Individualised dietary counselling for nutritionally at-risk older patients following discharge from acute hospital to home: a systematic review and meta-analysis

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
T MunkT Thomsen

Abstract

Many older patients are undernourished after hospitalisation. Undernutrition impacts negatively on physical function and the ability of older patients to perform activities of daily living at home after discharge from acute hospital. The present study aimed to evaluate the evidence for an effect of individualised dietary counselling following discharge from acute hospital to home on physical function, and, second, on readmissions, mortality, nutritional status, nutritional intake and quality of life (QoL), in nutritionally at-risk older patients. A systematic review of randomised controlled trials was conducted. The overall quality of the evidence was assessed according to Grading of Recommendations Assessment, Development and Evaluation system (GRADE) criteria. Four randomised controlled trials (n = 729) were included. Overall, the evidence was of moderate quality. Dietitians provided counselling in all studies. Meta-analyses showed a significant increase in energy intake [mean difference (MD) = 1.10 MJ day(-1) , 95% confidence interval (CI) = 0.66-1.54, P < 0.001], protein intake (MD = 10.13 g day(-1) , 95% CI = 5.14-15.13, P < 0.001) and body weight (BW) (MD = 1.01 kg, 95% CI = 0.08-1.95, P = 0.03). Meta-analyses revealed no...Continue Reading

References

Apr 9, 1994·BMJ : British Medical Journal·J P McWhirter, C R Pennington
Aug 19, 2000·Lancet·N BoumendjelC H Rapin
Aug 9, 2001·Nestlé Nutrition Workshop Series. Clinical & Performance Programme·Y Guigoz, B Vellas
May 27, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jens KondrupUNKNOWN Ad Hoc ESPEN Working Group
Jul 26, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·J KondrupUNKNOWN Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN)
Sep 27, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·D BruceP Goldswain
May 27, 2005·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Ursula G KyleClaude Pichard
Dec 22, 2006·Journal of Nutrition for the Elderly·Cátia Patrícia Alho Letra MartinsTeresa Freitas do Amaral
Feb 6, 2007·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Margareta PerssonTommy Cederholm
May 28, 2008·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Janice SorensenUNKNOWN EuroOOPS study group
Dec 20, 2008·Journal of the American Geriatrics Society·Cynthia M BoydKenneth E Covinsky
Feb 14, 2009·The Journal of Nutrition, Health & Aging·P CansadoM Camilo
Jan 26, 2010·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Katrien VanderweeTom Defloor
Apr 16, 2010·Age and Ageing·Alfonso J Cruz-JentoftUNKNOWN European Working Group on Sarcopenia in Older People
Oct 6, 2010·The Journal of Nutrition, Health & Aging·K E CharltonM Milosavljevic
Oct 13, 2010·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Juliane StarkeRémy Meier
Nov 9, 2010·Journal of the American Geriatrics Society·Dawn E AlleyUNKNOWN Health, Aging and Body Composition Study
Nov 23, 2010·Journal of the American Geriatrics Society·Ilana FeldblumDanit R Shahar
Apr 30, 2011·Journal of the American Medical Directors Association·Floor NeelemaatMarian A E van Bokhorst-de van der Schueren
Sep 3, 2011·Journal of the American Geriatrics Society·Dawn E AlleyJay Magaziner
Nov 11, 2011·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Floor NeelemaatMarian A E van Bokhorst-de van der Schueren
Nov 19, 2011·Journal of the American Geriatrics Society·Vincenzo MalafarinaLucía Gil-Guerrero
Feb 10, 2012·Journal of the American Geriatrics Society·Floor NeelemaatMarian A E van Bokhorst-de van der Schueren
Mar 2, 2012·Age and Ageing·Jita G HoogerduijnMarieke J Schuurmans
Nov 9, 2012·The American Journal of Clinical Nutrition·Naomi M CermakLuc J C van Loon
Nov 28, 2012·Scandinavian Journal of Caring Sciences·Mette HolstHenrik Rasmussen
Jun 15, 2013·JPEN. Journal of Parenteral and Enteral Nutrition·Barry S RosenNancy Ray
Jul 23, 2013·Journal of the American Medical Directors Association·Jürgen BauerYves Boirie

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Citations

May 28, 2016·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·A M BeckC Baldwin
May 20, 2017·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·H KellerK Jeejeebhoy
Feb 9, 2018·The Proceedings of the Nutrition Society·Anne Marie Beck
May 1, 2019·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·M BrooksM Papas
Dec 27, 2019·Journal of Clinical Nursing·Debbie Ten CateUNKNOWN Basic Care Revisited Group (BCR)
Aug 2, 2019·Journal of Clinical Medicine·Emilie ReberZeno Stanga
Apr 25, 2020·Journal of Cancer Survivorship : Research and Practice·Cynthia C ForbesMiriam J Johnson
Oct 21, 2020·Journal of Nutrition in Gerontology and Geriatrics·Anne Marie BeckChristine Baldwin
Nov 26, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Heather H KellerManon Laporte
Aug 15, 2017·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Filomena GomesStephan C Bischoff
May 12, 2021·The International Journal of Behavioral Nutrition and Physical Activity·Ellisiv Lærum-OnsagerAre Hugo Pripp

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