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. 2016 Dec 20;2016(12):CD009840. doi: 10.1002/14651858.CD009840.pub2
  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