家庭式用餐时间对养老院居民生活质量、身体机能和体重的影响：整群随机对照试验
Effect of family style mealtimes on quality of life, physical performance, and body weight of nursing home residents: cluster randomised controlled trial.
作者信息
Nijs Kristel A N D, de Graaf Cees, Kok Frans J, van Staveren Wija A
机构信息
Wageningen University, Division of Human Nutrition, PO Box 8129, 6700 EV Wageningen, Netherlands.
出版信息
BMJ. 2006 May 20;332(7551):1180-4. doi: 10.1136/bmj.38825.401181.7C. Epub 2006 May 5.
Abstract
OBJECTIVE
To assess the effect of family style mealtimes on quality of life, physical performance, and body weight of nursing home residents without dementia.
DESIGN
Cluster randomised trial.
SETTING
Five Dutch nursing homes.
PARTICIPANTS
178 residents (mean age 77 years). Two wards in each home were randomised to intervention (95 participants) or control groups (83).
INTERVENTION
During six months the intervention group took their meals family style and the control group received the usual individual pre-plated service.
MAIN OUTCOME MEASURES
Quality of life (perceived safety; autonomy; and sensory, physical, and psychosocial functioning), gross and fine motor function, and body weight.
RESULTS
The difference in change between the groups was significant for overall quality of life (6.1 units, 95% confidence interval 2.1 to 10.3), fine motor function (1.8 units, 0.6 to 3.0), and body weight (1.5 kg, 0.6 to 2.4).
CONCLUSION
Family style mealtimes maintain quality of life, physical performance, and body weight of nursing home residents without dementia.
TRIAL REGISTRATION
Clinical trials NCT00114582.
摘要
目的
评估家庭式用餐时间对无痴呆症养老院居民生活质量、身体机能和体重的影响。
设计
整群随机试验。
地点
五家荷兰养老院。
参与者
178名居民（平均年龄77岁）。每家养老院的两个病房被随机分为干预组（95名参与者）或对照组（83名）。
干预措施
在六个月的时间里，干预组采用家庭式用餐，对照组接受常规的个人分餐服务。
主要观察指标
生活质量（感知安全、自主性以及感官、身体和心理社会功能）、粗大和精细运动功能以及体重。
结果
两组之间在总体生活质量（6.1分，95%置信区间2.1至10.3）、精细运动功能（1.8分，0.6至3.0）和体重（1.5千克，0.6至2,4）方面的变化差异具有统计学意义。
结论
家庭式用餐时间可维持无痴呆症养老院居民的生活质量、身体机能和体重。
试验注册
临床试验NCT00114582。
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J Am Geriatr Soc. 2005 Nov;53(11):1951-6. doi: 10.1111/j.1532-5415.2005.00466.x.
2
A randomised controlled trial of senior Lay Health Mentoring in older people with ischaemic heart disease: The Braveheart Project.
Age Ageing. 2004 Jul;33(4):348-54. doi: 10.1093/ageing/afh098. Epub 2004 May 10.
3
CONSORT statement: extension to cluster randomised trials.CONSORT声明：群组随机试验扩展版
BMJ. 2004 Mar 20;328(7441):702-8. doi: 10.1136/bmj.328.7441.702.
4
[Project models to improve the ambiance during meal times in Dutch nursing homes: incentives and barriers for implementation].[荷兰养老院改善用餐氛围的项目模式：实施的激励因素和障碍]
Tijdschr Gerontol Geriatr. 2003 Dec;34(6):246-53.
5
Nutritional risk predicts quality of life in elderly community-living Canadians.营养风险可预测加拿大社区居住老年人的生活质量。
J Gerontol A Biol Sci Med Sci. 2004 Jan;59(1):68-74. doi: 10.1093/gerona/59.1.m68.
6
Using family-style meals to increase participation and communication in persons with dementia.
J Gerontol Nurs. 2002 Sep;28(9):47-53. doi: 10.3928/0098-9134-20020901-09.
7
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Heart Lung. 2002 May-Jun;31(3):207-13. doi: 10.1067/mhl.2002.124299.
8
Advanced statistics: statistical methods for analyzing cluster and cluster-randomized data.高级统计学：分析聚类和整群随机数据的统计方法。
Acad Emerg Med. 2002 Apr;9(4):330-41. doi: 10.1111/j.1553-2712.2002.tb01332.x.
9
Impact of a buffet-style dining program on weight and biochemical indicators of nutritional status in nursing home residents: a pilot study.
J Am Diet Assoc. 2001 Dec;101(12):1460-3. doi: 10.1016/s0002-8223(01)00352-2.
10
Nutrition and quality of life in older adults.老年人的营养与生活质量
J Gerontol A Biol Sci Med Sci. 2001 Oct;56 Spec No 2:54-64. doi: 10.1093/gerona/56.suppl_2.54.
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