Malnutrition Not Applicable Generic Health Relevance
Conditions
Interventions
This is a cluster randomised study. The practices are randomised to one of three study arms:
1. Nurse Care- Participants attend a screening appointment where Grip strength and Timed U
Sponsors
University of Southampton
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Be aged =65 years 2. Have one or more of these major medical or social problem(s) increasing nutritional risk: COPD, cerebrovascular disease, cardiac failure, CKD (stage IIIb/IV/V), chronic liver disease, Crohn’s disease, hospital discharge in previous 2-3 months, Parkinson’s disease, current depression, living alone
Exclusion criteria
Exclusion criteria: 1. Terminal disease 2. Ongoing primary treatment for cancer 3. Diabetes 4. Established dementia 5. Using oral nutritional supplements (ONS) 6. Established nutritional support 7. Unable to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health outcomes are measured using SF36 physical outcome at baseline and six months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Weight/Height/Weight loss is measured at baseline (for intervention groups) and six month (for all groups) 2. Current/recent acute illness/Vitamin/supplement are measured using questionnaires at baseline and six months 3. Appetite is measured using SNAQ appetite questionnaire at baseline and six months 4. Health status is measured using EQ5D5L at baseline and six months 5. Food Frequency is measured using the food frequency questionnaire at baseline and six months 6. Psychological measures (e.g. self-efficacy, outcome expectancy, perceptions of supporter, self-regulation) are measured using questionnaire at baseline and six months 7. Episodes of infection are measured using note review post six month follow up 8. Grip strength - which is a useful marker of malnutrition, and the prognosis of malnutrition is measured using a Jamar Hydraulic Hand Dynamometer at baseline (for intervention groups) and six months (all groups) 9. NHS resource usage (consultations, new conditions identified, or new drugs prescribed, antibiotic use, hospital admissions, care home admissions) and mortality is measured using note reviews post at six month follow up 10. Dietary markers are measured using urine and or blood samples at baseline and six months (optional) | — |
Countries
England, United Kingdom
Outcome results
None listed