Is dietary counselling effective in increasing dietary calcium, protein and energy intake in patients with osteoporotic fractures? A randomized controlled clinical trial

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
S Y WongH S Lynn

Abstract

To determine the feasibility of increasing the calcium, protein and calorie intake of osteoporotic fracture patients by repeated dietary counselling delivered by a dietitian, a randomized controlled trial was conducted. Among 189 patients presenting with osteoporotic fractures to an Orthopaedics and Traumatology Department of a large regional hospital, 98 patients were randomized to the intervention group and 91 were randomized to the control group (with usual care). Intervention group received three sessions of dietary counselling with tailored made recommendations over a period of 4 months, while the control group only received dietary assessment and pamphlets on the prevention of osteoporosis. Almost all subjects in both intervention and control groups had calcium intake below the recommended level of 1000 mg at baseline. Half and 60% of subjects in both groups had total energy and protein intake below recommended levels respectively. The mean weights of control and intervention groups at baseline were 51.5 and 50.9 kg respectively, while the body mass index (BMI) were 22.6 (kg m(-2)) and 22.6 (kg m(-2)) respectively. After dietary intervention, significant increase of intake was seen in calcium intake (P = 0.0095 by t-test)...Continue Reading

References

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Citations

Oct 28, 2009·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·R DayerP Ammann
Feb 16, 2011·Nutrition Research Reviews·Anestis DougkasAnne M Minihane
Mar 22, 2012·Nutrition & Metabolism·Georgina E CrichtonKaren J Murphy
Nov 1, 2010·Nutrients·Karen Plawecki, Karen Chapman-Novakofski
May 6, 2008·Nutrition Reviews·Amy Joy Lanou, Neal D Barnard
Jun 8, 2012·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·C Baldwin, C E Weekes
Jan 23, 2014·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Douglas C Bauer
Jun 26, 2014·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Stephanie C MontgomeryPinckney J Maxwell
May 20, 2017·The Cochrane Database of Systematic Reviews·Joshua FeinbergJanus C Jakobsen
Sep 9, 2011·The Cochrane Database of Systematic Reviews·Christine Baldwin, Christine Elizabeth Weekes
Nov 16, 2006·Menopause : the Journal of the North American Menopause Society·UNKNOWN North American Menopause Society
Dec 26, 2006·Journal of Bone and Mineral Metabolism·Jian-min LiuJia-lun Chen
Jul 22, 2008·Journal of Veterinary Pharmacology and Therapeutics·M MartinezK Mealey
Feb 8, 2018·Nutrition & Dietetics : the Journal of the Dietitians Association of Australia·Sarah DeaconTilley Pain
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Anne C MilneAlison Avenell
Nov 30, 2016·The Cochrane Database of Systematic Reviews·Alison AvenellPhyo K Myint
Nov 25, 2017·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·L E BallL T Williams
Dec 22, 2021·The Cochrane Database of Systematic Reviews·Christine BaldwinChristine Elizabeth Weekes

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