naa a22 4500 510786154 CHVBK 20180411083303.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s12603-012-0410-8 doi (NATIONALLICENCE)springer-10.1007/s12603-012-0410-8 Institutional factors associated with the nutritional status of residents from 10 german nursing homes (ernstes study) [Elektronische Daten] [S. Strathmann, Stephanie Lesser, J. Bai-Habelski, S. Overzier, H. Paker-Eichelkraut, P. Stehle, H. Heseker] Objectives: In nursing homes malnutrition among residents is widespread. Because residents place part of their personal freedom of choice into institutional hands, institution-specific factors may influence nutritional status of residents. Design: Multi-centre cross-sectional study. Setting: 10 nation-wide German nursing homes. Participants: 714 exclusively orally fed residents (aged 65 years and older, not in final weeks of life). Measurements: Participants' characteristics (e. g. gender, age, level of care, dementia diagnosis), body mass index (BMI), mini nutritional assessment (MNA), energy intake (3-day dietary record, BLS II.3), and selected institution-specific factors (size of institution, daily rate for food supply, number of residents per care staff member). Metric data are given as median (P25, P75). Results: 11 % of residents (81 % female, 85 (81, 91) years) had a BMI <20 kg/m2 (n=658). According to MNA, 10 % of the residents were malnourished (n=650). Capacity of institutions was 116 (56, 139) beds, care staff ratio was 4.1 (3.5, 4.2) residents per care person (mean over all care levels), and daily food budget was 4.45 (4.10, 4.71) Euro/d. Low daily food budget was associated with a higher risk for a BMI <20 kg/m2 (OR 3.30 [95 %CI 1.70-6.42]). Higher food budget also decreased malnutrition risk (OR 0.66 [0.46-0.95]) according to MNA. Residents' mean energy intake was 6.1 (5.2, 7.1; n=565) MJ/day in women and 7.1 (6.2, 8.2; n=132) MJ/day in men. Intake was higher with small facility size, higher food budget, and lower care staff ratio (P <0.05). Conclusion: The institutional environment affects the nutritional status of nursing home residents as an independent risk factor. The results suggest promotion of small facilities and the provision of more care staff and more financial resources for food in the structural design of residential homes. Serdi and Springer-Verlag France, 2012 Nursing home resident nationallicence elderly nationallicence energy intake nationallicence BMI nationallicence MNA nationallicence B : beta coefficient nationallicence BLE : Bundesanstalt für Landwirtschaft und Ernährung nationallicence BLS : Bundeslebensmittelschluessel nationallicence BMI : body mass index nationallicence CC : calf circumference nationallicence cv : coefficient of variation nationallicence ErnSTES : ‘Ernährung in stationären Einrichtungen für Senioren und Seniorinnen' nationallicence m : meter nationallicence MDK : medical services of the German statutory health insurance nationallicence MNA : mini nutritional assessment nationallicence NH : nursing home nationallicence ns : not significant nationallicence OR : odds ratio nationallicence p. : points nationallicence P : level of significance nationallicence P25 : 25th percentile nationallicence P75 : 75th percentile nationallicence SE : standard error nationallicence SPSS : Statistical Package for the Social Sciences nationallicence UAC : upper arm circumference nationallicence 95%CI : 95 % confidence interval of the OR nationallicence Strathmann S. Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany aut Lesser Stephanie IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut Bai-Habelski J. IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut Overzier S. Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany aut Paker-Eichelkraut H. IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut Stehle P. IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut Heseker H. Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany aut The journal of nutrition, health & aging Springer-Verlag 17/3(2013-03-01), 271-276 1279-7707 17:3<271 2013 17 12603 https://doi.org/10.1007/s12603-012-0410-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-012-0410-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Strathmann S. Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany aut NATIONALLICENCE 700 1- Lesser Stephanie IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut NATIONALLICENCE 700 1- Bai-Habelski J. IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut NATIONALLICENCE 700 1- Overzier S. Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany aut NATIONALLICENCE 700 1- Paker-Eichelkraut H. IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut NATIONALLICENCE 700 1- Stehle P. IEL-Nutritional Physiology, Bonn University, Bonn, Germany aut NATIONALLICENCE 700 1- Heseker H. Institute of Nutrition, Consumption and Health, Paderborn University, Paderborn, Germany aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer-Verlag 17/3(2013-03-01), 271-276 1279-7707 17:3<271 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer