Opin vísindi

HOMEFOOD randomized trial—beneficial effects of 6-month nutrition therapy on body weight and physical function in older adults at risk for malnutrition after hospital discharge

HOMEFOOD randomized trial—beneficial effects of 6-month nutrition therapy on body weight and physical function in older adults at risk for malnutrition after hospital discharge


Title: HOMEFOOD randomized trial—beneficial effects of 6-month nutrition therapy on body weight and physical function in older adults at risk for malnutrition after hospital discharge
Author: Blöndal, Berglind Soffía
Geirsdóttir, Ólöf Guðný
Beck, Anne M.
Halldórsson, Þórhallur Ingi
Jónsson, Pálmi V
Sveinsdottir, Kolbrun
Ramel, Alfons
Blondal, B. S.
Halldorsson, T. I.
Date: 2022-08-26
Language: English
Scope:
Department: Faculty of Food Science and Nutrition
Geriatric and Rehabilitation Services
Faculty of Medicine
Series: European Journal of Clinical Nutrition; ()
ISSN: 0954-3007
DOI: https://doi.org/10.1038/s41430-022-01195-2
Subject: Öldrunarlæknisfræði; Medicine (miscellaneous); Nutrition and Dietetics; SDG 3 - Good Health and Well-being
URI: https://hdl.handle.net/20.500.11815/3855

Show full item record

Citation:

Blöndal , B S , Geirsdóttir , Ó G , Beck , A M , Halldórsson , Þ I , Jónsson , P V , Sveinsdottir , K , Ramel , A , Blondal , B S & Halldorsson , T I 2022 , ' HOMEFOOD randomized trial—beneficial effects of 6-month nutrition therapy on body weight and physical function in older adults at risk for malnutrition after hospital discharge ' , European Journal of Clinical Nutrition . https://doi.org/10.1038/s41430-022-01195-2

Abstract:

Background/objectives: Malnutrition is common among older adults. Dietary intervention studies in older adults aiming to improve anthropometrics measures and physical function have been inconsistent. We aimed to investigate the effects of nutrition therapy in combination with home delivered meals and oral nutritional supplements (ONS) in community-dwelling older adults discharged from hospital. Methods: A total of 106 participants (>65 years) were randomized into the intervention group (n = 53) and into the control group (n = 53). The intervention group received individual nutrition therapy (five in person visits and three phone calls) and freely delivered energy- and protein- rich foods, while the control group received standard care. Dietary intake, anthropometrics, and short physical performance battery (SPPB) were assessed at baseline and at endpoint. Results: Energy intake at baseline was similar in both groups (~1500 kcal at the hospital) but there was a significant increase in energy intake and body weight in the intervention group (+919 kcal/day and 1.7 kg, P < 0.001 in both cases) during the study period, compared to a significant decrease in both measures among controls (−815 kcal/day and −3.5 kg, P < 0.001 in both cases). SPPB score increased significantly in the intervention group while no changes were observed among controls. Conclusions: Most Icelandic older adults experience substantial weight loss after hospital discharge when receiving current standard care. However, a 6-month multi-component nutrition therapy, provided by a clinical nutritionist in combination with freely delivered supplemental energy- and protein-dense foods has beneficial effects on body weight, physical function, and nutritional status. Study registration: This study was registered at ClinicalTrials.gov (NCT03995303).

Description:

Funding Information: The study was funded by the Icelandic Centre for Research (174250-051), the Research Fund of the University of Iceland, the Research Fund of Hrafnista, the Icelandic Society of Geriatrics, and the Helga Jonsdottir and Sigurlidi Kristjansson Geriatric Research Fund. The authors want to state that neither the above-mentioned funding entities nor the food companies were involved in study design, implementation, statistical analysis, and/or interpretation of the data. The above-mentioned funding sources were not involved in study design; data collection, analysis, interpretation of data, writing of the report, and had no restrictions regarding the submission of the report for publication. Publisher Copyright: © 2022, The Author(s).

Files in this item

This item appears in the following Collection(s)