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Nutritional intake and daily functioning of psychogeriatric nursing home residents. | LitMetric
Background : The level of observed daily functioning in psychogeriatric nursing home patients may be related to nutrient intake and body weight.Objective : Relationships between nutrient intake, weight and daily functioning were assessed in nursing home residents.Design : A descriptive, correlational design added by a experimental (repeated measurements) model was used to compare 3-day food records of 90 elderly psycho-geriatric residents filled in by the caretakers every 8 weeks during a period of 6 months. Nutrient intakes and cognitive scores were averaged over the total investigation period and studied separately at week 0, 8, 16 and 24. High and a low nutrient intake groups were compared with respect to daily functioning, which was measured by a Dutch geriatric nursing scale, the Zorg Index geriatrie (ZIG).Results : Body weight was higher in the high niacin, high vitamin B-6 and high vitamin C intake groups. Unexpectedly, higher vitamin intakes were associated with a worse daily functioning. Results are explained by the fact that patients with a lower cognitive level are more dependent on their caregivers, thereby receiving more help with eating. Consequently, more severely demented patients have a higher intake of energy and nutrients.Conclusion : In order to optimize the effect of dietary vitamin supplementation in the total severity range of psycho-geriatric residents, caregivers should also pay attention to the eating habits of less dependent patients.
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