Effects of a Specialized Oral Nutritional Supplement with Dietary Counseling on Nutritional Outcomes in Community-Dwelling Older Adults at Risk of Malnutrition: A Randomized Controlled Trial.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY

Geriatrics Pub Date : 2024-08-17 DOI:10.3390/geriatrics9040104

Weerasak Muangpaisan, Sanit Wichansawakun, Dieu Thi Thu Huynh, Somboon Intalapaporn, Chalobol Chalermsri, Ornicha Thititagul, Kanokkarn Chupisanyarote, Mallika Chuansangeam, Arunee Laiteerapong, Menaka Yalawar, Chengrong Huang, Siew Ling Tey, Zhongyuan Liu

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Abstract

This study investigated the effects of oral nutritional supplements (ONSs) along with dietary counseling (DC) in community-dwelling older adults at risk of malnutrition. In this randomized controlled trial, 196 older adults who were at risk of malnutrition, as identified by the Malnutrition Universal Screening Tool (MUST) were randomly assigned to receive ONSs twice daily with DC (intervention) or DC-only (control) for 60 days. Primary outcome was change in body weight from baseline to day 60. Nutritional status, energy, and macronutrient intakes were measured. A significant larger weight gain was observed in the intervention compared to the control from baseline to day 60 (1.50 ± 0.22 kg, p < 0.0001). The intervention group also showed a significantly greater increase in weight at day 30 (p < 0.0001). Intakes of energy and macronutrients were significantly higher in the intervention group compared to the control group at both days 30 and 60 (all p < 0.0001). The odds of achieving better nutritional status were significantly higher in the intervention group than in the control group (OR:3.9, 95% CI: 1.9, 8.2, p = 0.0001). ONS supplementation combined with DC significantly improved body weight and nutritional outcomes in community-dwelling older adults at risk of malnutrition.

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专门口服营养补充剂与膳食咨询对面临营养不良风险的社区居住老年人营养结果的影响：随机对照试验》。

本研究调查了口服营养补充剂（ONS）和饮食咨询（DC）对有营养不良风险的社区居住老年人的影响。在这项随机对照试验中，根据营养不良通用筛查工具（MUST）确定的 196 名有营养不良风险的老年人被随机分配到每天两次接受口服营养补充剂和膳食咨询（干预）或仅接受膳食咨询（对照），为期 60 天。主要结果是体重从基线到第 60 天的变化。对营养状况、能量和宏量营养素摄入量进行了测量。与对照组相比，干预组从基线到第 60 天的体重增加幅度明显更大（1.50 ± 0.22 千克，p < 0.0001）。干预组在第 30 天的体重增长也明显高于对照组（p < 0.0001）。与对照组相比，干预组在第 30 天和第 60 天的能量和常量营养素摄入量均明显增加（p < 0.0001）。干预组营养状况改善的几率明显高于对照组（OR：3.9，95% CI：1.9，8.2，p = 0.0001）。补充 ONS 和 DC 可明显改善面临营养不良风险的社区老年人的体重和营养状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatrics 医学-老年医学

CiteScore

3.30

自引率

0.00%

发文量

115

审稿时长

20.03 days

期刊介绍： • Geriatric biology • Geriatric health services research • Geriatric medicine research • Geriatric neurology, stroke, cognition and oncology • Geriatric surgery • Geriatric physical functioning, physical health and activity • Geriatric psychiatry and psychology • Geriatric nutrition • Geriatric epidemiology • Geriatric rehabilitation