Intervention(s) and comparator(s) | Participants (N) | Description of participants (trial design) | Country | Setting | Sex N (female %) | Age mean years (SD)/range) | |
Barton 2000 | I1: reduced portion fortified menu | 13 | Elderly hospitalised individuals (cross‐over RCT) |
UK | Elderly rehab ward | 6 (46) | 77 (8) |
I2: normal menu plus cooked breakfast | 8 (non‐randomised) | 5 (63) (non‐randomised) | 78 (9) (non‐randomised) | ||||
C: normal hospital menu | 14 | 11 (79) | 75 (11) | ||||
Beck 2002 | I1: homemade oral supplement | 36 | Nursing home residents > 65 years (parallel RCT) |
Denmark | Residential care home | 22 (61) | 81 (76‐86) |
I2: homemade oral supplement (B) | |||||||
C: usual diet | |||||||
Bouillanne 2013 | I: pulse diet (78% protein at lunch) | 66 | Hospitalised elderly individuals (parallel RCT) | France | Intermediate care unit | 46 (70) | 84.1 (6) |
C: usual diet (protein distributed between meals) | 85.7 (6.3) | ||||||
Bourdel‐Marchasson 2000 | I: oral supplementation + standard diet | 295 | Critically ill elderly participants (cluster‐RCT) |
France | Hospital wards & geriatric units | 199 (67.5) | 83.6 (7.3) |
C: standard diet | 377 | 238 (63.1) | 83.0 (7.1) | ||||
Brouillette 1991 | I: osmotherapy + activities | 10 | Nursing home residents (parallel RCT) | USA | Residential care home | 14 (88) of those that completed the trial | 80 (6.4) |
C: activities only | 10 | 87 (6.8) | |||||
Castellanos 2009 | I1: fortified breakfast and lunch menu | 39 | Nursing home residents (cross‐over RCT) |
USA | Residential care home | 23/33 finishing (70) | 87.3 (8.6) |
I2: fortified lunch menu | 39 | ||||||
C: usual menu | 39 | ||||||
Chang 2005 | I: training in feeding skills | 20 | Nursing assistants and nursing home residents with dementia (cluster RCT) | Taiwan | Residential care home | ‐ | ‐ |
C: no training | 16 | ||||||
Dennis 2005 | I: nutritional supplement + normal hospital diet | 2016 | Participants with recent stroke (parallel RCT) | 15 different countries | Hospital | 945 (47) | 71 (12) |
C: normal hospital diet | 2007 | 929 (46) | 71 (13) | ||||
Duncan 2006 | I. dietetic assistant | 153 | Women > 65 years admitted with acute hip fracture (parallel RCT) | UK | Acute trauma ward | 318 (100) | 83.6 |
C: usual care | 165 | 83.5 | |||||
Essed 2007 | I1: monosodium glutamate | 19 | Residents of nursing home ≥ 65 years (factorial RCT) |
Netherlands | Residential care home | 58 (70) | 84.9 (5.7) |
I2: flavour | 19 | 85.4 (6.7) | |||||
I3: monosodium glutamate + flavour | 22 | 84.9 (6.2) | |||||
C: maltodextrin | 23 | 85.6 (8.5) | |||||
Essed 2009 | I: monosodium glutamate + NaCl | 53 | Nursing home residents > 65 years (cross‐over RCT) |
Netherlands | Residential care home | 40 (76) | 85.8 (6.2) |
C: usual hot meal | 53 | ||||||
Faxen‐Irving 2011 | I: 3 x 30 mL of fat emulsion daily | 34 | Recently admitted geriatric persons > 65 years (parallel RCT) | Sweden | Geriatric acute ward | (61) | 82.7 (7.5) ‐ data from those who completed the trial only (N = 24) |
C: usual care | 37 | (49) | 85.1 (6.7) ‐ data from those who completed the trial only (N = 27) | ||||
Gaskill 2009 | I: nutrition education programme | 352 | Nursing home residents (cluster‐RCT) | Australia | Residential care home | 245 (70) | 84.2 (8.7) |
C: usual care | |||||||
Germain 2006 | I: re‐formed foods | 8 | Frail institutionalised elderly people with dysphagia (parallel RCT) | Canada | Residential care home | 5 (63) | 82.5 (4.4) |
C: usual diet | 9 | 5 (56) | 84.6 (3.8) | ||||
Hankey 1993 | I: oral nutritional supplement | 7 | Frail elderly persons in continuing care (parallel RCT) | UK | Hospital | 11 (79) | 81 (1.6) |
C: standard hospital diet | 7 | ||||||
Hickson 2004 | I: feeding assistance | 292 | Acutely ill elderly inpatients (parallel RCT) | UK | Elderly medicine ward | 200 (69) | 82 (76 ‐ 86) |
C: usual care | 300 | 173 (58) | 82 (77 ‐ 87) | ||||
Holyday 2012 | I: malnutrition care plan | 71 | Acutely ill elderly inpatients (parallel RCT) | Australia | Acute geriatric medicine ward | 43 (61) | 83.7 (6.7) |
C: usual care | 72 | 39 (54) | 83.4 (7.6) | ||||
Johanssen 2004 | I: nutrition team | 108 | Nutritional risk score 2000 > 3 on admission to hospital (parallel RCT) | Denmark | Hospital, three different levels | 54 (50) | 62 (1.6) |
C: usual care | 104 | 56 (54) | 62.4 (1.7) | ||||
Kraft 2012 | I: ONS + telemedicine monitoring | 13 | Malnourished geriatric home‐dwelling persons (parallel RCT) | Germany | Hospital discharge and tele‐medicine monitoring | 7 (54) | 80.7 (5.6) |
C: usual care | 13 | 9 (69) | 78.8 (8.8) | ||||
Kretser 2003 | I: modified meals on wheels | 102 | Homebound older adults at nutritional risk (parallel RCT) | USA | Home care | 70 (69) | (60‐90) |
C: traditional meals on wheels | 101 | 74 (73) | |||||
Larsson 1990 | I: ONS plus normal hospital diet | 435 | Older people admitted to a long‐term medical care clinic (parallel RCT) | Sweden | Hospital | Unclear ‐ varies between papers, authors to be contacted | 80.1 (8.5) |
C: normal hospital diet | |||||||
Leslie 2012 | I: energy enriched meals | 22 | People living in residential care homes (cluster‐RCT) |
UK | Residential care home | 36 (88%) | 90.9 (77‐105) |
C; usual care | 19 | 90.3 (70‐100) | |||||
Lin 2010 | I1: spaced‐retrieval | 32 | Residents with dementia (cluster‐RCT) | Taiwan | Residential care home | 18 (56) | 76.7 (6.1) |
I2: Montessori | 29 | 12 (41) | 82.9 (6.0) | ||||
C: usual care | 24 | 15 (63) | 81.1 (7.0) | ||||
Lin 2011 | I: Montessori | 29 | Residents with dementia (cluster RCT & cross‐over RCT) |
Taiwan | Residential care home | 12 (41) | 82.9 (6.0) |
C: usual care | |||||||
Mathey 2001a | I: improved meal ambiance | 21 | Nursing home residents > 65 years (cluster‐RCT) | Netherlands | Residential care home | 25 (66) | 82.2 (7.9) |
C: usual care | 17 | ||||||
Mathey 2001b | I: flavour enhancement | 36 | Nursing home residents > 65 years (parallel RCT) | Netherlands | Residential care home | 29 (74) | 84.6 (6.1) |
C: usual care | 31 | 25 (81) | 83.0 (5.5) | ||||
Munk 2014 | I: energy and protein enriched foods provided via a la carte menu in addition to hospital food | 41 (number completing the trial) | New admissions to hospital ward (oncology, orthopaedics or urology) (parallel RCT) | Denmark | Hospital | 25 (61) | 75 (10 |
C: usual care | 40 | 22 (55) | 74 (11) | ||||
Nijs 2006 | I: family‐style meals | 94 | Nursing home residents (cluster‐RCT) |
Netherlands | Residential care home | 70 (74) | 78 (11.1) |
C: usual care | 84 | 55 (65) | 75 (9.9) | ||||
Olofsson 2007 | I: multi‐component intervention (including nutrition) | 102 | People > 70 years with femoral neck fracture (parallel RCT) | Sweden | Geriatric orthopaedic ward | 62 (75) | 82.1 (6.8) |
C: usual care | 97 | 57 (77) | 82.2 (5.6) | ||||
Pivi 2011 | I1: nutrition education | 25 | Individuals > 65 years old with Alzheimer's disease (parallel RCT) | Brazil | Neurology outpatients | 53 (68) | 75.2 |
I2: oral nutritional supplements | 26 | ||||||
C: usual care | 27 | ||||||
Potter 2001 | I: oral nutritional supplement + normal hospital diet | 186 | Unwell elderly people (parallel RCT) | Scotland, UK | Medicine for the elderly unit | 140 (75) | Median 83 (61‐79) |
C: normal hospital diet | 195 | 139 (71) | |||||
Remsburg 2001 | I: buffet‐style meals | 20 | Nursing home residents > 65 years (parallel RCT) | USA | Residential care home | 19 (95) | 80 (6) |
C: usual care | 20 | 13 (65) | 80 (8) | ||||
Salva 2011 | I: teaching and training | 448 | People with dementia (cluster RCT) |
Spain | Home care | 300 (67) | 79.4 (7) |
C: usual care | 498 | 344 (69) | 78.6 (7.5) | ||||
Silver 2008 | I: fortified home delivered lunch | ‐ | Adults > 60 years receiving home‐delivered lunch meals (cross‐over RCT) |
USA | Home care | 31(69) of those who completed the trial (N = 45) | 84.4 (1) of those who completed the trial (N = 45) |
C: usual home delivered lunch | |||||||
Simmons 2008 | I: feeding assistance and/or snacks | 35 | Nursing home residents (cluster‐RCT & cross‐over RCT) |
USA | Residential care home | Reported for the total group, and not the subgroup to be used in this review | Reported for the total group, and not the subgroup to be used in this review |
C: usual diet | 34 | ||||||
Simmons 2010 | I1: snacks | 25 | Nursing home residents (parallel RCT) | USA | Residential care home | 39 (62) | 86.9 (11.3) |
I2: supplements | 18 | ||||||
C: usual care | 20 | ||||||
Smolliner 2008 | I: fortified meals and snacks | Elderly nursing home residents (cluster RCT) |
Germany | Residential care home | 17 (77) | 82.2 (9.5) | |
C: usual diet | 21 (70) | 84.7 (9.5) | |||||
Splett 2003 | I: medical nutrition therapy | 223 | Frail elderly nursing home residents (cluster‐RCT) |
USA | Residential care home | 143 (67) | Male 79.2 (9.7); Female 82.8 (8.7) |
C: usual care | 171 | 125 (73) | |||||
Taylor 2006 | I: 5‐meal menu | 31 | Elderly nursing home residents with dysphagia (cross‐over RCT) |
Canada | Residential care home | 26 (84) | 85 (6.4) |
C: usual (3‐meal menu) | |||||||
Van den Berg 2015 | I1: 125 mL ONS twice daily with medication round | Patients newly admitted to medical and surgical wards (parallel RCT) | The Netherlands | Hospital | 34 (52) | 70.5 (15) | |
I2: 62 mL ONS four times daily with medication round | 37 (46) | 72.6 (10) | |||||
C: usual care (125 mL ONS offered in between meals) | 34 (39) | 70.4 (13) | |||||
Van Ort 1995 | I: contextual and behavioural intervention | 4 | Nursing home residents requiring feeding assistance (parallel RCT) | USA | Residential care home | 6 (75) | (65‐93) |
C: usual care | 4 | ||||||
‐ denotes not reported C: comparator; I: intervention; ONS: oral nutritional supplement; RCT: randomised controlled trial |