title: Effects of individual dietary counseling as part of a comprehensive geriatric assessment (CGA) on nutritional status: a population-based intervention study.
abstract: BACKGROUND
  Nutritional risk is relatively common in community-dwelling older people.
  
  
  OBJECTIVE
  To objective of this study was to evaluate the effects of individual dietary counseling as part of a Comprehensive Geriatric Assessment on nutritional status among community-dwelling people aged 75 years or older.
  
  
  METHODS
  Data were obtained from a subpopulation of participants in the population-based Geriatric Multidisciplinary Strategy for the Good Care of the Elderly (GeMS) intervention study in 2004 to 2007. In the present study, the population consist 173 persons at risk of malnutrition in the year 2005 in an intervention (n=84) and control group (n=89). Nutritional status, body weight, body mass index, serum albumin were performed at the beginning of the study and at a two-year follow-up. The nutritional screening was performed using the Mini Nutritional Assessment (MNA) test.
  
  
  RESULTS
  A increase in MNA scores (1.8 95% confidence interval [CI]: 0.7 to 2.0) and in serum albumin (0.8 g/L, 95% CI: 0.2 to 0.9 g/L) were a significant difference between the groups.
  
  
  CONCLUSIONS
  Nutritional intervention, even dietary counseling without nutritional supplements, may improve nutritional status.
authors.affiliation: Irma Nykänen, Kuopio Research Centre of Geriatric Care, Faculty of Health Sciences, University of Eastern Finland, Kuopio Campus, P.O.BOX 1627, FI-70211 Kuopio, Finland, Phone: +358 40 355 2991, Fax: 358 17 162 131, E-mail: Irma.Nykanen@uef.fi.
authors.forename: I
authors.initials: I
authors.lastname: Nykänen
authors.forename: T H
authors.initials: TH
authors.lastname: Rissanen
authors.forename: R
authors.initials: R
authors.lastname: Sulkava
authors.forename: S
authors.initials: S
authors.lastname: Hartikainen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D003376:Counseling; D004032:Diet; D019587:Dietary Supplements; D005260:Female; D015577:Geriatric Assessment; D006293:Health Promotion; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000517:prevention & control*; D015596:Nutrition Assessment; D009752:Nutritional Status; D010353:Patient Education as Topic; D012111:Residence Characteristics; D018570:Risk Assessment; D012709:Serum Albumin / Q000378:metabolism; D011795:Surveys and Questionnaires
chemical_list: D012709:Serum Albumin