Effectiveness of multidisciplinary nutritional care on nutritional intake, nutritional status and quality of life in patients with hip fractures: A controlled prospective cohort study
Abstract
Background & aims The purpose of this study was to determine the effectiveness of a multidisciplinary intervention program on nutritional intake and of nutritional intake on nutritional status and quality of life in older patients treated for a hip fracture. Methods A controlled prospective cohort study included 66 patients in the control group and 61 patients in the intervention group, aged over 65 and sustaining a hip fracture with subsequent operative intervention. Postoperatively, the control group received standard nutritional care and the intervention group multidisciplinary nutritional care that focused on nutritional support during hospitalisation and a transfer of nutritional care after discharge. Nutrient intakes were monitored with food records. Nutritional status was determined by the Mini Nutritional Assessment (MNA), and bioelectrical impedance analysis was used to assess body cell mass (BCM). The EuroQol (EQ-5D) was used to assess quality of life. Patients were evaluated at admission and three months postoperatively. Results There was a significant difference in the daily energy intake of patients between both groups during the first seven days postoperatively: 1127 kcal (±309) in the control group and 1292 kcal (±280) (P = 0.002) in the intervention group. Mean protein intake in the intervention group (57 g (±12)) was significantly higher than in the control group (48 g (±14), P = 0.000). The intervention group demonstrated a significantly lower reduction of E…
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Multidisciplinary nutritional care concepts including regular team meetings increased dietary intake and improved quality of life in hip fracture patients.
“Multidisciplinary nutritional care concepts including regular team meetings increased dietary intake and improved quality of life in hip fracture patients (41)”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [41]
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- Authors
- Hoekstra, J. C., Goosen, J. H. M., de Wolf, G. S., & Verheyen, C. C. P. M.
- Affiliations
- Isala (NL)
- Corresponding author
- Hoekstra, Jellie C.
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 30
- Issue
- 4
- Pages
- 455-461
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2052441410
- Cited by
- 125
- References
- 2
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 4 · 2020: 6 · 2019: 10 · 2018: 11 · 2017: 12 · 2016: 9 · 2015: 7 · 2014: 11 · 2013: 8 · 2012: 12
- FWCI
- 10.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Medical Insurance Company Achmea
- Topics
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- hip fracture, nutritional status, nutritional intake, quality of life, older adults, malnutrition, protein intake, energy intake, body cell mass, postoperative care, nutritional support
- MeSH terms
- Aged, Aged, 80 and over, Energy Intake, Female, Follow-Up Studies, Hip Fractures, Hospitalization, Hospitals, Humans, Male, Nutritional Requirements, Nutritional Status, Postoperative Complications, Prospective Studies, Quality of Life, Surveys and Questionnaires, Geriatric Assessment, Nutrition Assessment, Body Mass Index, Logistic Models, Malnutrition
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