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

Grenoble Alpes University Hospital Center (CHU)

Status: Terminated

Conditions: Malnutrition

Treatments: Other: dietary counseling; Other: nutritional workshop with enrichment during a meal

Study type: Interventional

Funder types: Other

Identifiers

NCT02796521

38RC14.177

Details and patient eligibility

About

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

Full 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

Enrollment: 12 patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

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)

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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12 participants in 2 patient groups

control group

Other group

Description:

The control group will receive usual dietary counseling for enrichment.

Treatment:

Other: dietary counseling

workshop group

Other group

Description:

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

Treatment:

Other: nutritional workshop with enrichment during a meal

Other: dietary counseling