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Cited by 40Nutrition and Health in AgingClinical Nutrition and GastroenterologyDysphagia Assessment and Management

A nutritional intervention program improves the nutritional status of geriatric patients at nutritional risk—a randomized controlled trial

Terp, Rikke, Jacobsen, Kim Otto, Kannegaard, Pia, Larsen, Anne-Mette, Madsen, Ole Rintek, Noiesen, Eline·2018·Clinical Rehabilitation
DOI 10.1177/0269215518765912
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Abstract

Objectives To investigate the effect of a nutrition intervention program for geriatric nutritional at-risk patients. Design A randomized controlled trial. Setting Department of geriatric medicine in a university hospital and in the primary healthcare sector, Copenhagen. Subjects Geriatric patients ( N = 144) at nutritional risk. Intervention The intervention consisted of an individual dietary plan for home, including pre-discharge advice on nutritional intake, combined with three follow-up visits after discharge (one, four, and eight weeks). Main measures Change in body weight, Barthel Index, hand-grip strength and self-rated health from baseline (discharge) to three months after discharge, readmission, and mortality (90 and 120 days). Results The mean (SD) age in total sample was 87.2 (6.2) years. Sample size in the intervention group (IG) was N = 72, and in the control group (CG), N = 72. IG had a mean (SD) weight gain of 0.9 (4.2) kg compared to a weight loss of 0.8 (3.6) kg in the CG ( P = 0.032). In addition, an improvement in self-rated health was seen in the IG compared to CG (IG: 23 (47%) vs. CG: 12 (24%); P = 0.021). No significant difference between groups was found in functional status, mortality, or readmission rates. Conclusion An individual dietary plan based on everyday food, combined with three follow-up visits (one, four, and eight weeks) after discharge, led to an improvement in nutritional status and self-rated health in geriatric patients.

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  • Readmission rates were not reduced after three months in one of the largest trials, in geriatric patients, or in older patients.

    “While readmission rates as an indicator of clinical course e.g. were not reduced after three months in one of the largest trials to date (level of evidence: 1þþ) [9] in geriatric patients (level of evidence: 1þ) [131] or in older patients (level of evidence: 1-) [132]”

    From ESPEN guideline on nutritional support for polymorbid medical inpatients (2023) · cites this paper as [131]

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  • ESPEN guideline on nutritional support for polymorbid medical inpatients

    Wunderle, C., Gomes, F., Schuetz, P., Stumpf, F., Austin, P., Ballesteros-Pomar, M. D., Cederholm, T., Fletcher, J., Laviano, A., Norman, K., et al. (2023) · Clinical Nutrition · doi:10.1016/j.clnu.2023.06.023 · Cited by 105 · see citing works

    “…not reduced after three months in one of the largest trials to date (level of evidence: 1 þþ ) [9] in geriatric patients ( level of evidence: 1 þ ) [131 ] or in older patients ( level of evidence: 1) [132], it was signi fi cantly reduced after six months of nutritional intervention in several…”

Authors
Terp, R., Jacobsen, K. O., Kannegaard, P., Larsen, A.-M., Madsen, O. R., & Noiesen, E.
Affiliations
University of Copenhagen (DK)
Corresponding author
Terp, Rikke
ORCID
Venue
Clinical Rehabilitation
Publisher
SAGE Publications
Published
2018-04-02
Volume
32
Issue
7
Pages
930-941
ISSN
  • 0269-2155 (ISSN-L)
  • 1477-0873
DOI
10.1177/0269215518765912
OpenAlex
W2795745923
Cited by
40
References
10
Citations by year
2026: 5 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 10 · 2020: 5 · 2019: 1
FWCI
2.74
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Clinical Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Funders
The Capital Region of Denmark (281.190 (DKK))
Topics
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
Keywords
dietary intervention, elderly patients, nutritional risk, nutritional status, post-discharge follow-up, weight change, self-rated health, functional status, mortality, hospital readmission, older adults
MeSH terms
Aged, 80 and over, Female, Humans, Male, Nutritional Status, Weight Gain, Geriatric Assessment, Malnutrition, Nutrition Therapy, Nutritionists

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