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Age and Ageing 2003; 32: 321-325
© 2003, British Geriatrics Society

Research paper

Prevention of malnutrition in older people during and after hospitalisation: results from a randomised controlled clinical trial

Claire Gazzotti1,, Franck Arnaud-Battandier2, Maria Parello1, Sylvie Farine2, Laurence Seidel3, Adelin Albert3 and Jean Petermans1

1 Service de gériatrie CHR Citadelle, Liège, Belgium
2 Nestlé Clinical Nutrition Paris, France and Brussels, Belgium
3 Service de Biostatistique CHU Liège, Belgium

Abstract

Objective: to prevent the occurrence of weight loss during hospitalisation and following discharge by daily oral supplementation.

Design: in a prospective, randomised, controlled study of 80 patients aged 75 or more, and at risk of undernutrition based on their initial Mini Nutritional Assessment score, patients were randomised into a control group or one receiving oral supplementation. The intervention was a prescription of 200 ml sweet or salty sip feed twice daily (500 kcal, 21 g protein per day) throughout hospitalisation and convalescence. Nutritional status was assessed at baseline and after 2 months using Mini Nutritional Assessment and body weight record.

Results: compliance with oral supplementation was good and daily extra energy intake was 407±184 kcal. On day 60, significant weight loss from upon admission was observed in the control group (-1.23±2.5 kg; P=0.01), but not in the supplemented group (0.28±3.8 kg; NS). At the end of the study, Mini Nutritional Assessment scores were higher in the supplemented group than in the control group (23.5±3.9 versus 20.8±3.6; P<0.01).

Conclusion: use of daily oral supplementation during and after hospitalisation maintains body weight and increases Mini Nutritional Assessment score in patients at risk of undernutrition.

Keywords: aged, dietary supplement, mini nutritional assessment, weight loss


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