{"id":4762,"date":"2018-11-29T23:51:24","date_gmt":"2018-11-29T22:51:24","guid":{"rendered":"https:\/\/science-nutrition.com\/?p=4762"},"modified":"2019-01-08T11:54:38","modified_gmt":"2019-01-08T10:54:38","slug":"retour-colloque-renessens","status":"publish","type":"post","link":"https:\/\/science-nutrition.com\/en\/2018\/11\/29\/retour-colloque-renessens\/","title":{"rendered":"Compte rendu du colloque de restitution du projet ANR RENESSENS, le 20 Novembre, Paris"},"content":{"rendered":"

Le programme de recherche RENESSENS concerne la personne \u00e2g\u00e9e d\u00e9pendante pour son alimentation (aide \u00e0 domicile, portage de repas pr\u00e9par\u00e9s, personnes en institution). Ses objectifs ont \u00e9t\u00e9 de :<\/p>\n

    \n
  1. identifier des profils de mangeurs au sein de la population \u00e2g\u00e9e d\u00e9pendante pour son alimentation,<\/li>\n
  2. d\u00e9velopper des solutions pour am\u00e9liorer l\u2019offre alimentaire aux besoins et capacit\u00e9s de la personne \u00e2g\u00e9e en respectant ses habitudes et pr\u00e9f\u00e9rences alimentaires,<\/li>\n
  3. \u00e9valuer le co\u00fbt\/b\u00e9n\u00e9fice d\u2019une alimentation personnalis\u00e9e pour le senior, les structures et pour la soci\u00e9t\u00e9.<\/li>\n<\/ol>\n

    Bien que l\u2019on parle de ce probl\u00e8me depuis de tr\u00e8s nombreuses ann\u00e9es, des chiffres de pr\u00e9valence toujours \u00e9lev\u00e9s\u00a0: pr\u00e8s de 2 millions de personnes sont d\u00e9nutries en France, dont 400\u00a0000 personnes \u00e2g\u00e9es \u00e0 domicile et 270\u00a0000 en EHPAD.<\/p>\n

    La d\u00e9nutrition r\u00e9sulte d\u2019un d\u00e9ficit \u00e9nerg\u00e9tique et prot\u00e9ique de l\u2019organisme, caus\u00e9e soit par une insuffisance des apports alimentaires, soit par une augmentation des pertes, soit par une association des deux. Elle se traduit par une perte de poids, et une perte de muscle. Elle se d\u00e9finit par un indice de masse corporelle (IMC) <21, et une perte de poids involontaire de plus de 5% en un mois ou de plus de 10% en six mois, un IMC inf\u00e9rieur \u00e0 21 ou une hypo albumin\u00e9mie (<35g\/l) ou un MNA (mini nutritional assessment) <7.<\/p>\n

    Les chercheurs de ce programme de recherche ont rappel\u00e9 qu\u2019il fallait lutter contre des id\u00e9es re\u00e7ues chez les personnes \u00e2g\u00e9es et leurs proches\u00a0:<\/p>\n

    \u00ab\u00a0Quand on est vieux, on a moins besoin de manger\u00a0\u00bb<\/strong><\/p>\n

    \u00ab\u00a0Quand on est vieux, on a moins besoin de viande\u00a0\u00bb<\/strong><\/p>\n

    Le programme de recherche RENESSENS a \u00e9valu\u00e9 la consommation alimentaire de sujets vivant en institutions avec une enqu\u00eate alimentaire sur 24 heures et des pes\u00e9es des aliments. Il a \u00e9t\u00e9 montr\u00e9 que 83% des r\u00e9sidents ne satisfaisaient pas leurs besoins caloriques ni protidiques, 43% satisfaisaient moins de 2\/3 des apports conseill\u00e9s. Il existe un cluster de personnes \u00e2g\u00e9es qui mangent peu de tout \u00e0 qui il est n\u00e9cessaire de proposer des aliments enrichis en particuliers d\u2019aliments qui sont encore bien consomm\u00e9s par eux (exemple, soupes, pr\u00e9parations \u00e0 base de l\u00e9gumes et de fruits enrichies). Il est pr\u00e9f\u00e9rable de privil\u00e9gier l\u2019enrichissement de l\u2019alimentation quotidienne plut\u00f4t que d\u2019avoir recours aux compl\u00e9ments nutritionnels oraux\u00a0;<\/p>\n

    Pour faire manger un petit mangeur\u00a0; il faut comprendre pourquoi, stimuler l\u2019envie de manger, adapter les repas (ajouter une collation par exemple), adapter les menus (rajouter un produit laitier), adapter les recettes (d\u00e9s de jambons, ajouter des \u0153ufs, de la cr\u00e8me, du fromage), adapter les ingr\u00e9dients (ajouter de la poudre de lait).<\/p>\n

    Le programme RENESSENS a \u00e9galement \u00e9tudi\u00e9 comment accompagner les aidants pour mieux nourrir les personnes \u00e2g\u00e9es aid\u00e9es vivant \u00e0 domicile<\/strong>. Cela passe par un diagnostic nutritionnel, l\u2019\u00e9tude du profil du\u00a0 mangeur, et des freins et leviers alimentaires. Les aidants ont \u00e9t\u00e9 form\u00e9s \u00e0 la d\u00e9nutrition. Le couple aidant\/aid\u00e9 a \u00e9t\u00e9 suivi par une di\u00e9t\u00e9ticienne pendant 8 semaines. Il a \u00e9t\u00e9 montr\u00e9 que dans la majorit\u00e9 des cas un suivi di\u00e9t\u00e9tique personnalis\u00e9 augmentait la quantit\u00e9 des ingestas. Cependant le succ\u00e8s de l\u2019intervention \u00e9tait d\u00e9pendant du niveau de revenus, de l\u2019\u00e9tat de sant\u00e9 physiologique et psychologique de l\u2019aid\u00e9.<\/p>\n

    Bref des premiers r\u00e9sultats encourageants dont il faut \u00e9valuer l\u2019impact \u00e9conomique\u00a0!<\/p>\n

    Pour en savoir plus sur les r\u00e9sultats de cette \u00e9tude<\/a><\/p>\n<\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

    Le programme de recherche RENESSENS concerne la personne \u00e2g\u00e9e d\u00e9pendante pour son alimentation (aide \u00e0 domicile, portage de repas pr\u00e9par\u00e9s, personnes en<\/p>\n","protected":false},"author":4,"featured_media":3134,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48],"tags":[897,209,896],"class_list":["post-4762","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agenda","tag-age","tag-appetit","tag-renessens"],"yoast_head":"\nCompte rendu du colloque de restitution du projet ANR RENESSENS, le 20 Novembre, Paris - Orchidali - When feeding is health<\/title>\n<meta name=\"description\" content=\"Conseil scientifique et r\u00e9glementaire en alimentation\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/science-nutrition.com\/en\/2018\/11\/29\/retour-colloque-renessens\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Compte rendu du colloque de restitution du projet ANR RENESSENS, le 20 Novembre, Paris - 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