The Effects of Individualized Nutritional Intervention Program in Malnutrition Elderly With Pneumonia

NCT04160819 | Completed

• 1 other identifier: 201700126B0C501
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the effects of an individualized nutritional intervention programs (iNIPs) on nutritional status and readmission rate in older adults with pneumonia during hospitalization and 3 and 6 months after discharge.

Conditions

Pneumonia

Keywords

nutritional intervention; malnutrition; respiratory disease

Outcome Measures

Primary Outcomes (1)

• nutritional status

  Mini-Nutritional Assessment short-form scores;MNA-SF scores ranging within 0-7, 8-11, and 12-14 indicate malnutrition, risk of malnutrition, and normal nutritional status, respectively.

  up to 6 months of intervention

Study Arms (2)

individualized nutritional intervention programs (iNIPs)

EXPERIMENTAL

Participants in the NI group received an iNIP according to energy and protein intake requirements in addition to dietary advice based on face-to-face interviews with their family members during hospitalization. After discharge, phone calls are adopted for prescribing iNIPs. Anthropometry (i.e., body mass index, limb circumference, and subcutaneous fat thickness), blood parameters (i.e., albumin and total lymphocyte count), hospital stay, Mini-Nutritional Assessment-Short Form (MNA-SF) score, target daily calorie intake, total calorie intake adherence rate, and three-major-nutrient intake were assessed during hospitalization and 3 and 6 months after discharge. Both groups received regular follow-up through phone calls. Furthermore, the rate of readmission resulting from pneumonia was recorded after discharge.

Other: Assigned Interventions

standard care (SC) group

NO INTERVENTION

SC group was only provided standard nutritional supplements according to the Kaohsiung Chang Gung Memorial Hospital Nutrition Department, and patients' family members were not provided dietary advice.

Interventions

Assigned Interventions OTHER

Participants in the NI group received an iNIP according to energy and protein intake requirements in addition to dietary advice based on face-to-face interviews with their family members during hospitalization. After discharge, phone calls are adopted for prescribing iNIPs.

Also known as: The SC group was only provided standard nutritional supplements , and patients' family members were not provided dietary advice.

individualized nutritional intervention programs (iNIPs)

Eligibility Criteria

• Age: 66 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Primary diagnosis of pneumonia by a physician
• Age more than 65 years
• Malnutrition status indicated by body mass index (BMI) \<18.5 kg/m2 or Mini-Nutritional Assessment-Short Form (MNA-SF) score≤7

You may not qualify if:

• Renal insufficiency (glomerular filtration rate \[GFR\] \<60 mL/min/1.73 m2 or GFR staging of G3b-G5)
• Cancer
• Hospital stay \<7 days

Sponsors & Collaborators

• Pei-Hsin Yang: lead

Study Sites (1)

Pei-Hsin Yang

Kaohsiung City, Taiwan

Location

MeSH Terms

Conditions

Pneumonia; Malnutrition; Respiration Disorders

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases; Nutrition Disorders; Nutritional and Metabolic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: investigator

Study Record Dates

• First Submitted: November 7, 2019
• First Posted: November 13, 2019
• Study Start: March 1, 2017
• Primary Completion: May 24, 2018
• Study Completion: May 24, 2018
• Last Updated: November 14, 2019

Record last verified: 2019-11

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)