Malnutrition
Conditions
Keywords
Elderly, Nursing home, Functional impairment, High-protein oral supplement
Brief summary
The objective of this study is to determine whether a supplementation with a new high-protein oral supplement can improve the evolution of functional parameters in elderly patients in nursing homes.
Interventions
3 months with the option of continuing until 6 months.
3 months with the option of continuing until 6 months.
Sponsors
Study design
Eligibility
Inclusion criteria
* Man or woman aged more than 60 years old * Living in a nursing home for at least 2 months * Malnourished or at risk of malnutrition (MNA\<23.5 or BMI\<24 or albumin\<35 g/l or weight loss of more than 5 kg in the last 6 months) * Without dementia or with moderate dementia (MMSE \> or =10/30) * Able to walk without human assistance (technical assistance allowed) * No vitamin D supplementation * Able to follow the study procedures and agreed to consume oral supplement
Exclusion criteria
* Severe dementia (MMSE \< 10/30) * Enteral nutrition * Severe renal or hepatic impairment * Cancer with chemotherapy * Uncontrolled diabetes * Lactose intolerance * Cow's milk protein allergy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in 4-meter walking speed | After 3 months and 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in ADL (Activities Daily Living) score | After 3 months and 6 months | — |
| Change from baseline in Geriatric Depression Scale | After 3 months and 6 months | — |
| Change from baseline in quality of life (QOL-AD) | After 3 months and 6 months | — |
| Change from baseline in grip strength | After 3 months and 6 months | — |
| Change from baseline in body composition measured by bioelectrical impedence analysis (BIA) | After 3 months and 6 months | — |
| Change from baseline in nutritional status (Mini Nutritional Assessment) | After 3 months and 6 months | — |
| Changes from baseline in blood parameters | After 3 months and 6 months | Inflammation markers (TNFalpha, TNF-R1, TNF-R2, IL 15), Fatty acid composition of red blood cell membranes, Fibrinogen, CRP, albumin, prealbumin, orosomucoid, IGF-1, cystein, glutathione peroxidase, oxidized and reduced glutathione |
| Frequency of pathologic adverse events (disease, acute infection, falls, hospitalization) | During the 3 months and/or 6 months of consumption | — |
Countries
France