Loss of Autonomy in the Elderly: Relationships Between Gut Microbiota Diversity, Nutrition and Cognitive and Sensory-motor Disturbances in "Small Eaters" and "Non Small Eaters" (ALMICO)

University Hospital Center (CHU) Dijon Bourgogne

Status: Enrolling

Conditions: Elderly Small Eater

Treatments: Other: Measurement of muscle mass by bioelectrical impedance analysis (except for participants with a pacemaker); Other: Measurement of sensorimotor functions; Other: Measurement of cognitive functions; Other: 24-hour food and beverage record; Biological: Fecal and blood sampling and collection of nutritional, cognitive and sensorimotor data; Other: Mini Nutritional assessment (MNA); Other: Body Mass Index (BMI)

Study type: Observational

Funder types: Other

Identifiers

NCT05449119

DALLE CHU 2020

Details and patient eligibility

About

Older adults currently make up 25% of the population in France, and future health expenditures will be largely related to the consequences of aging. Normal aging is associated with a progressive decrease in cognitive and sensorimotor function, malnutrition and/or under-nutrition and intestinal dysbiosis (i.e. changes in the composition and/or stability of the microbiota). Furthermore, admission to long-term care facilities such as Etablissement d'Hébergement pour Personnes Agées Dépendantes (EHPAD) leads to drastic changes in lifestyle in terms of (i) nutrition and (ii) motor functions. These modifications can influence the composition of the intestinal microbiota and its temporal evolution.

We will study the relationship between the deterioration of cognitive and sensorimotor function, diet and intestinal well-being (i.e. microbiota) of a cohort of older adults (>75 years) defined as "small eaters" from their admission in EHPAD at the University Hospital of Dijon. This study will be carried out by a unique French multidisciplinary consortium that includes academics and health professionals, who will be able to specify the criteria defining the "small eaters" and to envisage suitable dietary strategies aiming to preserve their nutritional status and intestinal well-being. The final goal is to improve quality of life at home by prolonging autonomy and independence, and thus to deferring admission to an EHPAD for as long as possible.

The objective of this study is to build a cohort of elderly "small eaters" and a cohort of elderly "non small eaters". These patients will be followed over a period of one year. The evolution of the composition of the intestinal microbiota will be determined in order to establish the existing relations between the composition of digestive microbiota, the nutritional state, and cognitive and sensorimotor function.

Enrollment: 140 estimated patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Person who has given oral consent and has not objected to being included in the study, or if necessary, oral consent of an appointed legal representative.
• A person over 75 years of age residing in an EHPAD who may be under guardianship or curatorship.
• A person over 75 years of age with a loss of appetite (i.e. a small eater) residing in an EHPAD, who may be under guardianship or curatorship.

Exclusion criteria

• Person not affiliated to national health insurance
• Elderly person with an infectious syndrome at the time of admission;
• Elderly person with diarrhoea (infectious or not) at the time of admission;
• Elderly person receiving recently prescribed antimicrobials at the time of admission (antibiotics or antifungals)
• Elderly person with celiac disease and/or Crohn's disease.
• Person under a measure of limited judicial protection

Trial design

140 participants in 2 patient groups

Non small eaters

Description:

Elderly subjects who are not malnourished

Treatment:

Other: Body Mass Index (BMI)

Other: Mini Nutritional assessment (MNA)

Biological: Fecal and blood sampling and collection of nutritional, cognitive and sensorimotor data

Other: 24-hour food and beverage record

Other: Measurement of cognitive functions

Other: Measurement of sensorimotor functions

Other: Measurement of muscle mass by bioelectrical impedance analysis (except for participants with a pacemaker)

Small eaters

Description:

Elderly subjects with loss of appetite

Treatment:

Other: Body Mass Index (BMI)

Other: Mini Nutritional assessment (MNA)

Biological: Fecal and blood sampling and collection of nutritional, cognitive and sensorimotor data

Other: 24-hour food and beverage record

Other: Measurement of cognitive functions

Other: Measurement of sensorimotor functions

Other: Measurement of muscle mass by bioelectrical impedance analysis (except for participants with a pacemaker)