Introduction of an Enriched Evening Meal on the Feeding Behavior of Institutionalized Residents

Centre Hospitalier Universitaire de Nīmes48 enrolled

Overview

The main objective of this study was to evaluate and compare 6-month calorie intakes between a group of patients receiving a standard dinner and a group of patients whose evening meal is "improved"; compliance will be assessed on a food card with 5 levels of consumption: no (0%), 25%, 50%, 75%, all (100%). This per patient per meal food card will be prepared 3 days per month for 6 months and will, from the total calorie intake of each dish, estimate calorie intake ingested per day on all meals of the day.

The secondary objectives of this study are to evaluate the two groups for the following: A. The difference between 0 and 6 months in: the patient's weight, calorie intake, serum prealbumin, albumin and CRP, blood sugar for diabetic patients. B. Monthly evolution over 6 months: calorie intake, the patient's weight. C. The quarterly trend over 6 months: serum prealbumin, albumin and CRP, blood sugar for diabetic patients. D. Comorbidities and mortality. E. the risk of morning hypoglycaemia for diabetic patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Institutionalization

Interventions

Standard evening meals.OTHER

Patients will receive usual evening meals.

Improved evening mealOTHER

Patients will receive improved evening meals. Improved meals will include enriched soup (with starches, butter, cheese or sour cream), a semi-liquid dairy dessert, fruit or a fruit dessert.

Eligibility

Sex: ALLMin age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * The subject or his/her representative must be given free and informed consent and must have signed the consent * The subject must be affiliated with or beneficiary of a health insurance plan * The subject has lived for at least 3 months in the institution * The subject is fed by mouth only Exclusion Criteria: * The subject is participating in another study * The subject is in an exclusion period determined by a previous study * The subject or his/her legal representative refuses to sign the consent * It is not possible to correctly inform the subject or his/her representative

Locations (1)

CHRU de Nîmes - Centre de Gérontologie de Serre Cavalier

Nîmes, France

Outcomes

Primary Outcomes

Total caloric ration for each dish

Time frame: 6 months

Meal compliance for 3 days

Time frame: 6 months

Ingested caloric intake

Time frame: 6 months

Secondary Outcomes

Total caloric ration for each dish

Time frame: Baseline (days -7 to 0)

Total caloric ration for each dish

Time frame: Month 1

Total caloric ration for each dish

Time frame: Month 2

Total caloric ration for each dish

Time frame: Month 3

Total caloric ration for each dish

Time frame: Month 4

Total caloric ration for each dish

Time frame: Month 5

Meal compliance for 3 days

Time frame: Baseline (days -7 to 0)

Meal compliance for 3 days

Time frame: Month 1

Meal compliance for 3 days

Time frame: Month 2

Meal compliance for 3 days

Data from ClinicalTrials.gov

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