Community Nutrition, Primary and Community Health, South Western Sydney Local Health District, Sydney, New South Wales, Australia.
Home Based Therapy, Aged Health Chronic Care and Rehabilitation, Sydney Local Health District, Sydney, New South Wales, Australia.
Australas J Ageing. 2024 Jun;43(2):297-305. doi: 10.1111/ajag.13264. Epub 2024 Jan 13.
The aim of this study was to describe the characteristics of clients receiving home-based dietetic intervention and to evaluate the effectiveness of these interventions in improving nutritional status, functional status, and quality of life in a culturally and socioeconomically diverse client group.
Participants referred to a home-based dietetic service were recruited to this prospective cohort study. Dietetic interventions were recommended at baseline and reviewed at 3-month follow-up. Assessment of nutritional, functional and quality of life markers was measured using the Mini Nutritional Assessment (MNA), Timed Up and Go (TUG) and EQ-5D-5L, respectively, at baseline and after home-based dietetic intervention.
Participants (n = 99) were recruited from consecutive referrals. Participant's weight, body mass index (BMI), total daily energy and protein intake, MNA total score, and TUG significantly improved after a 3-month nutrition intervention (effect sizes 0.257, 0.257, 0.580, 0.533, 0.577 and 0.281, respectively). The most common interventions dietitians utilised were nutrition education, use of oral nutritional supplements (ONS) and meal fortification. In total, 339 dietetic interventions were recommended to participants at baseline with 197 (58.11%) implemented at 3 months, with meal planning and referral to other relevant allied health or Commonwealth Home Support Program (CHSP) services the most implemented interventions.
Home-based dietetic intervention improves nutritional status, functional status and quality of life in community-dwelling older adults referred for dietetic input. Improvements observed in nutritional and functional status were consistent with benchmarks of change from published literature.
本研究旨在描述接受家庭饮食干预的客户的特点，并评估这些干预措施在改善营养状况、功能状态和生活质量方面的有效性，研究对象为具有文化和社会经济多样性的客户群体。
本前瞻性队列研究招募了向家庭饮食服务机构转诊的参与者。在基线时推荐饮食干预，并在 3 个月随访时进行复查。使用 Mini Nutritional Assessment (MNA)、Timed Up and Go (TUG) 和 EQ-5D-5L 分别评估营养、功能和生活质量标志物，基线和家庭饮食干预后进行评估。
连续转诊中招募了 99 名参与者。参与者的体重、体重指数 (BMI)、总日能量和蛋白质摄入量、MNA 总分和 TUG 在 3 个月营养干预后显著改善（效应大小分别为 0.257、0.257、0.580、0.533、0.577 和 0.281）。营养师最常采用的干预措施是营养教育、使用口服营养补充剂 (ONS) 和膳食强化。基线时共向参与者推荐了 339 项饮食干预措施，其中 197 项（58.11%）在 3 个月时实施，饮食计划和向其他相关的联合健康或联邦家庭支持计划 (CHSP) 服务转介是实施最多的干预措施。
家庭饮食干预可改善接受饮食建议的社区居住老年人的营养状况、功能状态和生活质量。营养和功能状态的改善与文献中公布的变化基准一致。
