Energy- and protein intake of surgical patients after the implementation of energy dense hospital menus

Ingadottir, Arora Ros; Hilmisdottir, Heida B.; Ramel, Alfons; Gunnarsdóttir, Ingibjörg

doi:10.1016/j.clnesp.2015.03.081

Cited by 6 publications

(13 citation statements)

References 25 publications

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“…In general, low energy and protein intakes can be a cause of malnutrition in patients (7) , and decreased food intake among hospitalised patients has been observed in many studies in different patient groups (8)(9)(10)(11)(12) . Few studies have examined energy and protein intakes in hospitalised COPD patients (13)(14)(15)(16) and none have demonstrated whether there is a difference in intake associated with nutritional risk status or body composition.…”

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confidence: 99%

Association of energy and protein intakes with length of stay, readmission and mortality in hospitalised patients with chronic obstructive pulmonary disease

et al. 2018

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Low energy and protein intakes have been associated with an increased risk of malnutrition in outpatients with chronic obstructive pulmonary disease (COPD). We aimed to assess the energy and protein intakes of hospitalised COPD patients according to nutritional risk status and requirements, and the relative contribution from meals, snacks, drinks and oral nutritional supplements (ONS), and to examine whether either energy or protein intake predicts outcomes. Subjects were COPD patients (n 99) admitted to Landspitali University Hospital in 1 year (March 2015-March 2016). Patients were screened for nutritional risk using a validated screening tool, and energy and protein intake for 3 d, 1-5 d after admission to the hospital, was estimated using a validated plate diagram sheet. The percentage of patients reaching energy and protein intake ≥75 % of requirements was on average 59 and 37 %, respectively. Malnourished patients consumed less at mealtimes and more from ONS than lower-risk patients, resulting in no difference in total energy and protein intakes between groups. No clear associations between energy or protein intake and outcomes were found, although the association between energy intake, as percentage of requirement, and mortality at 12 months of follow-up was of borderline significance (OR 0·12; 95 % CI 0·01, 1·15; P=0·066). Energy and protein intakes during hospitalisation in the study population failed to meet requirements. Further studies are needed on how to increase energy and protein intakes during hospitalisation and after discharge and to assess whether higher intake in relation to requirement of hospitalised COPD patients results in better outcomes.

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Association of energy and protein intakes with length of stay, readmission and mortality in hospitalised patients with chronic obstructive pulmonary disease

et al. 2018

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“…Seven studies examined protein-and energy-enriched foods, [41][42][43][44][45][46][47] including a systematic review, 41 2 RCTs, 42,43 44,45 Although most patients consumed inadequate amounts of energy and protein, the use of oral nutritional supplements (ONSs) continued to be low at ∼10% of patients, 47 demonstrating the importance of improving the hospital menu. Energy-and/or proteinbased fortification of main meals and snacks was shown to be effective and feasible.…”

Section: Protein-and Energy-enriched Foodsmentioning

confidence: 99%

“…Energy-and/or proteinbased fortification of main meals and snacks was shown to be effective and feasible. [41][42][43]45,46 Nutrition assistants supported nutrient-dense food selections, 44,45 and having an à la carte menu of protein-enhanced individual foods available for ordering by telephone at any time of day increased protein intake. 42…”

Section: Protein-and Energy-enriched Foodsmentioning

confidence: 99%

“…Seven studies examined protein‐ and energy‐enriched foods, 41–47 including a systematic review, 41 2 RCTs, 42,43 and 2 non‐RCT interventions 44,45 . Although most patients consumed inadequate amounts of energy and protein, the use of oral nutritional supplements (ONSs) continued to be low at ∼10% of patients, 47 demonstrating the importance of improving the hospital menu.…”

Section: Standard Nutrition Carementioning

confidence: 99%

“…Although most patients consumed inadequate amounts of energy and protein, the use of oral nutritional supplements (ONSs) continued to be low at ∼10% of patients, 47 demonstrating the importance of improving the hospital menu. Energy‐ and/or protein‐based fortification of main meals and snacks was shown to be effective and feasible 41–43,45,46 . Nutrition assistants supported nutrient‐dense food selections, 44,45 and having an à la carte menu of protein‐enhanced individual foods available for ordering by telephone at any time of day increased protein intake 42 …”

Section: Standard Nutrition Carementioning

confidence: 99%

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Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

Keller¹,

Laur

Dhaliwal

et al. 2020

J Parenter Enteral Nutr

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Hospital malnutrition is a longstanding problem that continues to be underrecognized and undertreated. The aim of this narrative review is to summarize novel, solution-focused, recent research or commentary to update providers on the prevention of iatrogenic malnutrition as well as the detection and treatment of hospital malnutrition. A narrative review was completed using the top 11 clinically relevant nutrition journals. Of the 13,850 articles and editorials published in these journals between 2013 and 2019, 511 were related to hospital malnutrition. A duplicate review was used to select (n = 108) and extract key findings from articles and editorials. Key criteria for selection were population of interest (adult hospital patients, no specific diagnostic group), solutionfocused, and novel perspectives. Articles were categorized (6 classified in >1 category) as Screening and Assessment (n = 17), Standard (n = 25), Advanced (n = 12) and Specialized Nutrition Care (n = 8), Transitions (n = 15), Multicomponent (n = 21), Education and Empowerment (n = 9), Economic Impact (n = 3), and Guidelines (n = 4) for summarizing. Research advances in screening implementation, standard nutrition care, transitions, and multicomponent interventions provide new strategies to consider for malnutrition prevention (iatrogenic), detection, and care. However, several areas requiring further research were identified. Specifically, larger and more rigorous studies that examine health outcomes and economic analyses are urgently needed.

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Protocols Related to Nutritional Anamnesis in Head and Neck Cancer Patients

Büntzel

2022

Basic Protocols in Foods and Nutrition

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Energy- and protein intake of surgical patients after the implementation of energy dense hospital menus

Cited by 6 publications

References 25 publications

Association of energy and protein intakes with length of stay, readmission and mortality in hospitalised patients with chronic obstructive pulmonary disease

Association of energy and protein intakes with length of stay, readmission and mortality in hospitalised patients with chronic obstructive pulmonary disease

Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

Protocols Related to Nutritional Anamnesis in Head and Neck Cancer Patients

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