Short-term oral nutritional intervention with protein and vitamin D decreases falls in malnourished older adults.
J Am Geriatr Soc
; 60(4): 691-9, 2012 Apr.
Article
em En
| MEDLINE
| ID: mdl-22316322
ABSTRACT
OBJECTIVES:
To evaluate the effects of a short-term nutritional intervention with protein and vitamin D on falls in malnourished older adults.DESIGN:
Randomized controlled trial.SETTING:
From hospital admission until 3 months after discharge.PARTICIPANTS:
Malnourished older adults (≥ 60) newly admitted to an acute hospital (n = 210). INTERVENTION Participants were randomized to receive nutritional intervention (energy- and protein-enriched diet, oral nutritional supplements, calcium-vitamin D supplement, telephone counseling by a dietitian) for 3 months after discharge or usual care. MEASUREMENTS Number of participants who fell, fall incidents, serum 25-hydroxyvitamin D, and dietary intake. Measurements were performed on admission to hospital and 3 months after discharge.RESULTS:
Three months after discharge, 10 participants (10%) in the intervention group had fallen at least once, compared with 24 (23%) in the control group (hazard ratio = 0.41, 95% confidence interval (CI) = 0.19-0.86). There were 57 fall incidents (16 in the intervention group; 41 in the control group). A significantly higher intake of energy (280 kcal, 95% CI = 37-524 kcal) and protein (11 g, 95% CI = 1-25 g) and significantly higher serum 25-hydroxyvitamin D levels (10.9 nmol/L, 95% CI = 2.9-18.9 nmol/L) were found in participants in the intervention group than in controls.CONCLUSION:
A short-term nutritional intervention consisting of oral nutritional supplements and calcium and vitamin D supplementation and supported by dietetic counseling in malnourished older adults decreases the number of patients who fall and fall incidents.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vitamina D
/
Acidentes por Quedas
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Proteínas Alimentares
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Desnutrição
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Terapia Nutricional
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Fraturas Ósseas
Tipo de estudo:
Clinical_trials
/
Etiology_studies
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Incidence_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article