Development of a Frailty Prevention Program Including Nutrition and Exercise Interventions for Older Adults in Senior Daycare Centers in South Korea Using a Mixed Methods Research Design

Overview

Journal Nutr Res Pract

Specialty Nutritional Sciences

Date 2024 Jun 10

PMID 38854475

Authors

Jiwon Sim

Jongguk Lim

Eunji Ko

Eunjin Jang

Minjeong Jeong

Sohyun Park

Affiliations

Soon will be listed here.

Abstract

Background/objectives: The growing aging population has led to an increased utilization of senior daycare centers. This study was conducted to design a program to enhance the health of older adults in senior daycare centers in Chuncheon City, South Korea.

Subjects/methods: The study explored the health conditions and dietary patterns of older adults in senior daycare centers. Participants included staff and older adults from senior daycare centers in Chuncheon City. A mixed methods research design was used to obtain both qualitative and quantitative data. Qualitative insights were obtained through in-depth interviews with 26 staff members and older adults, coupled with observations made at 10 senior daycare centers. The quantitative component comprised structured questionnaires and physical measurements of 204 older adults at these centers.

Results: Many of the older adults relied on the meals provided by the center due to their limited cooking abilities. Dental health issues and dysphagia were common. Interviews highlighted the budgetary constraints of the centers in providing wholesome meals and the need for government support to alleviate meal expenses and enhance quality. A structured survey of older adults showed that the average age was 83.3 yrs, with an average of 2 chronic conditions per participant. Frailty analysis of the participants revealed that 56.2% were prefrail and 32.0% were frail. Almost half of the participants (47.0%) used dentures. Based on these findings, a preventive intervention program was proposed, addressing the specific needs and challenges of older adults while promoting overall well-being and preventing frailty.

Conclusion: Tailored health promotion strategies are crucial in senior daycare centers. Recommended interventions include staff nutrition education, improved dietary plans, and cost-effective strength training programs. These interventions aim to reduce frailty and enhance the quality of life of older adults in the community via interventions in daycare centers.

References

Musacchio E, Perissinotto E, Binotto P, Sartori L, Silva-Netto F, Zambon S . Tooth loss in the elderly and its association with nutritional status, socio-economic and lifestyle factors. Acta Odontol Scand. 2007; 65(2):78-86. DOI: 10.1080/00016350601058069. View

Tsuyuguchi R, Kurose S, Seto T, Takao N, Fujii A, Tsutsumi H . The effects of toe grip training on physical performance and cognitive function of nursing home residents. J Physiol Anthropol. 2019; 38(1):11. PMC: 6714395. DOI: 10.1186/s40101-019-0202-5. View

Vasunilashorn S, Steinman B, Liebig P, Pynoos J . Aging in place: evolution of a research topic whose time has come. J Aging Res. 2011; 2012:120952. PMC: 3227373. DOI: 10.1155/2012/120952. View

Campbell M, Stewart T, Brunkert T, Campbell-Enns H, Gruneir A, Halas G . Prioritizing supports and services to help older adults age in place: A Delphi study comparing the perspectives of family/friend care partners and healthcare stakeholders. PLoS One. 2021; 16(11):e0259387. PMC: 8577765. DOI: 10.1371/journal.pone.0259387. View

Confortin S, Schneider I, Antes D, Cembranel F, Ono L, Marques L . Life and health conditions among elderly: results of the EpiFloripa Idoso cohort study. Epidemiol Serv Saude. 2017; 26(2):305-317. DOI: 10.5123/S1679-49742017000200008. View

Aslam M, Vaezi M . Dysphagia in the elderly. Gastroenterol Hepatol (N Y). 2014; 9(12):784-95. PMC: 3999993. View

Xue Q, Bandeen-Roche K, Varadhan R, Zhou J, Fried L . Initial manifestations of frailty criteria and the development of frailty phenotype in the Women's Health and Aging Study II. J Gerontol A Biol Sci Med Sci. 2008; 63(9):984-90. DOI: 10.1093/gerona/63.9.984. View

Uritani D, Fukumoto T, Matsumoto D, Shima M . Reference values for toe grip strength among Japanese adults aged 20 to 79 years: a cross-sectional study. J Foot Ankle Res. 2014; 7:28. PMC: 4030447. DOI: 10.1186/1757-1146-7-28. View

Hsieh Y, Sung T, Wan K . A survey of nutrition and health status of solitary and non-solitary elders in taiwan. J Nutr Health Aging. 2010; 14(1):11-4. DOI: 10.1007/s12603-010-0003-3. View

10.

Uritani D, Fukumoto T, Matsumoto D, Shima M . Associations between toe grip strength and hallux valgus, toe curl ability, and foot arch height in Japanese adults aged 20 to 79 years: a cross-sectional study. J Foot Ankle Res. 2015; 8:18. PMC: 4430032. DOI: 10.1186/s13047-015-0076-7. View

11.

Ellen M, Demaio P, Lange A, Wilson M . Adult Day Center Programs and Their Associated Outcomes on Clients, Caregivers, and the Health System: A Scoping Review. Gerontologist. 2017; 57(6):e85-e94. DOI: 10.1093/geront/gnw165. View

12.

Rubenstein L, Josephson K, Trueblood P, Loy S, Harker J, Pietruszka F . Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. J Gerontol A Biol Sci Med Sci. 2000; 55(6):M317-21. DOI: 10.1093/gerona/55.6.m317. View

13.

de Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millan-Calenti J . Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015; 15:154. PMC: 4667405. DOI: 10.1186/s12877-015-0155-4. View

14.

Murray C, Salomon J, Mathers C . A critical examination of summary measures of population health. Bull World Health Organ. 2000; 78(8):981-94. PMC: 2560826. View

15.

Lally F, Crome P . Understanding frailty. Postgrad Med J. 2007; 83(975):16-20. PMC: 2599957. DOI: 10.1136/pgmj.2006.048587. View

16.

Kucukerdonmez O, Navruz Varli S, Koksal E . Comparison of Nutritional Status in the Elderly According to Living Situations. J Nutr Health Aging. 2016; 21(1):25-30. DOI: 10.1007/s12603-016-0740-z. View

17.

Fitzpatrick S, Reddy S, Lommel T, Fischer J, Speer E, Stephens H . Physical activity and physical function improved following a community-based intervention in older adults in Georgia senior centers. J Nutr Elder. 2008; 27(1-2):135-54. DOI: 10.1080/01639360802060223. View

18.

Fujii K, Maekawa A, Komoda T, Kawabe N, Nishimura R, Sakakibara Y . Foot Problems and Their Associations with Toe Grip Strength and Walking Speed in Community-Dwelling Older Individuals Using Day Services: A Cross-Sectional Study. Nurs Rep. 2023; 13(2):697-720. PMC: 10123680. DOI: 10.3390/nursrep13020062. View

19.

Zdzieblik D, Oesser S, Baumstark M, Gollhofer A, Konig D . Collagen peptide supplementation in combination with resistance training improves body composition and increases muscle strength in elderly sarcopenic men: a randomised controlled trial. Br J Nutr. 2015; 114(8):1237-45. PMC: 4594048. DOI: 10.1017/S0007114515002810. View

20.

Hsieh T, Su S, Chen C, Kang Y, Hu M, Hsu L . Individualized home-based exercise and nutrition interventions improve frailty in older adults: a randomized controlled trial. Int J Behav Nutr Phys Act. 2019; 16(1):119. PMC: 6889427. DOI: 10.1186/s12966-019-0855-9. View