TY - ABST
AU - Agarwal, E.
AU - Ferguson, M.
AU - Banks, M.
AU - Bauer, J.
AU - Capra, S.
AU - Isenring, E.
TI - An exploratory study to evaluate whether medical nutrition therapy can improve dietary intake in hospital patients who eat poorly
JO - Journal of Human Nutrition & Dietetics
PY - 2013-12-01T00:00:00///
VL - 26
IS - 6
SP - 538
EP - 543
N2 - Abstract Background
The Australasian Nutrition Care Day Survey (ANCDS) reported that two‐fifths of patients consume ≤50% of the offered food in Australian
and New Zealand hospitals. After controlling for confounders (nutritional status, age, disease type and severity), the ANCDS also established an independent association between poor food intake and increased in‐hospital mortality. The present study aimed to evaluate whether medical
nutrition therapy (MNT) could improve dietary intake in hospital patients eating poorly. Methods
An exploratory pilot study was conducted in the respiratory, neurology and orthopaedic
wards of an Australian hospital. At baseline, percentage food intake (0%, 25%, 50%, 75% and 100%) was evaluated for each main meal and snack for a 24‐h period in patients hospitalised for ≥2 days and not under dietetic review. Patients consuming ≤50% of offered meals as a
result of nutrition‐impact symptoms were referred to ward dietitians for MNT. Food intake was re‐evaluated on the seventh day after recruitment (post‐MNT). Results
hundred and eighty‐four patients were observed over 4 weeks; 32 patients were referred for MNT. Although baseline and post‐MNT data for 20 participants [mean (SD) age 68 (17) years, 65% females] indicated a significant increase in median energy and protein intake
post‐MNT (3600 kJ day−1; 40 g day−1) versus baseline (2250 kJ day−1; 25 g day−1) (P < 0.05), the increased intake met only 50% of dietary requirements. Persistent
nutrition impact symptoms affected intake. Conclusions
In the present pilot study, although dietary intake improved, it remained inadequate to meet participants' estimated requirements
as a result of ongoing nutrition‐impact symptoms. Appropriate medical management and early enteral feeding could be a possible solution for such patients.
UR - http://www.ingentaconnect.com/content/bsc/jhnd/2013/00000026/00000006/art00004
M3 - doi:10.1111/jhn.12173
UR - http://dx.doi.org/10.1111/jhn.12173