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

NCT ID: NCT05502445

Last Updated: 2022-08-16

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

COMPLETED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-01

Study Completion Date

2022-03-16

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Old Age; Cachexia Dietary Habits Sarcopenia Protein Malnutrition Patient Participation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A prospective, correlational, comparative and randomized study, with hospitalized elderly over 60 years, at a private hospital.

Patients will be randomized through a numerical sequence list, into Intervention Group (IG) or Control Group (CG). Before the nutritionist performs the first assessment, the envelope to determine which group the patient would be allocated will be selective.

The CG will follow the flow of nutritional assessment and monitoring while the IG 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.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Control Group

This group will follow the hospital's standard nutritional assessment and monitoring flow:

* 24-hour recall: patients will be interviewed to report about one day of their usual diet.
* Application of a questionnaire: to assess the knowledge about the importance of protein intake in the prevention of sarcopenia and functionality, and whether the participant regularly performs physical activity.
* Energy and protein needs: estimated according to the clinical status and patient associated pathologies. The protocol of the Clinical Nutrition Service will be followed.
* Calculation of the Body Mass Index (BMI)
* Nutritional risk was determined using the Mini Nutritional Assessment-Short Form
* Screening for sarcopenia: SARC-F ,Calf Circumference and Hand Grip Strength

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention Group

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 (ONS).

Group Type ACTIVE_COMPARATOR

educational intervention

Intervention Type OTHER

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.

Interventions

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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.

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Israelita Albert Einstein

OTHER

Sponsor Role lead

Responsible Party

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Vanessa AC Ramis Figueira

Senior Nutritionist of Clinical Nutrition Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ana P Lottenberg

Role: PRINCIPAL_INVESTIGATOR

Hospital Israelita Albert Einstein

Locations

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Hospital Israelita Albert Einstein

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Related Links

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https://www.saude.gov.br/svs

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

https://apps.who.int/iris/handle/10665/337001

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

https://extranet.who.int/agefriendlyworld/wp-content/uploads/2014/06/WHO-Active-Ageing-Framework.pdf

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. \[Accessed on August 22, 2020\]

https://www.braspen.org/diretrizes

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)

Other Identifiers

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VFigueira

Identifier Type: -

Identifier Source: org_study_id

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