Assessment of Food Practices by Residents in Nursing Homes

Malnutrition Clinical Trial

— ARC2  

Official title:

Assessment of Food Practices by Residents in Nursing Homes, Study of Relationship Between Food Intake and Nutritional Status.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02626078
• Other study ID #: 69HCL14_0433
• Status: Completed
• Phase: N/A
• First received: November 26, 2015
• Last updated: August 18, 2017
• Start date: April 16, 2015
• Est. completion date: March 2016

Study information

• Verified date: August 2017
• Source: Hospices Civils de Lyon
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Nutrition is an essential component of health and a key determinant of aging and quality of life of individuals. Malnutrition in the elderly is now recognized as a public health problem affecting nearly half of residents in nursing homes. The fight against malnutrition requires to rethink the meal in all its dimensions, beyond the nutritional needs. In order to improve practices of care at the elderly, the impact of environmental and social aspects of food in nursing homes has been assessed. The social environment and interactions during the meals are now identified as effective ways to stimulate food intake and increase feelings of well-being in the elderly.

The objectives of the study are to characterize the appreciation of food and social interactions during the meals and to study the relationships between the quality of food practices and nutritional status of the residents in nursing homes to improve their quality of life.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: March 2016
• Est. primary completion date: March 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Men or women living in nursing homes

• Person able to consent and understand the study

• Person able to converse in French, answer to a questionnaire

• Person feeding orally with or without assistance

• Person having lunch in community

• Availability of assessment criteria in the medical file

Exclusion Criteria:

• Person with cachexia syndrome

• Person with severe dementia (MMS <20)

• Dependent person (GIR score 1 and 2)

• Person with severe disorders of neurological origin swallowing

• Person under artificial nutrition (enteral, parenteral)

• Person with acute infectious disease

• Person with unstable medical or psychological conditions that could lead to be non receptive or uncooperative during the study or could compromise the security or the participation of the subject in the study

• Person under trusteeship or deprived of their liberty by judicial or administrative decision

• at the end of life

Related Conditions & MeSH terms

• Malnutrition

Intervention

Other:
• observation and interview of residents
Residents will be observed during lunch to evaluate their behavior, verbal interactions between residents. The food intake during 24 hours will be evaluated also. In an interview after lunch, the appreciation of the meal by residents will be assessed by a questionnaire and the score of the nutritional state will be defined.

Locations

Country	Name	City	State
France	Les Volubilis	Décines Charpieu
France	La Vérandine	Lyon
France	Les Amandines	Lyon
France	Les Cristallines	Lyon
France	Castellane	Rillieux la Pape
France	Les Alizés	Saint Priest
France	Les Acanthes	Vaulx en Velin
France	Les Althéas	Vaulx-en-Velin

Sponsors (1)

Lead Sponsor	Collaborator
Hospices Civils de Lyon

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Assessment score of food practices	A questionnaire will be administered to the residents to target several criteria based on the assessment of the self-perception of the restaurant area, the hunger, the quality of food and services, the conviviality… A choice of four answers will be offered on each question to assess the level of appreciation of each criterion.	during lunch, an average of 30 minutes
Secondary	Food intake (semi- quantitative estimation of the calorie and protein intakes).	Visual estimation of the consumption of served portions, combined with the composition of each component of the 3 meals and snacks. The potential use of oral nutritional supplements will be included. Visual estimation of the consumption of portions shall be notified in a specific evaluation sheet (0, 25%, 50%, 75 % or 100% consumption of portions served) for each component of meal and snack.	24 hours
Secondary	Nutritional status	The mini nutritional assessment (MNA) will be completed for grading the nutritional state of the residents.	during the 30 minutes of the interview
Secondary	study the interactions developed during the meal between the subject and his entourage	A specific grid designed to easily capture different parameters characterizing the action of eating in community will be completed	during lunch, an average of 30 minutes
Secondary	health assessment of the resident at inclusion	a clinical examination will be made by the doctor	at the inclusion visit