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

Sarcopenia Clinical Trial

Official title:

Does the Nutritionist's Educational Intervention Influence Protein Intake in Hospitalized Elderly People?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05502445
• Other study ID #: VFigueira
• Status: Completed
• Phase: N/A
• Start date: September 1, 2021
• Est. completion date: March 16, 2022

Study information

• Verified date: August 2022
• Source: Hospital Israelita Albert Einstein
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Description:

The Control Group will follow the flow of nutritional assessment and monitoring while the Intervention Group 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 58
• Est. completion date: March 16, 2022
• Est. primary completion date: March 16, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

• elderly patients aged 60 years or older,

• with a prescription of oral feeding, exclusively,

• minimum period of three days.

Exclusion Criteria:

• 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.

Related Conditions & MeSH terms

• Cachexia
• Dietary Habits
• Kwashiorkor
• Malnutrition
• Patient Participation
• Protein Malnutrition
• Sarcopenia

Intervention

Other:
• educational intervention
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.

Locations

Country	Name	City	State
Brazil	Hospital Israelita Albert Einstein	São Paulo	SP

Sponsors (1)

Lead Sponsor	Collaborator
Hospital Israelita Albert Einstein

Country where clinical trial is conducted

Brazil, 

References & Publications (38)

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* Note: There are 38 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Assessment and screening of sarcopenia risk by SARC-F questionnaire	Patients who present a result greater than or equal to 4 of this questionnaire are classified as risk of sarcopenia	one day (first day of assessment)
Secondary	Assessment of low muscle strength	The values that discriminate the altered exam are different for each age and sex. The result will be expressed as normal or low muscle strength	one day (first day of assessment)
Secondary	Assessment of low muscle mass by measuring the calf circumference	the cutoff points of 33cm for females and 34cm for males were used	one day (first day of assessment)
Secondary	Assessment and screening of nutritional risk	Assessment by Mini Nutritional Assessment-Short Form, it has the three classifications: 0-7 points: malnourished; 8 -11 points: at risk of malnutrition; or 12-14 points: well-nourished	one day (first day of assessment)
Secondary	Dietary prescription of hospitalized elderly	to evaluate the number of hospitalized elderly who remained with salt and sugar restriction in the diet, according to medical prescription	three days
Secondary	Questionnaire on previous knowledge of protein source foods and sarcopenia	The questionnaire has 9 questions related to knowledge of protein source foods and their importance on health and impact when consumption is not adequate. The last question is about physical activity, to assess how many patients follow the World Health Organization's recommendation. Was evaluated how many patients answered the questions correctly and how many practiced physical activity	one day

External Links

•   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)
•   Pan American Health Organization. Multicenter survey aging, health and wellbeing in Latin America and the Caribbean (SABE): preliminary report.36;9-11 jul. 2001
•   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. (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]
•   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