| Nutritional counseling improves quality of life and nutrient intake in hospitalized undernourished patients. | |
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MedLine Citation:
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PMID: 19695832 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ursula R?fenacht; Maya R?hlin; Marlene Wegmann; Reinhard Imoberdorf; Peter E Ballmer |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Nutrition (Burbank, Los Angeles County, Calif.) Volume: 26 ISSN: 1873-1244 ISO Abbreviation: Nutrition Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2009-12-16 Completed Date: 2010-04-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8802712 Medline TA: Nutrition Country: United States |
Other Details:
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Languages: eng Pagination: 53-60 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine and Department of Dietetics, Kantonsspital Winterthur, Winterthur, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Counseling Diet* Dietary Proteins / administration & dosage* Dietary Supplements Energy Intake* Female Food Service, Hospital Hospitalization Humans Male Malnutrition / diet therapy* Middle Aged Nutritional Requirements Nutritional Status Patient Education as Topic* Quality of Life* |
| Chemical | |
Reg. No./Substance:
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0/Dietary Proteins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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