Evidence map›Paper›PMID 25887312›Full record

Trial reportBMC geriatrics2015

Multifactorial assessment and targeted intervention in nutritional status among the older adults: a randomized controlled trial: the Octabaix study.

Teresa Badia, Francesc Formiga, Assumpta Ferrer, Héctor Sanz, Laura Hurtos, Ramón Pujol

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01141166 (A Randomised Controlled Trial on Falls and Malnutrition Prevention in the Community in 85 Year Old Subjects), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT01141166 phase2 / phase3unknown statusnot on this map

A Randomised Controlled Trial on Falls and Malnutrition Prevention in the Community in 85 Year Old Subjects

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2009Enrolled328ConditionsFalls, MalnutritionArmsnutritional and a rehabilitation plan.
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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.

Teresa BadiaPrimary Healthcare Centre Martorell, Barcelona, Spain. tbadia.cp.ics@gencat.cat.
Francesc FormigaGeriatric Unit, Internal Medicine Service, Hospital Universitari de Bellvitge, Barcelona, Spain. fformiga@bellvitgehospital.cat.
Assumpta FerrerPrimary Healthcare Centre 'El Plà' CAP-I, Sant Feliu de Llobregat, Barcelona, Spain. aferrer.cp.ics@gencat.cat.
Héctor SanzSupport Research Unit, Primary Health Department Costa Ponent, IDIAP Jordi Gol, Barcelona, Spain. hsanz@ambitcp.catsalut.net.
Laura HurtosNutrition Unit, Endocrinology Service, Hospital Universitari de Bellvitge, Barcelona, Spain. laura.hurtos@gmail.com.
Ramón PujolBellvitge Biomedical Research Institute, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain. ramon.pujol@bellvitgehospital.cat.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalnutrition is frequent among older people and is associated with morbi-mortality. The aim of the study is to assess the effectiveness of a multifactorial and multidisciplinary intervention in the nutritional status among the elderly.

methodsRandomized, single-blind, parallel-group, clinical trial conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people, born in 1924, 328 subjects were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both the patients and their primary care providers. The main outcome was improvement in nutritional status assessed by Mini Nutritional Assessment (MNA). Data analyses were done by intention-to-treat.

resultsTwo-year assessment was completed for 127 patients (77.4%) in the intervention group and 98 patients (59.7%) in the control group. In the adjusted linear mixed models for MNA, intervention showed no significant effect during all follow-up period with -0.21 (CI: - 0.96; 0.26). In subjects with nutritional risk (MNA ≤ 23.5/30) existed a tendency towards improvement in MNA score 1.13 (95% CI -0.48; 2.74) after 2 years.

conclusionA universal multifactorial assessment and target intervention over a two year period in subjects at nutritional risk showed a tendency to improve nutrition but not in the rest of community-dwelling studied subjects. Cognitive impairment was an independent factor strongly associated with a decline in nutritional status.

trial registrationThe clinical trial is registered as part of a US National Institutes of Health Clinical Trial: NCT01141166.

Indexed as

Nutritional StatusNutrition AssessmentAgedAged, 80 and overFemaleHumansMaleMalnutritionMorbidityNutritional SupportRetrospective StudiesSingle-Blind MethodUnited States

Identifiers

PMID25887312
PMCPMC4414432

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Registered trials

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.