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Improving nutritional status of older persons with dementia using a national preventive care program
Objective The aim of the study was to investigate the outcome of change in body weight associated with use of a structured preventive care process among persons with dementia assessed as at risk of malnutrition or malnourished. The preventive care process is a pedagogical model used in the Senior Al...
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| Published in: | The Journal of nutrition, health & aging health & aging, 2017-03, Vol.21 (3), p.292-298 |
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| container_title | The Journal of nutrition, health & aging |
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| creator | Johansson, Linda Wijk, H. Christensson, L. |
| description | Objective
The aim of the study was to investigate the outcome of change in body weight associated with use of a structured preventive care process among persons with dementia assessed as at risk of malnutrition or malnourished. The preventive care process is a pedagogical model used in the Senior Alert (SA) quality register, where nutrition is one of the prioritized areas and includes four steps: assessment, analysis of underlying causes, actions performed and outcome.
Design
An analysis of data from SA with a pre-post design was performed.
Setting
The participants were living in ordinary housing or special housing in Sweden.
Participants
1912 persons, 65 years and older, registered in both SA and the dementia quality register Svedem were included.
Intervention
A national preventive care program including individualized actions.
Measurements
The Mini Nutritional Assessment-Short Form was used to assess nutritional status at baseline. Body weight was measured during baseline and follow-up (7-106 days after baseline).
Results
74.3% persons were malnourished or at risk of malnutrition. Those at risk of malnutrition or malnourished who were registered in all four steps of the preventive care process, increased in body weight from baseline (Md 60.0 kg) to follow-up (Md 62.0 kg) (p=0.013). In those with incomplete registration no increase in body weight was found.
Conclusion
Using all steps in the structured preventive care process seems to improve nutritional status of persons with dementia assessed as at risk of malnutrition or malnourished. This study contributes to the development of evidence-based practice regarding malnutrition and persons with dementia. |
| doi_str_mv | 10.1007/s12603-016-0737-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_DiVA_org_hj_35401</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1872887653</sourcerecordid><originalsourceid>FETCH-LOGICAL-c451t-8444058aa572485a0129761740794d4907d4037ae4d0531f6f4372c2c9092bca3</originalsourceid><addsrcrecordid>eNp1kU9r3DAQxUVJadK0HyCXIsglUNyO_nmkY0jSNhDopclVaG15o8W2XMne0G9fbXcbQqEnjZjfezPDI-SMwScGgJ8z4zWIClhdAQqs8BU5YVhDJVHro1JzNBUi4DF5m_MGQCqj6zfkmGsuparNCWlvhynFbRjXdFzmFOYQR9fTPLt5yTR2NPatT3TyKccx06cwP9LWD36cg6NL3ukcHd1BNiW_3bW2njYu-fKP6-SGd-R15_rs3x_eU3L_5ebH1bfq7vvX26vLu6qRis2VllKC0s4p5FIrB4wbrBlKQCNbaQBbCQKdly0owbq6kwJ5wxsDhq8aJ07Jx71vfvLTsrJTCoNLv2x0wV6Hh0sb09o-bqxQElihL_Z02fLn4vNsh5Ab3_du9HHJlmnkWmOtREHP_0E3cUnl4j-U0EoZgEKxPdWkmHPy3fMCDOwuMLsPzJbA7C4wi0Xz4eC8rAbfPiv-JlQAfriptMa1Ty9G_9f1N3knoAA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1873855900</pqid></control><display><type>article</type><title>Improving nutritional status of older persons with dementia using a national preventive care program</title><source>Springer Nature</source><creator>Johansson, Linda ; Wijk, H. ; Christensson, L.</creator><creatorcontrib>Johansson, Linda ; Wijk, H. ; Christensson, L.</creatorcontrib><description>Objective
The aim of the study was to investigate the outcome of change in body weight associated with use of a structured preventive care process among persons with dementia assessed as at risk of malnutrition or malnourished. The preventive care process is a pedagogical model used in the Senior Alert (SA) quality register, where nutrition is one of the prioritized areas and includes four steps: assessment, analysis of underlying causes, actions performed and outcome.
Design
An analysis of data from SA with a pre-post design was performed.
Setting
The participants were living in ordinary housing or special housing in Sweden.
Participants
1912 persons, 65 years and older, registered in both SA and the dementia quality register Svedem were included.
Intervention
A national preventive care program including individualized actions.
Measurements
The Mini Nutritional Assessment-Short Form was used to assess nutritional status at baseline. Body weight was measured during baseline and follow-up (7-106 days after baseline).
Results
74.3% persons were malnourished or at risk of malnutrition. Those at risk of malnutrition or malnourished who were registered in all four steps of the preventive care process, increased in body weight from baseline (Md 60.0 kg) to follow-up (Md 62.0 kg) (p=0.013). In those with incomplete registration no increase in body weight was found.
Conclusion
Using all steps in the structured preventive care process seems to improve nutritional status of persons with dementia assessed as at risk of malnutrition or malnourished. This study contributes to the development of evidence-based practice regarding malnutrition and persons with dementia.</description><identifier>ISSN: 1279-7707</identifier><identifier>ISSN: 1760-4788</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-016-0737-7</identifier><identifier>PMID: 28244569</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Body Weight ; Dementia ; Dementia - physiopathology ; Female ; Geriatrics/Gerontology ; Health Promotion - methods ; Humans ; Male ; Malnutrition - physiopathology ; Medicine ; Medicine & Public Health ; Neurosciences ; Nursing process ; Nutrition ; Nutrition Assessment ; Nutritional Status - physiology ; Preventive Health Services - legislation & jurisprudence ; Preventive Medicine - methods ; Primary Care Medicine ; quality improvement ; Quality of Life Research ; registers ; Sweden</subject><ispartof>The Journal of nutrition, health & aging, 2017-03, Vol.21 (3), p.292-298</ispartof><rights>Serdi and Springer-Verlag France 2016</rights><rights>The journal of nutrition, health & aging is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-8444058aa572485a0129761740794d4907d4037ae4d0531f6f4372c2c9092bca3</citedby><cites>FETCH-LOGICAL-c451t-8444058aa572485a0129761740794d4907d4037ae4d0531f6f4372c2c9092bca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28244569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-35401$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Johansson, Linda</creatorcontrib><creatorcontrib>Wijk, H.</creatorcontrib><creatorcontrib>Christensson, L.</creatorcontrib><title>Improving nutritional status of older persons with dementia using a national preventive care program</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>Objective
The aim of the study was to investigate the outcome of change in body weight associated with use of a structured preventive care process among persons with dementia assessed as at risk of malnutrition or malnourished. The preventive care process is a pedagogical model used in the Senior Alert (SA) quality register, where nutrition is one of the prioritized areas and includes four steps: assessment, analysis of underlying causes, actions performed and outcome.
Design
An analysis of data from SA with a pre-post design was performed.
Setting
The participants were living in ordinary housing or special housing in Sweden.
Participants
1912 persons, 65 years and older, registered in both SA and the dementia quality register Svedem were included.
Intervention
A national preventive care program including individualized actions.
Measurements
The Mini Nutritional Assessment-Short Form was used to assess nutritional status at baseline. Body weight was measured during baseline and follow-up (7-106 days after baseline).
Results
74.3% persons were malnourished or at risk of malnutrition. Those at risk of malnutrition or malnourished who were registered in all four steps of the preventive care process, increased in body weight from baseline (Md 60.0 kg) to follow-up (Md 62.0 kg) (p=0.013). In those with incomplete registration no increase in body weight was found.
Conclusion
Using all steps in the structured preventive care process seems to improve nutritional status of persons with dementia assessed as at risk of malnutrition or malnourished. This study contributes to the development of evidence-based practice regarding malnutrition and persons with dementia.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Body Weight</subject><subject>Dementia</subject><subject>Dementia - physiopathology</subject><subject>Female</subject><subject>Geriatrics/Gerontology</subject><subject>Health Promotion - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Malnutrition - physiopathology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Nursing process</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status - physiology</subject><subject>Preventive Health Services - legislation & jurisprudence</subject><subject>Preventive Medicine - methods</subject><subject>Primary Care Medicine</subject><subject>quality improvement</subject><subject>Quality of Life Research</subject><subject>registers</subject><subject>Sweden</subject><issn>1279-7707</issn><issn>1760-4788</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1kU9r3DAQxUVJadK0HyCXIsglUNyO_nmkY0jSNhDopclVaG15o8W2XMne0G9fbXcbQqEnjZjfezPDI-SMwScGgJ8z4zWIClhdAQqs8BU5YVhDJVHro1JzNBUi4DF5m_MGQCqj6zfkmGsuparNCWlvhynFbRjXdFzmFOYQR9fTPLt5yTR2NPatT3TyKccx06cwP9LWD36cg6NL3ukcHd1BNiW_3bW2njYu-fKP6-SGd-R15_rs3x_eU3L_5ebH1bfq7vvX26vLu6qRis2VllKC0s4p5FIrB4wbrBlKQCNbaQBbCQKdly0owbq6kwJ5wxsDhq8aJ07Jx71vfvLTsrJTCoNLv2x0wV6Hh0sb09o-bqxQElihL_Z02fLn4vNsh5Ab3_du9HHJlmnkWmOtREHP_0E3cUnl4j-U0EoZgEKxPdWkmHPy3fMCDOwuMLsPzJbA7C4wi0Xz4eC8rAbfPiv-JlQAfriptMa1Ty9G_9f1N3knoAA</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Johansson, Linda</creator><creator>Wijk, H.</creator><creator>Christensson, L.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8X</scope></search><sort><creationdate>20170301</creationdate><title>Improving nutritional status of older persons with dementia using a national preventive care program</title><author>Johansson, Linda ; Wijk, H. ; Christensson, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-8444058aa572485a0129761740794d4907d4037ae4d0531f6f4372c2c9092bca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Body Weight</topic><topic>Dementia</topic><topic>Dementia - physiopathology</topic><topic>Female</topic><topic>Geriatrics/Gerontology</topic><topic>Health Promotion - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Malnutrition - physiopathology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Nursing process</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status - physiology</topic><topic>Preventive Health Services - legislation & jurisprudence</topic><topic>Preventive Medicine - methods</topic><topic>Primary Care Medicine</topic><topic>quality improvement</topic><topic>Quality of Life Research</topic><topic>registers</topic><topic>Sweden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johansson, Linda</creatorcontrib><creatorcontrib>Wijk, H.</creatorcontrib><creatorcontrib>Christensson, L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (ProQuest Medical & Health Databases)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Psychology Journals</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Högskolan i Jönköping</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johansson, Linda</au><au>Wijk, H.</au><au>Christensson, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving nutritional status of older persons with dementia using a national preventive care program</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>21</volume><issue>3</issue><spage>292</spage><epage>298</epage><pages>292-298</pages><issn>1279-7707</issn><issn>1760-4788</issn><eissn>1760-4788</eissn><abstract>Objective
The aim of the study was to investigate the outcome of change in body weight associated with use of a structured preventive care process among persons with dementia assessed as at risk of malnutrition or malnourished. The preventive care process is a pedagogical model used in the Senior Alert (SA) quality register, where nutrition is one of the prioritized areas and includes four steps: assessment, analysis of underlying causes, actions performed and outcome.
Design
An analysis of data from SA with a pre-post design was performed.
Setting
The participants were living in ordinary housing or special housing in Sweden.
Participants
1912 persons, 65 years and older, registered in both SA and the dementia quality register Svedem were included.
Intervention
A national preventive care program including individualized actions.
Measurements
The Mini Nutritional Assessment-Short Form was used to assess nutritional status at baseline. Body weight was measured during baseline and follow-up (7-106 days after baseline).
Results
74.3% persons were malnourished or at risk of malnutrition. Those at risk of malnutrition or malnourished who were registered in all four steps of the preventive care process, increased in body weight from baseline (Md 60.0 kg) to follow-up (Md 62.0 kg) (p=0.013). In those with incomplete registration no increase in body weight was found.
Conclusion
Using all steps in the structured preventive care process seems to improve nutritional status of persons with dementia assessed as at risk of malnutrition or malnourished. This study contributes to the development of evidence-based practice regarding malnutrition and persons with dementia.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>28244569</pmid><doi>10.1007/s12603-016-0737-7</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of nutrition, health & aging, 2017-03, Vol.21 (3), p.292-298 |
| issn | 1279-7707 1760-4788 1760-4788 |
| language | eng |
| recordid | cdi_swepub_primary_oai_DiVA_org_hj_35401 |
| source | Springer Nature |
| subjects | Aged Aged, 80 and over Aging Body Weight Dementia Dementia - physiopathology Female Geriatrics/Gerontology Health Promotion - methods Humans Male Malnutrition - physiopathology Medicine Medicine & Public Health Neurosciences Nursing process Nutrition Nutrition Assessment Nutritional Status - physiology Preventive Health Services - legislation & jurisprudence Preventive Medicine - methods Primary Care Medicine quality improvement Quality of Life Research registers Sweden |
| title | Improving nutritional status of older persons with dementia using a national preventive care program |
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