Short-term individual nutritional care as part of routine clinical setting improves outcome and quality of life in malnourished medical patients
Abstract
Background & aims Strategies to treat malnutrition lack practicability in the hospital setting. The present study aimed at developing and evaluating a routinely manageable concept for an improved nutritional care of malnourished in-hospital patients. Methods A randomized controlled intervention study was conducted. 132 risk patients defined by Nutritional Risk Screening 2002, were randomized to individualised nutrition support (intervention group [n = 66]) or standard hospital care (control group [n = 66]). Body weight, plasma vitamin levels, quality of life, complications, antibiotic therapies, readmissions and mortality were assessed. Results Nutrition interventions led to higher intakes (mean [standard deviation]) in energy (1553 [341] kcal vs. 1115 [381] kcal, p Conclusions Malnourished patients profit from nutrition support regarding nutrition status and quality of life. They have fewer complications, need fewer antibiotics and are less often re-hospitalised.
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Five RCTs, all performed in the hospital setting, were identified providing evidence for comprehensive individualized nutritional interventions in older persons with malnutrition or at risk of malnutrition.
“Five RCTs (all performed in the hospital setting) were identified providing evidence for comprehensive individualized nutritional interventions in older persons with malnutrition or at risk of malnutrition (43)(44)(45)(46)(47).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [44]
Three RCTs of low to acceptable quality in older hospitalized patients at nutritional risk with various diagnoses or after acute stroke reported positive effects on energy and protein intake, body weight, complications, antibiotic use, readmissions, and functional measures.
“Three RCTs of low to acceptable quality investigated the effects of comprehensive individualized nutritional interventions in older hospitalized patients at nutritional risk with various diagnoses (43,44) or after acute stroke (45), and reported positive effects on energy and protein intake (43,44), BW (44,45), complications, antibiotic use, readmissions (44) and functional measures (44,45).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [44]
No effect was found regarding length of hospital stay in the three RCTs of comprehensive individualized nutritional interventions.
“No effect was found regarding the length of hospital stay (44,45).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [44]
All three RCTs showed benefits concerning quality of life in the group receiving individual nutritional care compared to usual care.
“Additionally, all three studies showed benefits concerning the quality of life in the group receiving individual nutritional J o u r n a l P r e -p r o o f care compared to the group with usual care (43)(44)(45).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [44]
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- Authors
- Starke, J., Schneider, H., Alteheld, B., Stehle, P., & Meier, R.
- Affiliations
- Kantonsspital Baselland (CH)
- University of Bonn (DE)
- ORCID
- Stehle, Peter
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 30
- Issue
- 2
- Pages
- 194-201
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2026225430
- Cited by
- 156
- References
- 9
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 11 · 2023: 6 · 2022: 7 · 2021: 15 · 2020: 9 · 2019: 16 · 2018: 5 · 2017: 13 · 2016: 11 · 2015: 16 · 2014: 17 · 2013: 11 · 2012: 7
- FWCI
- 5.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- malnutrition, routine clinical practice, quality of life, nutritional risk screening, energy and protein intake, weight maintenance, plasma vitamin levels, vitamin C, in-hospital complications, antibiotic use, hospital readmission, mortality
- MeSH terms
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Ascorbic Acid, Body Weight, Energy Intake, Female, Follow-Up Studies, Glutathione, Hospitalization, Humans, Male, Mass Screening, Middle Aged, Nutritional Status, Quality of Life, Surveys and Questionnaires, Risk Factors, 24,25-Dihydroxyvitamin D 3, Treatment Outcome, Malnutrition, Young Adult, Elder Nutritional Physiological Phenomena
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