Home visits | Procedures in the intervention group | Procedures in the control group |
---|---|---|
1st home visit (a clinical nutritionist) Intervention continued by homecare nurses and family caretakes after a clinical nutritionist home visit. | Baseline measurements: • examined weight, height and daily eating routines with 24-hour dietary recalls • collected history of health problems, food preferences and appetite status • evaluated nutritional status with the MNA test and plasma albumin and nutrient intake by using the 24-hour dietary recalls Individual tailored nutritional care plan: • increased their protein and energy intake with o protein1- and energy2 dense food items o the number of meals o consumption of energy-, protein- and nutrient-rich snacks • used daily vitamin D (20-μg) supplementation • advised on other food-related issues such as o grocery shopping and cooking o appetite o eating-related problems • handed special food-related leaflets covering increasing protein and energy intake and booklet of good nutrition for older adults | Baseline measurements: • examined the client’s weight, height and daily eating routines with 24-hour dietary recalls • collected the client’s history of health problems, food preferences and appetite status • evaluated the client’s nutritional status with the MNA test and plasma albumin and nutrient intake by using the 24-hour dietary recalls Not received intervention. |
2nd home visit after 6 months (a clinical nutritionist) | Re-examined measurements: • examined weight, height and daily eating routines with 24-hour dietary recalls • collected history of health problems, food preferences and appetite status • evaluated nutritional status with the MNA test and plasma albumin and nutrient intake by using the 24-hour dietary recalls • if needed repetition of received instructions on how to follow the given nutritional care plan (clients, their nurse or family members) | Re-examined measurements: • examined the client’s weight, height and daily eating routines with 24-hour dietary recalls • collected the client’s history of health problems, food preferences and appetite status • evaluated the client’s nutritional status with the MNA test and plasma albumin and nutrient intake by using the 24-hour dietary recalls • booklet of good nutrition for older adults |