Evidence map›Paper›PMID 18637983›Full record

Trial reportJournal of the American Geriatrics Society2008

Prevention of unintentional weight loss in nursing home residents: a controlled trial of feeding assistance.

Sandra F Simmons, Emmett Keeler, Xiaohui Zhuo, Kelly A Hickey, Hui-Wen Sato, John F Schnelle

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 7 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 7 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Oral feeding options for people with dementia: a systematic review.Journal of the American Geriatrics Society · 2011
    Pooled it
  8. Trial
  9. Cost-Effectiveness of Nutrition Intervention in Long-Term Care.Journal of the American Geriatrics Society · 2015
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Observational
  16. Diseases, Health-Related Problems, and the Incidence of Malnutrition in Long-Term Care Facilities.International journal of environmental research and public health · 2023
    Article
  17. Article
  18. Article
  19. Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents.International journal of environmental research and public health · 2021
    Article
  20. The Adverse Effects of the COVID-19 Pandemic on Nursing Home Resident Well-Being.Journal of the American Medical Directors Association · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Sandra F SimmonsDivision of General Internal Medicine and Public Health, Center for Quality Aging, School of Medicine, Vanderbilt University, Nashville, Tennessee 37232-2400, USA. Sandra.Simmons@Vanderbilt.edu
Emmett Keeler
Xiaohui Zhuo
Kelly A Hickey
Hui-Wen Sato
John F Schnelle
Vanderbilt University · US

Funding

UCLA OLDER AMERICANS INDEPENDENT CENTERP60AG010415 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 1991 to 2005
$8.0M
Staffing Costs and Behavioral Nutritional InterventionsK01AG001026 · NIA · VANDERBILT UNIVERSITY · PI SIMMONS, SANDRA FAYE · 2001 to 2005
$571k
NIA NIH HHS AG01026-01A1NIA NIH HHS AG10415NIA NIH HHS K01 AG001026NIA NIH HHS P60 AG010415
6 · The paper itself

Abstract

objectivesTo determine the effects of a feeding assistance intervention on food and fluid intake and body weight.

designCrossover controlled trial.

settingFour skilled nursing homes (NHs).

participantsSeventy-six long-stay NH residents at risk for unintentional weight loss.

interventionResearch staff provided feeding assistance twice per day during or between meals, 5 days per week for 24 weeks. MEASUREMENTS: Research staff independently weighed residents at baseline and monthly during a 24-week intervention and 24-week control period. Residents' food and fluid intake and the amount of staff time spent providing assistance to eat was assessed for 2 days at baseline and 3 and 6 months during each 24-week period.

resultsThe intervention group showed a significant increase in estimated total daily caloric intake and maintained or gained weight, whereas the control group showed no change in estimated total daily caloric intake and lost weight over 24 weeks. The average amount of staff time required to provide the interventions was 42 minutes per person per meal and 13 minutes per person per between-meal snack, versus usual care, during which residents received, on average, 5 minutes of assistance per person per meal and less than 1 minute per person per snack.

conclusionTwo feeding assistance interventions are efficacious in promoting food and fluid intake and weight gain in residents at risk for weight loss. Both interventions require more staff time than usual NH care. The delivery of snacks between meals requires less time than mealtime assistance and thus may be more practical to implement in daily NH care practice.

Indexed as

Feeding MethodsFrail ElderlyHomes for the AgedNursing HomesWeight LossAgedAged, 80 and overCross-Over StudiesDietary SupplementsEnergy IntakeFemaleFollow-Up StudiesHumansMaleNutrition AssessmentTime and Motion Studies

Identifiers

PMID18637983
PMCPMC2897234
OpenAlexW2166768600

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.