Improvement of Nutritional Status in Elderly Residents of Long-term Facilities (Nutrident)

Assistance Publique - Hôpitaux de Paris

Status: Completed

Conditions: Nutrition Disorders

Treatments: Other: Dentary + Nutrition; Other: Dentary; Other: Nutrition

Study type: Interventional

Funder types: Other

Identifiers

NCT00873717

AOM07055

2008-A00039-46 (Other Identifier)

K070103 (Other Identifier)

Details and patient eligibility

About

Elderly persons in long-term facilities often have denutrition, associated with a bad oral and dental status. Yet, many elderly persons don't attend dentist care and when they have dental prothesis, do not often use them during meals. The impact of a rehabilitation of dental function on their nutritional status has not been proven.

The objective of this study is to assess the impact of 2 strategies aimed to restore a good nutritional status, among patients with slight denutrition.

Full description

Two interventions are evaluated during a 1 year study period, with a 4 arms factorial design.

The "Dentary" intervention implies a trimestrial follow-up of patients and counseling for appropriate care (if needed), in order to restore a minimum masticatory function, associated with particular focus on the realization of daily oral wash.

The "Nutrition" intervention consists in 1) comparing the meals and oral supplements administered with the dietary prescriptions and 2) Incite patients to eat.

Enrollment: 114 patients

Sex: All

Ages: 70+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Geriatric Nutritional Risk Index = 83.5 to 97.5; minimum age of 70 years old; living in long-term facilities; more than 6 months of anticipated length of stay

Exclusion criteria

• refusal to participate in the study

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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114 participants in 4 patient groups

Dentary

Experimental group

Description:

Intervention: trimestrial follow-up of patients and counseling for appropriate care (if needed), in order to restore a minimum masticatory function, associated with particular focus on the realization of daily oral wash.

Treatment:

Other: Dentary

Nutrition

Experimental group

Description:

control of the administration of dietary prescriptions, incitement to eat.

Treatment:

Other: Nutrition

Dentary + nutrition

Experimental group

Description:

cleaning-up of oral cavity, with trimestrial dental and oral check-up with counseling for appropriate care (if needed) associated with control of the administration of dietary prescriptions, incitement to eat.

Treatment:

Other: Dentary + Nutrition

Control

No Intervention group

Description:

usual care