[Effect of an oral hyperproteic nutritional supplement in malnourished elderly patients in nursing homes].

Abstract:

INTRODUCTION:Nutritional problems develop complications in geriatric patients and increase their morbidity and mortality. Hyperproteic nutritional supplements are one of the options to improve nutritional deficiencies. OBJECTIVES:To assess the beneficial effect and tolerance of one hyperproteic nutritional supplement (Ensure Plus High Protein, Abbott Laboratories, S.A.) in malnourished subjects over 65 years. METHODS:Observational, prospective, open, multicenter study. We included malnourished subjects over 65 years living in nursing homes located in Spain. Malnutrition was considered as GNRI score < 92 or BMI < 19. Before inclusion, we obtained signed informed consent of patients or their relatives. All participants received Ensure Plus High Protein for 8 weeks. The primary endpoints were changes observed in weight, BMI and GNRI. RESULTS:We analyzed 255 evaluable patients valid for intention-to-treat (ITT) analysis and 243 for the per-protocol (PP) analysis; 69% (n = 172) were female and 31% (n = 77) male. The average protein amount administered was 51 g/day. At the end of the study, statistically significant differences (p < 0.001) were found in weight, BMI and GNRI when compared to baseline, both in the ITT and the PP analysis. The average weight increase was (mean +/- SE) 2.86 +/- 0.13 kg for PP analysis; 80% of participants (n = 202) achieved a weight gain > 1 kg and 96 patients (39.5% PP analysis) had a weight gain > 7%. CONCLUSIONS:The addition of a hyperproteic oral nutritional supplement contributes positively in improving the nutritional status of our study malnourished geriatric patients in terms of significant increase in body weight, BMI and GNRI.

journal_name

Nutr Hosp

journal_title

Nutricion hospitalaria

authors

Ordóñez J,De Antonio Veira JA,Pou Soler C,Navarro Calero J,Rubio Navarro J,Marcos Olivares S,López Ventura M

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

549-54

issue

4

eissn

0212-1611

issn

1699-5198

pii

S0212-16112010000400005

journal_volume

25

pub_type

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