department of food and nutritional sciences & clinical health sciences sip vs slurp : the...
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Department of Food and Nutritional Sciences & Clinical Health Sciences
Sip vs Slurp : The influence on the amount of supplement drink
consumed.
Victoria Allen Professor Margot GosneyResearch Nurse Consultant in Elderly Care Medicine
Dr Lisa MethvenFood and Nutritional Scientist
Malnutrition in elderly people
Hospital
Care homes (aged 83.1+/-9.7years)
Frail 35%Cognitive impairment 41%
Nutrition screening survey (BAPEN 2010)
Consequences of malnutrition
Increased GP consultations
Nutritional supplement drinks
Improve weight More in frail peopleReduce mortality More in elderly
peopleDecrease complications Limits effectivenessBetter cognition
Aim : To analyse the influence of drinking method on consumption of ONS drinks
Why?:• Changing the cutlery and crockery
used by Alzheimer's disease patients this has a positive effect on the amount of food consumed.
• Consumption greater in some settings. Is this due to different practices?
• Familiar environments may improve oral intake
1 2 3 4 5 6 7AM
PM
EVE
Participants were randomly allocated to either consume their drinks given in a glass/beaker or to through a straw inserted directly into the container.
Weighed amount remaining of each drink (grams)
Methods
Participants
N 19 26Age 88.4 +/- 5.4 85.4 +/- 8.6MMSE 12.4 +/- 5.6 14.1 +/- 8.6Gender (female : male) 84% : 16% 73%: 27%MNA-SF (with calf circumf.) 5.7 +/- 2.3 5.4 +/- 3.2
Straw Glass or Beaker
Results – amount consumed
Straw Glass or BeakerMean +/- SD Mean +/- SD P value
% drunk 54.1 +/-37.9 65.4 +/- 35.1 0.027KCal 139.6 +/- 102.1 173.2 +/- 96.1 0.05
Results – drinks not given
straw glass0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
not given
given
Straw Glass or BeakerN (%) N (%)
Given 282 (84%) 272 (81%)Not given 44 (16%) 64 (19%)
Implications for practice
• Consumption of ONS drinks would improve in older adults if they were served in a glass/beaker rather than inserting a straw into the container.
• The convenience of giving ONS drinks with a straw did not significantly impact the proportion of ONS drinks given.
What other factors influence consumption of nutritional drinks?
WEEK DAY 1 DAY 2 DAY 3
ONE
TWO
THREE
Free living people37 free living people took part in consuming the drinks
Aged 72.1+/-7.4 years, 57% female
• Time of day given, non significant trend for consumption o decline on 3rd drink (p=0.411)
• Who participants were with was significantly related to consumption (p<0.001)
•
Consumption was affected by how much participants liked the drink (p=0.003) & the drink they were consuming (p<0.001).
Conclusion Consumption of ONS is influenced by several factors.
However, serving nutritional drinks to elderly people by their usual drinking method has a positive influence on improving the Consumption of ONS drinks.
Thank-you
Any Questions?
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