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标题：Study circles improve the precision in nutritional care in special accommodations
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作者：Albert Westergren ; Carolina Axelsson ; Petra Lilja-Andersson 等
期刊名称：Food & Nutrition Research
印刷版ISSN：1654-661X
出版年度：2009
语种：English
出版社：Co-Action Publishing
摘要：Background: Disease-related malnutrition is a major health problem in the elderly population, but it has untilrecently received very little attention, especially are management issues under-explored. By identifyingresidents at the risk of undernutrition (UN), appropriate nutritional care can be provided.Objective: To investigate if study circles and policy documents improve the precision in nutritional care anddecrease the prevalence of low or high body mass index (BMI).Design: Pre and post-intervention study.Setting: Special accommodations (nursing homes) within six municipalities were involved.Participants: In 2005, 1,726 (90.4%) of 1,910 residents agreed to participate and in 2007, 1,526 (81.8%) of1,866 residents participated.Intervention: Study circles in one municipality, having a policy document in one municipality and nointervention in four municipalities.Measurements: Risk of UN was defined as involving any of: involuntary weight loss; low BMI; and/or eatingdifficulties. Overweight was defined as high BMI.Results: In 2005 and 2007, 64% and 66% of residents, respectively, were at the risk of UN. In 2007,significantly more patients in the study circle municipality were accurately provided protein and energyenriched food (PE-food) compared to the no intervention municipalities. There was a decrease between 2005and 2007 in the prevalence of low BMI in the study circle municipality, but the prevalence of overweightincreased in the policy document municipality.Conclusions: Study circles improve the provision of PE-food for residents at the risk of UN and can possiblydecrease the prevalence of low BMI. It is likely that a combination of study circles and implementation of apolicy document focusing on screening and on actions to take if the resident is at UN risk can give even betterresults.
关键词：education;malnutrition;undernutrition;overweight;special accommodation;quality improvement