Preventing Malnutrition Among Older Adults

Study Overview
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Brief Summary
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This project aims to explore whether access to a digital education video can improve the nutritional situation of home-living older adults after being discharged from the hospital.

Official Title
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Prevention and Treatment of Malnutrition Among Home-living Older Adults Over 65 Years.

Conditions
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Malnutrition

Intervention / Treatment
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* Other: Education video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Orthopedic and surgical in bedded patient patients in a selected regional hospital in Norway. Over 65 years old. Have their home address in one of nine selected municipalities in Nordland county. home living and due to return home after discharge directly from the hospital or after a short-term training stay at a training centre before returning home. Could read and understand Norwegian. Have consent competence. Have a Body mass index less than 24. Exclusion Criteria: Patients patients only receiving liquid diet such as tube feeding terminal-ill patients

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>will get access to a six-minute educational video five days after being discharged from the hospital. The video is focusing on protein and energy meals for older adults. | Other: Education video<br>* Six minutes long education video focusing on protein and energy meals<br>|
| No Intervention: Control group<br>Control group, not given any intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health related quality of life Using Rand 36 Questionnaire | Using Rand 36 Questionnaire | Change in Health related quality of life Using Rand 36 Questionnaire after 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body fat | Body fat will be measured by Body mass index (BMI). weight (in kg) and height (in cm) will be combined to report BMI in kg/m^2. | Change in Body mass index after 3 months | 
| Readmissions to hospital after discharge from the hospital | Readmissions after discharge from the hospital will be meassured three months after discharge | Registration of Readmissions 3 months after | 
| Muscle Strength | Measure Muscle Strength in kg using Saehan Hydraulic Hand Dynometer for Hand Grip strength in both hands. | Change in Hand Grip Strength (muscle strenght) after 3 months | 
| The mid-arm circumference | The mid-arm circumference (MAC) will be measured in cm with a measuring tape. This will be done of the left upper arm measured at the midpoint between the tip of the shoulder and the tip of the elbow | Change in The mid-arm circumference after 3 months | 
| Subcutaneous fat | Subcutaneous fat will be measured by Triceps skinfold thickness (TFS). This will be done by a in millimetres with a VirtuFits Digital Fat Caliper skinfold in the triceps of the left arm. | Change in Subcutaneous fat after 3 months | 
| Muscle protein mass | Muscle protein mass will be measured by the mean arm muscle circumference (MAMC) calculated according to the formula: MAMC (cm) = MAC (cm) - (3,14 X TFS x 0,1) | Change in Muscle protein mass after 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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older adults, Disease-related malnutrition, Educational video