Improvement of Nutritional Status in Elderly Residents of Long-term Facilities

Study Overview
=================
Brief Summary
-----------------
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.

Detailed 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.

Official Title
-----------------
Improvement of Nutritional Status in Elderly Residents of Long-term Facilities: Impact of Two Strategies (Oral Care and Dietary Control)

Conditions
-----------------
Nutrition Disorders

Intervention / Treatment
-----------------
* Other: Dentary
* Other: Nutrition
* Other: Dentary + Nutrition


Participation Criteria
=================
Eligibility Criteria
-----------------
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

Ages Eligible for Study
-----------------
Minimum Age: 70 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Dentary<br>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. | Other: Dentary<br>* cleaning-up of oral cavity, with trimestrial dental and oral check-up with counseling for appropriate care (if needed).<br>|
| Experimental: Nutrition<br>control of the administration of dietary prescriptions, incitement to eat. | Other: Nutrition<br>* control of the administration of dietary prescriptions, incitement to eat.<br>|
| Experimental: Dentary + nutrition<br>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. | Other: Dentary + Nutrition<br>* 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. associated with control of the administration of dietary prescriptions, incitement to eat.<br>* Other names: Dentary and Nutrition;|
| No Intervention: Control<br>usual care | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| comparison of GNRI mean-score between arms |  | 1 year | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
elderly, long-term facilities, nutritional status