Clinical Trials Logo

Clinical Trial Summary

Many public health recommendations and policies aim to combat malnutrition in the elderly. It must be noted that levels of malnutrition are high in the elderly with more than 70% of the dependent population at home or in institutions and 30 to 70% of elderly people in hospitals.

In hospitals, the collective catering system and the "medicalisation" of meals (diets, medicines, etc.) force patients to change their eating habits, and they are often faced with a lack of choice and a less pleasurable experience. These organizational constraints are particularly harmful for elderly patients who tend to be malnourished or at risk of malnutrition and who are often polypathological and polymedicated.

If eating is one of the only pleasures sometimes left to this fragile population, breakfast is one of the most appreciated meals of the day (after a fasting time >10h). It tends to follow the habits acquired at home and is mostly oriented towards sweet foods. However, it is not known whether different and more varied choices could change dietary directions and intakes.

Offering sweet and savoury foods can upset medical prescriptions, cultural habits and can go against what remains a patient need: the pleasure of eating.

Although some work in the medico-social field has been successfully carried out and has reported changes in dietary behaviour in a choice situation (buffet type) at breakfast, scientific studies have not yet been done in a retirement home environment. The objective of this project is to emphasize the sensory pleasure and commensality of breakfast. During this buffet meal, sweet and savoury foods will be offered. The idea is to detect if the variety will naturally direct individual choices towards the savory and/or sweet flavours and if it encourages an increase in caloric and protein intakes. Several studies have shown that sensory changes in the elderly can lead to changes in behaviour and food preferences. The decrease in the pleasure only accentuates the causes of malnutrition. Moreover, preconceived ideas reinforce the association between the elderly and a preference for sweet foods. However, no study has shown that the elderly find less pleasure in savory than sweet foods, especially at breakfast.

The research will be organized as follows:

Phase 1: follow-up of breakfast consumption by food weighing. This is a prospective study that will be carried out at Dijon University Hospital within the retirement home.

The consumption of each meal will be measured the day of the breakfast with savory and sweet options, and then two days after in usual conditions in the individual's room. The distribution, service and consumption methods will be consistent with the habits of the units where the investigation is taking place.

For each resident, food consumption will be recorded three times, at one month intervals over 2 non-consecutive days.

Phase 2: observations at breakfast time Pleasure evaluation - Feasibility - commensality - conviviality A SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis will be conducted for each type of environment and meals offered. This analysis will be done using established grids and semi-directive interviews with resource persons who are working in the field (the professionals involved), and with research support units. The professionals will be asked to complete various scales, of the Likert type, before and after the breakfasts included in the study.


Clinical Trial Description

n/a


Study Design


Related Conditions & MeSH terms


NCT number NCT03681587
Study type Observational
Source Centre Hospitalier Universitaire Dijon
Contact Virginie VAN WYMELBEKE
Phone +33 380293155
Email virginie.vanwymelbeke@chu-dijon.fr
Status Recruiting
Phase
Start date April 5, 2018
Completion date December 2018

See also
  Status Clinical Trial Phase
Completed NCT00198406 - A FRENCH SURVEY OF THE DIAGNOSTIC AND THERAPEUTIC MANAGEMENT OF ELDERLY PEOPLE WITH HISTOLOGICALLY/CYTOLOGICALLY CONFIRMED LUNG CANCER. N/A
Completed NCT05292703 - Olfaction, Virtual Reality and Art in Health N/A
Recruiting NCT03650686 - Validity, Reliability and Feasibility of an Automated Photographic Measurement/Assessment of Food Intake in the Hospitalized Elderly
Terminated NCT03455894 - Evaluation of the DETECT'CHUTE CLINIBED Smart Carpet for Elderly People Fall Detection N/A
Completed NCT06129630 - Effects of Nintendo Switch on Rehabilitation Programs for Elderly People With Cognitive Impairment N/A
Completed NCT06375785 - Two Different Exercise Methods in Geriatrics N/A
Completed NCT05905718 - The Effects of Spinomed Orthosis and Biofeedback Orthosis in Elderly Individuals With Thoracic Hyperkyphosis
Recruiting NCT05409534 - The Effect of Backward Walking Training in the Elderly N/A
Recruiting NCT05273229 - Virtual Gait System Intervention in Older People N/A
Completed NCT02547285 - Analysis of the Biomechanics of Walking N/A
Completed NCT05652803 - Bibliotherapy-based Psychoeducation Program the Effect of Elderly Individuals on Depression and Hopelessness Levels N/A
Completed NCT01839825 - Comparative Study of QuietCare N/A
Not yet recruiting NCT00266071 - Study of the Cutaneous Microcirculation in Elderly People N/A
Completed NCT05598554 - The Effects of Telerehabilitation And Chair-based Yoga In The Elderly N/A
Completed NCT02262091 - Immune Benefits of WGP in Elderly N/A
Completed NCT04118478 - Effect of a Multi-component Training Program With Progressive Phases on the Elderly N/A
Not yet recruiting NCT04346940 - The Effectiveness of Telerehabilitation-Based Exercises in Elderly People N/A
Not yet recruiting NCT06344676 - Study of the Impact of a Social Robot on Unwanted Loneliness in Elderly People Living in Nursing Homes N/A