Assessment of Food Practices by Residents in Nursing Homes (ARC2)
Assessment of Food Practices by Residents in Nursing Homes, Study of Relationship Between Food Intake and Nutritional Status.
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.
調査の概要
研究の種類
入学 (実際)
連絡先と場所
研究場所
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Décines Charpieu、フランス、69153
- Les Volubilis
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Lyon、フランス、69003
- Les Cristallines
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Lyon、フランス、69005
- Les Amandines
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Lyon、フランス、69008
- La Vérandine
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Rillieux la Pape、フランス、69140
- Castellane
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Saint Priest、フランス、69802
- Les Alizés
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Vaulx en Velin、フランス、69515
- Les Acanthes
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Vaulx-en-Velin、フランス、69120
- Les Althéas
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参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
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observation and interview of residents
residents will be observed over lunch and an interview will be held with each resident after lunch
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Residents will be observed during lunch to evaluate their behavior, verbal interactions between residents.
The food intake during 24 hours will be evaluated also.
In an interview after lunch, the appreciation of the meal by residents will be assessed by a questionnaire and the score of the nutritional state will be defined.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Assessment score of food practices
時間枠：during lunch, an average of 30 minutes
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A questionnaire will be administered to the residents to target several criteria based on the assessment of the self-perception of the restaurant area, the hunger, the quality of food and services, the conviviality… A choice of four answers will be offered on each question to assess the level of appreciation of each criterion.
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during lunch, an average of 30 minutes
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Food intake (semi- quantitative estimation of the calorie and protein intakes).
時間枠：24 hours
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Visual estimation of the consumption of served portions, combined with the composition of each component of the 3 meals and snacks.
The potential use of oral nutritional supplements will be included.
Visual estimation of the consumption of portions shall be notified in a specific evaluation sheet (0, 25%, 50%, 75 % or 100% consumption of portions served) for each component of meal and snack.
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24 hours
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Nutritional status
時間枠：during the 30 minutes of the interview
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The mini nutritional assessment (MNA) will be completed for grading the nutritional state of the residents.
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during the 30 minutes of the interview
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study the interactions developed during the meal between the subject and his entourage
時間枠：during lunch, an average of 30 minutes
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A specific grid designed to easily capture different parameters characterizing the action of eating in community will be completed
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during lunch, an average of 30 minutes
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health assessment of the resident at inclusion
時間枠：at the inclusion visit
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a clinical examination will be made by the doctor
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at the inclusion visit
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協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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