The Nutritionist's Educational Intervention on the Protein Intake in Hospitalized Elderly People

NCT05502445 | Completed DMC

• 1 other identifier: VFigueira
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

The food intake is often compromised in the elderly, and during hospitalization, dietary restrictions may be imposed, making them more susceptible to the risk of malnutrition and sarcopenia. It is essential to make an early identification of the elderly with low intake and involve them in their self-care. The aims will be assess the influence of the nutritionist's educational action to increase protein intake in elderly patients, to analyze the knowledge on its importance in the prevention of sarcopenia and to identify the prevalence of nutritional risk. This is a field, prospective, correlational, comparative and randomized study. The elderly patients will be randomized into a Control Group and Intervention Group.

Conditions

Old Age; Cachexia; Dietary Habits; Sarcopenia; Protein Malnutrition; Patient Participation

Keywords

Malnutrition; Sarcopenia; Hospitalized Patients; Elderly; Patient-Centered Care; Food Intake; Protein; Nutritional Supplements

Outcome Measures

Primary Outcomes (1)

• Total energy and protein needs and intakes from dietary and oral nutritional supplements during hospitalization, according to the study group

  Energy and protein intakes per kg of actual body weight and per day

  three days

Secondary Outcomes (6)

• Assessment and screening of sarcopenia risk by SARC-F questionnaire

  one day (first day of assessment)

• Assessment of low muscle strength

  one day (first day of assessment)

• Assessment of low muscle mass by measuring the calf circumference

  one day (first day of assessment)

• Assessment and screening of nutritional risk

  one day (first day of assessment)

• Dietary prescription of hospitalized elderly

  three days

Study Arms (2)

Control Group

NO INTERVENTION

This group will follow the hospital's standard nutritional assessment and monitoring flow: * 24-hour recall: patients will be interviewed to report about one day of their usual diet. * Application of a questionnaire: to assess the knowledge about the importance of protein intake in the prevention of sarcopenia and functionality, and whether the participant regularly performs physical activity. * Energy and protein needs: estimated according to the clinical status and patient associated pathologies. The protocol of the Clinical Nutrition Service will be followed. * Calculation of the Body Mass Index (BMI) * Nutritional risk was determined using the Mini Nutritional Assessment-Short Form * Screening for sarcopenia: SARC-F ,Calf Circumference and Hand Grip Strength

Intervention Group

ACTIVE COMPARATOR

In this group, the steps below are added: * On the first day, the delivery of the leaflet on the importance of nutrition in the hospital environment will be added in addition to verbal guidance. * On the second day, an educational institutional video with duration of two minutes, will be shown with the title "Food Intake and Oral Supplement in Nutritional Rehabilitation" via tablet or mobile phone. * When the 24-hour recall will be collected, an assessment of food intake will be performed, mainly of foods that are sources of protein and, when they were less than 75%, strategies must be designed to increase the acceptance or indication of oral nutritional supplements (ONS).

Other: educational intervention

Interventions

educational intervention OTHER

In this group, the steps below are added:on the first day, the delivery of the leaflet on the importance of nutrition in the hospital environment will be added in addition to verbal guidance. On the second day, an educational institutional video with duration of two minutes, will be shown with the title "Food Intake and Oral Supplement in Nutritional Rehabilitation" via tablet or mobile phone. When the 24-hour recall will be collected, an assessment of food intake will be performed, mainly of foods that are sources of protein and, when they were less than 75%, strategies must be designed to increase the acceptance or indication of oral nutritional supplements.

Intervention Group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• elderly patients aged 60 years or older,
• with a prescription of oral feeding, exclusively,
• minimum period of three days.

You may not qualify if:

• palliative care,
• treatment for chronic renal failure,
• patients with neurological deficit and dysphagia,
• readmissions during the study,
• receiving enteral and/or parenteral nutritional therapy,
• patients in isolation.

Sponsors & Collaborators

• Hospital Israelita Albert Einstein: lead

Study Sites (1)

Hospital Israelita Albert Einstein

São Paulo, São Paulo, 05652-900, Brazil

Location

Related Publications (38)

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Related Links

• Vigitel Brazil 2019:surveillance of risk and protect.factors for chronic dis.by telephone survey: estimates of frequency and sociodemographic distribution of risk and protect.factors for chronic dis.in the capitals in 2019
• World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour: at a glance. World Health Organization. https://apps.who.int/iris/handle/10665/337001
• World Health Organization. (2002, april). Active Ageing - A Policy Framework. A contribution of the World Health Organization to the Second United Nations World Assembly on Ageing. p.4. \[Accessed on August 22, 2020\]
• Gonçalves, TJM e col. BRASPEN. Brazilian Society of Parenteral and Enteral Nutrition. Guideline on nutrition therapy in aging. J 2019; 34 (Supl 3):2-58)

MeSH Terms

Conditions

Cachexia; Feeding Behavior; Sarcopenia; Kwashiorkor; Patient Participation; Malnutrition

Interventions

Early Intervention, Educational

Condition Hierarchy (Ancestors)

Weight Loss; Body Weight Changes; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Thinness; Behavior, Animal; Behavior; Muscular Atrophy; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Atrophy; Pathological Conditions, Anatomical; Severe Acute Malnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Intervention Hierarchy (Ancestors)

Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services

Study Officials

• Ana P Lottenberg

  Hospital Israelita Albert Einstein

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Nutritionist of Clinical Nutrition Department

Model Details: A prospective, correlational, comparative and randomized study, with hospitalized elderly over 60 years, at a private hospital. Patients will be randomized through a numerical sequence list, into Intervention Group (IG) or Control Group (CG). Before the nutritionist performs the first assessment, the envelope to determine which group the patient would be allocated will be selective. The CG will follow the flow of nutritional assessment and monitoring while the IG will receive daily visits to monitor food intake, leaflet and educational video on the importance of protein and its source foods. In both groups, a questionnaire on knowledge of protein sources and its importance will be applied, and we will calculated the 24-hour recall of a regular day and for three days of hospitalization. Patients will be assessment by Mini Nutritional Assessment-Short Form and SARC-F and will be the measurements of calf circumference and hand grip strength.

Study Record Dates

• First Submitted: August 9, 2022
• First Posted: August 16, 2022
• Study Start: September 1, 2021
• Primary Completion: March 16, 2022
• Study Completion: March 16, 2022
• Last Updated: August 16, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: from 6 months after publication up to 2 years
• Access Criteria: to obtain the study protocol and details of statistical analyses and supplementary materials, contact the author to make a request.

Locations

BR (1)