geen specifieke aandoeningen (voedingsstatus en veroudering) protein requirements elderly patients
Conditions
Interventions
The control group receives the standard hospital menu for elderly at risk of
undernutrition (energy and protein rich) and a variety of foods and drinks to
be used as part of their home diet for 12 w
Sponsors
Wageningen Universiteit
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Hospital phase (only observational): - admitted to the wards of Geriatric medicine, Pulmonary Medicine or Internal Medicine in ZGV; - aged 65 years or over; - being eligible for receiving a standard protein enriched menu based on hospital protocol;;Home phase: - included in the hospital phase of this study - consent to continue treatment and study participation after hospital discharge
Exclusion criteria
Exclusion criteria: - unwilling to give consent for gathering data from the medical record or meal service system; - unable to understand Dutch; - food allergies, food intolerances, or other dietary restrictions that prevents the patient from receiving the standard protein enriched menu or Cater with Care products based on the judgment of a dietician and/or medical staff; - expected length of hospital stay 0 based on ZGV screening tool for refeeding risk; - delirium at admission; - receiving palliative care;For continuation in the home phase, the following exclusion criteria are formulated: - going to a nursing home, rehabiliation centre or hospice after hospital discharge; - cognitive impairment or diagnosed with dementia; - legally incapacitated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameters are: - Protein intake in grams of protein per kilogram bodyweight on the 4th day of hospitalization. - Change of physical performance assessed by the Short Physical Performance Battery (SPPB) after 12 weeks following hospital discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| Phase 1 (hospital): - All foods and drinks served to the patient through the hospital service system *At Your Request® (AYR). This will be collected daily. - Protein intake in g/kg/d at the day before discharge. - Percentage of patients who meet recommended protein intake at Day 4 of hospitalization. - Length of hospital stay: in days. - SPPB at the day before discharge. - Knee extensor strength at the day before discharge - Hand grip strength at the day before discharge: Phase 2 (home): - Nutritional Status assessed with the Mini Nutritional Assessment (MNA): - Hand grip strength (hand dynamometer). - Knee extensor strength (hand-held dynamometer). - Dietary intake at 2, 6, 12, and 24 weeks after discharge - Physical Activity will be measured using the LASA Physical Activity Questionnaire (LAPAQ). - Activities of Daily Living (ADL) using the Barthel Index - Quality of life will be measured using the EuroQol-5D-5L questionnaire - Amount of unplanned readmissions: this will be asked to the participant during home visits. | — |
Countries
Netherlands
Outcome results
None listed