on nutritional and functional status: a randomized, controlled trial in nursing home residents. Journal of the American Medical Directors Association 2013; 14:628-628.e1
- Stow R, Ives N, Smith C, Rick C, Rushton A. A cluster randomised feasibility trial evaluating nutritional interventions in the treatment of malnutrition in care home adult residents. Trials 2015; 16:433
- Tylner S, Cederholm T, Faxén-Irving G. Effects on Weight, Blood Lipids, Serum Fatty Acid Profile and Coagulation by an Energy-Dense Formula to Older Care Residents: A Randomized Controlled Crossover Trial. Journal of the American Medical Directors Association 2016; 17:275.e5-11
- Van Wymelbeke V, Brondel L, Bon F, Martin-Pfitzenmeyer I, Manckoundia P. An innovative brioche enriched in protein and energy improves the nutritional status of malnourished nursing home residents compared to oral nutritional supplement and usual breakfast: FARINE+ project. Clinical Nutrition ESPEN 2016; 15:93-100
- Detail
-
Search Plan and Results: MiOA: Intervention Oral Nutrition Supplements 2023
In older adults living in long-term care, what is the effect of oral nutrition supplement intake on nutrition status measured with a valid nutrition assessment tool?-
Conclusion
Oral nutrition supplement intake may improve Mini-Nutritional Assessment scores in older adults living in long-term care.
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Grade: Low (C)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Evidence Summary: In older adults living in long-term care, what is the effect of oral nutrition supplement intake on nutrition status measured with a valid nutrition assessment tool?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Lauque S, Arnaud-Battandier F, Mansourian R, Guigoz Y, Paintin M, Nourhashemi F, Vellas B. Protein-energy oral supplementation in malnourished nursing-home residents. A controlled trial. Age and Ageing 2000; 29:51-56
- Rondanelli M, Klersy C, Terracol G, Talluri J, Maugeri R, Guido D, Faliva M, Solerte B, Fioravanti M, Lukaski H, Perna S. Whey protein, amino acids, and vitamin D supplementation with physical activity increases fat-free mass and strength, functionality, and quality of life and decreases inflammation in sarcopenic elderly. The American Journal of Clinical Nutrition 2016; 103:830-840
- Van Wymelbeke V, Brondel L, Bon F, Martin-Pfitzenmeyer I, Manckoundia P. An innovative brioche enriched in protein and energy improves the nutritional status of malnourished nursing home residents compared to oral nutritional supplement and usual breakfast: FARINE+ project. Clinical Nutrition ESPEN 2016; 15:93-100
- Detail
-
Search Plan and Results: MiOA: Intervention Oral Nutrition Supplements 2023
In older adults living in long-term care what is the cost effectiveness of oral nutrition supplement intake?-
Conclusion
Limited research indicates that oral nutrition supplements may be a cost effective nutrition intervention for older adults living in long-term care.
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Grade: Very Low (D)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Evidence Summary: In older adults living in long-term care, what is the cost effectiveness of oral nutrition supplements?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Elia M, Parsons E, Cawood A, Smith T, Stratton R. Cost-effectiveness of oral nutritional supplements in older malnourished care home residents. Clinical Nutrition (Edinburgh, Scotland) 2018; 37:651-658
- Simmons S, Zhuo X, Keeler E. Cost-effectiveness of nutrition interventions in nursing home residents: a pilot intervention. The Journal of Nutrition, Health & Aging 2010; 14:367-372
- Simmons S, Keeler E, An R, Liu X, Shotwell M, Kuertz B, Silver H, Schnelle J. Cost-effectiveness of nutrition intervention in long-term care. Journal of the American Geriatrics Society 2015; 63:2308-2316
- Detail
-
Search Plan and Results: MiOA: Intervention Oral Nutrition Supplements 2023
In older adults living in long-term care, what is the effect of oral nutrition supplement intake on mortality?-
Conclusion
No studies were identified that evaluated the effect of oral nutrition supplements on mortality in older adults living in long-term care.
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Grade: V
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Search Plan and Results: MiOA: Intervention Oral Nutrition Supplements 2023
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Conclusion