None listed
Conditions
Brief summary
The purpose of the study is to investigate the effictiveness of home-delivered meals on older people`s nutrien intake, physical performance and activity and health-related quality of life. The study design is randomized controlled trial and the home-delivered meal intervention lasts for eight weeks. The odjective is to increase nutrient intake, especially protein, and to improve physical performance, activity and quality of life. The other objective is to improve the nutrient quality and sensory quality of the home-delivered meals.
Interventions
Eight (8) week nutritional intervention with home-delivered meals. Three parallel intervention arms; two intervention groups, one control group.
Arm 1:
1/3 of participants allocated to intervention 1 (Arm 1).
Protein-enriched meal containing main dish, side dishes, salad/warm vegetables (20-25 g protein, meal size 350-380 g) and snack (10-15 g protein) and protein-rich bread (2 slices/day, 8-10 g protein) is offered at 7 days a week, 8 weeks. Participants fill daily a brief form about study mea
Eight (8) week nutritional intervention with home-delivered meals. Three parallel intervention arms; two intervention groups, one control group. Arm 1: 1/3 of participants allocated to intervention 1 (Arm 1). Protein-enriched meal containing main dish, side dishes, salad/warm vegetables (20-25 g protein, meal size 350-380 g) and snack (10-15 g protein) and protein-rich bread (2 slices/day, 8-10 g protein) is offered at 7 days a week, 8 weeks. Participants fill daily a brief form about study meals, snack and bread; how much they ate meal components, was the taste and composition good, how many bread slices they consumed etc. One-day food diarys are also filled twice during the intervention (week 2 and 4) and three-day food diaries at week 8 . Cold meals are delivered at home twice a week. Difference between Arm 1 and Arm 2 in protein intake is approx. + 30 g protein more in Arm 1. Meals are prepared at Seniori Ateriat, which is a catering kitchen owned by Fazer Food Services in Finland. Meals are prepared with Cook&chill- method. Arm 2: 1/3 of participants allocated to intervention 2 (Arm 2). Normal home-meal with main dish, side dishes, salad/warm vegetables (17-19 g protein, meal size 350-380 g) is offered at 7 days a week, 8 weeks. Participants fill daily a brief form about study meals; how much they ate meal components, was the taste and composition good etc. One-day food diarys are also filled twice during the intervention (week 2 and 4) and three-day food diaries at week 8. Cold meals are delivered at home twice a week. Meals are prepared at Seniori Ateriat, which is a catering kitchen owned by Fazer Food Services in Finland. Meals are prepared with Cook&chill- method. Arm 3: 1/3 of participants allocated to control group (Arm 3). Control group continues eating as usual (their normal own diet) for 8 weeks. No home-delivered meals during intervention.One-day food diarys are filled twice during the 8 weeks (week 2 and 4) and three-day food diaries at week 8 .
Sponsors
The Pori Social and Health Services
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
- at least 65 years old - protein intake under at baseline (< 1.0 g/kgBW/d) based on short protein screener - living at home - a customer of domiciliary care or a spouse/close relative of a domiciliary care client (if he/she is living in the same household), caregiver or a care recipient - capable of filling up food diaries and queastionnaires - willing to eat study meals (able to eat themselves) - normal cognition (MMSE-points under 27 geriatric evaluation) - no special diets or illnesses that can restrict eating study meals (kidney deficiency, difficult bowel disease etc). Geriatric evaluation. -able to move (with or without rollator or wheelchair) - no current home-meal services - no illnessess that require hospitalization - no travels etc that can interrupt study intervention - able to heat up study meals - informed consent given
Exclusion criteria
- under 65 years old - cognitive impairment on the basis of MMSE-test Mini-Mental State Examination) (and geriatric evalution - special diet or illness that restricts eating study meals (kidney deficiency, difficult bowel disease etc). Geriatric evaluation. - unable to move (disabled) - travels etc that interrupt study intervention - cancer - type 1 diabetes - participating in another nutritional intervention at the same time - needs liquid or pasty diet required - BMI under 18,5 or above 40 - overuse of alcohol (Audit-points over 4 geriatric evaluation) Geriatric evaluation in case of multiple diseases or mental disorders.
Outcome results
None listed