scholarly journals ORAL NUTRITIONAL SUPPLEMENTS AND TASTE ADHERENCE IN MALNOURISHED ELDERLY ADULT’S OUTPATIENTS

2017 ◽  
pp. 1-5
Author(s):  
D.A. de Luis ◽  
O. Izaola ◽  
A Castro ◽  
J.J. Lopez ◽  
B. Torres ◽  
...  
Keyword(s):  
Weight Loss ◽  
Daily Intake ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Taste Preferences ◽  
Oral Nutrition ◽  
Oral Nutritional Supplement ◽  
Nutrition Supplement ◽  
Significant Difference ◽  
Oral Nutritional Supplements

Abstract: The aim of our study was to evaluate a hypercaloric sweet milkbased oral nutrition supplement in a prospective 3 day-study designed to assess the taste preferences of this oral nutritional supplement (ONS) in elderly malnourished out-patients and the influence on adherence in daily intake during two months.A total of 28 out-patients with recent weight loss were included in this study. One flavour (chocolate, vanilla or strawberry) was administered each day in a random way during three consecutive days. In the first three days, patients were asked to fulfill two questionnaires in order to reflect ONS tolerance and acceptance. Sweet and aftertaste were better for chocolate flavour than for vanilla or strawberry flavours. Patients who chose vainilla took a total of 96.3+7.4 average bricks during outpatient followup (1.60+0.3 per day), patients who chose chocolate took 76.8+15.0 bricks (1.28+0.8 per day) and patients who chose strawberry bricks taken 60.3+19.5 bricks (1.10+0.7 per day), with a significant difference with vainilla flavour (p <0.01). The improvement of weight (vanilla +1.0+0.8 kg vs chocolate +0.5+0.8 kg vs 0.6+1.0 kg:p=0.03), tricipital skinfols (vanilla +1.5+0.3 mm vs chocolate +1.1+0.4 mm vs 0.7+0.3 mm:p=0.03), prealbumin levels (vanilla +4.2+0.8 mg/dl vs chocolate +3.9+0.7 mg/dl vs +3.6+1.0 mg/dl:p=0.01) and transferrin levels (vanilla +100.0+21.8 mg/dl vs chocolate +75.5+18.8 mg/dl vs 63.8+14.1 mg/dl:p=0.03) was higher in patients treated with vanilla ONS than chocolate or strawberry ONS. The three flavoured ONS taste preferences are similar although the consumption is high in vanilla flavoured ONS.

Oral Nutritional Supplements and Taste Adherence in Malnourished Adults Inpatients, Effect on Adhesion during Hospital Stance

2015 ◽  
Vol 67 (4) ◽  
pp. 205-209 ◽  
Author(s):  
Daniel Antonio de Luis ◽  
Olatz Izaola ◽  
Juan Jose Lopez ◽  
Beatriz Torres ◽  
Emilia Gomez Hoyos
Keyword(s):  
Weight Loss ◽  
Daily Intake ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Taste Preferences ◽  
Oral Nutrition ◽  
Oral Nutritional Supplement ◽  
Nutrition Supplement ◽  
Oral Nutritional Supplements ◽  
Strawberry Flavor

Aim: The aim of our study was to evaluate a hypercaloric sweet milk-based oral nutrition supplement in a prospective 3-day study designed to assess the taste preferences of this oral nutritional supplement (ONS) in malnourished inpatients and the influence on adherence in daily intake. Methods: A total of 46 in patients with recent weight loss were included in this study. One flavor (chocolate, vanilla or strawberry) was administered each day in a random way to each patient during 3 consecutive days. In the first 3 days, patients were asked to fill 2 questionnaires intended for reflecting ONS tolerance and acceptance. Results: Sweet was better for chocolate flavor (3.9 ± 2.4 points) than for vanilla flavor (2.7 ± 2.3 points; p < 0.02) and strawberry flavor (3.1 ± 2.3 points; p < 0.01). Chocolate flavored ONSs were rated as having more aftertaste (3.4 ± 2.1 points) than vanilla (2.4 ± 2.1 points; p < 0.01) and strawberry (2.6 ± 1.5 points; p < 0.03). Patients who chose chocolate took a total of 20.7 ± 20.9 average bricks during hospitalization (1.95 ± 0.2 per day), patients who chose vanilla took 18.6 ± 21.0 bricks (1.90 ± 0.7 per day) and finally patients who chose strawberry took 14.5 ± 13.5 bricks during admission (1.78 ± 0.1 per day; p < 0.01). Conclusions: The taste preferences of all the ONSs are similar although the consumption is high in chocolate flavored ONS during hospitalization. Sweetness may have influenced this finding.

scholarly journals Trajectories of Nutritional Parameters Before and After Prescribed Oral Nutritional Supplements: A Longitudinal Cohort Study of Patients With Chronic Kidney Disease Not Requiring Dialysis

2022 ◽  
Vol 9 ◽  
pp. 205435812110690
Author(s):  
Michelle M. Y. Wong ◽  
Yuyan Zheng ◽  
Dani Renouf ◽  
Zainab Sheriff ◽  
Adeera Levin
Keyword(s):  
Chronic Kidney Disease ◽  
Cluster Analysis ◽  
Cohort Study ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
Nutritional Parameters ◽  
Oral Nutritional Supplement ◽  
Oral Nutritional Supplements ◽  
Before And After ◽  
Inflammation Parameters

Background: The association between oral nutritional supplement use and nutritional parameters among patients with nondialysis chronic kidney disease (CKD-ND) with or at high risk of undernutrition/protein-energy wasting has not been previously studied. The definition of patient subgroups most likely to benefit from oral nutritional supplementation (ONS) is also an area where more research is needed. Objective: To assess nutritional parameter trajectories among patients with CKD-ND prescribed oral nutritional supplements in British Columbia, and to compare trajectories by nutritional phenotype. Design: Longitudinal cohort study, pre-post design. Setting: Multidisciplinary CKD clinics across British Columbia. Patients: A total of 3957 adult patients with CKD-ND, who entered multidisciplinary CKD clinics during 2010 to 2019, met criteria for oral nutritional supplement prescription based on dietitian assessment, and received ≥1 oral nutritional supplement prescription. Measurements: Longitudinal nutritional parameters, including body mass index (BMI), serum albumin, serum bicarbonate, serum phosphate, and neutrophil-to-lymphocyte ratio (NLR). Methods: Using linear mixed models, slopes for nutritional and inflammation parameters were assessed in the 2-year periods before and after the first oral nutritional supplement prescription. Hierarchical cluster analysis was applied to identify nutritional phenotypes using baseline data, and slope analysis was repeated by cluster. Results: In the pre-oral-nutritional-supplement period, declines in BMI (−0.87 kg/m2/year, 95% confidence interval [CI]: −0.99 to −0.75), albumin (−1.11 g/L/year, 95% CI: −1.27 to −0.95), and bicarbonate (−0.49 mmol/L/year; 95% CI: −0.59 to −0.39), and increases in NLR (+0.79/year; 95% CI: 0.60 to 0.98) and phosphate (+0.05 mmol/L/year; 95% CI: 0.04 to 0.06) were observed. Following oral nutritional supplement prescription, there were statistically significant increases in BMI slope (+0.91 kg/m2/year, P < .0001), albumin slope (+0.82 g/L/year, P < .0001), and phosphate slope (+0.02 mmol/L/year, P = .005), as well as a decline in NLR slope of −0.55/year ( P < .0001). There was no significant change in bicarbonate slope. Cluster analysis identified 5 distinct phenotypes. The cluster with the highest mean baseline NLR and lowest mean BMI demonstrated the greatest number of improvements in nutritional parameter slopes in the post-oral-nutritional-supplement period. Limitations: Possibility of residual confounding. Data on dietary intake, muscle mass, and nutritional scoring systems were not available in the registry. Conclusions: Among patients with CKD-ND prescribed oral nutritional supplements, there were improvements in nutrition/inflammation parameters over time following the first ONS prescription. The heterogeneity in response to ONS by cluster subgroup suggests an individualized approach to nutritional management may be beneficial.

scholarly journals Routine intraoperative jejunostomy placement and minimally invasive oesophagectomy: an unnecessary step?†

2019 ◽  
Vol 56 (4) ◽  
pp. 746-753 ◽  
Author(s):  
Tiuri E Kroese ◽  
Leonidas Tapias ◽  
Jacqueline K Olive ◽  
Lena E Trager ◽  
Christopher R Morse
Keyword(s):  
Weight Loss ◽  
Minimally Invasive ◽  
Relative Weight ◽  
Patient Characteristics ◽  
Perioperative Outcomes ◽  
P Value ◽  
Oral Nutrition ◽  
Significant Difference ◽  
Minimally Invasive Oesophagectomy ◽  
The Impact

Abstract OBJECTIVES: Adequate nutrition is challenging after oesophagectomy. A jejunostomy is commonly placed during oesophagectomy for nutritional support. However, some patients develop jejunostomy-related complications and the benefit over oral nutrition alone is unclear. This study aims to assess jejunostomy-related complications and the impact of intraoperative jejunostomy placement on weight loss and perioperative outcomes in patients with oesophageal cancer treated with minimally invasive Ivor Lewis oesophagectomy (MIE). METHODS: From a prospectively maintained database, patients were identified who underwent MIE with gastric reconstruction. Between 2007 and 2016, a jejunostomy was routinely placed during MIE. After 2016, a jejunostomy was not utilized. Postoperative feeding was performed according to a standardized protocol and similar for both groups. The primary outcomes were jejunostomy-related complications, relative weight loss at 3 and 6 months postoperative and perioperative outcomes, including anastomotic leak, pneumonia and length of stay, respectively. RESULTS: A total of 188 patients were included, of whom 135 patients (72%) received a jejunostomy. Ten patients (7.4%) developed jejunostomy-related complications, of whom 30% developed more than 1 complication. There was no significant difference in weight loss between groups at 3 months (P = 0.73) and 6 months postoperatively (P = 0.68) and in perioperative outcomes (P-value >0.999, P = 0.591 and P = 0.513, respectively). CONCLUSIONS: The use of a routine intraoperative jejunostomy appears to be an unnecessary step in patients undergoing MIE. Intraoperative jejunostomy placement is associated with complications without improving weight loss or perioperative outcomes. Its use should be tailored to individual patient characteristics. Early oral nutrition allows patients to maintain an adequate nutritional status.

scholarly journals PO-005 The Dietary Nutrition Adjustment Continuous 16 Weeks and the Nutrition Supplement Plan after Weighing of Women's Wrestlers

2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Jingjing Liao
Keyword(s):  
Body Weight ◽  
Weight Control ◽  
Anaerobic Capacity ◽  
Nutritional Supplements ◽  
Nutritional Supplement ◽  
The Body ◽  
Urine Specific Gravity ◽  
Inorganic Salts ◽  
Nutrition Supplement ◽  
Dietary Nutrition

Objective This study develops the nutrition supplement plan after weighing, and research how to supply nutrition in this important time on the basis of the dietary nutrition adjustment in pre-competition. Formulate the nutrition supplement plan for women’s wrestlers by quantized, and evaluate this plan. Methods To prepare for the key players of the 13th National Games, a 16-week daily dietary adjustment was conducted according to the results of a nutrition survey on the slow-fall-weight control phase before the competition. Routine dietary adjustment was proved by changes in body composition and improvement of anaerobic capacity. The plan was developed, that includes weighing meals, liquid nutritional supplements and inorganic salts solutions after weighing, on the basis of the regulation on nutrition. Results The balance between the total daily dietary intake and its ratio can make the athlete achieve the ideal effect of weight control in the normal training. Comparing the indicators before and after 16 weeks, it was found that after the athlete's diet was basically balanced and reasonable the body weight decreased significantly, the fat-free body weight remained unchanged, the body fat percentage decreased significantly, and the anaerobic capacity increased significantly. After weighing during the competition nutritional supplement plan can be executed, and the total body water, urine protein, urine specific gravity can be restored to normal levels developed, that includes weighing meals, liquid nutritional supplements and inorganic salts solutions after weighing, on the basis of the regulation on nutrition. Conclusions This study through the understanding of the basic nutritional status of athletes before the game, according to the conditions of each athlete to give the corresponding dietary guidance, and use 16 weeks to supervise the implementation. Athletes' dietary structure and nutrient intake change significantly, and then the nutrition achieves balanced and reasonable. To investigate the nutritional situation this time, that combined with the characteristics of energy supply and nutritional, which for wrestling athletes, worked out the nutritional supplement plan after weighing by quantitative data. This plan can be performed well; the effect of supplement is improved obviously; and on discomfort appeared during the game by the athletes who performed it. This study is a preliminary exploration of the nutritional supplement plan for athletes during the important recovery phase of the game. Follow-up research will involve more projects in order to promote this special period to other weight-level projects eventually.

scholarly journals Association between oral nutritional supplementation and clinical and nutritional outcomes in the management of hospital malnutrition

2021 ◽  
Vol 11 (4) ◽  
pp. 46-52
Author(s):  
Ayla Nauane Ferreira dos Santos ◽  
Kamila Luana do Nascimento Silva ◽  
Vinícius Eponina dos Santos ◽  
Ranna Adrielle Lima Santos ◽  
Vivianne de Sousa Rocha
Keyword(s):  
Nutritional Assessment ◽  
Nutritional Supplement ◽  
Nutritional Intervention ◽  
Nutritional Supplementation ◽  
University Hospital ◽  
Nutritional Risk ◽  
Hospital Malnutrition ◽  
Significant Difference ◽  
Oral Nutritional Supplements ◽  
Nutritional Outcomes

Objective: To evaluate the association between oral nutritional supplementation and clinical and nutritional outcomes in the management of hospital malnutrition. Methods: This is a longitudinal observational study conducted by collecting electronic medical records of patients admitted to a university hospital between 2019 and 2020. Malnourished adult and elderly patients, who have been eating exclusively orally and using a nutritional supplement, were included.Sociodemographic, clinical, biochemical, nutritional risk, nutritional assessment, acceptance of nutritional prescription and characteristics of the nutritional supplement used were analyzed. An α = 5% was considered. Results: Forty patients were evaluated, most of them elderly and male. Among the oral nutritional supplements, the high-calorie and high-protein types were more prevalent, with an offer twice a day, average use of 39 days, and total acceptance of the nutritional prescription by only 30% of the patients. This nutritional intervention resulted in a slight improvement in anthropometric data, with no significant difference. Conclusion: Using the oral nutritional supplement for a longer period and better adherence would possibly present greater nutritional benefits to patients.

Oral nutritional supplements and taste preferences: 545 days of clinical testing in malnourished in-patients

2008 ◽  
Vol 27 (4) ◽  
pp. 660-665 ◽  
Author(s):  
Patrice Darmon ◽  
Véronique L. Karsegard ◽  
Patrizia Nardo ◽  
Yves M. Dupertuis ◽  
Claude Pichard
Keyword(s):  
Nutritional Supplements ◽  
Taste Preferences ◽  
Clinical Testing ◽  
Oral Nutritional Supplements

scholarly journals TOLERABILITY, COMPLIANCE, AND PRODUCT EVALUATION OF A PRE-THICKENED ORAL NUTRITIONAL SUPPLEMENT FOR DISEASE RELATED MALNUTRITION IN PATIENTS WITH DYSPHAGIA

2019 ◽  
pp. 1-6
Author(s):  
T. Dennehy ◽  
F. Veldkamp ◽  
M. Lansink ◽  
R.J. Schulz
Keyword(s):  
Nutritional Support ◽  
Oropharyngeal Dysphagia ◽  
Gastrointestinal Symptoms ◽  
Test Group ◽  
Product Evaluation ◽  
Nutritional Supplement ◽  
Stool Frequency ◽  
Control Group ◽  
Oral Nutritional Supplement ◽  
Oral Nutritional Supplements

Background: Oropharyngeal dysphagia is a prevalent risk factor for malnutrition in older patients and both conditions are related to poor outcome. For the management of (risk of) malnutrition in patients with oropharyngeal dysphagia pre-thickened oral nutritional supplements are available. Objective: The objective of the study is to describe tolerance parameters (stool frequency and incidence and intensity of gastrointestinal symptoms), study product intake (compliance), product appreciation and product properties of a pre-thickened oral nutritional supplement compared to a manually-thickened standard oral nutritional supplement. Design: A randomized, open label, controlled, parallel group study. Setting: participants were recruited through nine general practices in Ireland, one nursing home in The Netherlands, and one hospital in Germany. Participants: Fifty patients requiring oral nutritional support (twenty-four of fifty cases (48%) with dysphagia) were divided into two groups: test group (N = 27) and control group (N = 23). Intervention: During four weeks the test group received a ready-to-use, low volume (125 mL), and energy dense pre-thickened oral nutritional supplement, and the control group a manually-thickened iso-caloric oral nutritional supplement (200 mL) with a similar viscosity. Measurements: Compliance and stool frequency were recorded daily, evaluation of the product appreciation and properties and gastrointestinal tolerability were assessed with questionnaires. Results: Incidence and intensity of gastrointestinal symptoms was not statistically different between groups. Pre-thickened oral nutritional supplement scored significantly better on compliance in week 4 (p = 0.019), on thickness appreciation by patients (day 14, p = 0.035) and on product properties evaluation by carers (appearance, preparation time, ease of preparation and change in thickness, all p < 0.001) compared to the manually-thickened ONS. Conclusion: These results substantiate the use of pre-thickened oral nutritional supplement for the dietary management of patients in need of nutritional support and with oropharyngeal dysphagia.

Oral nutritional supplement prescribing in primary care: a new dietitian-led medicines management team model of practice

2020 ◽  
Vol 2 (11) ◽  
pp. 574-581
Author(s):  
Emily Rose ◽  
Wenda Avey ◽  
Kulsuma Begum ◽  
Nikki Brooks ◽  
Gareth Davies ◽  
...  
Keyword(s):  
Primary Care ◽  
Nutritional Supplements ◽  
Cost Effective ◽  
Nutritional Supplement ◽  
Management Team ◽  
Screening Tools ◽  
Medicines Management ◽  
Clinical Support ◽  
Oral Nutritional Supplements ◽  
Model Of Practice

Oral nutritional supplements may be prescribed for the management of disease-related malnutrition, but there is a large variety of nutritionally differing products available. ONS prescribing in primary care is an area of uncertainty for GPs and prescribing of ONS on the NHS in England and Wales in 2018/2019 was over £150000000. Clinically appropriate prescribing of oral nutritional supplements is supported by the use of validated malnutrition screening tools to assess the patient's risk of malnutrition. Local prescribing formularies promote the use of cost-effective oral nutritional supplements products in primary care which are often not available for use in secondary care. A new medicines management model of practice which uses pharmacy technicians, with clinical support from a dietitian, to address inappropriate oral nutritional supplements prescribing in primary care is described here. The model maximises the skills within the medicines management team and promotes a food first, aging-well approach to managing malnutrition in primary care.

scholarly journals Ready-Made Oral Nutritional Supplements Improve Nutritional Outcomes and Reduce Health Care Use—A Randomised Trial in Older Malnourished People in Primary Care

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 517 ◽  
Author(s):  
Trevor R. Smith ◽  
Abbie L. Cawood ◽  
Emily R. Walters ◽  
Natasha Guildford ◽  
Rebecca J. Stratton
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Randomised Trial ◽  
Daily Intake ◽  
Nutritional Supplements ◽  
Health Care Use ◽  
Dietary Advice ◽  
Healthcare Use ◽  
Oral Nutritional Supplements ◽  
To Receive

Large trials assessing oral nutritional supplements (ONS) and dietary advice (DA) in primary care are lacking. This study examined effects of ONS + DA versus DA on intake, weight, QoL, healthcare use and satisfaction in malnourished free-living older people. Three hundred and eight people (71.5 ± 10.7y) were randomised to receive ONS + DA (n154) or DA (n154) for 12 weeks. At baseline, 4, 8, 12 weeks, intake, weight, QoL, healthcare use and satisfaction were measured. ONS + DA group (mean daily intake ONS 480 kcal; 21 g protein; 80% compliance) had significantly greater total energy and protein intakes (+401 kcal/d, p < 0.001; +15 g/d, p < 0.001) and weight gain (+0.8 kg; p < 0.001) compared to DA. QoL improved in both groups over time with a significant improvement in index with ONS + DA (p = 0.009). Significantly more participants found ONS + DA made a difference for them (p = 0.011), but no differences were found between groups using Euroqol. Compared to DA, healthcare use reduced with ONS + DA, (HCP visits by 34%, emergency admissions 50%, LOS 62%). Acceptability of both interventions was high (ONS 96%, DA 95%), with significantly more participants satisfied with ONS (89%) than DA (73%) (p = 0.009). This trial in primary care indicates that ONS are acceptable, make a difference to patients, significantly improve intake and weight, and reduce health care use with potential savings.

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