Prevention of malnutrition in older people during and after hospitalisation: results from a randomised controlled clinical trial.

Abstract:

OBJECTIVE:to prevent the occurrence of weight loss during hospitalisation and following discharge by daily oral supplementation. DESIGN:in a prospective, randomised, controlled study of 80 patients aged 75 or more, and at risk of undernutrition based on their initial Mini Nutritional Assessment score, patients were randomised into a control group or one receiving oral supplementation. The intervention was a prescription of 200 ml sweet or salty sip feed twice daily (500 kcal, 21 g protein per day) throughout hospitalisation and convalescence. Nutritional status was assessed at baseline and after 2 months using Mini Nutritional Assessment and body weight record. RESULTS:compliance with oral supplementation was good and daily extra energy intake was 407+/-184 kcal. On day 60, significant weight loss from upon admission was observed in the control group (-1.23+/-2.5 kg; P=0.01), but not in the supplemented group (0.28+/-3.8 kg; NS). At the end of the study, Mini Nutritional Assessment scores were higher in the supplemented group than in the control group (23.5+/-3.9 versus 20.8+/-3.6; P<0.01). CONCLUSION:use of daily oral supplementation during and after hospitalisation maintains body weight and increases Mini Nutritional Assessment score in patients at risk of undernutrition.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Gazzotti C,Arnaud-Battandier F,Parello M,Farine S,Seidel L,Albert A,Petermans J

doi

10.1093/ageing/32.3.321

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

321-5

issue

3

eissn

0002-0729

issn

1468-2834

journal_volume

32

pub_type

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