title: A multifaceted intervention model can give a lasting improvement of older peoples' nutritional status.
abstract: OBJECTIVE
  The purpose of this study was with a multifaceted intervention model improve the nutritional status of elderly people living in residential homes to increase their energy intake and to maintain improvements over time.
  
  
  METHODS
  Three different municipal residential homes in the south-east of Sweden.
  
  
  METHODS
  The study population consisted of 67 elderly people. A within-subjects design was used which means that the participants were their own controls.
  
  
  METHODS
  A multifaceted intervention model was chosen, which included education on both theoretical and practical issues, training and support for staff, and individualized snacks to the residents.
  
  
  METHODS
  Nutritional status was measured by Mini Nutritional Assessment (MNA), the consumption of food was recorded by the staff using a food record method for 3 consecutive days. The length of night-time fasting has been calculated from the food records.
  
  
  RESULTS
  Nutritional status improved after 3 months of intervention and was maintained after 9 months. Weight increased during the whole study period. Night-time fasting decreased but not to the recommended level.
  
  
  CONCLUSIONS
  This study shows that it is possible by a multifaceted intervention model to increase energy intake including expanding snacks and thereby improve and maintain nutritional status over a longer period in the elderly living in residential homes. This result was possible to achieve because staff received education and training in nutritional issues and by provision of support during a period when new routines were introduced.
authors.affiliation: Division of Nursing Science, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Lorefält
authors.forename: S
authors.initials: S
authors.lastname: Wilhelmsson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry; D002149:Energy Intake; D005260:Female; D005500:Follow-Up Studies; D016330:Frail Elderly; D006801:Humans; D008297:Male; D009735:Nursing Homes; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D009752:Nutritional Status; D013548:Sweden