Older adults with malnutrition or at risk of malnutrition
Conditions
Interventions
The proposed study will be conducted at four selected residential care facilities registered in the National Secretariat for Elders in the Colombo district. The participants will be permanent resident
Sponsors
Kalbe Lanka Pvt. Ltd.
Eligibility
Inclusion criteria
Inclusion criteria: - Aged above 60 years - Residing in the selected elder’s homes for more than 1 year and planned to stay for another 6 months - Malnourished or at risk of malnutrition (Mini Nutrition Assessment (MNA) score < 11)
Exclusion criteria
Exclusion criteria: - Those with chronic illnesses (Eg: Cardiac failure, stroke, chronic liver disease chronic kidney disease or under dialysis) - Those who are unable to respond to the questionnaire due to communication difficulties ( speech, hearing, and visual impairment) - Those bedridden - Those who are on a special diet (supplements/ tube feed) - Those on an end-of-life care pathway - Those who have no capacity to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of participants who achieved a 5% weight gain at the end of 12th week in intervention group and control group [12th week of introducing intervention] | — |
Secondary
| Measure | Time frame |
|---|---|
| i. Change in anthropometric parameters (Body weight, Body Mass Index (BMI), Mid Upper Arm Circumference (MUAC), Calf Circumference (CC) ii. Mean change in body composition (DXA lean body mass and fat mass, triceps skin fold thickness) iii. Mean change in biochemical parameters (Full Blood Count (FBC), High Sensitivity C-reactive protein (HS-CRP), serum albumin, total cholesterol, serum vitamin D3) iv. Mean change in functional capacity (hand grip strength, muscle strength and Activities of Daily Living (ADL) v. Mean change in frailty (Five fried model indicator) vi. Mean change in respiratory muscle strength [Peak expiratory flow rate (PEFR)] vii. Mean change in systolic and diastolic blood pressure viii. Mean change in energy and macro nutrient intake per day ix. Mean change in cognitive status [Montreal Cognitive Assessment (MoCA)] x. Mean change in physical activity level [International Physical Activity Questionnaire (IPAQ)- Short form] The measurements will be done in the intervention group and the control group [At baseline and 12th week. Body weight, MUAC, hand grip strength, and muscle strength will be measured at 4th week and 12th week.] | — |
Countries
Sri Lanka
Contacts
Public ContactProf. Ranil Jayawardena
Professor in Nutrition
Outcome results
None listed