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Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial.
Clin Nutr. 2018 08; 37(4):1186-1192.CN

Abstract

BACKGROUND & AIMS

Adequate protein intake is important in preventing and treating undernutrition. Hospitalized older patients are recommended to consume 1.2-1.5 g of protein per kg body weight per day (g/kg/d) but most of them fail to do so. Therefore, we investigated whether a range of newly developed protein-enriched familiar foods and drinks were effective in increasing protein intake of hospitalized older patients.

METHODS

This randomized controlled trial involved 147 patients of ≥65 years (mean age: 78.5 ± 7.4 years). The control group (n = 80) received the standard energy and protein rich hospital menu. The intervention group (n = 67) received the same menu with various protein-enriched intervention products replacing regular products or added to the menu. Macronutrient intake on the fourth day of hospitalization, based on food ordering data, was compared between the two groups by using Independent T-tests and Mann Whitney U-tests.

RESULTS

In the intervention group 30% of total protein was provided by the intervention products. The intervention group consumed 105.7 ± 34.2 g protein compared to 88.2 ± 24.4 g in the control group (p < 0.01); corresponding with 1.5 vs 1.2 g/kg/d (p < 0.01). More patients in the intervention group than in the control group reached a protein intake of 1.2 g/kg/d (79.1% vs 47.5%). Protein intake was significantly higher in the intervention group at breakfast, during the morning between breakfast and lunch, and at dinner.

CONCLUSIONS

This study shows that providing protein-enriched familiar foods and drinks, as replacement of regular products or as additions to the hospital menu, better enables hospitalized older patients to reach protein intake recommendations. This trial is registered on ClinicalTrials.gov, Identifier: NCT02213393.

Authors+Show Affiliations

Division of Human Nutrition, Wageningen University, PO Box 17, 6700AA Wageningen, The Netherlands. Electronic address: janne.beelen@gmail.com.Department of Dietetics, Hospital Gelderse Vallei, PO Box 9025, 6710HN Ede, The Netherlands. Electronic address: vassee@zgv.nl.Department of Dietetics, Hospital Gelderse Vallei, PO Box 9025, 6710HN Ede, The Netherlands. Electronic address: janssenn@zgv.nl.Department of Geriatric Medicine, Hospital Gelderse Vallei, PO Box 9025, 6710HN Ede, The Netherlands. Electronic address: jansea@zgv.nl.Division of Human Nutrition, Wageningen University, PO Box 17, 6700AA Wageningen, The Netherlands. Electronic address: nicole.deroos@wur.nl.Division of Human Nutrition, Wageningen University, PO Box 17, 6700AA Wageningen, The Netherlands. Electronic address: lisette.degroot@wur.nl.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28571713

Citation

Beelen, Janne, et al. "Protein-enriched Familiar Foods and Drinks Improve Protein Intake of Hospitalized Older Patients: a Randomized Controlled Trial." Clinical Nutrition (Edinburgh, Scotland), vol. 37, no. 4, 2018, pp. 1186-1192.
Beelen J, Vasse E, Janssen N, et al. Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial. Clin Nutr. 2018;37(4):1186-1192.
Beelen, J., Vasse, E., Janssen, N., Janse, A., de Roos, N. M., & de Groot, L. C. P. G. M. (2018). Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial. Clinical Nutrition (Edinburgh, Scotland), 37(4), 1186-1192. https://doi.org/10.1016/j.clnu.2017.05.010
Beelen J, et al. Protein-enriched Familiar Foods and Drinks Improve Protein Intake of Hospitalized Older Patients: a Randomized Controlled Trial. Clin Nutr. 2018;37(4):1186-1192. PubMed PMID: 28571713.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Protein-enriched familiar foods and drinks improve protein intake of hospitalized older patients: A randomized controlled trial. AU - Beelen,Janne, AU - Vasse,Emmelyne, AU - Janssen,Nancy, AU - Janse,André, AU - de Roos,Nicole M, AU - de Groot,Lisette C P G M, Y1 - 2017/05/18/ PY - 2016/03/25/received PY - 2016/08/12/revised PY - 2017/05/12/accepted PY - 2017/6/3/pubmed PY - 2019/10/23/medline PY - 2017/6/3/entrez KW - Geriatrics KW - Hospital KW - Older adults KW - Protein intake KW - Protein-enriched foods KW - Randomized controlled trial SP - 1186 EP - 1192 JF - Clinical nutrition (Edinburgh, Scotland) JO - Clin Nutr VL - 37 IS - 4 N2 - BACKGROUND & AIMS: Adequate protein intake is important in preventing and treating undernutrition. Hospitalized older patients are recommended to consume 1.2-1.5 g of protein per kg body weight per day (g/kg/d) but most of them fail to do so. Therefore, we investigated whether a range of newly developed protein-enriched familiar foods and drinks were effective in increasing protein intake of hospitalized older patients. METHODS: This randomized controlled trial involved 147 patients of ≥65 years (mean age: 78.5 ± 7.4 years). The control group (n = 80) received the standard energy and protein rich hospital menu. The intervention group (n = 67) received the same menu with various protein-enriched intervention products replacing regular products or added to the menu. Macronutrient intake on the fourth day of hospitalization, based on food ordering data, was compared between the two groups by using Independent T-tests and Mann Whitney U-tests. RESULTS: In the intervention group 30% of total protein was provided by the intervention products. The intervention group consumed 105.7 ± 34.2 g protein compared to 88.2 ± 24.4 g in the control group (p < 0.01); corresponding with 1.5 vs 1.2 g/kg/d (p < 0.01). More patients in the intervention group than in the control group reached a protein intake of 1.2 g/kg/d (79.1% vs 47.5%). Protein intake was significantly higher in the intervention group at breakfast, during the morning between breakfast and lunch, and at dinner. CONCLUSIONS: This study shows that providing protein-enriched familiar foods and drinks, as replacement of regular products or as additions to the hospital menu, better enables hospitalized older patients to reach protein intake recommendations. This trial is registered on ClinicalTrials.gov, Identifier: NCT02213393. SN - 1532-1983 UR - https://www.unboundmedicine.com/medline/citation/28571713/Protein_enriched_familiar_foods_and_drinks_improve_protein_intake_of_hospitalized_older_patients:_A_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0261-5614(17)30171-1 DB - PRIME DP - Unbound Medicine ER -