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The goal of this observational study is to assess food intake in hospitalized patients.
The present study will evaluate the impact of a novel in-hospital meal concept (three channel food concept) on total energy and protein intake, macronutrient distribution, and patient appreciation
Food intake will be assessed (as part of usual care) by weighing all leftovers (e.g. food that patients did not consume).
There are various possible strategies to increase protein intake during hospitalization, such as providing more protein-rich foods, fortifying meals and/or food products, supplementation with oral nutritional supplements (ONS), and/or providing well-timed snacks. An appropriate in-hospital meal service is regarded as a key element of the strategy to minimize deterioration of the nutritional status. Conventional hospital meals, 3 main meals a day prepared by a central kitchen, are often low in protein and energy and are not appreciated by patients due to lack of taste, colour and flavour, resulting in inadequate food intake particularly protein intake. There are a number of avenues to improve nutritional intake, with type of meal service and existence of individual contact with catering staff, like mealtime assistance, as important factors. The MUMC+ has adapted it's in-hospital meal system and the present study will evaluate the impact of this novel in-hospital meal concept (three channel food concept) on total energy and protein intake, macronutrient distribution, and patient appreciation.
The aim of this study is to assess whether a novel in-hospital meal concept can effectively increase daily total protein and energy intake during hospitalization, when compared to a historic control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| current in-hospital meal service | n=102 patients admitted to the Maastricht University Medical Centre+ (MUMC+) (surgical nursing wards) will be included. |
| |
| old in-hospital meal service | This will be an historic control group (data already collected in the past) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| meal service | Other | We're not subjecting patients to an intervention, as we will evaluate the current in-hospital meal service. As the three channel food concept is standard of care, we're not subjecting patients to dietary or behavioral changes. We will compare the data to an historic control. |
| Measure | Description | Time Frame |
|---|---|---|
| total protein intake | total protein intake (g/kg/d) | during hospitalization (minimal 2days max 5days) |
| Measure | Description | Time Frame |
|---|---|---|
| total energy intake | energy intake in kcal per day | during hospitalization (minimal 2days max 5days) |
| macronutrient intake | carbohydrate, fat and protein intake (g/day) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients (>18y) admitted to surgery nursing wards of the Maastricht University Medical Centre+ (MUMC+).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Michelle EG Weijzen, PhD | Contact | 0433887088 | m.weijzen@maastrichtuniversity.nl |
| Name | Affiliation | Role |
|---|---|---|
| Luc JC van Loon, PhD | Maastricht University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Centre | Maastricht | Netherlands |
Individual raw data can be shared upon reasonable request
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| D011502 | Protein-Energy Malnutrition |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D011488 | Protein Deficiency |
| D003677 | Deficiency Diseases |
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| during hospitalization (minimal 2days max 5days) |
| Patient appreciation | Patient appreciation will be assessed using a question "what grade would you give the hospital food | during hospitalization (minimal 2days max 5days) |
| Body weight upon hospital admission | body weight in kilograms | upon hospital admission |
| Body height upon hospital admission | body height in meters | upon hospital admission |
| reason hospital admission | will be derived from electronical patient dossier | upon hospital admission |