Improvement of Nutritional Status in Elderly Residents of Long-term Facilities

Not Applicable

Completed

• Conditions: Nutrition Disorders
• Interventions: Other: Dentary; Other: Nutrition; Other: Dentary + Nutrition

• Registration Number: NCT00873717
• Lead Sponsor: Assistance Publique - Hôpitaux de Paris

Brief Summary

Elderly persons in long-term facilities often have denutrition, associated with a bad oral and dental status. Yet, many elderly persons don't attend dentist care and when they have dental prothesis, do not often use them during meals. The impact of a rehabilitation of dental function on their nutritional status has not been proven.

The objective of this study is to assess the impact of 2 strategies aimed to restore a good nutritional status, among patients with slight denutrition.

Detailed Description

Two interventions are evaluated during a 1 year study period, with a 4 arms factorial design.

The "Dentary" intervention implies a trimestrial follow-up of patients and counseling for appropriate care (if needed), in order to restore a minimum masticatory function, associated with particular focus on the realization of daily oral wash.

The "Nutrition" intervention consists in 1) comparing the meals and oral supplements administered with the dietary prescriptions and 2) Incite patients to eat.

Study Timeline

• Study Start: 2009-01
• Status Verified: 2009-04
• Study First Submitted: 2009-04-01
• Study First Submitted QC: 2009-04-01
• Study First Posted: 2009-04-02
• Primary Completion: 2012-07
• Study Completion: 2012-07
• Last Update Submitted: 2012-07-25
• Last Update Posted: 2012-07-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 114

Inclusion Criteria

• Geriatric Nutritional Risk Index = 83.5 to 97.5; minimum age of 70 years old; living in long-term facilities; more than 6 months of anticipated length of stay

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Exclusion Criteria

• refusal to participate in the study

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Dentary	Dentary	Intervention: trimestrial follow-up of patients and counseling for appropriate care (if needed), in order to restore a minimum masticatory function, associated with particular focus on the realization of daily oral wash.
Nutrition	Nutrition	control of the administration of dietary prescriptions, incitement to eat.
Dentary + nutrition	Dentary + Nutrition	cleaning-up of oral cavity, with trimestrial dental and oral check-up with counseling for appropriate care (if needed) associated with control of the administration of dietary prescriptions, incitement to eat.

Primary Outcome Measures

Name	Time	Method
comparison of GNRI mean-score between arms	1 year

Trial Locations

Locations (6)

Hôpital Bretonneau; 🇫🇷 Paris, Ile de France, France

AP-HP, Hôpital René Muret-Bigottini; 🇫🇷 Sevran, Ile de France, France

Institut ROGUET; 🇫🇷 Clichy, Ile de France, France

AP-HP, Louis Mourier Hospital; 🇫🇷 Colombes, Ile de France, France

Centre gérontologie Les Abondances; 🇫🇷 Boulogne Billancourt, Ile de France, France

Hôpital de Puteaux; 🇫🇷 Puteaux, Ile de France, France