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| 2. |
- Cederholm, Tommy, et al.
(författare)
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Behandling av nutritionsproblem
- 2015
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Ingår i: Mat och hälsa. - : Studentlitteratur AB. - 9789144083575 ; , s. 143-150
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 3. |
- Cederholm, Tommy, et al.
(författare)
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Behandling av nutritionsproblem
- 2015
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Ingår i: Mat och hälsa. - Kristianstad : Studentlitteratur AB. ; , s. 143-150
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Enge, Maria, et al.
(författare)
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Malnutrition prevalence according to GLIM and its feasibility in geriatric patients : a prospective cross-sectional study
- 2024
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Ingår i: European Journal of Nutrition. - : Springer. - 1436-6207 .- 1436-6215. ; 63:3, s. 927-938
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Tidskriftsartikel (refereegranskat)abstract
- PurposeIn 2019, the Global Leadership Initiative on Malnutrition (GLIM) suggested a 2-step diagnostic format for malnutrition including screening and diagnosis. Prospective validation and feasibility studies, using the complete set of the five GLIM criteria, are needed. The aims of this study were to determine the prevalence of malnutrition, and investigate how the prevalence varied with mode of screening. Furthermore, we assessed the feasibility of GLIM in geriatric patients.MethodsConsecutive patients from two acute geriatric wards were included. For screening risk of malnutrition, the Mini Nutritional Assessment-Short Form (MNA-SF) or Malnutrition Screening Tool (MST) were used. In accordance with GLIM, a combination of phenotypic and etiologic criteria were required for the diagnosis of malnutrition. Feasibility was determined based on % data completeness, and above 80% completeness was considered feasible.ResultsOne hundred patients (mean age 82 years, 58% women) were included. After screening with MNA-SF malnutrition was confirmed by GLIM in 51%, as compared with 35% after screening with MST (p = 0.039). Corresponding prevalence was 58% with no prior screening. Using hand grip strength as a supportive measure for reduced muscle mass, 69% of the patients were malnourished. Feasibility varied between 70 and 100% for the different GLIM criteria, with calf circumference as a proxy for reduced muscle mass having the lowest feasibility.ConclusionIn acute geriatric patients, the prevalence of malnutrition according to GLIM varied depending on the screening tool used. In this setting, GLIM appears feasible, besides for the criterion of reduced muscle mass.
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| 8. |
- Odlund Olin, A, et al.
(författare)
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Minimal effect on energy intake by additional evening meal for frail elderly service flat residents : a pilot study
- 2008
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Ingår i: The Journal of Nutrition, Health & Aging. - Paris, France : Springer. - 1279-7707 .- 1760-4788. ; 12:5, s. 295-301
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Nutritional problems are common in frail elderly individuals receiving municipal care. OBJECTIVE: To evaluate if an additional evening meal could improve total daily food intake, nutritional status, and health-related quality of life (HRQOL) in frail elderly service flat (SF) residents. DESIGN: Out of 122 residents in two SF complexes, 60 subjects agreed to participate, of which 49 subjects (median 84 (79-90) years, (25th-75th percentile)) completed the study. For six months 23 residents in one SF complex were served 530 kcal in addition to their regular meals, i.e. intervention group (I-group). Twenty-six residents in the other SF building were controls (C-group). Nutritional status, energy and nutrient intake, length of night time fast, cognitive function and HRQOL was assessed before and after the intervention. RESULTS: At the start, the Mini Nutritional Assessment classified 27% as malnourished and 63% as at risk for malnutrition, with no difference between the groups. After six months the median body weight was unchanged in the I-group, +0.6 (-1.7-+1.6) kg (p=0.72) and the C-group -0.6 (-2.0-+0.5) kg (p=0.15). Weight change ranged from -13% to +15%. The evening meal improved the protein and carbohydrate intake (p<0.01) but the energy intake increased by only 180 kcal/day (p=0.15). The night time fast decreased in the I-group from 15.0 (13.0-16.0) to 13.0 (12.0-14.0) hours (p<0.05). There was no significant difference in cognitive function or HRQOL between the groups. CONCLUSION: Nine out of ten frail elderly SF residents had nutritional problems. Serving an additional evening meal increased the protein and carbohydrate intake, but the meal had no significant effect on energy intake, body weight or HRQOL. The variation in outcome within each study group was large.
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| 9. |
- Odlund Olin, A, et al.
(författare)
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Nutritional status, well-being and functional ability in frail elderly service flat residents
- 2005
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Ingår i: European Journal of Clinical Nutrition. - London, United Kingdom : Springer Science and Business Media LLC. - 0954-3007 .- 1476-5640. ; 59:2, s. 263-70
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate nutritional status and its relationship to cognition, well-being, functional ability and energy intake in frail elderly service flat residents.DESIGN: Cross-sectional and prospective study.SETTING: Two municipal service flat complexes.SUBJECTS: A total of 80 residents (median age 85.5 (79-90) y) with regular home care assistance participated. A subgroup of 35 residents took part in a re-examination 1 y later.METHODS: Mini Nutritional Assessment (MNA), Short Portable Mental Status Questionnaire, Barthel Index and Health Index were used for the evaluation of nutritional, cognitive and ADL function and well-being, respectively.RESULTS: In all, 30% of the frail and chronically ill service flat residents were assessed as malnourished and 59% were at risk of malnutrition. The malnourished residents had worse cognitive conditions (P<0.001) and well-being (P<0.05), lower functional ability (P<0.01) and they had a greater need for daily assistance (P<0.05) than the other residents. The median night fast period was 14.0 (12.5-15.0) h. Five subjects classified as malnourished at baseline had lost a median of -9.6 kg (range -11.0 to +7.3 kg) (P<0.05) in body weight at the 1-y follow-up, which contrasted significantly from the weight stability in residents classified as at risk for malnutrition or well-nourished.CONCLUSION: Out of 10 residents, nine were assessed to have impending nutritional problems that related to impaired well-being, cognition, and functional ability. Malnourished residents had a significant weight loss over one year. Studies are needed to determine whether weight loss and nutrition-related dysfunction in service flat residents are preventable or treatable.
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| 10. |
- Olin, Tommy, 1963
(författare)
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Managerial Techniques for Flexibility and Structure in New Product Development
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis recognizes, evaluates, and introduces a number of managerial techniques for NPD being performed in an environment in need of high degree of both flexibility and structure at the same time. A managerial technique is a service or method, which has been made explicit, used by the management of a project or an organization. Previous research has primarily focused on and described different perspectives and approaches of NPD, rather than practical techniques. Research into useful methods has often been poorly connected to the context and the complexity of managing NPD. Most managerial techniques described in the literature today focus on formalization and structure, rather than flexibility. The author's experience of managing NPD has influenced the focus and there is an apparent practitioner perspective in the thesis. Most of the studies included in the thesis have been carried out in a proven innovative environment, characterized by a great need for both flexibility and structure. The principal methodological approaches have been; Action Science, Self-Ethnography and Insider/Outsider Team research. The reasoning of this thesis suggests that the amount of flexibility and structure, respectively, shall reflect the context and the phases of industrial innovation. Organizations carrying out product development for all phases simultaneously are bound to have both flexibility and structure at the same time. The ability to choose from different managerial techniques can be seen as an important dynamic capability of the firm. In order to aid managers and professionals in this matter the purpose of the thesis has been to materialize the handling of flexibility and structure into explicit managerial techniques. The thesis suggests some managerial techniques that managers and professionals can use in their day-to-day in order to be able to handle the complex issues associated with controlling different projects using different methods. Thus, making the research relevant and actionable.
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