Percutaneous endoscopic gastrostomy (PEG) tube feeding of nursing home residents is not associated with improved body composition parameters

• Published in: The Journal of nutrition, health & aging health & aging, 2013-02, Vol.17 (2), p.162-165
• Main Authors: Kimyagarov, Simcha, Turgeman, D, Fleissig, Yehudit, Klid, Raisa, Kopel, Bella, Adunsky, Abraham
• Format: Article
• Language: English
• Subjects: Adipose Tissue; Administration, Oral; Aged; Aged, 80 and over; Aging; Biological and medical sciences; Body Composition; Body Mass Index; Body Weight; Creatinine; Deglutition Disorders - complications; Deglutition Disorders - therapy; Dietary Proteins - administration & dosage; Diseases of the digestive system; Dysphagia; Endoscopy; Energy; Energy Intake; Enteral nutrition; Enteral Nutrition - methods; Feeding Methods; Feeding. Feeding behavior; Female; Fundamental and applied biological sciences. Psychology; Gastroscopy - methods; Gastrostomy - methods; Geriatric Assessment; Geriatrics; Geriatrics/Gerontology; Humans; Male; Medical sciences; Medicine; Medicine & Public Health; Metabolism; Neurosciences; Nitrogen; Nitrogen - metabolism; Nursing care; Nursing Homes; Nutrition; Nutritional status; Older people; Ostomy; Primary Care Medicine; Protein-Energy Malnutrition - etiology; Protein-Energy Malnutrition - prevention & control; Proteins; Quality of Life Research; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Regression Analysis; Thinness - epidemiology; Thinness - etiology; Thinness - prevention & control; Tube Feeding; Vertebrates: anatomy and physiology, studies on body, several organs or systems
• ISSN: 1279-7707; 1760-4788
• DOI: 10.1007/s12603-012-0075-3

Objectives To study differences in nutritional status and body composition, by feeding modality, among disabled nursing home residents. Design A retrospective chart-review study. Setting A nursing wing of a public urban geriatric center. Participants Three groups of patients: non-dysphagic, orally-fed dysphagic and percutaneous endoscopic gastrostomy -fed dysphagic patients. Intervention: Standard nursing care Measurements Basal metabolic rate, total energy expenditure and nitrogen balance under oral or percutaneous endoscopic gastrostomy feeding. Dietary intake was assessed during a 3-days period by daily-food intake protocols and a 24-hours urinary creatinine excretion to detect nitrogen balance and calculate body composition parameters. Results Data of 117 patients (55.5% females), mean age 84.6±7.5 (range 66–98 years) was analyzed. Dysphagic patients (60) differed from non-dysphagic patients (57) by lower body mass index (p=0.020), fat mass index (p=0.017), daily protein intake (p