Effects of a Protein-Energy Nutritional Supplementation on the Functional Status of Frail Older Adults With Low Socioeconomic Status: A Community-based Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 87
- 试验地点
- 2
- 主要终点
- Functional Status
研究概览
简要总结
The purpose of this study is to determine whether protein-energy nutritional supplementation improves geriatric function in community-dwelling frail older adults of low socioeconomic status.
详细描述
Chronic undernutrition is a common condition in older people, and is clearly an important component of frailty. However, the effect of protein-energy nutritional supplementation on the functional status of frail older people is controversial. Some investigators suggested that, if nutritional or functional status has deteriorated too far, it could be very difficult for single nutritional supplementation to reverse malnutrition progression or functional decline.
The investigators believe one of the reasons for these ineffective results, especially for the community-dwelling frail elderly, may be due to a lack of regard to the socioeconomic status of the study population. For this reason, the investigators recruited a study sample with low socioeconomic status and evaluated the effect of protein-energy nutritional supplementation on their disability scores and physical performance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Older adults over 65 years of age, registered in the National Home Healthcare Service database
- •Require more than 5 seconds to perform 3m walking test (Usual Gait Speed <0.6 m/sec)
- •Get less than 24 points on Mini Nutritional Assessment (Mini Nutritional Assessment <24)
排除标准
- •Unable to walk or are too functionally deteriorated to receive home health care services
- •Who were participating in any kind of exercise program or clinical nutrition program
- •who were restricted to a high-protein diet by an internist (i.e., for liver failure or severe renal failure)
结局指标
主要结局
Functional Status
时间窗: 12 weeks
Physical Functioning (Self-reported disability score which was specially developed to measure geriatric function in the community-dwelling frail elderly of Korea), Short Physical Performance Battery (Objective measurement of functional performance developed at the Established Population for Epidemiologic Studies of the Elderly)
次要结局
- Nutritional Status, Other Functionality Test(12 weeks)
研究者
Dr. Chang-O Kim
Home Visit Doctor
Gangbuk-gu Community Health Center