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Effectiveness of a Food Education Program in Improving Appetite and Nutritional Status of Elderly Adults Living at Home

一项食物教育计划提高居家老年人的食欲和健康状况的有效性

本文正式版本已出版,請見:10.6133/apjcn.2014.23.2.18

摘要


目的:评价一个3周的计划,该计划包括给老年人提供免费食物样品和烹饪示范来激励他们自己做饭和改善他们的营养状况。设计:一项实验前后比较研究。地点:香港的3个区。参与者:60位年龄在59-95岁的居家生活的成年人。干预:A组(每周提供一天1份的免费食物样品)和B组(每周提供3天每天1份的免费食物样品)。主要观察指标:每周进行满意度问卷调查。在基线和项目完成6个月后评估迷你营养评估(MNA)得分。分析:干预前后分别评估营养状况。重复性方差分析估量3周时的依从性,食欲和计划的容易性,目的在于区分为增强他们的烹饪技术到一个更高的水平而提供食物样本更频繁组(B组)和不频繁组(A组)。结果:B组的依从率高于A组。60%以上的参与者打算继续烹饪,1/3的参与者表示对计划满意。6个月后MNA得分比基线有所提高(两组数据合并)。结论:通过烹饪示范和以社区为基础分配食物原料的营养教育可以提高老年人的营养状况。

並列摘要


Objective: To evaluate a 3-week program comprising cooking demonstrations with free food samples in motivating elderly adults to cook more and improve their nutritional status. Design: An experimental pre-post study. Setting: Three districts in Hong Kong. Participants: Sixty aged 59-95 home-living adults. Intervention: Group A (one 1-day food sample given free weekly) and Group B (three 1-day food samples given free weekly). Main Outcome Measure: Satisfaction questionnaires were conducted every week. Mini Nutritional Assessment (MNA) scores were assessed at baseline and 6 months after the program's completion. Analysis: Nutritional status was assessed before and after intervention. Repeated analysis of variance measures of compliance, appetite, easiness of program at 3-week time-points were calculated to differentiate a more frequent (Group B) and a less frequent (Group A) provision of food sample reinforced their cooking skills to a greater extent. Results: The compliance rate of Group B was higher than that of Group A. More than 60% of the participants intended to continue cooking and a third of the participants expressed satisfaction with the program. The MNA scores had improved 6 months later (combined data from both groups). Conclusions: Nutrition education through cooking demonstrations and the community-based distribution of food ingredients can improve the nutrition status of the elderly population.

參考文獻


Edfors E, Westergren A. Home-living elderly people’s views on food and meals. J Aging Res. 2012;2012:761291. doi: 10.1155/2012/761291.
Thomas DR, Verdery RB, Gardner L, Kant A, Lindsay J. A prospective study of outcome from protein-energy malnutrition in nursing home residents. J Parenter Enteral Nutr. 1991; 15:400-4. doi: 10.1177/0148607191015004400.
Morley JE. Anorexia and weight loss in older persons. J Gerontol A Biol Sci Med Sci. 2003;58:131-7. doi: 10.1093/ gerona/58.2.M131.
Van Asselt DZB, van Der Schueren MAEB, Cammen TJM, Disselhorst LG, Janse A. Assessment and treatment of malnutrition in Dutch geriatric practice: consensus through a modified Delphi study. Age Ageing. 2012;41:399-404. doi: 10.1093/ageing/afs005.
Venzin RM, Kamber N, Keller WCF, Suter PM, Reinhart WH. How important is malnutrition? A prospective study in internal medicine. Eur J Clin Nutr. 2009;63:430-6. doi: 10. 1038/sj.ejcn.1602948.

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