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Le role de la prise alimentaire dans...

St-Arnaud McKenzie, Danielle.

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Le role de la prise alimentaire dans l'evolution de l'etat nutritionnel de patients geriatriques hospitalises en service de readaptation.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Le role de la prise alimentaire dans l'evolution de l'etat nutritionnel de patients geriatriques hospitalises en service de readaptation./
Author:	St-Arnaud McKenzie, Danielle.
Description:	289 p.
Notes:	Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5149.
Contained By:	Dissertation Abstracts International68-08B.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR30108
ISBN:	9780494301081

Le role de la prise alimentaire dans l'evolution de l'etat nutritionnel de patients geriatriques hospitalises en service de readaptation.
St-Arnaud McKenzie, Danielle.

Le role de la prise alimentaire dans l'evolution de l'etat nutritionnel de patients geriatriques hospitalises en service de readaptation. - 289 p.

Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5149.

Thesis (Ph.D.)--Universite de Montreal (Canada), 2007.

Key words: elderly, food intake, meal intake, nutritional status, institution, hospital, feeding motivational state, appetite, hunger, aversion.

ISBN: 9780494301081Subjects--Topical Terms:

533633
Gerontology.

Le role de la prise alimentaire dans l'evolution de l'etat nutritionnel de patients geriatriques hospitalises en service de readaptation.
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020 $a 9780494301081
035 $a (UMI)AAINR30108
035 $a AAINR30108
040 $a UMI $c UMI
100 1 $a St-Arnaud McKenzie, Danielle. $3 1271152
245 1 3 $a Le role de la prise alimentaire dans l'evolution de l'etat nutritionnel de patients geriatriques hospitalises en service de readaptation.
300 $a 289 p.
500 $a Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5149.
502 $a Thesis (Ph.D.)--Universite de Montreal (Canada), 2007.
520 $a Key words: elderly, food intake, meal intake, nutritional status, institution, hospital, feeding motivational state, appetite, hunger, aversion.
520 $a These results will contribute to the development of innovative nutritional strategies that aim at ensuring optimal food intake in this population.
520 $a Protein-Energy Malnutrition (PEM) is a frequent condition that has numerous negative repercussions on the clinical outcome of hospitalized geriatric patients and is associated with increased healthcare costs. It has also been shown that nutritional status often deteriorates in this population during the hospital stay. Furthermore, several studies have reported the problem of high hospital food wastage which points to low food intake as a potential cause of this deterioration. However, the role of food intake in the evolution of the nutritional status in this population is still unclear. Thus, the objectives of this thesis were (1) to determine the contribution of daily and meal food intake (breakfast, lunch and dinner) to the evolution of nutritional status during the hospital stay of elderly patients, and (2) to determine the impact of the motivational state before a meal on food intake at the meal and its relationship with other subjective states in this context (positive mood, pain, and physical state).
520 $a To meet these objectives, a blueprint-based case study approach was used in the first stage of the research to identify, map out and evaluate organizational factors that shape the quality of food served to patients hospitalized in a sub-acute healthcare facility. The research strategy then involved the longitudinal observation of meals of newly admitted elderly patients in the unit's dining room. Here, measures were taken at admission and at discharge, for a maximum observation period of six weeks. Data were also collected three meals a day every other day for the duration of the observation period.
520 $a Thirty-two participants (21 women; age: 65-92 years) presenting no cachexia, based on the clinical diagnostic, and with little or no cognitive deficits, completed the study. Participants were observed on average for 46.2 +/- 14.6 meals. Results showed an overall improvement in these participants' nutritional status and indicated that daily food intake was strongly associated with this improvement. All three meals contributed to the changes in nutritional status, albeit unequally, as lunch energy intake turned out to be the best predictor of anthropometric changes, while breakfast protein intake best predicted improvement in total lymphocytes. Both hunger and aversion reported before the meal predicted protein intake at the meal (positive and negative effects, respectively). The aversion-intake correlations were particularly strong in men, in those participants with mild cognitive deficit and, in general, in those presenting a relatively better clinical state.
590 $a School code: 0992.
650 4 $a Gerontology. $3 533633
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Health Sciences, Nutrition. $3 1017801
690 $a 0351
690 $a 0570
690 $a 0769
710 2 $a Universite de Montreal (Canada). $3 1018132
773 0 $t Dissertation Abstracts International $g 68-08B.
790 $a 0992
791 $a Ph.D.
792 $a 2007
793 $a French and English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NR30108