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

Not Applicable

Terminated

• Conditions: Malnutrition
• Interventions: Other: dietary counseling; Other: nutritional workshop with enrichment during a meal

• Registration Number: NCT02796521
• Lead Sponsor: University Hospital, Grenoble

Brief 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

Detailed 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

Study Timeline

• Study Start: 2015-03
• Status Verified: 2016-05
• Study First Submitted: 2016-06-01
• Study First Submitted QC: 2016-06-06
• Study First Posted: 2016-06-10
• Primary Completion: 2017-02
• Study Completion: 2017-02
• Last Update Submitted: 2018-10-10
• Last Update Posted: 2018-10-15

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 12

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)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
control group	dietary counseling	The control group will receive usual dietary counseling for enrichment.
workshop group	nutritional workshop with enrichment during a meal	The workshop group will have informations about interest of foods. They will enrich a meal with foods which can easily be added without cooking.
workshop group	dietary counseling	The workshop group will have informations about interest of foods. They will enrich a meal with foods which can easily be added without cooking.

Primary Outcome Measures

Name	Time	Method
Improvement of nutritional status	4 months	global Mini Nutritional Assessment

Secondary Outcome Measures

Name	Time	Method
Maintaining or improving weight	4 months	Weight is determined with a Seca floor scale
Rate returns to the hospital and not programmed planned	4 months
Effect of the workshop on nutritional items of Mini Nutritional Assessment	4 months	specific nutritional items of Mini Nutritional Assessment
Improving ingesta qualitatively and quantitatively	4 months	Ingesta are determined with a 24h-recall questionnaire
Representations and motivations on eating habits	4 months	Representations and motivations on eating habits are determined with a questionnaire with Likert responses

Trial Locations

Locations (1)

CHU de Grenoble; 🇫🇷 Grenoble, France