Malnutrition
Conditions
Keywords
malnutrition, aging, diet therapy
Brief summary
At hospital, short term actions are used (adaptation of meals, oral supplementation…) to fight malnutrition. Oral supplementation can have a positive impact on weight gain. But actions should continue at home, particularly to maintain autonomy for elderly. The hypothesis is that practical workshop about enrichment and interest of foods can help malnourished patients to change their eating habits. The main goal of this study is to evaluate the effects of this workshop on improving nutritional status, measured by Mini Nutritional Assessment
Detailed description
This is a mono center cohort study of a 4-months follow-up on elderly patients after hospitalization. Nutritional parameters and evaluation of the quality of life will be collected during hospitalization and output during a visit at 4 months at home. These parameters will be studied in two groups : nutritional workshop vs usual dietary counseling
Interventions
OTHERdietary counseling
Patients received individualized nutritional counseling encouraging them for enrichment
OTHERnutritional workshop with enrichment during a meal
Patients received in group nutritional informations for enrichment and are encouraged to try enrichment together during a meal.
Sponsors
University Hospital, Grenoble
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* malnourished patients or at risk of malnutrition * coming back home after hospitalization * affiliated to a social security system * having given free, informed written consent
Exclusion criteria
* Mini Mental Score \<18 * Incapacitated adults and psychiatric inpatients * Diet indication requiring strict salt restriction * Severe swallowing difficulties * Patients with artificial nutrition (enteral or parenteral) * Impossibility to measure weight at home * Severe digestive or intestinal malabsorption * Iterative nausea and vomiting * Patients with rapidly progressive diseases (life expectancy less than 6 months)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of nutritional status | 4 months | global Mini Nutritional Assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of the workshop on nutritional items of Mini Nutritional Assessment | 4 months | specific nutritional items of Mini Nutritional Assessment |
| Maintaining or improving weight | 4 months | Weight is determined with a Seca floor scale |
| Improving ingesta qualitatively and quantitatively | 4 months | Ingesta are determined with a 24h-recall questionnaire |
| Representations and motivations on eating habits | 4 months | Representations and motivations on eating habits are determined with a questionnaire with Likert responses |
| Rate returns to the hospital and not programmed planned | 4 months | — |
Countries
France
Outcome results
None listed