{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:40:45Z","timestamp":1760971245924,"version":"build-2065373602"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,20]],"date-time":"2022-08-20T00:00:00Z","timestamp":1660953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Oral nutrition supplements (ONSs) play an important role in the management of malnutrition. This aim of study was to examine whether a comprehensive intervention, combining ONSs, family\u2010centered health education, and nutrition and medical consultations, could improve the nutrition and health status of malnourished older adults living in community dwellings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled trial was conducted from October 2017 to May 2018 in Shanghai. All participants were screened using the Mini Nutritional Assessment\u2010Short Form (MNA\u2010SF). Participants with MNA\u2010SF scores \u226411 and age \u226565 were selected. Participants with potential nutrition risk were randomized into two groups: intervention group (<jats:italic>n<\/jats:italic>\u2009=\u2009101) were prescribed ONSs (400\u2009kcal\/day) and family\u2010centered nutrition education (once every 2 weeks) and control group (<jats:italic>n<\/jats:italic>\u2009=\u2009100) received only family\u2010centered nutrition education. Anthropometric measurements, including weight and height, and nutrition and functional scales, including MNA\u2010SF, grip strength, and activities of daily living scores, were collected at the beginning of the study and 12 weeks later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 201 study participants, 182 completed the study (mean age, 75.48\u2009\u00b1\u20097.47 years). After 12 weeks, nutrient intake improvements in the intervention group (+370.6\u2009\u00b1\u2009432.6\u2009kcal\/day, +17.6\u2009\u00b1\u200924.1\u2009g\/day) exceeded that of the control group (\u221267.5\u2009\u00b1\u2009378.2\u2009kcal\/day, \u22120.9\u2009\u00b1\u200916.7\u2009g\/day). In addition, improvements in weight, body mass index, and handgrip strength were significantly higher in the intervention vs control group (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Comprehensive nutrition interventions improved nutrition status in malnourished older people living in community dwellings. Use of ONSs may be a good strategy to improve nutrition status and strength in community\u2010dwelling older adults.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10898","type":"journal-article","created":{"date-parts":[[2022,8,20]],"date-time":"2022-08-20T06:30:00Z","timestamp":1660977000000},"page":"138-147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Nutrition education with or without oral nutrition supplements has contrasting effects on nutrition status in older adults: A randomized controlled study"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6120-3827","authenticated-orcid":false,"given":"Hua","family":"Xie","sequence":"first","affiliation":[{"name":"Nutrition Department, Huadong Hospital affiliated Fudan University  Shanghai China"},{"name":"Nutrition Department, Shanghai Tongren Hospital affiliated Shanghai Jiaotong University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li Hua","family":"Qiao","sequence":"additional","affiliation":[{"name":"General Medicine Department Huayang Community Health Service Center  Changning District Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Zhao","sequence":"additional","affiliation":[{"name":"General Medicine Department Xianxia Community Health Service Center  Changning District Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zijie","family":"Yan","sequence":"additional","affiliation":[{"name":"General Medicine Department Disease Control and Prevention, Changning District Center  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huijin","family":"Bai","sequence":"additional","affiliation":[{"name":"Nutrition Department, Huadong Hospital affiliated Fudan University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3345-600X","authenticated-orcid":false,"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Nutrition Department, Huadong Hospital affiliated Fudan University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingting","family":"Ye","sequence":"additional","affiliation":[{"name":"General Medicine Department Xianxia Community Health Service Center  Changning District Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Yu","sequence":"additional","affiliation":[{"name":"General Medicine Department Huayang Community Health Service Center  Changning District Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Du","sequence":"additional","affiliation":[{"name":"Abbott Department of Medicine Abbott Nutrition R&amp;D Center  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianqin","family":"Sun","sequence":"additional","affiliation":[{"name":"Nutrition Department, Huadong Hospital affiliated Fudan University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,20]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Bank.World DataBank | Health Nutrition and Population Statistics: Population Estimates and Projections. 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