naa a22 4500 510786588 CHVBK 20180411083304.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s12603-013-0341-z doi (NATIONALLICENCE)springer-10.1007/s12603-013-0341-z Are informal carers and community care workers effective in managing malnutrition in the older adult community? A systematic review of current evidence [Elektronische Daten] [Skye Marshall, J. Bauer, S. Capra, Elizabeth Isenring] Background: Enhancing the effectiveness of the community and aged care workforce to prevent malnutrition and functional decline is important in reducing hospital and aged care facility demand. Objective: To investigate the impact of nutrition-related interventions delivered to or by informal carers and non-clinical community care workers on malnutrition-related health outcomes of community-dwelling older adults (≥65years). Methods: Intervention studies were searched for using six electronic databases for English-language publications from January 1980 to 30 May 2012. Results: Nine studies were eligible for inclusion. The strength and quality of the evidence was moderate (six studies with level II intervention evidence, five with positive quality). Types of interventions used were highly varied. The majority of interventions were delivered to informal carers (6 studies), with three of these studies also involving older adult care recipients. Five interventions were targeted at identifying, preventing and/or treating malnutrition specifically (two positive quality, three neutral quality, n=2368). As a result of these interventions, nutritional status improved or stabilized (two positive quality, two neutral quality, n=2333). No study reported an improvement in functional status but two successfully prevented further decline in their participants (two neutral quality, n=1097). Conclusion: Interventions targeted at identifying, preventing and/or treating malnutrition were able to improve or prevent decline in nutritional and functional status, without increasing informal carer burden. The findings of this review support the involvement of non-clinical community care workers and informal carers as part of the nutritional care team for community-dwelling older adults. Serdi and Springer-Verlag France, 2013 Aged nationallicence caregiver nationallicence community nationallicence malnutrition nationallicence nutrition nationallicence Marshall Skye Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut Bauer J. Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut Capra S. Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut Isenring Elizabeth Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut The journal of nutrition, health & aging Springer Paris 17/8(2013-10-01), 645-651 1279-7707 17:8<645 2013 17 12603 https://doi.org/10.1007/s12603-013-0341-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0341-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marshall Skye Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut NATIONALLICENCE 700 1- Bauer J. Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut NATIONALLICENCE 700 1- Capra S. Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut NATIONALLICENCE 700 1- Isenring Elizabeth Centre for Dietetics Research, School of Human Movement Studies, University of Queensland, 4072, Brisbane, Queensland, Australia aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer Paris 17/8(2013-10-01), 645-651 1279-7707 17:8<645 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer