Clinical trial NCT02626078: Assessment of Food Practices by Residents in Nursing Homes
Official title: Assessment of Food Practices by Residents in Nursing Homes, Study of Relationship Between Food Intake and Nutritional Status.
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Malnutrition
Keywords: Malnutrition
Food practices
Elderly
Nursing Home
Aging
Nutritional status
Quality of life
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2015-12-10
Enrollment: 46
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The protocol will include 110 subjects recruited in nursing home in which they reside

Brief summary: Nutrition is an essential component of health and a key determinant of aging and quality of life of individuals. Malnutrition in the elderly is now recognized as a public health problem affecting nearly half of residents in nursing homes. The fight against malnutrition requires to rethink the meal in all its dimensions, beyond the nutritional needs. In order to improve practices of care at the elderly, the impact of environmental and social aspects of food in nursing homes has been assessed. The social environment and interactions during the meals are now identified as effective ways to stimulate food intake and increase feelings of well-being in the elderly.

The objectives of the study are to characterize the appreciation of food and social interactions during the meals and to study the relationships between the quality of food practices and nutritional status of the residents in nursing homes to improve their quality of life.


Eligibility criteria: Inclusion Criteria:

* Men or women living in nursing homes
* Person able to consent and understand the study
* Person able to converse in French, answer to a questionnaire
* Person feeding orally with or without assistance
* Person having lunch in community
* Availability of assessment criteria in the medical file

Exclusion Criteria:

* Person with cachexia syndrome
* Person with severe dementia (MMS \<20)
* Dependent person (GIR score 1 and 2)
* Person with severe disorders of neurological origin swallowing
* Person under artificial nutrition (enteral, parenteral)
* Person with acute infectious disease
* Person with unstable medical or psychological conditions that could lead to be non receptive or uncooperative during the study or could compromise the security or the participation of the subject in the study
* Person under trusteeship or deprived of their liberty by judicial or administrative decision
* at the end of life

Primary outcomes:
measure: Assessment score of food practices
timeFrame: during lunch, an average of 30 minutes
Secondary outcomes:
measure: Food intake (semi- quantitative estimation of the calorie and protein intakes).
timeFrame: 24 hours
measure: Nutritional status
timeFrame: during the 30 minutes of the interview
measure: study the interactions developed during the meal between the subject and his entourage
timeFrame: during lunch, an average of 30 minutes
measure: health assessment of the resident at inclusion
timeFrame: at the inclusion visit
Other outcomes:
Locations:
city: Décines Charpieu
country: France
facility: Les Volubilis
city: Lyon
country: France
facility: Les Cristallines
city: Lyon
country: France
facility: Les Amandines
city: Lyon
country: France
facility: La Vérandine
city: Rillieux la Pape
country: France
facility: Castellane
city: Saint Priest
country: France
facility: Les Alizés
city: Vaulx en Velin
country: France
facility: Les Acanthes
city: Vaulx-en-Velin
country: France
facility: Les Althéas
Study officials:
References: