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Post-discharge nutritional support in malnourished elderly individuals improves functional limitations
Floor Neelemaat1, Judith E Bosmans, Abel Thijs
1Department of Nutrition and Dietetics, Internal Medicine, and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. f.neelemaat@vumc.nl
Journal of the American Medical Directors Association
|April 30, 2011
Summary
Nutritional supplementation for malnourished elderly patients after hospital discharge improved body weight and reduced functional limitations. A 3-month intervention showed benefits, though longer follow-up may be needed for other physical measures.
Area of Science:
- Gerontology
- Nutrition Science
- Clinical Nutrition
Background:
- Elderly individuals are susceptible to malnutrition, leading to adverse health outcomes.
- Malnutrition in older adults poses significant health risks and necessitates effective interventions.
- Post-hospital discharge care for malnourished elderly requires targeted nutritional strategies.
Purpose of the Study:
- To evaluate the efficacy of a comprehensive nutritional supplementation program for malnourished elderly patients post-hospital discharge.
- To assess the impact of nutritional support on functional limitations, physical performance, and body composition in older adults.
- To determine the effectiveness of a 3-month intervention involving diet, oral supplements, and dietitian counseling.
Main Methods:
- A randomized controlled trial involving 210 malnourished elderly patients (≥ 60 years) post-hospitalization.
- Intervention group received enriched diet, oral nutritional support, calcium-vitamin D, and dietitian counseling for 3 months.
- Control group received usual care; outcomes measured at baseline and 3 months post-discharge.
Main Results:
- The intervention group showed a significant increase in body weight, particularly in the highest weight category (mean difference 3.4 kg).
- Functional limitations significantly decreased in the intervention group compared to the control group.
- No significant differences were observed in physical performance, physical activities, fat-free mass, or handgrip strength between groups.
Conclusions:
- Three months of oral nutritional support effectively reduced functional limitations and increased body weight in malnourished elderly patients.
- The 3-month follow-up duration may have been insufficient to detect significant changes in physical performance and activity levels.
- Comprehensive nutritional interventions show promise in managing malnutrition-related issues in the elderly population.
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