Nutritional Status of Elderly Patients during Recovery from Chest Infection and the Role of Nutritional Supplementation Assessed by a Prospective Randomized Single-blind Trial
Abstract
We examined changes in the nutritional status of elderly patients with chest infection for a period of 3 months after discharge from hospital, including the effects of nutritional supplementation on well-being and functional status as well as on nutritional indices. Eighty-one subjects admitted to an acute medical ward aged 65 years and over with chest infection were recruited consecutively, and randomized to receive supplement (500 ml of Ensure liquid daily) for 1 month, or no supplement, on discharge. Assessment at baseline, 1, 2 and 3 months included a questionnaire to determine health, mental and functional status, and anthropometric measurements. Biochemical nutritional status was assessed at baseline, 1 and 3 months, and dietary intake (24 h recall method) at 1 and 3 months. During recovery, both supplement and non-supplement groups showed improvement in various measures of well-being and biochemical status. In addition, the former group showed improvement in more anthropometric measurements, in thiamine and pyridoxine status, while the non-supplement group showed a lower level of functional ability after 3 months. Various measures of well-being and biochemical status of the water-soluble vitamins were better in the supplement groups. We conclude that nutritional supplementation may have a role in helping elderly patients to recover from chest infections.
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Two included studies found a positive effect of ONS on functional outcomes (handgrip and activities of daily living).
“Two of the included studies found a positive effect on functional outcomes (handgrip (122) and activities of daily living ( 123)).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [123]
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- Authors
- WOO, J., HO, S. C., MAK, Y. T., LAW, L. K., & CHEUNG, A.
- Affiliations
- Chinese University of Hong Kong (HK)
- Corresponding author
- WOO, J.
- ORCID
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 1994
- Volume
- 23
- Issue
- 1
- Pages
- 40-48
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2005952050
- Cited by
- 118
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 8 · 2012: 2
- FWCI
- 4.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Abbott Laboratories
- University of Hong Kong
- Chinese University of Hong Kong
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- nutritional status, older adults, chest infection, dietary supplementation, post-discharge recovery, functional status, well-being, thiamine, pyridoxine, water-soluble vitamins, anthropometry, dietary intake, malnutrition
- MeSH terms
- Aged, Carbohydrates, Enteral Nutrition, Female, Food, Formulated, Food, Fortified, Humans, Male, Nutritional Requirements, Nutritional Status, Nutritive Value, Pneumonia, Prospective Studies, Geriatric Assessment, Single-Blind Method, Dietary Sucrose
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Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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