Evaluation of Effectiveness of Nutritional Practical Counseling for Elderly Patients at Risk of Malnutrition on Nutritional Status at Home

Malnutrition Clinical Trial

— NutriPratiC  

Official title:

Evaluation of the Effectiveness of Nutritional Practical Counseling for Elderly Patients at Risk of Malnutrition (and Their Caregivers) on Nutritional Status at Home

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT02796521
• Other study ID #: 38RC14.177
• Status: Terminated
• Phase: N/A
• Start date: March 2015
• Est. completion date: February 2017

Study information

• Verified date: May 2016
• Source: University Hospital, Grenoble
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

At hospital, short term actions are used (adaptation of meals, oral supplementation…) to fight malnutrition. Oral supplementation can have a positive impact on weight gain. But actions should continue at home, particularly to maintain autonomy for elderly. The hypothesis is that practical workshop about enrichment and interest of foods can help malnourished patients to change their eating habits. The main goal of this study is to evaluate the effects of this workshop on improving nutritional status, measured by Mini Nutritional Assessment

Description:

This is a mono center cohort study of a 4-months follow-up on elderly patients after hospitalization.

Nutritional parameters and evaluation of the quality of life will be collected during hospitalization and output during a visit at 4 months at home. These parameters will be studied in two groups : nutritional workshop vs usual dietary counseling

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 12
• Est. completion date: February 2017
• Est. primary completion date: February 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

Inclusion Criteria:

• malnourished patients or at risk of malnutrition

• coming back home after hospitalization

• affiliated to a social security system

• having given free, informed written consent

Exclusion Criteria:

• Mini Mental Score <18

• Incapacitated adults and psychiatric inpatients

• Diet indication requiring strict salt restriction

• Severe swallowing difficulties

• Patients with artificial nutrition (enteral or parenteral)

• Impossibility to measure weight at home

• Severe digestive or intestinal malabsorption

• Iterative nausea and vomiting

• Patients with rapidly progressive diseases (life expectancy less than 6 months)

Related Conditions & MeSH terms

• Malnutrition

Intervention

Other:
• dietary counseling
Patients received individualized nutritional counseling encouraging them for enrichment
• nutritional workshop with enrichment during a meal
Patients received in group nutritional informations for enrichment and are encouraged to try enrichment together during a meal.

Locations

Country	Name	City	State
France	CHU de Grenoble	Grenoble

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Grenoble

Country where clinical trial is conducted

France, 

References & Publications (6)

Arnaud-Battandier F, Malvy D, Jeandel C, Schmitt C, Aussage P, Beaufrère B, Cynober L. Use of oral supplements in malnourished elderly patients living in the community: a pharmaco-economic study. Clin Nutr. 2004 Oct;23(5):1096-103. — View Citation

Boumendjel N, Herrmann F, Girod V, Sieber C, Rapin CH. Refrigerator content and hospital admission in old people. Lancet. 2000 Aug 12;356(9229):563. — View Citation

Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003 Jun;22(3):235-9. — View Citation

McMurdo ME, Price RJ, Shields M, Potter J, Stott DJ. Should oral nutritional supplementation be given to undernourished older people upon hospital discharge? A controlled trial. J Am Geriatr Soc. 2009 Dec;57(12):2239-45. doi: 10.1111/j.1532-5415.2009.02568.x. Epub 2009 Nov 17. — View Citation

Persson M, Hytter-Landahl A, Brismar K, Cederholm T. Nutritional supplementation and dietary advice in geriatric patients at risk of malnutrition. Clin Nutr. 2007 Apr;26(2):216-24. Epub 2007 Feb 1. — View Citation

Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME. Dietary counseling improves patient outcomes: a prospective, randomized, controlled trial in colorectal cancer patients undergoing radiotherapy. J Clin Oncol. 2005 Mar 1;23(7):1431-8. Epub 2005 Jan 31. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Improvement of nutritional status	global Mini Nutritional Assessment	4 months
Secondary	Effect of the workshop on nutritional items of Mini Nutritional Assessment	specific nutritional items of Mini Nutritional Assessment	4 months
Secondary	Maintaining or improving weight	Weight is determined with a Seca floor scale	4 months
Secondary	Improving ingesta qualitatively and quantitatively	Ingesta are determined with a 24h-recall questionnaire	4 months
Secondary	Representations and motivations on eating habits	Representations and motivations on eating habits are determined with a questionnaire with Likert responses	4 months
Secondary	Rate returns to the hospital and not programmed planned		4 months