A systematic review of compliance to oral nutritional supplements

Hubbard, G.P.; Elia, Marinos; Holdoway, Anne; Stratton, Rebecca J.

doi:10.1016/j.clnu.2011.11.020

Cited by 276 publications

(223 citation statements)

References 80 publications

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“…Although many studies regarding compliance to ONS have been published so far, to our best knowledge only one systematic review has been made to summarize those studies. 11 Hubbard et al reviewed 46 studies of all types with 4,328 patients in which compliance to ONS was measured. 11 Those studies compared patients with various diseases (oncological, geriatric, respiratory, renal, and fractures) receiving supplementation in ambulatory as well as inpatient setting.…”

Section: Discussionmentioning

confidence: 99%

“…11 Hubbard et al reviewed 46 studies of all types with 4,328 patients in which compliance to ONS was measured. 11 Those studies compared patients with various diseases (oncological, geriatric, respiratory, renal, and fractures) receiving supplementation in ambulatory as well as inpatient setting. The overall compliance to prescribed ONS was 78% with most of studies (62 %) at the level of >75%.…”

Section: Discussionmentioning

confidence: 99%

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Role of preoperative nutrition in gastro-intestinal cancer patients: a prospective study

et al. 2016

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Background:This prospective study was carried out to compare outcome and postoperative complication in patients with gastro-intestinal malignancy who received preoperative total parentral nutrition with those whom doesn’t.Methods: The study was a prospective single-centre, two-arm, conducted in department of general surgery, Gandhi Medical College and Associated Hamidia Hospital, Bhopal, Madhya Pradesh, India of one year duration, a total of 60 patients with G. I. malignancy, with or without sign of malnutrition, were included in the study. Patients were randomized and 30 patients were placed in each arm (interventional and control group) patients in the control group were asked to continue their normal feeding while interventional arm were given TPN in addition to their normal diet, for 7 to 10 days before surgery.Results:Infectious complications were more in control group, while one case each of pneumonia and sepsis was observed in patients receiving supplementation. Complications related to nutritional status of the patient like wound infection and anastomotic leak were observed only in patients without supplementation. There was no death observed in interventional group but two deaths occurred in control group.Conclusions:Preoperative nutritional support is beneficial and should be routinely used in abdominal and gastrointestinal cancer patient with or without clinical signs of malnutrition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Role of preoperative nutrition in gastro-intestinal cancer patients: a prospective study

et al. 2016

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“…A compliance értékét jelentősen befolyásolja az iható tápszer energiatartalma: a magas energiatartalmú (≥2 kcal/ml) tápszerek esetén a compliance szignifikánsan jobb, mint az ennél alacsonyabb (1,5 kcal/ml, illetve 1-1,3 kcal/ ml) energiatartalmú tápszerek esetén. Ennek nagy való-színűséggel az az oka, hogy a magasabb energiatartalmú tápszerből ugyanannyi kalória beviteléhez kevesebbet kell elfogyasztani [7]. Például napi 600 kcal tápszerrel történő beviteléhez 2 kcal/ml energiatartalmú tápszer-ből 300 ml-t, 1,5 kcal/ml energiatartalmú tápszerből 400 ml-t, 1 kcal/ml energiatartalmú tápszerből pedig 600 ml-t kell a betegnek elfogyasztania.…”

Section: Megbeszélésunclassified

A compliance fontossága a táplálásterápiában

Mikulka¹

2016

Orvosi Hetilap

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A betegség okozta alultápláltság az alapbetegség és a nem megfelelő táplálkozás együttes következményeként alakul ki. A betegséghez kapcsolódó kezeletlen alultápláltság súlyos következményekkel jár, amelyek jelentősen rontják a fizikális-lelki egészséget és működést, valamint az alapterápia hatékonyságát, továbbá a betegség kimenetelét. Műkö-dő gastrointestinalis rendszer megléte mellett a táplálásterápia elsődleges választandó formája az iható tápszer. Mint minden más terápiánál, a táplálásterápia esetén is rendkívül fontos kérdés a compliance, amelyet nagymértékben befolyásolnak olyan tényezők, mint az állag, íz, illat, elfogyasztandó mennyiség, illetve az esetlegesen jelentkező mellék-hatások. Az esetleírás célja annak bemutatása, hogy a beteg compliance-ét meghatározó tényezők figyelembevételével megválasztott tápszerrel a betegség okozta alultápláltság sikeresen kezelhető. Orv. Hetil., 2016, 157(15), 596-598. Kulcsszavak: alultápláltság, táplálásterápia, compliance Importance of compliance in nutritional management. Case reportDisease-related malnutrition is usually caused by the joint action of the underlying disease itself and dietary deficiency. The consequences of malnutrition, if left untreated, are serious, causing a marked decline in physical and psychological health and function, and an increased rate of complications and decreased effectiveness of the medical treatments. In case a functional gastrointestinal tract is present, the recommended form of nutritional management is the use of oral nutritional supplements. However, just like to any other therapy, compliance to oral nutritional supplements is highly influenced by the consistency, taste, smell, volume consumed, and side effects. The aim of the present case report is to illustrate that nutritional management is a successful and effective treatment option of disease-related malnutrition when the selection of the oral nutritional supplement takes into consideration patient's preferences as well. Keywords: malnutrition, nutritional management, complianceMikulka, I. [Importance of compliance in nutritional management. Case report]. Orv. Hetil., 2015, 157(15), 596-598. ESETISMERTETÉS Rövidítések COPD = krónikus obstruktív tüdőbetegség; IBD = gyulladásos bélbetegségA betegséghez kapcsolódó alultápláltság (azaz a betegség okozta alultápláltság) világszerte ismert és aluldimenzionált probléma [1,2]. Mivel a betegséghez kapcsolódó alultápláltság károsan hat a különböző szervrendszerekre, továbbá súlyos fizikális és pszichoszociális következményekkel járhat, valamennyi egészség-ügyi ellátórendszernek kiterjedten kell foglalkoznia az állapot korai felismerésével és kezelésével/megelőzésé-vel.A betegséghez kapcsolódó alultápláltság a nyugati országokban általában az alapbetegség (például daganat, krónikus obstruktív tüdőbetegség [COPD], gyulladásos bélbetegség [IBD], időskori kognitív zavar, Alzheimerbetegség) és a nem megfelelő táplálkozás együttes követ-kezményeként alakul ki [3]. Ennek következtében a kezelésnek nemcsak az alapbetegségre ható terápiá...

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“…Adherence is another critical factor in nutritional interventions. It is well known that nutritional supplements or changes to dietary intake are notoriously difficult for subjects to follow consistently (21) . All studies in this group reported adherence, but three had relatively low rates (11)(12)(13) , suggesting that a lack of adherence could be the reason for a lack of effect.…”

Section: Whole-protein Studiesmentioning

confidence: 99%

Nutritional interventions in sarcopenia: a critical review

Hickson

2015

Proc. Nutr. Soc.

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The aim of the present paper is to critically review the details of the published nutrition intervention trials, with and without exercise, targeting sarcopenia. Sarcopenia is the loss of muscle mass, strength and/or performance with age. Since amino acids and energy are required for muscle synthesis it is possible that nutritional intake influences sarcopenia. Nutritional studies are challenging to carry out because of the complexity of modulating dietary intake. It is very difficult to change one nutrient without influencing many others, which means that many of the published studies are problematic to interpret. The studies included evaluate whole protein, essential amino acids and β-hydroxyl β-methylbutyrate (HMB). Whole-protein supplementation failed to show a consistent effect on muscle mass, strength or function. This can be explained by the variations in study design, composition of the protein supplement and the failure to monitor voluntary food intake, adherence and baseline nutritional status. Essential amino-acid supplements showed an inconsistent effect but there are only two trials that have significant differences in methodology and the supplement used. The HMB studies are suggestive of a beneficial effect on older adults, but larger well-controlled studies are required that measure outcomes relevant to sarcopenia, ideally in sarcopenic populations. The issues of timing and distribution of protein intake, and increased splanchnic amino-acid sequestration are discussed, and recommendations for future trials are made.

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A systematic review of compliance to oral nutritional supplements

Cited by 276 publications

References 80 publications

Role of preoperative nutrition in gastro-intestinal cancer patients: a prospective study

Role of preoperative nutrition in gastro-intestinal cancer patients: a prospective study

A compliance fontossága a táplálásterápiában

Nutritional interventions in sarcopenia: a critical review

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