Malnutrition Prevalence and Nutritional Change After Preoperative Nutrition Counseling

NCT07125859 | Recruiting DMC

• 1 other identifier: 594/2568 (IRB2)
• Study Type: observational
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

Preoperative nutrition risk or Malnutrition is a prevalent up to 65% of surgical patients, leading to significant negative outcomes such as increased complications, poor wound healing, and higher healthcare costs. Preoperative nutrition status is a modifiable risk factor that can be optimized to improve surgical outcomes. Preoperative malnutrition screening creates an opportunity to identify and optimize the nutritional status of at-risk patients before surgery. This study is initiated to determine the prevalence of malnutrition among surgical patients enrolled in an Enhanced recovery after surgery (ERAS) program, using the SPENT and modified Nutrition Alert Form (NAF) during their visit to the preoperative clinic and evaluate the impact of preoperative nutrition education on body weight and nutrition status prior to surgery.

Conditions

Nutrition Status

Keywords

Preoperative; Malnutrition; Nutrition education

Outcome Measures

Primary Outcomes (1)

• The prevalence of malnutrition using NAF score

  The prevalence of malnutrition using Modified Nutrition Alert Form (NAF) score The minimum value for the NAF (Nutritional Assessment Form) is 0 and the maximum value is 88. The NAF uses a combination of BMI, serum albumin or total lymphocyte count to assess nutritional status, with scores ranging from 0-5 (NAF = A, normal to mild malnutrition), 6-10 (NAF = B, moderate malnutrition), and 11 or higher (NAF = C, severe malnutrition).

  Baseline

Secondary Outcomes (1)

• The change in Modified NAF score

  Preoperative period (up to 12 weeks before surgery)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The patients who enroll to Enhanced Recovery After Surgery (ERAS) program, Siriraj Hospital and referred to the SiPAP program.

You may qualify if:

• Adults aged ≥18 years.
• Enrolled in the Enhanced Recovery After Surgery (ERAS) program.
• Referred to the SiPAP program for prehabilitation prior to elective surgery.
• screened for malnutrition risk using the Society of Parenteral and Enteral Nutrition of Thailand (SPENT) screening tool.
• Complete clinical records available for analysis.

Sponsors & Collaborators

• Siriraj Hospital: lead

Study Sites (1)

Faculty of Medicine Siriraj Hospital

Bangkok, 10700, Thailand

RECRUITING

Related Publications (21)

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MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• Mingkwan Wongyingsinn

  Siriraj Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mingkwan Wongyingsinn, MD

CONTACT

+66 81-915-3320; Mingkwan.won@mahidol.ac.th

Parujee Nakjuy, BSc

CONTACT

+66 82-236-1415; Parujee.nak@mahidol.ac.th

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: August 4, 2025
• First Posted: August 15, 2025
• Study Start: July 15, 2025
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: February 27, 2026

Record last verified: 2026-02

Locations

TH (1)