Malnutrition
Conditions
Brief summary
Tolerance and Acceptability of new oral nutritional supplement - AYMES PARIS
Detailed description
To evaluate tolerance and acceptability of AYMES PARIS in patients requiring supplementary oral nutritional support compared with currently available alternatives, measuring outcomes of GI effects, Compliance, product preference,convenience etc. To obtain data to support an ACBS submissions for AYMES PARIS (to allow for prescription in the community at NHS expense).
Interventions
AYMES PARIS is a powdered, high energy, oral nutritional supplement to be mixed with milk as a drink. It provides 320 kcal and 12.2 g protein per 139 ml serving. It is a Food for Special Medical Purposes (FSMP) and must, therefore, be used under medical supervision. It is not designed as a sole source of nutrition.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients (≥18 years) who are able to communicate their views regarding acceptability. * Patients established on an oral nutritional supplement, being prescribed 1-2 ONS providing approximately 300kcal/day * Patients expected to require oral nutritional supplementation for at least 2 further weeks. * Informed consent obtained.
Exclusion criteria
* Participation in any other studies involving investigational or marketed products concomitantly or within two weeks prior to entry into the study * Patients requiring a milk-free diet * Patients with medical or dietary contraindication to any feed ingredients (see appendix 2 of protocol for full list) * Patients with significant renal or hepatic impairment * Patients with swallowing impairment requiring thickened fluids * Patients with inflammatory bowel disease or previous bowel resection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| GI side effects when using AYMES PARIS | 9 DAYS | Recording of absence/presence of any nausea, vomiting, abdominal pain, bloating / flatulence, when using AYMES PARIS as assessed by presence / absence of side effect compared to baseline period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change to bodyweight of subjects when using AYMES PARIS | 9 DAYS | Recording of bodyweight (in kg) at start of study, start of intervention and end of intervention for comparison to investigate any trend in weight change during the intervention period compared to baseline |
| Compliance with prescription of AYMES PARIS | 9 DAYS | Recording of amount of AYMES PARIS consumed by subjects compared to amount prescribed. Good compliance = \>80% of prescribed being consumed. Same data collected for baseline product and compared with that of AYMES PARIS |
| Bowel habits of subjects when using AYMES PARIS - frequency | 9 days | Recording of bowel habits whilst subjects consuming AYMES PARIS, as assessed by frequency of bowel movements (number of stools per day) and compared to same data recorded during baseline period |
| Bowel habits of subjects when using AYMES PARIS - stool consistency | 9 days | Recording of bowel habits whilst subjects consuming AYMES PARIS, as assessed by consistency of stools (assessed by Bristol Stool Chart) and compared to same data recorded during baseline period |