Primary objective:The purpose of this study is to investigate what the changes in weight are after dietary treatment, according to the guideline 'Malnutrition in geriatric patients' in subgroups malnourished geriatric outpatients.…
ID
Source
Brief title
Condition
- Appetite and general nutritional disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Weight changes in kilograms after 12 weeks.
Secondary outcome
- BMI
- Intake of energy (in calories) and protein (in grammes) after 12 weeks
- Questionnaires ADL and IADL
- Walking test over 4 meters
- Hand squeeze strength test
Background summary
The Dutch population is gradually aging. This will imply an increased pressure
on health expenditure. To keep the health care system payable, the government
decided to minimize the care of elderly in institutions. Older people will
therefore remain ambulatory and maintaining independence is a important.
Malnutrition is a threat to the independence of frail elderly. Negative effects
of malnutrition are an increased risk of hospitalization, more need for home
care and more visits to the GP. This leads to higher health care costs. In the
past years has been demonstrated that dietary treatment in malnourished elderly
people is effective.
In the Elisabeth-TweeSteden Hospital, geriatric outpatients are currently
screened on malnutrition at the first consultation. However, there is no
protocol for the treatment of malnourished patients. At first consultation,
geriatricians give malnourished patients a general nutritional advice and
advise patients to make an appointment with a dietician. At a follow-up
consultation turns out the patient has not visited a dietician yet. Therefore,
geriatricians wish to change the policy for treating malnutrition at the
outpatient clinic. To date, no research has been carried out which subgroups
malnourished geriatric outpatients benefit from dietary treatment. During this
research we want to monitor the use of dietitians in malnourished geriatric
outpatients and the changes in subgroups.
Study objective
Primary objective:
The purpose of this study is to investigate what the changes in weight are
after dietary treatment, according to the guideline 'Malnutrition in geriatric
patients' in subgroups malnourished geriatric outpatients.
Secundairy objectives:
- Investigate which changes dietary treatment has on nutritional status, body
weight, body composition and functional status;
- Examining the percentage of malnourished geriatric outpatients which have an
optimal nutritional intake after 12 weeks of dietary treatment;
- Improve the quality of dietary treatment in malnourished geriatric
outpatients in the ETZ.
Study design
Implementation study
Intervention
Malnourished geriatric outpatients receive dietary treatment for twelve weeks
according to the guideline 'Malnutrition in geriatric patients'.
Study burden and risks
The patient will be charged because dietary intake will be questionned, a hand
squeeze strength test and walking test will be performed twice. The patient
also gets dietary advice. In total, the research requires a time investment of
100 to 125 minutes. The appointments will be combined with other appointments
at the hospital as much as possible.
Dietary treatment may cause short-term improvements in the situation of the
patient, for example, they will have more energy for their daily activities.
The literature shows that dietary treatment in malnourished elderly has
positive effects. It leads to a reduction in mortality, rehospitalization,
functional limitations and the risk of complications.
Nutritional interventions in malnourished geriatric inpatients are shown to be
safe. We do not expect any medical risks in the treatment of malnourished
geriatric outpatients.
Dr. Deelenlaan 5
Tilburg 5042 AD
NL
Dr. Deelenlaan 5
Tilburg 5042 AD
NL
Listed location countries
Age
Inclusion criteria
- >= 65 years
- receive treatment from a geriatrician at the outpatient clinic at the Elisabeth-TweeSteden hospital
- malnourished according to the Short Nutritional Assessment Questionnaire (SNAQ ) and/or Body Mass Index (BMI).
Exclusion criteria
- Mentally incompetent to consider participation in the research
- If dietary treatment at the first consultation to the geriatrician is immediately necessary (geriatrician reviews this)
- Terminal phase of life (death within 3 months to be expected)
- Newly diagnosed malignancy or active cancer treatment (surgery, chemotherapy, radiotherapy)
- Could not understand the Dutch language
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL53702.028.15 |