Document Detail

Nutritional counseling improves quality of life and nutrient intake in hospitalized undernourished patients.
MedLine Citation:
PMID:  19695832     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Up to 60% of hospitalized patients are undernourished. We studied the impact of nutritional therapy on quality of life and food intake. METHODS: Undernourished patients were randomized into two groups. The nutritional therapy group (NT group) received individual nutritional counseling and interventions, including oral nutritional supplements if appropriate, by a dietitian. The oral nutritional supplement group (ONS group) received oral nutritional supplements in addition to hospital meals without further instruction or counseling. Study duration was 10 to 15 d. At baseline and before discharge (time point 1) we measured energy and protein intakes and quality of life. Quality of life was measured again 2 mo after discharge (time point 2). RESULTS: Energy and protein intakes increased between baseline and time point 1 in both groups (P=0.001). The NT group (n=18) met the energy requirements at time point 1 by 107% and of protein by 94%, the ONS group (n=18) by 90% and 88%, respectively. Hospital meals alone did not cover the requirements. From baseline to time point 1, quality of life increased in both groups. Quality of life increased further in the NT group from time point 1 to time point 2 (P=0.016), but not in the ONS group. CONCLUSION: Both interventions caused a significant increase in energy and protein intakes and quality of life. In the NT group every patient received an efficacious individualized intervention. In contrast, the 7 of 18 patients in the ONS group who did not consume ONS had no intervention at all. Therefore, undernourished patients should be counseled individually by a dietitian.
Ursula R?fenacht; Maya R?hlin; Marlene Wegmann; Reinhard Imoberdorf; Peter E Ballmer
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nutrition (Burbank, Los Angeles County, Calif.)     Volume:  26     ISSN:  1873-1244     ISO Abbreviation:  Nutrition     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-04-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802712     Medline TA:  Nutrition     Country:  United States    
Other Details:
Languages:  eng     Pagination:  53-60     Citation Subset:  IM    
Department of Internal Medicine and Department of Dietetics, Kantonsspital Winterthur, Winterthur, Switzerland.
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MeSH Terms
Aged, 80 and over
Dietary Proteins / administration & dosage*
Dietary Supplements
Energy Intake*
Food Service, Hospital
Malnutrition / diet therapy*
Middle Aged
Nutritional Requirements
Nutritional Status
Patient Education as Topic*
Quality of Life*
Reg. No./Substance:
0/Dietary Proteins

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