Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults

Baldwin, Christine; Weekes, C. Elizabeth

doi:10.1002/14651858.cd002008.pub4

Cited by 109 publications

(121 citation statements)

References 155 publications

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“…The findings of improved nutritional intake and improvement in appetite and emotional status (which are aspects of quality of life) are consistent with a systematic review of the effectiveness of dietary advice in disease-related malnutrition (13) . This review found oral nutritional interventions (dietary advice with or without nutritional supplements) to have no effect on survival either across disease groups or in the subgroup of studies of cancer patients (14) , corroborating similar earlier reviews.…”

Section: Nutritional Care As a Component Of Multimodal Management Of supporting

confidence: 83%

The nursing contribution to nutritional care in cancer cachexia

Hopkinson

2015

Proc. Nutr. Soc.

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Section: Nutritional Care As a Component Of Multimodal Management Of supporting

confidence: 83%

The nursing contribution to nutritional care in cancer cachexia

Hopkinson

2015

Proc. Nutr. Soc.

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“…Another systematic literature review reported that dietary consultation, either with or without prescription of ONS, improved body weight in malnourished older adults which suggests that the dietetic consultation itself is key to improving nutritional status (Baldwin and Weekes, 2011). Furthermore, efficacy of ONS for community living older adults remains unclear, as has been reported in a metaanalysis (Milne et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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“…Undernutrition may be caused by a number of factors such as acute or chronic disease, dental and swallowing problems, changes in sensory perception and appetite, loneliness, and difficulties with meal preparation and grocery shopping [2][3][4]. Negative consequences of undernutrition such as loss of weight and lean body mass may improve with energy and protein supplementation, and with dietetic counselling with or without oral nutritional supplements (ONS) [5,6]. ONS are ready-to-drink liquids, creams or powder supplements that contain macro-and micronutrients and are commonly used as a supplement to the general diet if food intake is not sufficient.…”

Section: Introductionmentioning

confidence: 99%

Undernutrition: who cares? Perspectives of dietitians and older adults on undernutrition

et al. 2017

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Background: Many older adults are at risk of undernutrition. Dietitians play a key role in the management and treatment of undernutrition, but older adults have difficulties to comply with dietetic recommendations. This qualitative study investigated which barriers older adults experience in adhering to treatment for undernutrition. Current dietetic practices and older adults' experiences were studied, and the potential to use protein-enriched regular products in undernutrition treatment was investigated. Methods: We interviewed 18 older adults who were under treatment for undernutrition, and 13 dietitians. Semistructured interview guides were used, and all interviews were audiotaped and transcribed verbatim. The interviews were coded with qualitative analysis software NVivo9, followed by content analysis to formulate main themes. Results: The interviews resulted in seven themes, which related to three main topics: barriers for treating undernutrition in older adults, current dietetic treatment, and new strategies to complement current treatment. Low awareness and a lack of knowledge regarding undernutrition, physical limitations, and loss of appetite were found to be major barriers for treating undernutrition in older adults. Dietitians said to focus mostly on increasing energy and protein intake by recommending the use of regular food products that fit the needs and habits of the patient, before prescribing oral nutritional supplements. Dietitians considered enriched regular products to be useful if they fit with the habits of older adults, the portion sizes were kept small, if products were easy to open and prepare, had good palatability, and were offered in a variety of taste and textures. Conclusions: Results from the interviews suggest that undernutrition awareness is low among older adults and they lack knowledge on how to manage undernutrition despite efforts taken by dietitians. Enriched regular products could enable older adults to better adhere to undernutrition treatment, provided that these products meet the needs and eating habits of older adults. If protein-enriched food products can replace regular, lowprotein variants, older adults do not need to consume more, but can adhere to their usual pattern while consuming more protein.

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Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults

Abstract: Trusted evidence. Informed decisions. Better health.

Cited by 109 publications

References 155 publications

The nursing contribution to nutritional care in cancer cachexia

The nursing contribution to nutritional care in cancer cachexia

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Undernutrition: who cares? Perspectives of dietitians and older adults on undernutrition

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