잠시만 기다려 주세요. 로딩중입니다.

Evaluation of Oral Nutritional Supplementation in the Management of Frailty among the Elderly at Facilities of Community Care for the Elderly

Clinical Nutrition Research 2021년 10권 1호 p.24 ~ 35
나우리, 김지유, 김혜지, 이예지, 정봉희, 이성표, 손정민,
소속 상세정보
나우리 ( Na Woo-Ri ) - Wonkwang University Department of Food and Nutrition
김지유 ( Kim Ji-Yu ) - Wonkwang University Department of Food and Nutrition
김혜지 ( Kim Hye-Ji ) - Wonkwang University Department of Food and Nutrition
이예지 ( Lee Ye-Ji ) - Wonkwang University Department of Food and Nutrition
정봉희 ( Jeong Bong-Hee ) - Wonkwang University Department of Food and Nutrition
이성표 ( Lee Sung-Pyo ) - Daesang Life Science Ltd. R&D Center
손정민 ( Sohn Cheong-Min ) - Wonkwang University Department of Food and Nutrition

Abstract


Adequate nutritional intake in elderly individuals improves frailty. Elderly individuals may exhibit improvements in frailty with the use of community care facilities. Therefore, this study evaluated the effects of nutritional intervention in elderly subjects at community care facilities receiving oral nutritional supplements (ONSs) and determined their nutritional status. Sixty-two elderly individuals using community care facilities were divided into the experimental group (EG) (before [n = 31]/after [n = 28]) and control group (CG) (before [n = 31]/after [n = 25]). Subjects in both groups were treated with ONSs (200 mL/200 kcal) for 90 days. However, those in the EG received the product with increased protein; vitamins A, C, D, and E; phosphorus; calcium; and zinc. The data collected included anthropometric data, dietary assessment findings, frailty status (Korean version of the Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight questionnaire), and nutritional status (Mini Nutritional Assessment, MNA). The changes in the two groups were analyzed using the Mann?Whitney U Wilcoxon signed-rank test. Nutritional intervention increased the weight, body mass index, and lean body mass in the EG (p < 0.05). Protein, calcium, and iron levels increased only in the EG (p < 0.05). The MNA score increased and sum of frailty indicators improved in the EG, and the increase in the MNA score in the EG was greater than that in the CG. This study verified the improved anthropometric data and dietary intake in the EG. Thus, the higher number of pre-frailty elderly individuals at facilities of community care indicates the need for adequate nutritional supplementation for frailty management.

키워드

Nutritional support; Frailty; Nutritional status; Randomized controlled trial

원문 및 링크아웃 정보

등재저널 정보