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no more budget for personal to enrol participants
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At hospital, short term actions are used (adaptation of meals, oral supplementation…) to fight malnutrition. Oral supplementation can have a positive impact on weight gain. But actions should continue at home, particularly to maintain autonomy for elderly. The hypothesis is that practical workshop about enrichment and interest of foods can help malnourished patients to change their eating habits. The main goal of this study is to evaluate the effects of this workshop on improving nutritional status, measured by Mini Nutritional Assessment
This is a mono center cohort study of a 4-months follow-up on elderly patients after hospitalization.
Nutritional parameters and evaluation of the quality of life will be collected during hospitalization and output during a visit at 4 months at home. These parameters will be studied in two groups : nutritional workshop vs usual dietary counseling
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Other | The control group will receive usual dietary counseling for enrichment. |
|
| workshop group | Other | The workshop group will have informations about interest of foods. They will enrich a meal with foods which can easily be added without cooking. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dietary counseling | Other | Patients received individualized nutritional counseling encouraging them for enrichment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of nutritional status | global Mini Nutritional Assessment | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Effect of the workshop on nutritional items of Mini Nutritional Assessment | specific nutritional items of Mini Nutritional Assessment | 4 months |
| Maintaining or improving weight | Weight is determined with a Seca floor scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Grenoble | Grenoble | 38043 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15380901 | Background | Arnaud-Battandier F, Malvy D, Jeandel C, Schmitt C, Aussage P, Beaufrere B, Cynober L. Use of oral supplements in malnourished elderly patients living in the community: a pharmaco-economic study. Clin Nutr. 2004 Oct;23(5):1096-103. doi: 10.1016/j.clnu.2004.02.007. | |
| 10950235 | Background | Boumendjel N, Herrmann F, Girod V, Sieber C, Rapin CH. Refrigerator content and hospital admission in old people. Lancet. 2000 Aug 12;356(9229):563. doi: 10.1016/S0140-6736(00)02583-6. |
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| nutritional workshop with enrichment during a meal | Other | Patients received in group nutritional informations for enrichment and are encouraged to try enrichment together during a meal. |
|
| 4 months |
| Improving ingesta qualitatively and quantitatively | Ingesta are determined with a 24h-recall questionnaire | 4 months |
| Representations and motivations on eating habits | Representations and motivations on eating habits are determined with a questionnaire with Likert responses | 4 months |
| Rate returns to the hospital and not programmed planned | 4 months |
| 12765661 | Background | Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003 Jun;22(3):235-9. doi: 10.1016/s0261-5614(02)00215-7. |
| 19925613 | Background | McMurdo ME, Price RJ, Shields M, Potter J, Stott DJ. Should oral nutritional supplementation be given to undernourished older people upon hospital discharge? A controlled trial. J Am Geriatr Soc. 2009 Dec;57(12):2239-45. doi: 10.1111/j.1532-5415.2009.02568.x. Epub 2009 Nov 17. |
| 17275141 | Background | Persson M, Hytter-Landahl A, Brismar K, Cederholm T. Nutritional supplementation and dietary advice in geriatric patients at risk of malnutrition. Clin Nutr. 2007 Apr;26(2):216-24. doi: 10.1016/j.clnu.2006.12.002. Epub 2007 Feb 1. |
| 15684319 | Background | Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME. Dietary counseling improves patient outcomes: a prospective, randomized, controlled trial in colorectal cancer patients undergoing radiotherapy. J Clin Oncol. 2005 Mar 1;23(7):1431-8. doi: 10.1200/JCO.2005.02.054. Epub 2005 Jan 31. |
| ID | Term |
|---|---|
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D015596 | Nutrition Assessment |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D015991 | Epidemiologic Measurements |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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