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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Effect of family-style meals on energy intake and risk of malnutrition in dutch nursing home residents: a randomized controlled trial.
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Effect of family-style meals on energy intake and risk of malnutrition in dutch nursing home residents: a randomized controlled trial.

机译：家庭式膳食对荷兰疗养院居民能量摄入和营养不良风险的影响：一项随机对照试验。

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BACKGROUND: Social facilitation and meal ambiance have beneficial effects on food intake in healthy adults. Extrapolation to the nursing home setting may lead to less malnutrition among the residents. Therefore, we investigate the effect of family-style meals on energy intake and the risk of malnutrition in Dutch nursing home residents. METHODS: In 2002 and 2003, a randomized controlled trial was conducted among 178 residents (mean age 77 years) in five Dutch nursing homes. Within each home, two wards were randomized into an intervention (n = 94) and a control group (n 84). For 6 months, the intervention group received their meals family style, and the control group received the usual individual preplating services. Outcome measures were intakes of energy (kJ), carbohydrates (g), fat (g), and protein (g) and Mini Nutritional Assessment (MNA) score (0-30). RESULTS: The change in daily energy intake between the control and intervention group differed significantly (991 kJ; 95% confidence interval [CI], 504-1479). The difference in intake of macronutrients was 29.2 g (95% CI, 13.5-44.9) for carbohydrate, 9.1 g (95% CI, 2.9-15.2) for fat, and 8.6 g (95% CI, 3.4-13.6) for protein. The percentage of residents in the intervention group classified by the MNA as malnourished decreased from 17% to 4%, whereas this percentage increased from 11% to 23% in the control group. CONCLUSIONS: Family-style meals stimulate daily energy intake and protect nursing home residents against malnourishment. Therefore, replacement of the preplating meal services with family-style meals in nursing homes is recommended.
机译：背景：社交便利和进餐氛围对健康成年人的食物摄入具有有益的影响。推断到疗养院的环境可以减少居民的营养不良。因此，我们调查了家庭式膳食对能量摄入的影响以及荷兰养老院居民营养不良的风险。方法：在2002年和2003年，在荷兰五个养老院的178名居民（平均年龄77岁）中进行了一项随机对照试验。在每个家庭中，将两个病房随机分为干预组（n = 94）和对照组（n 84）。在六个月的时间里，干预组接受了他们的家庭饮食，而对照组则接受了通常的个性化预餐服务。结果指标是能量（kJ），碳水化合物（g），脂肪（g）和蛋白质（g）的摄入量以及最小营养评估（MNA）得分（0-30）。结果：对照组和干预组之间每日能量摄入的变化存在显着差异（991 kJ; 95％置信区间[CI]，504-1479）。大量营养素的摄入量差异为：碳水化合物为29.2 g（95％CI，13.5-44.9），脂肪为9.1 g（95％CI，2.9-15.2），蛋白质为8.6 g（95％CI，3.4-13.6）。根据MNA分类为营养不良的干预组中居民的比例从17％下降到4％，而对照组中该比例从11％上升到23％。结论：家庭式膳食可增加日常能量摄入，并保护疗养院居民免受营养不良的影响。因此，建议在疗养院中用家庭式餐代替餐前餐服务。

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