Cited by 127Nutrition and Health in AgingClinical Nutrition and GastroenterologyDietetics, Nutrition, and Education

Individualized Nutritional Intervention During and After Hospitalization: The Nutrition Intervention Study Clinical Trial

Feldblum, Ilana, German, Larisa, Castel, Hana, Harman‐Boehm, Ilana, Shahar, Danit R.·2011·Journal of the American Geriatrics Society

Abstract

Objectives To test the hypothesis that individualized nutritional treatment during and after discharge from acute hospitalization will reduce mortality and improve nutritional outcomes. Design Randomized, controlled trial. Setting Internal medicine departments. Participants Two hundred fifty-nine hospitalized adults aged 65 and older at nutritional risk were recruited and randomized according to hospitalization ward into one intervention and two control groups during hospitalization. Intervention Group 1 (intervention group) received individualized nutritional treatment from a dietitian in the hospital and three home visits after discharge. Group 2 received one meeting with a dietitian in the hospital. Group 3 received standard care. Groups 2 and 3 were combined into a single group that served as the control group in the analysis. Measurements Mortality, health status, nutritional outcomes, blood tests, cognition, emotional, and functional parameters were assessed at baseline and after 6 months. All participants were contacted monthly. Results The overall dropout rate was 25.8%. After 6 months, rise in Mini Nutritional Assessment score, adjusted for education and hospitalization ward, was significantly higher in the intervention group than in the control groups (3.01 ± 2.65 vs 1.81 ± 2.97, P =.004) mainly on the subjective assessment part (0.34 ± 0.86 vs. -0.04 ± 0.87, P=.004). The only laboratory parameter for which a difference was observed between the groups was albumin; 9…

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Crossref · 10.1111/j.1532-5415.2010.03174.x

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  • In a study by Feldblum et al., continued nutritional support in malnourished patients aged >65 years resulted in a significantly higher change in mean MNA score compared to the combined control groups (3.01±2.65 vs 1.81±2.97, p=0.004).

    “showed that continued nutritional support in malnourished patients aged !65 years resulted in a significantly higher change in mean MNA score, compared to the combined group 2 and 3 (3.01 ± 2.65 in the IG vs. 1.81 ± 2.97 in the CG, p ¼ 0.004)”
  • In the study by Feldblum et al., patients >65 years who received individualized nutritional support during hospitalization and for six months after discharge had a significantly lower mortality rate (3.8%) than the control group (11.6%, p=0.03) at month 6.

    “In the study by Feldblum et al., the IG patients (>65 years) who received individualized nutritional support from a dietitian during hospitalization and for six month after discharge (three home visits after discharge) exhibited a significantly lower mortality rate (3.8%) than the CG (vs.11.6%, p ¼ 0.03) at month 6”
  • Readmission rates were significantly reduced after six months of nutritional intervention in several trials but not all.

    “it was significantly reduced after six months of nutritional intervention in several trials (level of evidence: 1-) [116] (level of evidence: 1þ) [130] (level of evidence: 1þþ) [126] but not all (level of evidence: 1þ) [125].”
  • Feldblum et al. extended an individualized nutritional intervention in older internal medical patients to six months after hospitalization and reported an improved Mini Nutritional Assessment score and reduced mortality in the intervention compared to the control group.

    “Feldblum et al. (47) extended an individualized nutritional intervention in older internal medical patients to six months after hospitalization and reported an improved Mini Nutritional Assessment (MNA) score and reduced mortality in the intervention compared to the control group”
  • In Feldblum et al., there were no intervention effects on energy or protein intake, body weight, and functional measures.

    “however, no intervention effects on energy or protein intake, BW, and functional measures.”

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Authors
Feldblum, I., German, L., Castel, H., Harman‐Boehm, I., & Shahar, D. R.
Affiliations
Ben-Gurion University of the Negev (IL)
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2010-11-18
Volume
59
Issue
1
Pages
10-17
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
OpenAlex
W1505520352
Cited by
127
References
35
Citations by year
2026: 4 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 14 · 2021: 10 · 2020: 5 · 2019: 6 · 2018: 17 · 2017: 12 · 2016: 10 · 2015: 8 · 2014: 6 · 2013: 15 · 2012: 9
FWCI
5.63
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
Keywords
hospitalized older adults, nutritional risk, dietitian consultation, mortality, nutritional status, Mini Nutritional Assessment, serum albumin, hospital discharge, internal medicine
MeSH terms
Activities of Daily Living, Aftercare, Aged, Female, Food Service, Hospital, Hospitalization, Humans, Israel, Male, Nutritional Status, Survival Analysis, Malnutrition

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