Effects of Home-Delivered Meals on Older People`s Nutrient intake, Physical performance and Activity and Health-related Quality of life; the Power Meals trial

• Register: ANZCTR
• Last refreshed on: 28 January 2019
• Main ID: ACTRN12618000955213
• Date of registration: 06/06/2018
• Prospective Registration: Yes
• Primary sponsor: The Pori Social and Health Services
• Public title: Effects of Home-Delivered Meals on Older People`s Nutrient intake, Physical performance and Activity and Health-related Quality of life; the Power Meals trial
• Scientific title: Effects of Home-Delivered Meals on Older People`s Nutrient intake, Physical performance and Activity and Health-related Quality of life; the Power Meals Randomized Controlled Trial
• Date of first enrolment: 25/07/2018
• Target sample size: 105
• Recruitment status: Completed
• URL: https://anzctr.org.au/ACTRN12618000955213.aspx
• Study type: Interventional
• Study design: Purpose: Prevention; Allocation: Randomised controlled trial; Masking: Open (masking not used);Assignment: Parallel;Type of endpoint: Efficacy;
• Phase: Not Applicable

Countries of recruitment

Finland

Contacts

• Name: Mrs Susanna Kunvik

• Name: Mrs Susanna Kunvik

Key inclusion & exclusion criteria

Inclusion criteria: - at least 65 years old
- protein intake under at baseline (< 1.0 g/kgBW/d) based on short protein screener
- living at home
- a customer of domiciliary care or a spouse/close relative of a domiciliary care client (if he/she is living in the same household), caregiver or a care recipient
- capable of filling up food diaries and queastionnaires
- willing to eat study meals (able to eat themselves)
- normal cognition (MMSE-points under 27 geriatric evaluation)
- no special diets or illnesses that can restrict eating study meals (kidney deficiency, difficult bowel disease etc). Geriatric evaluation.
-able to move (with or without rollator or wheelchair)
- no current home-meal services
- no illnessess that require hospitalization
- no travels etc that can interrupt study intervention
- able to heat up study meals
- informed consent given
Exclusion criteria: - under 65 years old
- cognitive impairment on the basis of MMSE-test Mini-Mental State Examination) (and geriatric evalution
- special diet or illness that restricts eating study meals (kidney deficiency, difficult bowel disease etc). Geriatric evaluation.
- unable to move (disabled)
- travels etc that interrupt study intervention
- cancer
- type 1 diabetes
- participating in another nutritional intervention at the same time
- needs liquid or pasty diet required
- BMI under 18,5 or above 40
- overuse of alcohol (Audit-points over 4 geriatric evaluation)
Geriatric evaluation in case of multiple diseases or mental disorders.

Age minimum: 65 Years
Age maximum: No limit
Gender: Both males and females

Health Condition(s) or Problem(s) studied

low protein intake;other nutritional deficiencies;physical performance;physical activity;health-related quality of life;
low protein intake
other nutritional deficiencies
physical performance
physical activity
health-related quality of life

Diet and Nutrition - Other diet and nutrition disorders

Intervention(s)

Eight (8) week nutritional intervention with home-delivered meals. Three parallel intervention arms; two intervention groups, one control group.
Arm 1:
1/3 of participants allocated to intervention 1 (Arm 1).
Protein-enriched meal containing main dish, side dishes, salad/warm vegetables (20-25 g protein, meal size 350-380 g) and snack (10-15 g protein) and protein-rich bread (2 slices/day, 8-10 g protein) is offered at 7 days a week, 8 weeks. Participants fill daily a brief form about study meals, snack and bread; how much they ate meal components, was the taste and composition good, how many bread slices they consumed etc. One-day food diarys are also filled twice during the intervention (week 2 and 4) and three-day food diaries at week 8 .
Cold meals are delivered at home twice a week. Difference between Arm 1 and Arm 2 in protein intake is approx. + 30 g protein more in Arm 1.
Meals are prepared at Seniori Ateriat, which is a catering kitchen owned by Fazer Food Services in Finland. Meals are prepared with Cook&chill- method.

Arm 2:
1/3 of participants allocated to intervention 2 (Arm 2).
Normal home-meal with main dish, side dishes, salad/warm vegetables (17-19 g protein, meal size 350-380 g) is offered at 7 days a week, 8 weeks. Participants fill daily a brief form about study meals; how much they ate meal components, was the taste and composition good etc. One-day food diarys are also filled twice during the intervention (week 2 and 4) and three-day food diaries at week 8. Cold meals are delivered at home twice a week.
Meals are prepared at Seniori Ateriat, which is a catering kitchen owned by Fazer Food Services in Finland. Meals are prepared with Cook&chill- method.

Arm 3:
1/3 of participants allocated to control group (Arm 3).
Control group continues eating as usual (their normal own diet) for 8 weeks. No home-delivered meals during intervention.One-day food diarys are filled twice during the 8 weeks (week 2

Primary Outcome(s)

Physical performance as assessed by chair stand test (seconds) in Short Physical Performance Battery (SPPB)

[9 weeks post-enrolment ]

Protein intake in g/kg(Body wight)/d assessed by three-day food diary.


[Final intervention week --> 8 weeks post-enrolment]

Secondary Outcome(s)

Physical Activity level as assessed by UKK RM42 accelerometer
[Final intervention week --> 8 weeks post-enrolment]

Physical performance as assessed by gait speed test (seconds) in Short Physical Performance Battery (SPPB)

[9 weeks post-enrolment ]

Physical performance as assessed by Short Physical Performance Battery (SPPB) (total score)


[9 weeks post-enrolment ]

Physical performance as assessed by Hand Grip Test
[9 weeks post-enrolment ]

Health-related -related Quality of Life as measured by 15D
[9 weeks post-enrolment ]

Secondary ID(s)

Nil known

Source(s) of Monetary Support

Fazer Food Services Oy

Oy Karl Fazer Ab

Ethics review

Status: Approved
Approval date:
Contact:

Ethics Committee of the Hospital District of Southwest Finland

Results

• Results available: Yes
• Date Posted: 21/01/2019
• Date Completed: 26/10/2018