Individually tailored nutritional guidance improved dietary intake of older family caregivers: a randomized controlled trial.

Autor: Koponen S; Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland. sohvi.koponen@uef.fi., Nykänen I; Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland., Savela RM; Department of Nursing Science, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland., Välimäki T; Department of Nursing Science, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland., Suominen AL; Institute of Dentistry, School of Medicine, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.; Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, P.O. Box 100, 70029, KYS, Finland., Schwab U; Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.; Department of Medicine, Endocrinology and Clinical Nutrition, Kuopio University Hospital, P.O. Box 100, 70029, KYS, Finland.
Jazyk: angličtina
Zdroj: European journal of nutrition [Eur J Nutr] 2022 Oct; Vol. 61 (7), pp. 3585-3596. Date of Electronic Publication: 2022 May 27.
DOI: 10.1007/s00394-022-02908-w
Abstrakt: Purpose: Older family caregivers (FCs) are vulnerable to insufficient dietary intake and risk of malnutrition. The aim of this study was to assess the impact of individually tailored nutritional guidance on the dietary intake and nutritional status of older FCs and their care recipients' (CRs') nutritional status.
Methods: This study was a randomized controlled 6-month nutrition intervention in Eastern Finland. The inclusion criteria for FCs were having a home-living CR aged 65 or above and a valid care allowance. The exclusion criterion was CR receiving end-of-life care at baseline. Participants were randomly assigned to an intervention (FCs n = 63, CRs n = 59) and a control (FCs n = 50, CRs n = 48) group. Individually tailored nutritional guidance targeted to FCs was given to an intervention group by a clinical nutritionist. The main outcomes were dietary intake (3-day food record).
Results: After the 6-month intervention, 63 FCs and 59 CRs in the intervention group and 50 FCs and 48 CRs in the control group were analyzed. In the intervention group of FCs, the intakes of protein, riboflavin, calcium, potassium, phosphorus, and iodine differed significantly (p < 0.05) compared to the control group. In addition, the intake of vitamin D supplementation improved in the intervention group of the FCs and CRs (p < 0.001).
Conclusion: Individually tailored nutrition guidance improves the intake levels of crucial nutrients, such as the intake levels of protein, vitamin D, and calcium of the FCs. Further studies are warranted to optimize the methods to improve the nutrition of FCs. Registration number of Clinical Trials: ClinicalTrials.gov NCT04003493 (1 July 2019).
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje