MiOA: Intervention: Long-Term Care: Food Fortification (2023)
-
Intervention
In older adults living in long term care, what is the effect of calorie and protein food fortification on energy and protein intake?
-
Conclusion
The effect of calorie and protein food fortification on calorie and protein intake in older adults who are malnourished or at risk for malnutrition living in long-term care was uncertain due to limited and conflicting evidence.
-
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 effect of calorie and protein food fortification on energy and protein intake?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Leslie W, Woodward M, Lean M, Theobald H, Watson L, Hankey C. Improving the dietary intake of under nourished older people in residential care homes using an energy-enriching food approach: a cluster randomised controlled study. Journal of Human Nutrition and Dietetics 2013; 26:387-94
- Odlund Olin A, Armyr I, Soop M, Jerstrom S, Classon I, Cederholm T, Ljungren G, Ljungqvist O. Energy-dense meals improve energy intake in elderly residents in a nursing home. Clinical Nutrition (Edinburgh, Scotland) 2003; 22:125-31
- Smoliner C, Norman K, Scheufele R, Hartig W, Pirlich M, Lochs H. Effects of food fortification on nutritional and functional status in frail elderly nursing home residents at risk of malnutrition. Nutrition 2008; 24:1139-1144
- 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 Food Fortification 2023
In older adults living in long-term care, what is the effect of calorie and protein food fortification on weight and BMI?-
Conclusion
Calorie and protein food fortification may increase weight in older adults that are malnourished or at risk for malnutrition and living in long-term care. The effect on body mass index is uncertain due to limited evidence.
-
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 calorie and protein food fortification on weight and BMI?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Björkman M., Finne-Soveri H., Tilvis R.. Whey protein supplementation in nursing home residents. A randomized controlled trial. European Geriatric Medicine 2012; 3:161-166
- Leslie W, Woodward M, Lean M, Theobald H, Watson L, Hankey C. Improving the dietary intake of under nourished older people in residential care homes using an energy-enriching food approach: a cluster randomised controlled study. Journal of Human Nutrition and Dietetics 2013; 26:387-94
- Smoliner C, Norman K, Scheufele R, Hartig W, Pirlich M, Lochs H. Effects of food fortification on nutritional and functional status in frail elderly nursing home residents at risk of malnutrition. Nutrition 2008; 24:1139-1144
- 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 Food Fortification 2023
In older adults living in long-term care, what is the effect of calorie and protein food fortification on nutrition status measured by valid nutrition assessment?-
Conclusion
Calorie and protein food fortification does not likely have an effect on nutrition status measured by valid nutrition assessment, in older adults who are malnourished and living in long-term care.
-
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 calorie and protein food fortification on nutrition status measured by valid nutrition assessment?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Björkman M., Finne-Soveri H., Tilvis R.. Whey protein supplementation in nursing home residents. A randomized controlled trial. European Geriatric Medicine 2012; 3:161-166
- 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 Food Fortification 2023
In older adults living in long-term care, what is the effect of calorie and protein food fortification on physical function?-
Conclusion
Calorie and protein food fortification may have little to no effect on activities of daily living or handgrip strength in older adults living in long-term care. No studies were identified that evaluated gait speed.
-
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 calorie and protein food fortification on physical function?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Björkman M., Finne-Soveri H., Tilvis R.. Whey protein supplementation in nursing home residents. A randomized controlled trial. European Geriatric Medicine 2012; 3:161-166
- Odlund Olin A, Armyr I, Soop M, Jerstrom S, Classon I, Cederholm T, Ljungren G, Ljungqvist O. Energy-dense meals improve energy intake in elderly residents in a nursing home. Clinical Nutrition (Edinburgh, Scotland) 2003; 22:125-31
- Smoliner C, Norman K, Scheufele R, Hartig W, Pirlich M, Lochs H. Effects of food fortification on nutritional and functional status in frail elderly nursing home residents at risk of malnutrition. Nutrition 2008; 24:1139-1144
- 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 Food Fortification 2023
-
Conclusion