Nutritional counseling improves quality of life and nutrient intake in hospitalized undernourished patients

Rüfenacht, U; Rühlin, Maya; Wegmann, Marlene; Imoberdorf, Reinhard; Ballmer, Peter E.

doi:10.1016/j.nut.2009.04.018

Cited by 79 publications

(75 citation statements)

References 21 publications

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“…Hiesmayr et al 12 also found that low food intake was an independent risk factor for mortality during stay. On the other hand, high calorie and protein intakes led to improved quality of life in a randomized study comparing two groups of patients at nutritional risk 15 .…”

Section: Discussionmentioning

confidence: 99%

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Assis¹,

Silveira

Beghetto

et al. 2016

Rev. Nutr.

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Objective The aim was to assess whether postoperative calorie and protein intakes increase the risk of infection and prolonged length of stay in a tertiary care university hospital in Southern Brazil. Methods This is a prospective cohort study approved by the hospital's Research Ethics Committee. The sample consisted of adult patients undergoing elective surgery. The exclusion criteria included patients who could not undergo nutritional assessment and those with a planned hospital stay of fewer than 72 hours. Nutritional status was assessed on admission and every seven days thereafter until hospital discharge or death. Demographic and clinical data, as well as information regarding independent and outcome variables, were collected from the patient's records. Food intake assessment was conducted by researchers six times a week. Calorie and protein intakes were considered adequate if equal to or greater than 75% of the prescribed amount, and length of stay was considered prolonged when above the average for specialty and type of surgery. Data was analyzed using Poisson regression. Results Of the 519 study patients, 16.2% had adequate nutritional therapy. Most of these patients were men with ischemic heart disease and acquired immunodeficiency syndrome. After adjusting for confounders, inadequate nutritional therapy increased risk of infection by 121.0% (RR=2.21; 95%CI=1.01-4.86) and risk of prolonged length of stay by 89.0% (RR=1.89; 95%CI=1.01-3.53). Conclusion Most patients did not have adequate nutritional therapy. Those with inadequate nutritional therapy had a higher risk of infection and longer length of stay.

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Section: Discussionmentioning

confidence: 99%

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Assis¹,

Silveira

Beghetto

et al. 2016

Rev. Nutr.

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show abstract

“…Oral nutritional supplements can lead to weight gain and may reduce complications and mortality in older people at risk of malnutrition [16]. Individualised dietetic assessment and treatment can improve protein and energy intake [17][18][19], and may lead to reductions in mortality [20], complications [19] and re-admissions to hospital [19]. Fortification of hospital food has also proved successful in increasing protein and energy intakes [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

The impact of trained volunteer mealtime assistants on dietary intake and satisfaction with mealtime care in adult hospital inpatients: A systematic review

Howson

Sayer

Roberts

2017

The Journal of nutrition, health and aging

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BackgroundMalnutrition is common in hospital inpatients and is associated with increased morbidity and mortality. Insufficient assistance at mealtimes can contribute to this and therefore trained volunteer mealtime assistants may be of benefit. ObjectivesTo identify and review the current evidence for the impact of trained volunteer mealtime assistants on dietary intake and satisfaction with mealtime care in adult hospital inpatients. MethodsA systematic search of Medline, Embase and CINAHL was conducted to identify relevant articles. Articles of any methodology were considered. Quality assessment and data extraction were carried out by two reviewers independently. ParticipantsParticipants were inpatients in a hospital setting, including rehabilitation units. Participants in long term care facilities were excluded. InterventionArticles that examined the effect of trained volunteer mealtime assistants on nutritional outcomes or satisfaction with mealtime care were included. Results 5576 articles were identified, of which 14 were included in the review. Nine were small research studies and five were quality improvement initiatives. The quality of eight studies was moderate, with one study being of lower quality. Eight articles reported dietary intake and seven demonstrated an improvement, with protein intakes at volunteer mealtimes increasing by 4.3g-10.1g and energy intakes by 44-105kcal. Ten articles reported positive staff, patient and volunteer feedback. No adverse events were reported. ConclusionThere is evidence from small studies and improvement projects that trained volunteer mealtime assistants are safe and improve satisfaction with mealtime care in hospital inpatients, although evidence for an effect on dietary intake was less consistent. Larger studies with robust methodology are required to confirm this.

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“…Da mesma forma, está largamente descrito na literatura [19][20][21] que a desnutrição hospitalar acontece por diversos fatores, tais como redução da capacidade funcional, perda de apetite, falta de aptidão dos profissionais de saúde em avaliar o estado nutricional, infecções graves, ingestão alimentar reduzida, efeitos colaterais de medicamentos, doenças catabólicas crônicas, doenças crônico-degenerativas, dentre outros. Não raro um paciente evolui para óbito, não necessariamente pela sua doença de base, mas em decorrência da desnutrição 19 .…”

Section: Discussionunclassified

Programa de auxílio para alimentação de adultos hospitalizados: estudo quase-experimental

2017

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Nutritional counseling improves quality of life and nutrient intake in hospitalized undernourished patients

Cited by 79 publications

References 21 publications

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

Decreased calorie and protein intake is a risk factor for infection and prolonged length of stay in surgical patients: A prospective cohort study

The impact of trained volunteer mealtime assistants on dietary intake and satisfaction with mealtime care in adult hospital inpatients: A systematic review

Programa de auxílio para alimentação de adultos hospitalizados: estudo quase-experimental

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