Three Channel Food Concept: the Effect Meal Service on Food Intake During Hospitalization

Nutrition Poor Clinical Trial

Official title:

Three Channel Food Concept: the Effect on Food Intake During Hospitalization (Dutch: Het Driekanalenconcept: Het Effect op Voedingsinname Tijdens Ziekenhuisopname)

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06399250
• Other study ID #: 302653
• Status: Not yet recruiting
• Start date: May 1, 2024
• Est. completion date: December 31, 2024

Study information

• Verified date: April 2024
• Source: Maastricht University Medical Center
• Contact: Michelle EG Weijzen, PhD
• Phone: 0433887088
• Email: m.weijzen[@]maastrichtuniversity.nl
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The goal of this observational study is to assess food intake in hospitalized patients.

The present study will evaluate the impact of a novel in-hospital meal concept (three channel food concept) on total energy and protein intake, macronutrient distribution, and patient appreciation

Food intake will be assessed (as part of usual care) by weighing all leftovers (e.g. food that patients did not consume).

Description:

There are various possible strategies to increase protein intake during hospitalization, such as providing more protein-rich foods, fortifying meals and/or food products, supplementation with oral nutritional supplements (ONS), and/or providing well-timed snacks. An appropriate in-hospital meal service is regarded as a key element of the strategy to minimize deterioration of the nutritional status. Conventional hospital meals, 3 main meals a day prepared by a central kitchen, are often low in protein and energy and are not appreciated by patients due to lack of taste, colour and flavour, resulting in inadequate food intake particularly protein intake. There are a number of avenues to improve nutritional intake, with type of meal service and existence of individual contact with catering staff, like mealtime assistance, as important factors. The MUMC+ has adapted it's in-hospital meal system and the present study will evaluate the impact of this novel in-hospital meal concept (three channel food concept) on total energy and protein intake, macronutrient distribution, and patient appreciation.

The aim of this study is to assess whether a novel in-hospital meal concept can effectively increase daily total protein and energy intake during hospitalization, when compared to a historic control.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 102
• Est. completion date: December 31, 2024
• Est. primary completion date: December 31, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• >18y

• Admitted to surgical nursing wards of MUMC+

• Expected hospital stay of at least 3 days

Exclusion Criteria:

• Receiving (par)enteral nutrition

• "NPO" (nil per os) policy

Related Conditions & MeSH terms

• Malnutrition
• Nutrition Poor
• Protein-Energy Malnutrition

Intervention

Other:
• meal service
We're not subjecting patients to an intervention, as we will evaluate the current in-hospital meal service. As the three channel food concept is standard of care, we're not subjecting patients to dietary or behavioral changes. We will compare the data to an historic control.

Locations

Country	Name	City	State
Netherlands	Maastricht University Medical Centre	Maastricht

Sponsors (1)

Lead Sponsor	Collaborator
Maastricht University Medical Center

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	total protein intake	total protein intake (g/kg/d)	during hospitalization (minimal 2days max 5days)
Secondary	total energy intake	energy intake in kcal per day	during hospitalization (minimal 2days max 5days)
Secondary	macronutrient intake	carbohydrate, fat and protein intake (g/day)	during hospitalization (minimal 2days max 5days)
Secondary	Patient appreciation	Patient appreciation will be assessed using a question "what grade would you give the hospital food	during hospitalization (minimal 2days max 5days)
Secondary	Body weight upon hospital admission	body weight in kilograms	upon hospital admission
Secondary	Body height upon hospital admission	body height in meters	upon hospital admission
Secondary	reason hospital admission	will be derived from electronical patient dossier	upon hospital admission