The Effectiveness of a High-Protein Liquid Dietary Supplementation in Improving Nutritional Status of Malnourished Patients in Hospital Care: a Preliminary Study

M. Simadibrata, M. Abdullah, F. Witjaksono, V. N. Muzellina, A. P. Utari, Y. Wulandari, Ari Wijayanti, Dewi Mustikarani, Raja Mangatur Haloho, Aditya Rachman, D. M. Simadibrata, Rizka Mutiara, Kaka Renaldi
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Abstract

Background: Malnutrition is a very common problem in hospitalized patients. Based on studies conducted in various countries, the prevalence of hospital malnutrition ranges from 20-45%. Hospital malnutrition can occur as a result of insufficient nutrient intake, impaired absorption of nutrients in the gastrointestinal (GI) tract, loss of nutrients due to disease, or increased metabolic requirement during illness. Nutrition is the basis for the healing process as it requires good nutrients through various enzymatic reactions. Some studies have shown that hospital malnutrition increases morbidity, mortality, prolongs the duration of hospitalization, and delays recovery. To improve nutritional status, a high-protein diet can be given. Liquid diet is one of the alternative forms of nutrition because it is easier to swallow.Method: This study was a double-blind randomized controlled trial conducted to assess the effectiveness of high protein liquid dietary supplementation in malnourished hospitalized patients. The patients were assessed for their nutritional status based on ESPEN 2015 criteria. Patients who experienced malnutrition will be divided into 2 groups, namely the control group which was given normal protein liquid diet, while the intervention group was given high protein liquid diet supplementation as much as 2 bottles (200 mL) per day for 7-10 days. Furthermore, the nutritional status of the patient was assessed.Results: By administering high-protein liquid diet supplementation, there was a tendency to increase the strength of the right handgrip in 3 subjects (50%), the tendency to increase body mass index (BMI) in 3 subjects (50%), Subjective Global Assessment (SGA) score improved in 2 subjects with mild/moderate malnutrition (33.3%) and 1 subject with normal nutrition (16.7%), and the tendency to increase the fat-free mass in 3 subjects (50%).Conclusion: The administration of high protein liquid dietary supplementation tended to increase the strength of the right handgrip, BMI, SGA score, and body fat-free mass index.
高蛋白液体膳食补充剂改善医院护理中营养不良患者营养状况的有效性:一项初步研究
背景:营养不良是住院患者中一个非常普遍的问题。根据在各国进行的研究,医院营养不良的发生率在20-45%之间。医院营养不良可能是由于营养摄入不足、胃肠道营养吸收受损、疾病导致的营养流失或疾病期间代谢需求增加造成的。营养是愈合过程的基础,因为它需要通过各种酶反应获得良好的营养。一些研究表明,医院营养不良会增加发病率和死亡率,延长住院时间,并延迟康复。为了改善营养状况,可以给予高蛋白饮食。流质饮食是另一种营养形式,因为它更容易吞咽。方法:本研究采用双盲随机对照试验,评估高蛋白液体膳食补充剂对营养不良住院患者的疗效。根据ESPEN 2015标准评估患者的营养状况。将出现营养不良的患者分为两组,对照组给予正常蛋白流质饮食,干预组给予高蛋白流质饮食补充,每天2瓶(200 mL),持续7-10天。此外,还评估了患者的营养状况。结果:补充高蛋白液体饮食后,3例(50%)受试者的右手握力有增加的趋势,3例(50%)受试者的体重指数(BMI)有增加的趋势,2例(33.3%)轻度/中度营养不良者和1例(16.7%)营养正常者的主观整体评估(SGA)评分有改善的趋势,3例(50%)受试者的无脂质量有增加的趋势。结论:高蛋白液体膳食补充剂倾向于增加右手握力、BMI、SGA评分和体脂质量指数。
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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