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

NCT ID: NCT02796521

Last Updated: 2018-10-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2017-02-28

Brief Summary

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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

Detailed Description

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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

Conditions

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Malnutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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control group

The control group will receive usual dietary counseling for enrichment.

Group Type OTHER

dietary counseling

Intervention Type OTHER

Patients received individualized nutritional counseling encouraging them for enrichment

workshop group

The workshop group will have informations about interest of foods. They will enrich a meal with foods which can easily be added without cooking.

Group Type OTHER

dietary counseling

Intervention Type OTHER

Patients received individualized nutritional counseling encouraging them for enrichment

nutritional workshop with enrichment during a meal

Intervention Type OTHER

Patients received in group nutritional informations for enrichment and are encouraged to try enrichment together during a meal.

Interventions

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dietary counseling

Patients received individualized nutritional counseling encouraging them for enrichment

Intervention Type OTHER

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.

Intervention Type OTHER

Eligibility Criteria

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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)
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU de Grenoble

Grenoble, , France

Site Status

Countries

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France

References

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Arnaud-Battandier F, Malvy D, Jeandel C, Schmitt C, Aussage P, Beaufrere 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. doi: 10.1016/j.clnu.2004.02.007.

Reference Type BACKGROUND
PMID: 15380901 (View on PubMed)

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. doi: 10.1016/S0140-6736(00)02583-6.

Reference Type BACKGROUND
PMID: 10950235 (View on PubMed)

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. doi: 10.1016/s0261-5614(02)00215-7.

Reference Type BACKGROUND
PMID: 12765661 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 19925613 (View on PubMed)

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. doi: 10.1016/j.clnu.2006.12.002. Epub 2007 Feb 1.

Reference Type BACKGROUND
PMID: 17275141 (View on PubMed)

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. doi: 10.1200/JCO.2005.02.054. Epub 2005 Jan 31.

Reference Type BACKGROUND
PMID: 15684319 (View on PubMed)

Other Identifiers

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38RC14.177

Identifier Type: -

Identifier Source: org_study_id

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