Institutionalization
Conditions
Brief summary
The main objective of this study was to evaluate and compare 6-month calorie intakes between a group of patients receiving a standard dinner and a group of patients whose evening meal is improved; compliance will be assessed on a food card with 5 levels of consumption: no (0%), 25%, 50%, 75%, all (100%). This per patient per meal food card will be prepared 3 days per month for 6 months and will, from the total calorie intake of each dish, estimate calorie intake ingested per day on all meals of the day.
Detailed description
The secondary objectives of this study are to evaluate the two groups for the following: A. The difference between 0 and 6 months in: the patient's weight, calorie intake, serum prealbumin, albumin and CRP, blood sugar for diabetic patients. B. Monthly evolution over 6 months: calorie intake, the patient's weight. C. The quarterly trend over 6 months: serum prealbumin, albumin and CRP, blood sugar for diabetic patients. D. Comorbidities and mortality. E. the risk of morning hypoglycaemia for diabetic patients.
Interventions
OTHERStandard evening meals.
Patients will receive usual evening meals.
OTHERImproved evening meal
Patients will receive improved evening meals. Improved meals will include enriched soup (with starches, butter, cheese or sour cream), a semi-liquid dairy dessert, fruit or a fruit dessert.
Sponsors
Centre Hospitalier Universitaire de Nīmes
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* The subject or his/her representative must be given free and informed consent and must have signed the consent * The subject must be affiliated with or beneficiary of a health insurance plan * The subject has lived for at least 3 months in the institution * The subject is fed by mouth only
Exclusion criteria
* The subject is participating in another study * The subject is in an exclusion period determined by a previous study * The subject or his/her legal representative refuses to sign the consent * It is not possible to correctly inform the subject or his/her representative
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total caloric ration for each dish | 6 months |
| Meal compliance for 3 days | 6 months |
| Ingested caloric intake | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Weight (kg) | Baseline (days -7 to 0) |
| Serum prealbumin | Baseline (days -7 to 0) |
| Serum albumin | Baseline (days -7 to 0) |
| Serum C reactive protein | Baseline (days -7 to 0) |
| Total caloric ration for each dish | Baseline (days -7 to 0) |
| Presence/absence of comorbidities | Month 6 |
| Mortality | Month 6 |
| Capillary fasting blood glucose for diabetic patients | Month 1 |
| Glycated hemoglobin (HbA1C) for diabetic patients | Baseline (days -7 to 0) |
| Meal compliance for 3 days | Baseline (days -7 to 0) |
| Ingested caloric intake | Baseline (days -7 to 0) |
Countries
France
Outcome results
None listed